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
Ramadan: Borno Distributes Palliatives to 300,000 Households
Ramadan: Borno Distributes Palliatives to 300,000 Households
By: Michael Mike
Borno State Governor, Prof. Babagana Zulum has launched the distribution of Ramadan relief materials to 300,000 vulnerable households across the state’s 27 local government areas, in one of the largest social support interventions this year.
The flag-off ceremony, held at Ramat Square in Maiduguri on Tuesday, marks the beginning of a statewide exercise aimed at easing the economic hardship faced by residents during the holy month of Ramadan.

Under the scheme, each beneficiary household will receive a bag of rice, a bag of millet and 10 kilogrammes of sugar.
Addressing members of the distribution committee and government officials at the event, Zulum issued a stern warning against diversion of the relief materials, insisting that the exercise must be conducted with strict accountability.
He said: “These items are not for sale. They are not meant for your friends or family members who do not need them.”
He stressed that the palliatives are intended for widows, orphans, internally displaced persons, struggling farmers and low-income earners grappling with rising living costs. Any official found compromising the process, he warned, would face legal consequences.
Zulum emphasised that fairness and transparency must guide the operation to ensure that the most vulnerable residents benefit from the intervention.
In a move reflecting religious inclusivity, the governor directed that Christian residents observing Lent — which coincides with Ramadan this year — should also benefit from the distribution.
He noted that his administration has consistently supported Christian communities, particularly during major religious celebrations. Beyond annual Christmas food distributions, the state government also provides free transportation for non-indigenous Christians travelling to celebrate the festive season with their families outside Borno.
Meanwhile, the senator representing Borno Central, Kaka Shehu Lawan, and the Secretary to the State Government, Bukar Tijani, praised the governor’s intervention, describing it as timely and critical in light of ongoing economic pressures.

Director-General of the State Emergency Management Agency (SEMA), Ali Abdullahi Isa, assured residents that the agency has put mechanisms in place to ensure a smooth and orderly distribution process across all local government areas.
The event drew a large turnout of senior government officials, including members of the House of Representatives, the Speaker and principal officers of the Borno State House of Assembly, and other key stakeholders.
With the rollout now underway, the Borno State Government says the exercise is part of broader efforts to strengthen social safety nets and support communities still recovering from years of insurgency and economic disruption.
Ramadan: Borno Distributes Palliatives to 300,000 Households
News
Nigeria, Netherlands Forge Stronger Pact to Combat Human Trafficking
Nigeria, Netherlands Forge Stronger Pact to Combat Human Trafficking
By: Michael Mike
Nigeria and the Kingdom of the Netherlands have stepped up joint efforts to dismantle human trafficking networks, as senior officials from both countries met in Abuja to review progress under the TIPVAP NG project — an initiative aimed at building a safer environment free from trafficking in persons and violence against vulnerable groups.
The Second project Steering Meeting was organized by the International Centre for Migration Policy Development (ICMPD) in partnership with NAPTIP, with support from the Ministry of Asylum and Migration of the Kingdom of the Netherlands under the Building and Environment Free of Human Trafficking and Violence Against Persons in Nigeria (TIPVAP NG) project
It was attended by a delegation from the Netherlands led by Victor Cramer, the Deputy Director General, Ministry of Asylum and Migration, Ms Isabelle Wolfsgruber, Nigeria Head of Office, Official of NAPTIP, led by the Director General, Binta Bello, Focal Persons from the relevant MDAs, and other Stakeholders.
At the heart of discussions was the Justice and Security Migration Partnership Programme, which officials described as a critical instrument for reinforcing Nigeria’s legal and institutional response to trafficking and violence.
Director-General of NAPTIP, Binta Bello, said the partnership has begun to produce measurable gains in investigations, prosecutions, and victim support services across selected states, including Benue, Delta, Edo, Enugu, Ogun and the Federal Capital Territory.
She noted that beyond enforcement, the initiative focuses on improving operational procedures, strengthening inter-agency collaboration, and deepening public awareness to prevent trafficking at its roots.
According to her, the Project Steering Committee serves as the programme’s highest oversight body, ensuring accountability, strategic direction, and alignment with both national priorities and international standards.
Bello emphasised that sustained international cooperation remains essential, particularly as trafficking networks continue to evolve and operate across borders. She called for renewed commitment to a victim-centred and rights-based approach that prioritises the protection and dignity of survivors.
Leader of the Dutch delegation, Victor Cramer, described Nigeria as a key partner in addressing irregular migration and trafficking flows between West Africa and Europe.
He pointed to data showing that Nigerian nationals remain significantly represented among trafficking victims identified in the Netherlands, especially in cases involving sexual exploitation and forced criminality. This reality, he said, underscores the need for coordinated prevention, protection and prosecution strategies.
Cramer commended Nigerian authorities for their commitment and stressed that stronger capacity building and intelligence-sharing would help reduce dangerous migration pathways exploited by criminal syndicates.
ICMPD’s Nigeria Head of Office, Isabelle Wolfsgruber, said the TIPVAP NG project is central to strengthening coordination between federal and state institutions under NAPTIP’s leadership. She highlighted the importance of awareness campaigns that equip communities with knowledge about trafficking risks and deceptive recruitment tactics.
Wolfsgruber added that the programme is designed not merely around activities, but around measurable outcomes — ensuring that institutional reforms translate into real protection for vulnerable persons.
The meeting ended with a renewed pledge by Nigeria, the Netherlands and ICMPD to deepen collaboration, strengthen institutional capacity, and sustain a coordinated national response against human trafficking and violence.
For both countries, officials agreed, the fight against trafficking is not only a security priority but also a shared humanitarian responsibility — one that demands persistence, partnership and people-focused solutions.
Nigeria, Netherlands Forge Stronger Pact to Combat Human Trafficking
News
Zulum flags off Ramadan palliative for 300,000 households in Borno’s 27 LGAs
Zulum flags off Ramadan palliative for 300,000 households in Borno’s 27 LGAs
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has launched the distribution of Ramadan palliatives to 300,000 households across all 27 local government areas of the state.
The intervention is designed to cushion the economic burden on vulnerable residents during the holy month of Ramadan.

Each beneficiary will receive one bag of rice, one bag of millet and 10 kg of sugar.
Speaking at Ramat Square, the venue for the distribution exercise on Tuesday, Zulum urged the committee tasked with the exercise to adhere to the highest standards of transparency and fairness.
He said, “To the committee in charge of this distribution, let transparency be your watchword. Let fairness be your guide. These items are not for sale. They are not for your friends or family members who do not need them.
“They are for the widow, the orphan, the internally displaced, the farmer whose fields have not fully recovered, and the daily wage earner struggling to make ends meet. Any officer found diverting these items will face the full wrath of the law.”

The governor also noted that the distribution would be extended to Christian residents who are coincidentally observing the Lent period, which overlaps with the Muslim fasting season this year.
This gesture will also touch the non-Muslims who are also fasting the lent which falls within the month of Ramadan,” Zulum ordered.
Zulum’s administration had consistently supported Christian communities in the state, particularly during festive seasons.
Each year, the governor approves the distribution of food items to Christian faithful celebrating Christmas and free transport for non-indigenous Christians who wish to travel to other parts of the country to celebrate their holidays with family and loved ones.
In their remarks, the senator representing Borno Central, Barrister Kaka Shehu Lawan and the Secretary to the Borno State Government, Bukar Tijani, commended Governor Zulum for supporting the vulnerable in their most critical moment.
In his welcome address, the Director-General of the State Emergency Management Agency (SEMA), Ali Abdullahi Isa, reiterated the agency’s readiness to ensure hitch-free distribution.
The ceremony was attended by members of the House of Representatives, Engr Bukar Talba and Abdulkadir Rahis, the speaker of the Borno State House of Assembly, Abdkarim Lawan and principal officers of the House, the Acting Chief of Staff, Dr Babagana Mustapha Mallumbe, among many other senior government officials.
Zulum flags off Ramadan palliative for 300,000 households in Borno’s 27 LGAs
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