Connect with us

News

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

on

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

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

Environmental Activist Warns Against ‘Junk Food Culture’, Calls for Decolonisation of Africa’s Food Systems

Published

on

Environmental Activist Warns Against ‘Junk Food Culture’, Calls for Decolonisation of Africa’s Food Systems

By: Michael Mike

Environmental activist Nnimmo Bassey has warned that the growing dominance of junk food, genetically modified crops and global market forces is undermining Africa’s food culture and deepening the politics of hunger.

Bassey made the remarks on Thursday during the Sustain-Ability Academy session on Food, Power and the Politics of Hunger, hosted by the Health of Mother Earth Foundation in collaboration with the University of Port Harcourt.

He stressed that food occupies a central place in cultural identity and social life, noting that across Nigeria and other societies, food traditions reflect the diversity and history of different communities.

According to him, food goes beyond satisfying hunger and serves as a powerful symbol of acceptance, celebration and communal belonging.

“Food unites people and families and marks one’s acceptance in a home, family or community,” he said.

Bassey traced the evolution of food systems in Nigeria, noting that cross-cultural exchanges, commerce and colonial influence had spread many local and foreign cuisines across the country and the world.

However, he warned that the increasing global spread of fast foods and processed diets was fostering what he described as a “junk culture,” driven largely by the modern obsession with instant gratification.

He criticised the growing popularity of fast-food outlets, saying their flashy environments, loud music and entertainment distractions encourage people to consume highly processed meals containing harmful additives without reflection.

The activist also expressed concern about political leaders publicly promoting junk food and sugary drinks, arguing that such behaviour sends the wrong signal and normalises unhealthy food habits.

Beyond fast food, Bassey raised alarm over the growing presence of genetically modified crops in Nigeria’s agricultural system, describing them as “Frankenstein foods” introduced through global market pressure.

He argued that many genetically engineered crops are designed to tolerate chemical pesticides or produce insecticides, raising questions about long-term health and environmental implications.

According to him, food systems have increasingly become a geopolitical arena where powerful economic interests shape what people grow and eat.

“Poverty, wars, debt and cultural manipulation create pathways for food colonialism to take root,” he said, warning that global control of food systems could weaken local agriculture and threaten indigenous food heritage.

Bassey called for the “decolonisation” of Africa’s food systems through the preservation of indigenous crops, protection of seed-sharing traditions and renewed support for smallholder farmers.

He also urged policymakers to confront the deeper causes of hunger on the continent, noting that food insecurity is not simply the result of low production.

In Nigeria, he observed, a significant portion of food produced is lost to waste, while structural issues such as weak markets, global trade pressures and poverty continue to undermine local farmers.

Bassey emphasised that governments must critically examine who benefits from hunger and ensure that food policies prioritise fairness, justice and environmental sustainability rather than corporate profit.

The environmentalist urged stakeholders to rebuild resilient food systems that protect cultural heritage, strengthen local farming communities and guarantee food security for future generations.

Environmental Activist Warns Against ‘Junk Food Culture’, Calls for Decolonisation of Africa’s Food Systems

Continue Reading

News

NESREA Seals Oyo-Based Chemical Company Over Untreated Waste Discharge

Published

on

NESREA Seals Oyo-Based Chemical Company Over Untreated Waste Discharge

By: Michael Mike

The National Environmental Standards and Regulations Enforcement Agency (NESREA) has shut down Bond Chemicals Industries Limited in Oyo State for violating environmental regulations by allegedly discharging untreated industrial waste into the environment.

A statement on Thursday by the spokesperson of NESREA, Nwamaka Ejiofor said, the enforcement action followed a public complaint that raised concerns about pollution from the facility.

She noted that the complaint was subjected to independent verification before officials moved in to investigate the allegations.

Ejiofor revealed that a compliance inspection conducted by officials of NESREA’s South West Zonal Office on February 18, 2026, uncovered serious environmental breaches at the facility. Inspectors discovered that the company was operating without a functional Effluent Treatment Plant (ETP), a critical requirement for industries that generate wastewater.

The inspection team also found that untreated wastewater with a strong offensive odour was being released directly into the surrounding environment, an action that violates national environmental standards and poses potential risks to public health and nearby ecosystems.

She said following the discovery, NESREA issued immediate directives to the company to halt the pollution by installing and operating an effective effluent treatment system in accordance with regulatory requirements. The company was also instructed to obtain the necessary environmental permits to regularise its operations.

Ejiofor however said a subsequent inspection revealed that the company had failed to comply with the directives issued.

As a result, NESREA sealed the facility in exercise of its statutory powers to halt further environmental damage and safeguard the health of residents in the affected area.

The Director-General of NESREA, Prof. Innocent Barikor, reaffirmed the agency’s resolve to enforce environmental compliance across the country, warning that industries must adhere strictly to environmental regulations designed to protect communities and natural resources.

Barikor stressed that companies operating in Nigeria are required to install and properly operate pollution control equipment, noting that failure to do so would attract strict enforcement measures.

He added that the agency would continue to intensify monitoring and compliance checks nationwide and would not hesitate to impose sanctions on any facility found violating environmental laws.

NESREA stated that the chemical company will remain sealed until it fully complies with the agency’s directives and meets all regulatory requirements.

Ejiofor in the statement, said further investigations and compliance monitoring by the agency are ongoing.

NESREA Seals Oyo-Based Chemical Company Over Untreated Waste Discharge

Continue Reading

News

Troops, NDLEA arrest suspected drug peddler in Yobe raid

Published

on

Troops, NDLEA arrest suspected drug peddler in Yobe raid

By: Zagazola Makama

Troops of the Nigerian Army in collaboration with operatives of the National Drug Law Enforcement Agency (NDLEA) and local vigilante groups have arrested a suspected drug peddler during a raid operation in Bade Local Government Area of Yobe.

Security sources said the operation was carried out at about 9:00 p.m. on March 16 in the Takari general area, based on credible intelligence on illicit drug activities.

According to the sources, troops of the 159 Battalion, alongside NDLEA operatives and vigilante members deployed in Gashua, conducted the coordinated raid which led to the arrest of the suspect.

Items recovered during the operation include seven wraps of suspected cannabis sativa and other illicit substances.

“The suspect was apprehended during the raid, while the recovered exhibits have been secured for further investigation,” the source said.

He added that the suspect and the seized drugs had been handed over to the NDLEA for further action in line with existing laws.

Troops, NDLEA arrest suspected drug peddler in Yobe raid

Continue Reading

Trending

Verified by MonsterInsights