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

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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

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Six killed, nine injured in fatal auto crash in Plateau

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Six killed, nine injured in fatal auto crash in Plateau

By: Zagazola Makama

Six persons were killed and nine others injured in a fatal motor accident involving a trailer truck at Shendam Road junction in Langtang North Local Government Area of Plateau State.

Sources said that the accident occurred at about 5:30 a.m. on Jan. 4 when a trailer conveying about 400 bags of unprocessed rice from Yelwa-Shendam en route Kano State lost control and fell off the road.

The deceased were identified as Samaila Dahiru, from Katsina State; Sanusi Ladan Yelwa, from Toro Local Government Area of Bauchi State; Abubakar Sa’id, from Dass Local Government Area of Bauchi State; and Zaradeen Makama, from Birnin Kudu, Jigawa State.

Police said two other victims died in the crash but were yet to be identified as at the time of filing this report.

They added that nine persons sustained varying degrees of injuries.

“On receipt of the distress call, the Divisional Police Officer, Langtang North, mobilised and led a team of policemen to the scene and cordoned off the area,” the sources said.

They said the injured victims were rushed to the General Hospital, Langtang North, with the assistance of personnel of the Federal Road Safety Corps (FRSC) and members of the public for medical attention.

According to the sources , the identified corpses were released to their relatives for burial in line with Islamic rites.

Six killed, nine injured in fatal auto crash in Plateau

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Realistic training key to winning modern battles, says Army Chief as he declared the TRADOC Conference 2026 open

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Realistic training key to winning modern battles, says Army Chief as he declared the TRADOC Conference 2026 open

By: Zagazola Makama

The Chief of Army Staff (COAS), Lt.-Gen. Waidi Shaibu, has reiterated that realistic, mission-oriented and doctrine-driven training remains the most critical enabler for superior operational outcomes across Nigeria’s diverse theatres of operation.

Shaibu made this assertion while delivering his opening remarks at the 2026 Training and Doctrine Command (TRADOC) Conference, which formally commenced the Nigerian Army’s training activities for the year.

The Army Chief warned that failure to adequately and realistically prepare officers and soldiers for assigned missions would inevitably undermine operational effectiveness, noting that the evolving and increasingly complex security environment demands a force that is professional, adaptable, combat-ready and resilient.

According to him, the conference was convened to promote robust and forward-looking deliberations aimed at aligning training, doctrine and operational concepts with contemporary and emerging security challenges confronting the nation.

Shaibu said Army Headquarters remained firmly focused on sound policy formulation and holistic, mission-specific training, in line with his Command Philosophy.

He charged commandants and leaders of training institutions to internalise this philosophy and translate it into practical outcomes by producing combat-ready, resilient and adaptable troops capable of operating effectively within joint and multi-agency environments.

The COAS described the theme of the conference, “Enhancing Nigerian Army Operational Outcomes Through Effective Training and Doctrine Implementation,” as apt and timely, stressing that doctrine must continue to guide training, planning and the execution of operations across all formations.

He urged participants to relate conference presentations to real operational experiences, with a view to strengthening the Army’s capacity to counter terrorism, insurgency and other contemporary security threats.

Shaibu placed particular emphasis on Exercise MUGUN BUGU, describing it as the hallmark of Nigerian Army training activities. He said the exercise remained central to validating doctrinal principles and assessing operational readiness.

The Army Chief called for greater realism in training scenarios, including the integration of improvised explosive device (IED) threats, explosive ordnance disposal (EOD) procedures and the expanded use of simulators to enhance proficiency and cost-effectiveness.

While acknowledging the sacrifices of Nigerian Army personnel in safeguarding national security, Shaibu reaffirmed his commitment to strengthening fighting power, improving welfare and administration, and providing purposeful leadership to confront threats to peace and security.

He also commended past commanders of the Training and Doctrine Command, retired senior officers and the current TRADOC leadership for their contributions to the development of the Nigerian Army.

The COAS appreciated the conference resource persons for their insights, which he said would help shape the Army’s training and doctrinal direction in the year ahead.

Shaibu further expressed gratitude to the President and Commander-in-Chief of the Armed Forces, President Bola Ahmed Tinubu, GCFR, for his sustained support to the Nigerian Army, while reaffirming the unalloyed loyalty of the Service to the Constitution of the Federal Republic of Nigeria.

In his welcome remarks, the Commander, Training and Doctrine Command, Maj.-Gen. Peter Malla, described the conference as a critical intellectual platform for setting the tone for Nigerian Army training activities in 2026.

Malla said the conference underscored the Army’s unwavering commitment to doctrine-driven, realistic and mission-focused training as the foundation for operational effectiveness, particularly in an increasingly complex and adaptive security environment.

He noted that Nigeria’s prolonged engagements in counter-terrorism, counter-insurgency and other internal security operations had consistently highlighted the vital link between sound doctrine, effective training and operational success.

The TRADOC commander reaffirmed the command’s commitment to Nigerian Army Doctrine as the professional blueprint guiding operations, stressing the need for doctrine to remain dynamic and responsive to emerging threats.

He urged participants to actively engage in deliberations, challenge assumptions and propose practical solutions aimed at enhancing training effectiveness and strengthening the Army’s collective operational competence.

The COAS later formally declared the Training and Doctrine Command Conference 2026 open

Realistic training key to winning modern battles, says Army Chief as he declared the TRADOC Conference 2026 open

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One killed, nine arrested as rival gangs clash in Kano

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One killed, nine arrested as rival gangs clash in Kano

By: Zagazola Makama

One person was killed and nine suspects arrested following a violent clash between rival thuggery groups in Kawo and Mariri areas of Kano metropolis, sources have confirmed.

Sources told the Zagazola Makama that the incident occurred on Jan. 4 at about 9:00 p.m., following a fight between two rival groups led by Kabalo Snu and Faizu Mohammed, popularly known as Chabross of Yar Kasuwa, Kawo Quarters.

According to the sources, the clash was a reprisal attack linked to an earlier confrontation between the two groups. They said that earlier in the day, at about 1:40 p.m., Faizu Mohammed allegedly inflicted injuries on Kabalo during a separate altercation, prompting members of Kabalo’s group to launch a retaliatory attack later that night.

During the reprisal, Faizu Mohammed was reportedly stabbed in the neck with a sharp object, sustaining severe injuries. He was rushed to Sir Muhammadu Sanusi Specialist Hospital, where he died while receiving treatment.

The sources said the corpse was subsequently released to his relatives for burial, while normalcy was restored in the area.

However, tension resurfaced in the early hours of Jan. 5 when information was received that some suspected thugs were mobilising in large numbers at Kawo Quarters, allegedly to carry out another reprisal attack on Kabalo at his residence located at Jar Kuka, Mariri Quarters.

The sources said police operatives were swiftly deployed to the area and arrived to find that the suspects had already broken into a shop belonging to Kabalo.

According to the sources, the operatives charged into the area, arrested nine suspects and recovered some exhibits, while several others fled the scene.

The sources added that the situation has since been brought under control, with normalcy restored across the affected neighbourhoods. Investigation is ongoing, while efforts are being intensified to arrest other fleeing suspects and prevent further breakdown of law and order.

One killed, nine arrested as rival gangs clash in Kano

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