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
Troops recover ak-47 rifle, intensify manhunt for ISWAP logistics suspect in Borno
Troops recover ak-47 rifle, intensify manhunt for ISWAP logistics suspect in Borno
By: Zagazola Makama
Troops of Operation Hadin Kai have recovered an AK-47 rifle and intensified a manhunt for a suspected ISWAP logistics supplier in Magumeri Local Government Area of Borno State.
Security sources said the operation followed credible intelligence on the movement of a wanted suspect identified as Mallam Malti, believed to be involved in supplying arms and ammunition to ISWAP elements.

According to the sources, the suspect was last sighted at Golaram area, near Gubio axis, carrying a bag suspected to contain weapons intended for delivery to terrorists.
Troops of 212 Battalion, supported by members of the Civilian Joint Task Force (CJTF), swiftly mobilised to the area and conducted a thorough search along the suspected route.

“Although the suspect evaded arrest, troops recovered one AK-47 rifle and an empty magazine concealed in a shelter during the operation,” the source said.

The sources added that efforts to apprehend the suspect are ongoing, with security operatives maintaining close monitoring of his known associates and networks.
Troops recover ak-47 rifle, intensify manhunt for ISWAP logistics suspect in Borno
News
NCTC-ONSA, Partners Intensify Push to Localise PCVE Strategy
NCTC-ONSA, Partners Intensify Push to Localise PCVE Strategy
By: Michael Mike
Efforts to deepen Nigeria’s response to violent extremism have gained renewed momentum as state governments, civil society actors, and development partners intensify efforts to localise the country’s Policy Framework and National Action Plan on Preventing and Countering Violent Extremism (PF-NAP).
The push, driven by the Preventing and Countering Violent Extremism Knowledge, Innovation and Resource Hub (PCVE-KIRH) of PAVE Network and National Counter-Terrorism Centre of the Office of National Security Adviser (NCTC-ONSA) in collaboration with partners including Nextier, SPRING Programme, FCDO, Global Community Engagement and Resilience Fund (GCER), aims to translate national policy into practical, state-level action.

At a high-level virtual consultative forum held on Wednesday, over 60 participants drawn from federal and state institutions, civil society organisations, and technical working groups across the country deliberated on pathways to strengthen implementation.
Chair of the PAVE Network, Jaye Gaskia, said the meeting builds on over a year of pilot interventions focused on bridging the gap between national frameworks and subnational realities.
According to him, the emphasis is shifting from “domestication” to localisation, allowing states to adapt national policies to their peculiar security and socio-political contexts.
“We are deliberately focusing on localisation because this is a national policy that must be adapted to local realities. States must identify their priorities, develop their own action plans, and establish coordination mechanisms that work for them,” he said.
He noted that Technical Working Groups established in several states, particularly in the North-west, have emerged as critical vehicles for implementation, bringing together government actors, civil society, and community stakeholders.
Speaking, the Principal Staff Officer (PSO) of the PCVE Directorate at the NCTC-ONSA, Ms Iye Mangset, commended the expanding collaboration among stakeholders. Mangset recalled that the PF-NAP, first developed in 2017 and recently revised in 2025, has been strengthened to reflect emerging realities.
She said that the updated framework now includes six core pillars: institutionalisation and mainstreaming of PCVE; access to justice; capacity building for individuals and communities; strategic communication; research, documentation and learning; and gender mainstreaming.

Mangset emphasised that the priority now is effective implementation at the state level, urging stakeholders to sustain the momentum. “We desire to see all partners, especially those from the states, continue to support and sustain this effort so that the framework delivers real impact,” she said.
Also speaking, the National Coordinator of GCERF Nigeria, Ms Yetunde Adegoke, underscored the importance of continuity. She noted that progress made over the past year must be consolidated through sustained engagement and forward-looking strategies.
Similarly, a Partner at Nextier, Dr Ndubisi Nwokolo, stressed that tackling violent extremism requires a shift from reactive, force-based responses to proactive, non-coercive approaches.
“For this to succeed, we must address the root causes of radicalisation. Violent extremism is not just a security issue, it is deeply tied to governance, inequality and social exclusion,” he said.
Nwokolo added that changing realities in Nigeria demand a rethink of long-held assumptions about extremism, noting that the phenomenon is no longer distant but increasingly localised.
Discussions at the forum revealed that while progress has been recorded in developing state-level PCVE structures and action plans, significant gaps remain.
Participants cited some of the challenges as including: weak coordination across agencies, bureaucratic delays in implementation, limited funding and overreliance on donor support, and inconsistent political commitment.
Similarly, the state actors shared experiences of ongoing efforts, including stakeholder engagement, early warning systems, and community-based interventions, but stressed that these initiatives often operate in silos. “There is growing awareness, but implementation is still uneven. What is needed now is alignment and sustained political will,” one participant noted.
The key highlight of the forum was the recognition that fragmented responses have enabled extremist groups to exploit regional gaps. Participants stressed that without a coordinated national and subnational strategy, gains recorded in one area could easily be reversed as groups relocate.
To address this, stakeholders called for stronger alignment between federal and state efforts, the institutionalisation of Technical Working Groups as State Coordination Committees, the integration of PCVE into broader state security and development plans, and dedicated budgetary allocations by state governments.
The forum also underscored the critical role of strategic communication in countering extremist narratives and building public trust. A national strategic communication plan developed under the framework is expected to be launched alongside the revised PF-NAP.
Participants emphasised that community engagement, youth inclusion, and early warning mechanisms must be central to implementation efforts.
With increased state participation and stronger partner collaboration, stakeholders expressed optimism that localisation of the PF-NAP could significantly enhance Nigeria’s capacity to prevent and counter violent extremism. However, they cautioned that success will depend largely on political will, sustainable funding, and coordinated action across all levels of government.
The forum ended with participants renewing their commitment to deepen collaboration and move from policy frameworks to measurable impact at the community level.
NCTC-ONSA, Partners Intensify Push to Localise PCVE Strategy
News
Doma United secure NPFL promotion with win over Mighty Jets
Doma United secure NPFL promotion with win over Mighty Jets
Doma United Football Club of Gombe State have secured promotion to the Nigeria Premier Football League (NPFL) following a 2-0 victory over Mighty Jets of Jos at the Pantami Stadium on Wednesday.
The News Agency of Nigeria (NAN) reports that Doma United, who top Conference C of the Nigeria National League (NNL) with 26 points from 13 matches, are the first team to seal promotion to the NPFL.
The club, relegated from the NPFL in the 2023/2024 season, are five points clear of second-placed FC Basira in Conference C, with one match remaining.
NAN reports that the 2025/2026 NNL season is organised into four conferences (A, B, C and D), with the top team in each conference earning automatic promotion to the NPFL, replacing the previous Super 8 play-off format.
Confirming the development, Doma United Technical Adviser, Najib Mabu, told NAN in Gombe on Thursday that the team had secured promotion with a game in hand.
Mabu described the journey as smooth but challenging, noting that the return to the top flight means a lot to the club and sports stakeholders in the state.
“This is huge and we are very happy that we are back.
“We will start welcoming top clubs to Gombe State again.
“I want to commend the Chief Executive Officer of Doma United, Alhaji Suleiman Umar, for his consistent support and commitment to the club.
“I also thank our players and fans for their resilience and dedication, which have paid off,” he said.
Mabu added that the club’s ambition in the NPFL goes beyond participation, expressing confidence in competing for honours and securing a continental ticket.
“We are not just going to participate in the NPFL; we will compete for every available title.
“I am confident we can secure a continental ticket,” he said.
NAN reports that Doma United will be making their second appearance in the NPFL, after recording eight wins, two draws and three losses in the current NNL campaign.
Doma United secure NPFL promotion with win over Mighty Jets
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