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
Zulum Visits Uba, Chibok Communities, Vows Rescue of Abducted Schoolchildren
Zulum Visits Uba, Chibok Communities, Vows Rescue of Abducted Schoolchildren
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, on Tuesday visited Uba town to sympathise with parents of schoolchildren recently abducted in Mussa community, assuring residents that all efforts were being intensified to secure the safe release of the victims.
Governor Zulum, who has consistently visited communities affected by insecurity to console victims and assess the situation firsthand, met with parents of the abducted children at the palace of the Emir of Uba.
Addressing the gathering, the governor conveyed his heartfelt sympathy to the Emir, the parents of the abducted children and the entire people of the Uba Emirate over the unfortunate incident.
“I want to convey my deepest sympathy to the Emir of Uba, parents of the abducted children and the entire people of Uba Emirate over the recent unfortunate incident,” Zulum stated.
“Let me assure you that the Federal Government under the distinguished leadership of President Bola Ahmed Tinubu, the Nigerian Armed Forces and Borno State Government will do everything possible to secure the release of the children,” he assured.
The governor commended the military and other security agencies for taking proactive measures to prevent further deterioration of the security situation in the area.
He disclosed that the Brigade Commander, Commanding Officer, Divisional Police Officer and other heads of security establishments had already been deployed to strengthen security and facilitate the safe return of the abducted children.
Governor Zulum also pledged to fortify security in Askira, Uba and adjoining communities to prevent a recurrence of similar incidents.
“We have made frantic efforts to stabilize Askira, Uba and adjoining communities through reinforcing security in these areas,” he said.
The governor appealed to the abductors to release the innocent children, noting that they were minors who required the care and protection of their parents.
He further called on residents of the Uba Emirate and the entire people of Borno State to intensify prayers, especially during the first 10 days of the holy month of Dhul Hijjah.
Speaking during the visit, the Emir of Uba, Alhaji Ali Ibn Isma’ila Mamza II revealed that the incident occurred on Friday, 15 May, when 48 persons were abducted in Mussa community, including 37 primary school pupils, six secondary school students and five other residents.
The monarch commended Governor Zulum for his unwavering commitment to addressing insecurity, uniting the people of the state and supporting the emirate.
Also speaking, a representative of the Mussa community, Dr. Chinapi Amanja, appreciated the governor for the visit and acknowledged the deployment of senior military officers and other security personnel to the area.
…Zulum Condoles Chibok Communities
In a related development, Governor Zulum also visited Chibok town to commiserate with communities affected by recent attacks in parts of Chibok Local Government Area.
Addressing district heads, village heads, council members and other stakeholders, the governor said he was deeply saddened by the attacks, which claimed several lives and left many others injured.
“I purposely came to Chibok to sympathize with you over the recent attacks in some parts of the local government which claimed many lives and left others injured,” Zulum said.
“I want to assure you that the Federal Government, Nigerian Armed Forces and the Borno State Government will do everything possible to avert the recurrence of such incidents,” he added.
The governor urged residents to remain calm and law-abiding, assuring them that government was making concerted efforts to restore normalcy in the area through the deployment of additional troops.
He also prayed for the repose of the souls of those who lost their lives and asked God to grant their families the fortitude to bear the loss.
Speaking on behalf of the affected communities, the District Head of Garu, Engr. Zannah Madu, appreciated the governor for the visit and for the continued government intervention in addressing security challenges in the area.
Governor Zulum was accompanied on the visits by the member representing Chibok/Damboa/Gwoza Federal Constituency, Hon. Ahmed Jaha; Acting Chief of Staff to the Governor, Dr. Babagana Mustapha Malumbe; Commissioner for Information and Internal Security, Professor Usman Tar; Permanent Secretary, Government House and Security, Barrister Mustapha Busuguma; Special Adviser on Monitoring, Engr. Baba Bukar Gujbawu; and Special Adviser on Media, Dauda Iliya.
Zulum Visits Uba, Chibok Communities, Vows Rescue of Abducted Schoolchildren
News
Rainy season: NEMA strengthens disaster preparedness, community resilience in Gombe
Rainy season: NEMA strengthens disaster preparedness, community resilience in Gombe
The National Emergency Management Agency (NEMA) on Monday engaged relevant stakeholders in Gombe State on the National Preparedness and Response Campaign (NPRC) 2026.
This is part of ongoing nationwide efforts aimed at strengthening disaster preparedness and community resilience across the state and country.
In her keynote address, the Director General NEMA, Mrs. Zubaida Abubakar Umar represented by the North-East Zonal Director of NEMA, Mr Suleiman Yakubu stated that the campaign was designed to drive early and coordinated action to protect lives and livelihoods during this year’s rainy season.
Also speaking at the engagement, the Head of NEMA Gombe Operations Office, Hajia Ummuna Ahmed, commended the community members and stakeholders for their cooperation and commitment toward disaster preparedness.
Ahmed stressed the importance of early warning information, community participation, and proactive measures in reducing the impact of disasters on lives and livelihoods.
In his presentation on Disaster Risk Reduction Measures, Dr Terungwa Igue specified the various sectorial roles in reducing risks associated with floods.
Igue assured stakeholders of NEMA’s continued commitment to strengthening preparedness initiatives, enhancing public awareness, and promoting safer and more resilient communities across Gombe State.
The engagement further demonstrated the shared commitment of all stakeholders toward fostering safer, better informed, and disaster resilient communities throughout the state.
The team carried out extensive community sensitisation and engagement activities in Wuro Juli Community in Akko LGA of Gombe State.
The sensitisation continued on Tuesday at Yamaltu Emirate in Yamaltu Deba LGA where the Emir of Yamaltu, Alhaji Abubakar Aliyu appreciated NEMA for always coming to sensitise them and charged all the 14 Hakimis who represented 14 villages to take the messages to their domain.
The community engagement exercise focused on enhancing disaster preparedness, promoting early warning awareness, and building community resilience against potential hazards and emergencies, particularly flood related.
The exercise was conducted in collaboration with the Gombe State Emergency Management Agency (GOSEMA), Local Emergency Management Committees (LEMCs), and community leaders, whose active participation and support contributed immensely to the success of the campaign.
The collaboration further reinforced the collective commitment toward disaster risk reduction and effective emergency response at the grassroots level.
Rainy season: NEMA strengthens disaster preparedness, community resilience in Gombe
News
NESREA Shuts Kano Rice Plant Over Environmental Violations
NESREA Shuts Kano Rice Plant Over Environmental Violations
By: Michael Mike
The National Environmental Standards and Regulations Enforcement Agency (NESREA) has sealed off a rice processing facility in Kano State, Fortune Rice Mills Limited, over alleged violations of environmental regulations relating to air pollution and offensive emissions.
The enforcement action, carried out on Monday, was led by the agency’s North-West Zonal Director, Dr. Mudashiru Raheem, following investigations into public complaints against the company.

According to NESREA, residents had raised concerns over persistent dust emissions and offensive odour emanating from the facility despite earlier compliance notices issued to the company.
The agency said investigations established that the rice mill violated provisions of the National Environmental (Air Quality Control) Regulations 2014 as well as the National Environmental (Food, Beverages and Tobacco Sector) Regulations 2023, prompting the sealing of the plant.
Director-General of National Environmental Standards and Regulations Enforcement Agency, Innocent Barikor, who authorised the shutdown, condemned what he described as the “reckless attitude” of some industrial facilities towards public health and environmental safety.
Barikor stressed that economic interests must not come at the expense of citizens’ wellbeing and environmental sustainability, warning that the agency would continue to enforce compliance with environmental laws across the country.
“The health of citizens and the environment must not be sacrificed on the altar of economic gain,” he said.
He also called on Nigerians to take greater responsibility for environmental protection by reporting environmental infractions and pollution incidents to the agency for prompt action.
The latest enforcement underscores renewed regulatory scrutiny on industrial operators amid growing concerns over environmental pollution and public health risks in several parts of the country.
NESREA Shuts Kano Rice Plant Over Environmental Violations
-
News2 years agoRoger Federer’s Shock as DNA Results Reveal Myla and Charlene Are Not His Biological Children
-
Opinions4 years agoTHE PLIGHT OF FARIDA
-
News1 year agoFAILED COUP IN BURKINA FASO: HOW TRAORÉ NARROWLY ESCAPED ASSASSINATION PLOT AMID FOREIGN INTERFERENCE CLAIMS
-
News2 years agoEYN: Rev. Billi, Distortion of History, and The Living Tamarind Tree
-
Opinions4 years agoPOLICE CHARGE ROOMS, A MINTING PRESS
-
ACADEMICS2 years agoA History of Biu” (2015) and The Lingering Bura-Pabir Question (1)
-
Columns2 years agoArmy University Biu: There is certain interest, but certainly not from Borno.
-
Opinions2 years agoTinubu,Shettima: The epidemic of economic, insecurity in Nigeria
