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
Former CP David Danjuma Auta dies at Air Force Military Hospital, Jos
Former CP David Danjuma Auta dies at Air Force Military Hospital, Jos
By: Zagazola Makama
A retired Commissioner of Police, CP David Danjuma Auta (Rtd), JP, KSM, KSS, has died.
He passed away on Feb. 19, 2026, at the Air Force Military Hospital, Jos, after a brief illness.
Born on June 11, 1941, CP Auta enlisted in the Nigeria Police Force on Feb. 26, 1962, and served in several capacities, culminating as Commissioner of Police in Ogun State before retiring on Feb. 26, 1997.
He hailed from Takum Local Government Area of Taraba State.
He is survived by his wife and seven children. The corpse has been deposited at the hospital morgue, and burial arrangements will be communicated in due course.
Former CP David Danjuma Auta dies at Air Force Military Hospital, Jos
News
Five killed, house burnt in cross-border communal attack in Benue
Five killed, house burnt in cross-border communal attack in Benue
By: Zagazola Makama
Five persons have been killed and a house razed following a late-night attack on Azoke village in Ado Local Government Area of Benue.
Sources said the incident occurred at about 9:00 p.m. on Feb. 19 when suspected assailants from Akparata community in Ohaukwu Local Government Area of Ebonyi allegedly invaded the village.
The victims were identified as Nwefuru Elu, Nwefuru Agnes, Nwali Nworie Christianana, Obasi Nwode and Nwozo Nwode.
It was gathered that the attackers also set ablaze a house belonging to one Elumu Nwokwo during the assault, heightening tension in the area.
Security personnel who responded to a distress alert visited the scene and documented evidence as part of preliminary investigation.
Authorities said efforts were ongoing to apprehend those responsible, while further investigation had commenced to determine the circumstances surrounding the incident.
Residents were urged to remain calm and cooperate with security agencies as measures were being intensified to prevent escalation of violence in the area.
Five killed, house burnt in cross-border communal attack in Benue
News
New Residential layouts will not distort master plan of greater Maiduguri…..Bababe
New Residential layouts will not distort master plan of greater Maiduguri…..Bababe
By:Bodunrin Kayode
The Executive Secretary (ES) Borno Geographic Information Service (BOGIS) Eng Adam Bababe has said that the new residential layouts being created by his agency will not distort the foundations of the existing master plan of the city.
Bababe said that the phased layout which is being built along the new Maiduguri ring road would naturally fall in line with the letters and spirit of the master plan which he said is currently in the online market being purchased by interested residents of Borno.
The ES agreed that full update of the master plan is long overdue adding that a gradual process is however on the way to ensure that residents enjoy the fruit of the reviewed master plan that would satisfy every resident.
Eng Bababe said this during a recent news conference in which he unveiled a digitalized method for the application of land by residents of the state who desire to own their own land for the building of new homes to reduce the current deficit which came about by the lingering insurgency.
Bababe revealed that the Borno government has spent over 1.68 billion naira compensating 732 original farm owners along the newly computerized plots that are now being allocated on phase one of the new allocated plots.
The ES further hinted that about eleven families refused the cash compensation because they felt the money the government was offering them for the land taken for the layout purpose was inadequate compared to the real value of land they possessed from their ancestors.
They rather opted for alternative amount of land acres in another area to continue with their original type of farming pastime before the government decided to create the layouts to deal with accommodation deficits in greater Maiduguri.
Eng Bababe also hinted that 16.5km of phase one of the proposed layout plan was well planned with effective arterial road connections linked to the old designs thereby making the road networks to be very effective in tandem with the original master plan of Maiduguri.
He maintained that his engineers have prepared five phases of the layout which is meant to be sold to the public but for now they are dealing mostly with the phase one which will stretch from now till November 2026.
“When you consider the fact that the original master plan of Maiduguri was first proposed and presented in 1976 and the fact that it was supposed to be reviewed in 1981 but it did not get its first review so you can imagine the chaotic situation we met on ground which I have been trying to fix since I assumed duty here.
“As a result, you can see that it is going to be very difficult to enforce 100% the original letters of the plan on ground because it is quite a long time reviews have not taken place in the State capital. But I assure you that we will soon get a comprehensive and workable one ready that would take into cognizance most of our challenges as a developing capital.” Said Bababe.
The ES however regretted that if the government decides to stick to all the letters of the original master plan in the creation of a greater Maiduguri, there would be heavy collision with many interest secular and religious and that would not be very good for the government in power.
On their step by step treatment of past mistakes, the ES said that over 1000 homes were given notice to leave certain areas before the 2024 flood in the capital but only few of them responded to the notice.

A large chunk of them refused to leave until the flood actually covered and almost took some of them along before they realized that it was the reality and they had to move on their own.
On the mistake of approving petrol filling stations in residential areas
Bababe noted that it is on this same premise that his agency when it came on board refused to allocate new filling stations to petrol dealers who built stations any where they wish without the approval of town planning authorities.
In response to this reporters questions, he said he does not envisage any legal challenge in court by residents who may so despise filing stations in their vicinity because of the obvious hazards they pose to their right to life.
The BOGIS boss posited that the drafters of the new constitution have been very careful not to indulge in such flagrant approvals that would endanger residents in the entire phase one to five in the new master plan.
“. For clarity, i can assure you that we stopped the approvals of any new filling stations in the state since 2021 so there is nothing new now in this new allocations.
“Any filling station you see now that looks new were renovated out of older once sold out to the new buyers. New ones are yet to get any form of approvals from this office.
“And for the records out of 211 filling stations inside the books only 78 are completed and out of that only eleven of them are actually functional you can check them out” Said Bababe.
The ES went further to reiterate that the town planning authorities have equally been approving filling stations so any new one seen are actually being controlled by town planning authorities who decide where to fix them accordingly.
The ES maintained that there must be at least 200 metres from one filling station to another and they are doing their best to adhere to it.
Meanwhile the sales of the lands in the phase one to medium, low and high classification purchasers are still ongoing because all payments and collections of documents and deeds will be done online as expected.
A demonstration was made on the spot in the BOGIS compound where a prospective buyer got his approval immediately.
New Residential layouts will not distort master plan of greater Maiduguri…..Bababe
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