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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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Zulum Reassures Borno Residents as Insecurity Resurges, Vows Decisive Action Against Insurgents

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Zulum Reassures Borno Residents as Insecurity Resurges, Vows Decisive Action Against Insurgents

By: Michael Mike

Governor of Borno State, Babagana Umara Zulum, has reassured residents that authorities remain firmly in control despite a recent resurgence of insecurity in parts of the state, pledging a robust response to defeat insurgent elements attempting to destabilize communities.

In a statewide broadcast on Thursday, the governor acknowledged growing concerns following renewed attacks in some areas but insisted that the security situation remains manageable.

Zulum said the recent spike in attacks was largely a result of intensified military offensives that have dislodged insurgents from their hideouts, forcing them to disperse and attempt infiltration into local communities.

According to him, security agencies are already implementing coordinated strategies to counter the renewed threats and ensure that the insurgents do not regain a foothold in the state.

“The overall security environment, while tested, remains under control, and we are doing everything possible to protect lives and property,” he said.

The governor noted that although significant progress had been made over the past seven years in restoring stability and rebuilding communities affected by the insurgency, authorities have always remained aware that the threat was not entirely over.

Zulum stressed that the fight against insurgency requires collective responsibility, urging residents to strengthen cooperation with security agencies by providing timely intelligence and reporting suspicious activities.

He warned individuals who aid insurgents through information sharing, shelter, or logistics that the government would no longer tolerate such actions.

“Those who collaborate with these criminals are enemies of the state and will face the full weight of the law,” he said.

The governor commended the Nigerian Armed Forces and other security agencies for their sacrifices and dedication in defending the state, while also paying tribute to soldiers and civilian volunteers who have lost their lives in the ongoing conflict.

He also expressed appreciation to President Bola Ahmed Tinubu for approving funding to support operations of the Multinational Joint Task Force and other military campaigns against insurgents across the country.

Zulum further thanked Vice President Kashim Shettima for representing the president during a sympathy visit to the state following recent security incidents.

The governor called on political actors in the state to avoid exploiting the security situation for political advantage, particularly as the political season approaches.

He urged aspirants and their supporters to prioritise peace and stability over personal ambitions, warning that political divisions could undermine the fragile gains made in restoring security.

“As we look to the future and choose a new leader for our state, let us pray for a worthy successor,” he said.

Zulum also appealed to residents to remain vigilant during the final days of Ramadan and the upcoming Eid celebrations, advising citizens to observe their prayers within their communities and promptly report suspicious movements to security authorities.

He reaffirmed his administration’s commitment to preventing insurgents from regaining control of the state.

“Borno shall not fall into the hands of insurgents,” he declared.

Zulum Reassures Borno Residents as Insecurity Resurges, Vows Decisive Action Against Insurgents

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ASHLEE MOMOH FOUNDATION HONOURS WIDOWS OF FALLEN HEROES

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ASHLEE MOMOH FOUNDATION HONOURS WIDOWS OF FALLEN HEROES

Comrade Philip Ikodor

The Ashlee Momoh Foundation (AMF), a non-profit organization dedicated to supporting the families of fallen military officers, has called on Nigerians to rally behind the widows of our heroes who made the ultimate sacrifice for the nation’s defence and sovereignty.

In a heartfelt statement during the maiden edition of the Foundation’s formal outreach, Princess Ashlee Omonegho Momoh, Founder and CEO of AMF, expressed the organization’s commitment to supporting the widows and their children. “We recognize that the peace and security we enjoy as a nation were bought at a price paid by your households, and for that, we owe you more than just a debt of gratitude; we owe you our unwavering support,” she said.

The Foundation, which was established in 2016, has been working tirelessly to support the families of fallen military officers. Princess Ashlee noted that the organization’s efforts are driven by passion and resilience, and that they are committed to honouring the sacrifice of our fallen heroes by supporting their families.

“We are not just a foundation and its beneficiaries; we are a family,” Princess Ashlee emphasized. “Today, I am incredibly proud that AMF is officially registered and powered by an extraordinary team that shares our vision and passion.”

The event featured a keynote address by Dr. Iwowarri Berian James, CEO of GoldenRays Energy Health Services Ltd, who spoke on the topic “Resolving Loss Trauma for Personal Freedom”. Dr. Iwowarri emphasized the importance of incorporating post-traumatic stress disorder (PTSD) management as a basis for stabilizing the widows and their children.

The Ashlee Momoh Foundation’s outreach was marked by the presentation of food items, clothing, and cash gifts to the widows. The event was a celebration of the resilience and strength of the widows and their families, and a testament to the Foundation’s commitment to supporting them.

The Foundation has urged Nigerians to join them in supporting the widows of our fallen heroes, and to engage with AMF to share their needs and receive support.

ASHLEE MOMOH FOUNDATION HONOURS WIDOWS OF FALLEN HEROES

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

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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

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