News
Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria
Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria
By: Michael Mike
In the bustling emergency ward of Jahun General Hospital’s maternity department, the rhythm of activity beats with urgency and determination, like a pulse in the air. In this hospital, Médecins Sans Frontières (MSF) collaborates with the Jigawa state Ministry of Health to provide comprehensive emergency obstetrics and newborn care and fistula care. Since commencing services in 2008, MSF teams have assisted 90,000 deliveries.
Nigeria is the third country in the world, after South Sudan and Chad, where a woman is most likely to die giving birth, according to the World Health Organisation. With an average of more than 1,000 maternal deaths per 100,000 live births each year, Nigeria is far from the global target for 2030 of less than 70 maternal deaths per 100,000 live births, as set under the UN Sustainable Development Goals.
Maternal mortality rates far exceed the country average in northern Nigeria, where more than half of the country’s estimated 200 million people live. In Jigawa state, the most significant factor is the limited access pregnant women have to antenatal care and delivery care for complications in childbirth, which frequently occur.
Unity Enuebuke, MSF Nursing Activity Manager, has been working in Jahun General Hospital for more than 10 years. “We see a lot of women with serious complications, with the most common ones being anaemia, haemorrhage and eclampsia,” she explains. The high number of patients means the maternity wards are often fully occupied, if not over capacity. Unity says, “We regularly have up to two women sharing a bed, and depending on the type of complications we see, things can escalate very quickly.”
Ramatu
Ramatu, a mother of two, suffered life-threatening eclampsia—seizures due to high blood pressure—when she delivered her first baby in Jahun hospital. This is her second time here, overcoming the considerable distance from home. “I live five hours away from Jahun General Hospital. There is no hospital where I live, and the closest one does not open at night,” she explains. In Jigawa state, many of the estimated 749 primary healthcare centres do not have the drugs, healthcare workers and medical equipment to serve the thousands of women of childbearing age, despite efforts from public health authorities, the current healthcare infrastructure does not come close to meeting the needs of the population.
This dire situation leaves pregnant women who want to attend a healthcare facility with limited choices such as giving birth at home, and if complications arise, embarking on a treacherous journey to try to reach one that is functioning.
It is also not enough that healthcare facilities are available, they must also be affordable. The economic reality in this region, worsened by soaring inflation rates, makes it difficult for people to afford hospital fees, drugs or even transportation to health facilities.
The result is that women become hesitant to go to the hospital, preferring to give birth at home with the help of more affordable traditional birth attendants, hence increasing the risk of experiencing complications.
Khadijah
Women have given birth at home for centuries, but mother’s and baby’s survival can hinge on preparing and planning for managing complications, which may also occur without warning. In Jigawa state, health professionals and facility-based delivery rates remain low with up to around 80% of deliveries occurring at home.
Nurse Unity says, “Most times, family members don’t bring the mother to the hospital until they see that the baby is not coming out and the mother herself is having seizures.”
Khadijah, a 58-year-old traditional birth attendant in Aujara community, Jigawa state, understands the value of hospital care if she can’t manage a complication, but has experienced women’s hesitation firsthand. “Some women take my advice when I say they should go to the hospital, while some refuse to go to the hospital because they say that they are used to giving birth at home.”
In many communities in Jigawa state, pregnant women often require permission from their husband or mothers-in-law to visit hospital. This practice is compounded by a trend of early marriage, at an age when women are not fully informed about pregnancy and are not physically ready to carry a child.
Khadijah explains that for some, “it is their husbands that prevent them from going to the hospital. Some men don’t see the relevance of antenatal care, while others don’t want another man to treat their wives.”
1.
What needs to be done?
To tackle maternal mortality, a multitude of factors must be addressed. State authorities and international organisations must scale up their activities and increase funding to healthcare in the region, ensuring that budget allocations for primary healthcare centres are properly utilised and thorough planning and strict implementation processes are in place. In 2023, MSF teams assisted 15,754 deliveries, performed 1,911 caesarean sections and completed 43,785 antenatal consultations. Yet, it is still a drop in the ocean when looking at the needs of women in Jigawa state.
Primary healthcare facilities, which are often the first point where pregnant women seek healthcare, need to be equipped with trained personnel, equipment and resources to manage childbirth-related complications. “Eighty two percent of the cases we receive at Jahun General Hospital are complicated cases that could have been prevented at the primary healthcare level.” says Abdulwahab Mohamed, MSF medical coordinator. “Women, especially those of childbearing age, also have to be informed about their health and wellbeing through health empowerment programmes led by state authorities or other health stakeholders”.
Pregnant women must be encouraged to go for antenatal care where they can be informed about their pregnancy journey and what to expect. Efforts must be made to mitigate cultural practices that hinder women from seeking care in medical facilities. Women should be allowed agency and given freedom to make decisions for their health.
MSF supports the Jigawa state Ministry of Health in providing comprehensive emergency obstetrics and newborn care. Our support started with vesicovaginal fistula repair in 2008, however, the project evolved into a 161-bed facility to care for pregnant women and newborns experiencing complications. MSF teams also provide maternal and neonatal healthcare in the states of Kano, Benue, Cross River, Zamfara and will open a large maternity hospital in Maiduguri in June 2024.
Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria
News
NEMA Provides Relief to Banditry Victims in Kebbi as Communities Struggle to Recover
NEMA Provides Relief to Banditry Victims in Kebbi as Communities Struggle to Recover
By: Michael Mike
The National Emergency Management Agency (NEMA) has commenced the distribution of emergency relief materials to victims of recent banditry attacks in Kebbi State, offering support to families displaced by a wave of violence that has unsettled parts of the state.
The Director-General of NEMA, Zubaida Umar, flagged off the exercise in Birnin Kebbi, targeting affected residents in Shanga, Yauri and Bunza Local Government Areas. She said the intervention followed a detailed assessment of the affected communities to identify their most pressing needs.

Over the past weeks, suspected bandits reportedly launched coordinated attacks on several villages across the three local government areas. Residents were forced to flee as homes were burnt, food stores destroyed and livelihoods disrupted. Local authorities confirmed casualties and displacement, with many families seeking refuge in neighbouring communities and temporary shelters.
The attacks form part of a broader security challenge confronting parts of northwestern Nigeria, where armed groups have carried out raids on rural settlements, targeting civilians and farmlands. In Kebbi, the violence has compounded existing socio-economic pressures, particularly for farming communities that depend on seasonal harvests for survival.

Speaking at the flag-off ceremony, Umar conveyed the Federal Government’s sympathy to the affected families and the Kebbi State Government. She noted that the relief materials—including food items, bedding and other essential supplies—were provided to cushion the immediate hardship faced by victims.
According to her, the response aligns with the Renewed Hope Agenda of President Bola Ahmed Tinubu, which prioritises prompt humanitarian assistance and citizen welfare. She reaffirmed the government’s commitment to supporting vulnerable populations impacted by insecurity and other disasters.
Representing the Emir of Gwandu, the Wazirin Gwandu, Alhaji Abubakar Umar, commended the Federal Government and NEMA for what he described as a timely and compassionate intervention. He urged beneficiaries to make judicious use of the items while praying for lasting peace in the affected communities.
Also speaking, the Wife of the Kebbi State Governor, Hajiya Zainab Nasare Nasir, said the support would help restore hope to displaced families and ease the burden on host communities.
The distribution exercise is part of ongoing efforts by NEMA to mitigate the humanitarian consequences of insecurity and strengthen support systems for crisis-affected populations across the country.
NEMA Provides Relief to Banditry Victims in Kebbi as Communities Struggle to Recover
News
Zulum Unveils Infrastructure Push as World Bank Reaffirms Development Support for Borno
Zulum Unveils Infrastructure Push as World Bank Reaffirms Development Support for Borno
By: Michael Mike
Borno State Governor, Prof. Babagana Zulum has reiterated his administration’s commitment to post-conflict reconstruction and sustainable development following the commissioning of multiple infrastructure and education projects across the state, amid growing international development partnerships.
The projects were formally inaugurated by the Nigeria Country Director of the World Bank, Dr. Mathew Verghis, who described the investments as critical milestones in strengthening human capital development and economic resilience in regions recovering from insurgency.

Verghis praised the Borno State Government for prioritising education and infrastructure as pillars of recovery, noting that long-term stability in conflict-affected regions depends largely on access to quality education, functional infrastructure, and inclusive economic opportunities.
The newly inaugurated facilities include three modern mega schools designed to expand access to quality learning for children in vulnerable communities, as well as major road infrastructure projects aimed at easing movement within Maiduguri metropolis.

The educational facilities include the Government Secondary School Mainusari, the Mega Primary School Maimusari, and the Command Secondary School Maiduguri, all equipped with modern classrooms, learning materials, and student support facilities.
The infrastructure component of the project covers the West End flyover bridge and three major dual carriageway roads spanning Sultan Mainalari, Bursari, and Shehu Sanda Kura corridors. State officials say the roads will improve traffic flow, boost commerce, and enhance security surveillance within the city.
Speaking at the commissioning ceremony, Zulum said his administration is deliberately investing in education as a strategic tool for social transformation. He explained that decades of insurgency had severely damaged school infrastructure and disrupted learning for millions of children.
He disclosed that more than 5,000 classrooms were destroyed during the conflict, displacing thousands of students. To address the challenge, the state government has embarked on massive reconstruction efforts, building new schools while rehabilitating damaged facilities across rural and urban communities.
The governor also highlighted several social intervention programmes aimed at supporting students’ retention in school. These include the distribution of millions of exercise books and textbooks, provision of school uniforms and learning bags, and the expansion of school feeding programmes targeting thousands of pupils annually.

Zulum further stated that vocational and technical education has been prioritised to address youth unemployment. According to him, the state has established multiple vocational training institutes and entrepreneurship schools for women and youth, designed to promote skills acquisition and small business development.
Community leaders, education stakeholders, and development partners attending the event described the projects as a confidence-building step for displaced communities gradually returning to normal life after years of instability.
Observers say the growing partnership between Borno State and international development organisations signals stronger support for recovery, governance reforms, and sustainable growth in the North-East region.
Zulum Unveils Infrastructure Push as World Bank Reaffirms Development Support for Borno
News
NESREA Seals Abuja Quarry After Death of 10-Year-Old
NESREA Seals Abuja Quarry After Death of 10-Year-Old
The National Environmental Standards and Regulations Enforcement Agency (NESREA) has shut down Dai Jin Jia Quarry located in ACO Village along Airport Road, Abuja, following the tragic death of a 10-year-old boy during a blasting operation.
The incident, which occurred on Friday, February 27, 2026, prompted immediate intervention by the agency after it received reports of the fatality linked to activities at the quarry site.
Addressing journalists, the Director of Environmental Quality Control, Mr. Elijah Udofia, who spoke on behalf of the Director-General, Prof. Innocent Barikor, described the development as deeply troubling. He revealed that the facility had previously been sealed by NESREA last year for regulatory breaches but allegedly continued operations in defiance of enforcement directives.
According to him, the agency’s preliminary investigation—conducted alongside officers from the ACO Division of the Nigeria Police—uncovered serious regulatory violations. He stated that the quarry failed to present a documented Blasting Operation Plan and could not provide records of its Charge Load Density (CLD), which details the quantity of explosives used during blasting. These lapses, he noted, constitute violations of Regulation 23 of the National Environmental (Quarrying and Blasting Operations) Regulations, 2013.
Udofia further disclosed that the facility’s warning alarm system, which is required to alert surrounding residents before blasting activities, was found to be faulty at the time of inspection. He emphasized that the absence of such a critical safety measure may have contributed to the tragic outcome.
“It is distressing that despite prior warnings and enforcement actions, the company continued operations in ways that endanger lives and contravene national environmental laws,” he said, adding that the quarry has now been sealed again pending the outcome of a full investigation.
NESREA assured the public that all responsible parties would be held accountable in accordance with the law. The agency also reiterated its commitment to safeguarding host communities and ensuring strict compliance with environmental standards across the country.
The enforcement body called on operators within the quarrying sector and other industries to strictly adhere to national environmental regulations, warning that negligence and non-compliance will attract decisive sanctions.
The agency stressed that protecting lives, communities, and the
NESREA Seals Abuja Quarry After Death of 10-Year-Old
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