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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
Guterres To VP Shettima: Nigeria Must Lead Africa’s Charge For New Global Order
Guterres To VP Shettima: Nigeria Must Lead Africa’s Charge For New Global Order
By: Our Reporter
Backs nation’s UNSC bid, applauds President Tinubu’s reforms, regional security role
United Nations Secretary-General António Guterres has asked Nigeria to spearhead Africa’s quest for a restructured global order, describing the country as uniquely positioned to lead the continent toward superpower status.
Guterres praised the economic reforms of the President Bola Ahmed Tinubu-led administration as well as Nigeria’s leadership in stabilising the Sahel and ECOWAS regions despite facing its own security challenges.
The UN Chief made the remarks on Friday during a high-level bilateral meeting with Vice President Kashim Shettima on the sidelines of the 39th African Union (AU) Summit in Addis Ababa, Ethiopia.
Speaking during the talks, Guterres said Nigeria’s large population, sustained democratic governance, vast natural and human resources, and longstanding commitment to multilateralism place it in a unique position to lead Africa in the evolving global order.
“Given Nigeria’s demographic strength, democratic continuity and deep resource base, the country stands a real chance of leading Africa to becoming the next superpower in the evolving global architecture,” Guterres said.
The UN Secretary-General and the Vice President discussed key developments in Nigeria, as well as the country’s expanding leadership role in promoting regional stability across West Africa and the Sahel.
Guterres commended the remarkable and outstanding reforms of the administration of President Tinubu, noting that Nigeria’s bold economic restructuring and security commitments have strengthened its continental standing.
The meeting focused on strengthening Nigeria–UN collaboration in advancing global economic growth, peace and security, sustainable development, and coordinated humanitarian response across Africa.
In his remarks, Vice President Shettima thanked the UN Secretary-General for his leadership in promoting global peace, saying Africa has benefitted immensely from his tenure, even as the United Nations undergoes internal restructuring.
“We remain committed to multilateralism and to deepening our partnerships with the United Nations and other global institutions,” VP Shettima said.
The Vice President also reiterated Nigeria’s longstanding call for comprehensive reform of the United Nations system to reflect evolving global realities.
He emphasised that Africa must have stronger representation in global decision-making structures and declared that Nigeria deserves a permanent seat on the United Nations Security Council.
Both leaders pledged to deepen cooperation, with Guterres reaffirming the UN’s support for Nigeria’s reform agenda and its growing leadership role in advancing peace, security, and development across the African continent.
Guterres To VP Shettima: Nigeria Must Lead Africa’s Charge For New Global Order
News
CAIDOV Urges DSS to Arrest El-Rufai Over Alleged Admission of Tapping NSA’s Calls
CAIDOV Urges DSS to Arrest El-Rufai Over Alleged Admission of Tapping NSA’s Calls
By: Michael Mike
The Centre Against Injustice and Domestic Violence (CAIDOV) has called on the Department of State Services (DSS) to urgently investigate and arrest former Kaduna State governor, Nasir El-Rufai, over what it described as a confession to tapping the telephone lines of the National Security Adviser (NSA).
In a statement issued on Saturday by the Executive Director, Gbenga Soloki, the group said the alleged action by El-Rufai raises serious national security concerns and must not be treated lightly by security agencies.
CAIDOV insisted that security operatives should “move swiftly to trap him even if Nigeria will divide,” stressing that no individual is above the law regardless of political status or influence.
According to the group, El-Rufai has “succeeded in putting himself into trouble” and should be made to face the consequences of his alleged actions. It accused the former governor of displaying what it called an “alarming level of arrogance,” warning that personal disagreements with top security officials should not lead to actions that could undermine national security.
The group further claimed that the alleged development has “exposed whatever may have been planned underneath,” urging authorities to conduct a thorough investigation to determine the full extent of the matter.
As of the time of filing this report, El-Rufai had not publicly responded to the allegations, while the DSS has yet to issue an official statement on CAIDOV’s demand.
The call adds to growing political tensions surrounding recent exchanges involving key political actors and security institutions.
CAIDOV Urges DSS to Arrest El-Rufai Over Alleged Admission of Tapping NSA’s Calls
News
Nigeria Reaffirms Commitment to Global Anti-Drug War as NDLEA Officers Graduate from U.S. DEA Academy
Nigeria Reaffirms Commitment to Global Anti-Drug War as NDLEA Officers Graduate from U.S. DEA Academy
By: Michael Mike
Nigeria has reaffirmed its commitment to strengthening global collaboration in the fight against illicit drug trafficking and transnational organised crime as officers of the National Drug Law Enforcement Agency (NDLEA) completed advanced training at the United States Drug Enforcement Administration (DEA) Training Academy in Quantico, Virginia.
Speaking at the graduation ceremony on Friday, NDLEA Chairman and Chief Executive Officer, Brig. Gen. Buba Marwa (Rtd), said the increasing sophistication of criminal networks across borders requires deeper international cooperation and a coordinated global offensive.

Marwa stressed that criminal syndicates no longer operate within isolated territories, making intelligence sharing, joint operations and capacity building among nations indispensable in dismantling drug cartels and organised crime groups.
The ceremony, held at the elite DEA Training Academy, brought together officers from Nigeria, Ghana and Kenya for an intensive programme designed to sharpen investigative, operational and strategic enforcement capabilities. Participants were equipped with advanced skills to combat complex drug trafficking networks and related transnational crimes.
Describing the event as deeply significant, Marwa noted that the course was dedicated to members of the Special Investigative Unit (SIU) who paid the ultimate price in the line of duty. He paid tribute to the fallen officers, describing them as heroes whose courage and sacrifice continue to inspire law enforcement agencies worldwide.
Referencing the course motto, “Different nations, shared duty, one fight,” Marwa said it captured the collective resolve of partner countries against the global drug menace. He emphasised that only a unified, intelligence-driven response can effectively confront criminal enterprises that thrive on cross-border operations.
The NDLEA boss expressed confidence that the knowledge and competencies acquired by the graduating officers would significantly enhance the operational effectiveness of their respective agencies. He charged them to apply the training with integrity, professionalism and courage upon returning home, while upholding the highest standards of service.
Marwa also conveyed Nigeria’s appreciation to the United States Department of Justice, the DEA leadership and instructors for their continued mentorship and investment in capacity development.
He said the graduation marked not the end of training but the beginning of renewed responsibility, urging the officers to protect vulnerable communities and confront criminality wherever it threatens societal stability.
Marwa expressed optimism that the partnership between the NDLEA and the DEA would continue to deepen, yielding sustained success in the shared fight against illicit drugs and organised crime.
Nigeria Reaffirms Commitment to Global Anti-Drug War as NDLEA Officers Graduate from U.S. DEA Academy
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