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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.”
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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
Nigeria, China Seek Expanded Cooperation in Tourism, Heritage, Creative Industries
By: Michael Mike
Nigeria and China have intensified efforts to strengthen bilateral cooperation in tourism, culture, and the creative economy, with both countries identifying the sectors as major drivers of economic growth, cultural diplomacy, and people-to-people relations.
This commitment was reaffirmed at the weekend during the 2026 China Tourism Day celebration hosted by the China Cultural Centre in Nigeria (CCIN) in Abuja, where government officials, diplomats, tourism stakeholders, artists, and cultural enthusiasts gathered to celebrate the growing partnership between the two nations.
Speaking at the event, Yang Jianxing said tourism remains one of the most effective instruments for fostering mutual understanding and strengthening ties among nations.
He explained that the theme of this year’s celebration, “Enjoying Quality Tourism, Exploring Beautiful Landscapes,” reflects the increasing global importance of tourism as a platform for intercultural dialogue and peaceful coexistence.
According to him, both China and Nigeria possess rich historical civilizations, diverse cultural identities, and globally recognised tourism assets capable of deepening cooperation between their peoples.
Yang cited iconic destinations including the Great Wall of China and Mount Tai, alongside Nigeria’s Osun-Osogbo Sacred Grove and Zuma Rock, describing them as enduring cultural symbols that continue to connect civilizations across continents.
He noted that several joint cultural initiatives organised over the years by both countries, including the Happy Chinese New Year programmes and China-Nigeria Cultural and Tourism Festivals, had expanded cultural exchanges through artistic performances, traditional exhibitions, and culinary experiences.
“These activities have not only strengthened friendship between our peoples but have also promoted the spirit of harmony, mutual respect, and cultural inclusiveness,” he said.
Yang further disclosed that China was prepared to deepen collaboration with Nigeria under the framework of the China-Africa Year of People-to-People Exchanges, with fresh opportunities expected in heritage preservation, tourism promotion, cultural innovation, and the creative industries.
He encouraged more Nigerians to explore educational and tourism opportunities in China while expressing optimism that more Chinese visitors would also discover Nigeria’s rich cultural heritage, artistic diversity, and tourism potential.
Also addressing participants, Abdulkarim Ibrahim described the event as another milestone in the long-standing diplomatic and cultural relationship between Nigeria and China, which he said has continued to flourish for more than five decades.
Nigeria, China Seek Expanded Cooperation in Tourism, Heritage, Creative Industries
Zulum Lauds Peaceful Conduct of APC House of Reps Primaries in Borno
By: Michael Mike
Governor of Borno State, Babagana Umara Zulum, has commended the peaceful and orderly conduct of the All Progressives Congress primary election for the House of Representatives across the state.
Zulum gave the commendation on Saturday shortly after supervising the APC primary election for the Gubio, Kaga and Magumeri Federal Constituency held in Magumeri town.
Hundreds of party supporters from the three local government areas gathered at the venue to welcome the governor and APC officials overseeing the exercise.
Speaking with journalists after the primary, Zulum said the process was conducted in line with the Electoral Act 2026 and the constitution of the APC, which allows aspirants to adopt consensus arrangements.
“We are here to witness the primary election in line with the Electoral Act 2026 and the APC constitution, which allows for consensus arrangements among aspirants,” the governor stated.
He explained that although three aspirants initially indicated interest in contesting for the party’s House of Representatives ticket, two later withdrew in support of the incumbent lawmaker, Hon. Usman Zannah.
“We have three contestants vying for the position of the House of Representatives, but fortunately, under the consensus arrangement as enshrined in the constitution of our party, the All Progressives Congress (APC), two of the aspirants stepped down for the incumbent member, Hon. Usman Zannah,” he said.
According to the governor, party members and stakeholders from the constituency affirmed their support for the consensus candidate during the exercise.
Zulum congratulated Hon. Zannah on his emergence and praised the aspirants who stepped down — Hon. Shettima Shehu and Alhaji Mohammed Sanda Ngamdu — describing their action as a demonstration of unity, sacrifice and political maturity.
“I want to extend my congratulations to the candidate and the others who stepped down for him,” he said. “I also want to express my appreciation to all APC supporters and the people of Borno State for ensuring a peaceful voting process.”
The governor stressed that the consensus arrangement adopted by the party was voluntary and not designed to deny any aspirant the opportunity to contest.
“Under the consensus arrangement, the government of Borno State and the party have never taken a decision to stop anybody from contesting,” he explained. “Consensus is a voluntary option, and anybody who does not wish to go for a consensus election has the right to participate in a direct primary.”
Chairman of the APC Primary Elections Committee for Gubio, Kaga and Magumeri Federal Constituency, Hon. Yuguda Saleh Vungas, also confirmed that party stakeholders agreed on consensus as the mode of primary election.
He commended Governor Zulum for creating an enabling environment for the smooth and peaceful conduct of the exercise.
Through a voice vote, APC members from the three local government areas unanimously affirmed Hon. Usman Zannah as the party’s consensus candidate for the House of Representatives seat.
Officials of the Independent National Electoral Commission and APC national headquarters monitored the exercise.
Governor Zulum was accompanied by the APC consensus gubernatorial candidate, Engr. Mustapha Gubio, Secretary to the State Government Bukar Tijani, and Acting Chief of Staff, Dr. Babagana Mustapha Mallumbe.
Zulum Lauds Peaceful Conduct of APC House of Reps Primaries in Borno
U.S., Nigerian Forces Eliminate ISIS Second-in-Command in Joint Operation
By: Zagazola Makama
The United States has announced the elimination of Abu-Bilal al-Minuki, described as the second-in-command of the global Islamic State terrorist network, during a joint counterterrorism operation conducted with Nigerian security forces.
In a statement issued on Friday, Donald Trump said American forces, working alongside the Nigerian Armed Forces, carried out what he described as a “meticulously planned and very complex mission” targeting the terrorist leader.
According to Trump, Abu-Bilal al-Minuki had been operating from Africa and was considered one of the most active terrorist figures globally.
“Tonight, at my direction, brave American forces and the Armed Forces of Nigeria flawlessly executed a meticulously planned and very complex mission to eliminate the most active terrorist in the world from the battlefield,” Trump said.
He stated that the operation was enabled through intelligence sources that tracked the activities and movements of the ISIS commander.
Trump added that the removal of al-Minuki would significantly weaken the global operations of the terrorist group and reduce its capability to coordinate attacks, including plots targeting American interests.
He also thanked the Nigerian government for its cooperation and partnership in the operation.
“With his removal, ISIS’s global operation is greatly diminished. Thank you to the Government of Nigeria for your partnership on this operation,” he said.
Neither the U.S. nor Nigerian authorities immediately disclosed the exact location or operational details surrounding the mission.
The development marks one of the most significant counterterrorism operations involving U.S. and Nigerian forces in recent years against transnational terrorist elements linked to the Islamic State network.
U.S., Nigerian Forces Eliminate ISIS Second-in-Command in Joint Operation
Nigeria, China Seek Expanded Cooperation in Tourism, Heritage, Creative Industries
Troops Arrest Suspected Gunrunner Linked to Notorious Terror Kingpins in Katsina
Zulum Lauds Peaceful Conduct of APC House of Reps Primaries in Borno
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