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
Military
COAS storms Kebbi , orders massive manhunt for abducted schoolgirls
COAS storms Kebbi , orders massive manhunt for abducted schoolgirls
By: Zagazola Makama
The Chief of Army Staff (COAS), Lt.-Gen. Waidi Shaibu, on Monday stormed Kebbi State in a decisive show of force, directing troops of Operation FANSAN YANMA to leave no stone unturned in the ongoing search-and-rescue operation for students abducted from Government Girls Comprehensive Senior Secondary School (GGCSS) Maga in Danko/Wasagu Local Government Area.

The COAS, who arrived the state with a strong delegation of Principal Staff Officers from Army Headquarters, held an operational meeting with frontline commanders before addressing troops deployed in the search effort.
In a firm and emotionally charged message, Shaibu ordered the soldiers to intensify both day and night operations until all the abducted schoolgirls were safely rescued.
“You must continue day and night fighting. We must find these children,” he told the troops gathered at the forward operating location.
“For the commanders here, you must leverage intelligence to conduct intelligence-based missions. It has become a pattern that bandits target soft targets. If they know you are in a location, they will not come there or face you in a fight and you can defeat them, can’t you?”

Shaibu reminded officers and soldiers that a ruthless determination to succeed was essential.
“You must have all the commitment to make sure you succeed. Once you receive intelligence of something of this nature, you must act professionally and decisively. This is not just about our image; it is about doing our job properly,” he cautioned.

The Army Chief also held a separate engagement with local vigilantes and hunters supporting the operation. He emphasized the need for enhanced collaboration, describing them as indispensable partners due to their deep knowledge of the terrain.
“If we have people like you, it is you who will work with us and provide local intelligence. You know these forests and you are the ones to tell us where the criminals are,” he said.
“Your hunters should storm the nooks and crannies of these forests. Soldiers will also join you. We are counting on you to work with us to bring lasting peace. What these evil people are trying to do is to scare children from going to school. Let every man know we will not allow that.”
He commended the vigilantes for their courage and contributions, assuring them of the military’s full support.

Earlier, Lt.-Gen. Shaibu paid a sympathy visit to the Traditional Ruler of Danko, Alhaji Abubakar Ibrahim Allaje, and the Principal of the attacked school, Hajiya Rabi Musa Magaji.
During the visit, he assured the monarch and the school authorities of the military’s unwavering resolve to rescue the girls unharmed.
“We are fully committed. We will not relent. The safety of these children is a national priority, and we are deploying every resource to ensure they return home safely,” the COAS said.
In her remarks, Hajiya Rabi expressed gratitude for the Army Chief’s swift visit, saying it demonstrated the urgency with which the military and federal authorities were treating the incident.
“Your visit has given us hope. We believe that with this level of commitment, our girls will soon return,” she said.
The abduction at GGCSS Maga has triggered widespread concern across the country, prompting an intensified military response involving ground and air components under Operation FANSAN YANMA.

Security sources who spoke to Zagazola Makama said troops, supported by surveillance assets, have expanded search corridors across forested areas spanning Danko/Wasagu and adjoining boundaries.
The COAS and his entourage later proceeded to inspect additional deployment points before returning to the operational command centre for a review briefing.
COAS storms Kebbi , orders massive manhunt for abducted schoolgirls
News
Engr. Ramat and the Future of NERC: Separating Fact from Fiction
Engr. Ramat and the Future of NERC: Separating Fact from Fiction
by Ibrahim Sani Shawai
In recent days, several comments have circulated about the Nigerian Electricity Regulatory Commission (NERC) and the nomination of Engr. Abdullahi Ramat Garba as its incoming Chairman. Some statements paint an unnecessarily gloomy picture of the sector and an oddly shallow understanding of his qualifications. Both deserve clarification.
One of the recurring claims is that Engr. Ramat is simply a former local government chairman. That description is often thrown around as if it covers his entire professional identity. It does not. Long before his public service journey, he was a trained and certified engineer with years of hands-on technical and administrative experience. His profile blends engineering discipline, institutional management and a solid grasp of public accountability. Reducing all of this to one political role is inaccurate.
Some critics argue that NERC has endured two decades of weak leadership. Anyone who has seriously followed the sector knows this is not accurate. NERC guided Nigeria from a government-controlled electricity system to a privatized market. It established tariff structures, licensing frameworks, customer protection rules and compliance mechanisms still in use today. These reforms required competence, not weakness.
Modern electricity regulation relies heavily on technology, automation, real-time data, digital complaint systems and market intelligence tools. This is where Engr. Ramat has a clear advantage.
One of the most overlooked aspects of his profile is his strong proficiency in Information Technology. This directly supports the type of leadership required in today’s electricity market. His IT-driven approach includes real-time digital monitoring of grid operations, automated regulatory workflows, improved customer service platforms, cybersecurity protections, smart metering reforms and predictive tools for early intervention. These are the same tools used by leading global regulators.
Some insist that the next Chairman must come from within the Commission. But internal experience alone does not guarantee innovation. Many countries deliberately bring in external leadership to encourage new thinking.
His recent interview on TVC also highlighted his temperament. He calmly distanced himself from protests at the National Assembly and stressed the need for the Senate to carry out its responsibilities without interference. His conduct reflects maturity and respect for institutions.
The current leadership’s tenure expires on 1 December 2025. The Electricity Act does not provide room for an acting Chairman afterward. Nigeria cannot afford a vacuum at the top of its regulatory framework. Timely confirmation and effective transition planning are essential.
Rather than fixating on negative narratives, Nigeria should focus on strengthening NERC through better funding, technical training, transparent decision making and data-driven regulatory tools. Our electricity challenges built up over decades and cannot be solved instantly, but steady progress is possible with the right leadership.
His nomination offers a chance to modernize NERC, rebuild investor confidence and strengthen consumer protections. It reflects an effort to inject new ideas and technological depth into one of Nigeria’s most important institutions.
Engr. Abdullahi Ramat Garba brings a rare combination of engineering competence and digital vision. He deserves the opportunity to demonstrate it.
Shawai is a public affairs analyst and can be contacted via shawai2000@yahoo.com
Engr. Ramat and the Future of NERC: Separating Fact from Fiction
News
Tension in Kebbi as bandits attack GGCSS Maga, kill vice Principal , abduct students
Tension in Kebbi as bandits attack GGCSS Maga, kill vice Principal , abduct students
By: Zagazola Makama
Tension has gripped the Zuru Emirate of Kebbi State following a late-night attack on Government Girls Comprehensive Senior Secondary School (GGCSS) Maga in Danko/Wasagu Local Government Area, during which bandits killed the school’s Vice Principal, Malam Hassan Yakubu Makuku, and abducted an unspecified number of students.
A resident, Malama Murjanatu Hassan Gishiri, who confirmed the incident on Monday, said the attackers stormed the school at night and operated freely, throwing the community into panic.
She described the invasion as “a heartbreaking tragedy that has thrown the entire region into deep fear and mourning”, adding that the bandits moved in large numbers and overpowered the area without resistance.
Gishiri said the late Vice Principal was shot while attempting to protect students from the attackers.
“People in the community have been offering prayers for his soul, asking Allah to grant him mercy, a peaceful resting place, and to console his family over this painful loss,” she said.
Efforts to get official comments from security agencies proved unsuccessful as of the time of filing this report.
Residents appealed to the government to act swiftly to rescue the abducted students and to strengthen security around schools and communities in the area, which have suffered repeated attacks by bandits.
Tension in Kebbi as bandits attack GGCSS Maga, kill vice Principal , abduct students
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