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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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Bayelsa Deepens Angola Partnership, Moves to Activate MoU with Namibe Province

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Bayelsa Deepens Angola Partnership, Moves to Activate MoU with Namibe Province

By: Michael Mike

Bayelsa State has stepped up efforts to strengthen economic and diplomatic ties with Angola, as it moves to implement a Memorandum of Understanding (MoU) signed with Namibe Province during the renewed Nigeria–Angola Bilateral Commission.

The partnership, which began with an exploratory visit to the Angolan coastal province of Namibe, has now entered an implementation phase, with both sides expressing commitment to translating agreements into tangible economic outcomes.

Governor of Bayelsa State, Senator Duoye Diri, while receiving a delegation from Angolan President João Manuel Gonçalves Lourenço led by the Minister of State and Chief of the Civil House of the President of the Republic of Angola, Dionísio Manuel da Fonseca at Bayelsa House in Abuja on Wednesday, said the relationship between Bayelsa and Namibe was built on shared economic characteristics and strategic interests. The delegation included senior Angolan government officials and investment representatives.

He explained that the first visit to Namibe was exploratory, aimed at identifying areas of mutual interest. Namibe, like Bayelsa, is a coastal region with strong potential in aquaculture, fisheries, marine services and other blue economy sectors.

“Namibe is a coastal province like Bayelsa. We have a lot in common in terms of marine resources, fisheries and natural endowments. That informed our decision to foster closer cooperation,” the governor said.

The second engagement coincided with the Nigeria–Angola Bilateral Commission meeting — the first in over two decades, the last having been held in 2005. The high-level meeting was attended by Nigeria’s Minister of State for Foreign Affairs, federal government officials and representatives of subnational governments, including Nasarawa State.

It was during that session that Bayelsa State formally signed an MoU with Namibe Province, focusing broadly on economic development in sectors where both sides have comparative advantages. Nasarawa State also signed a separate agreement with another Angolan province.

The governor noted that although Nigeria and Angola have signed nearly 30 agreements over the years, many were not fully implemented. He described the renewed bilateral engagement as a deliberate effort to reverse that trend.

“What makes this engagement different is the emphasis on implementation. Many agreements were signed in the past but were not executed. This visit is a continuation of that renewed commitment to ensure that what we have signed does not remain on paper,” he stated.

Diri, while commending the Angolan Ambassador to Nigeria, Jose Bamoquina Zau, who was part of the visiting team for working diligently to sustain relations between both countries, acknowledged the role of Nigeria’s leadership in facilitating the revival of the bilateral commission.

The governor also disclosed that a planned reciprocal visit by the Governor of Namibe Province had been postponed due to unforeseen circumstances, including the sudden loss of his deputy governor last year. He, however, expressed optimism that the visit would take place soon.

“We look forward to hosting the Namibe governor in Bayelsa so that we can further consolidate this partnership. Stronger ties between our states and provinces will ultimately strengthen relations between Nigeria and Angola,” he said.

Observers say the Bayelsa–Namibe cooperation reflects a growing trend of subnational diplomacy aimed at boosting intra-African trade, attracting investment and unlocking the economic potential of the continent’s coastal and resource-rich regions.

With both sides signaling readiness to move beyond ceremonial agreements, the partnership is expected to focus on practical collaboration in fisheries development, aquaculture expansion, marine infrastructure and broader economic exchange — positioning Bayelsa and Namibe as strategic gateways for enhanced South–South cooperation.

Bayelsa Deepens Angola Partnership, Moves to Activate MoU with Namibe Province

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NAPTIP Uncovers Cybercrime-Trafficking Ring in Southeast Asia, Rescues 23 Nigerian Youths

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NAPTIP Uncovers Cybercrime-Trafficking Ring in Southeast Asia, Rescues 23 Nigerian Youths

By: Michael Mike

The National Agency for the Prohibition of Trafficking in Persons (NAPTIP) has exposed an emerging human trafficking route funneling Nigerian youths to Southeast Asia for forced involvement in cybercrime, rescuing and repatriating 23 victims from Thailand.

The victims, mostly young and tech-savvy Nigerians, were allegedly deceived with promises of scholarships and high-paying jobs abroad before being trafficked to countries including Myanmar, Thailand, Laos and Cambodia. Instead of legitimate employment, they were reportedly compelled to participate in sophisticated online fraud schemes targeting victims across several continents.

Director General of NAPTIP, Binta Adamu Bello, described the development as a troubling shift in trafficking patterns, warning that criminal networks are now deliberately targeting educated and skilled youths.

“This is a disturbing evolution in the trafficking landscape,” Bello said. “The perpetrators are no longer focusing only on vulnerable, unskilled individuals. They now recruit intelligent young people with computer and IT skills, especially those with clean health backgrounds, under the guise of scholarships and professional opportunities.”

According to the agency, upon arrival in their destination countries, the victims were trained in cyber-enabled crimes such as romance scams, cryptocurrency fraud and fake investment schemes. Some were enrolled in language programmes, particularly in Chinese, and later deployed as translators or customer service agents to engage and deceive foreign targets.

The rescued youths reportedly revealed that they were housed in tightly controlled facilities and monitored by armed guards. They were assigned daily fraud targets and subjected to threats, intimidation and physical abuse if they failed to comply.

In some instances, victims alleged that those who resisted were tortured, while others claimed there were threats of organ harvesting, particularly against younger recruits perceived to be in good health.

NAPTIP said the rescue operation was carried out in collaboration with civil society organisation Eden (Myanmar), with significant support from the British Government and the Nigerian Embassy in Bangkok, which facilitated emergency travel documentation for the victims.

The agency noted that the latest operation aligns with its renewed crackdown on organised trafficking networks. Bello reiterated NAPTIP’s commitment to dismantling the syndicates behind the scheme and bringing the perpetrators to justice.

“We are strengthening our international partnerships and intelligence-sharing mechanisms to ensure these criminal networks are identified, disrupted and prosecuted,” she said.

Authorities said the 23 rescued Nigerians have arrived safely in the country and are currently undergoing profiling, counselling and rehabilitation as investigations continue.

The agency also urged parents, guardians and young professionals to be wary of overseas job offers that appear too good to be true, particularly those requiring travel to unfamiliar destinations without verifiable documentation.

The revelation underscores growing concerns about the convergence of human trafficking and transnational cybercrime, as criminal groups increasingly exploit digital skills to expand their illicit operations across borders.

NAPTIP Uncovers Cybercrime-Trafficking Ring in Southeast Asia, Rescues 23 Nigerian Youths

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Buni commends Balarabe for his humanitarian contributions in Yobe

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Buni commends Balarabe for his humanitarian contributions in Yobe

By: Yahaya Wakili

Yobe State Governor Hon. Mai Mala Buni CON, COMN, has commended the Managing Director/Chief Executive Officer of Sologuru Nigeria Limited, Alhaji Abdullahi Balarabe DJ Nguru, for his extraordinary humanitarian contribution to the reconstruction and modernization of Rugar Balarabe in the Nguru local government area of Yobe State.

Governor Buni made the commendation in a letter of appreciation personally written by him to Balarabe DJ, saying, “Your selfless decision to transform the site of the burnt Fulani settlement into a state-of-the-art community is a landmark achievement in private philanthropy.”

According to Buni, the comprehensive nature of the facilities provided, including modern two-bedroom residences, a functional clinic, a community mosque, solar-powered boreholes, and full solar electrification for both houses and streets, is truly commendable.

“By donating these essential amenities entirely free of charge, you have not only restored the dignity of the displaced families but have also significantly advanced our administration’s rural revitalization agenda,” Buni said.

“Your forward-thinking approach to sustainable infrastructure sets a high standard for civic leadership in Yobe State, and I thank you for your unwavering patriotism and commitment to the welfare of our citizens.

He revealed that it is my hope that your generous spirit serves as an inspiration to others.

Buni commends Balarabe for his humanitarian contributions in Yobe

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