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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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Nigeria’s North Poised for Transformation as New Analysis Shows Investing in Girls Could Yield Massive Returns

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Nigeria’s North Poised for Transformation as New Analysis Shows Investing in Girls Could Yield Massive Returns

By: Michael Mike

A groundbreaking new policy brief has revealed that investing in adolescent girls in Northern Nigeria could deliver life-changing gains for young women and multibillion-dollar returns for the country.

The latest findings support what experts have long argued: that educating girls is not just a social imperative but one of the highest-yielding economic investments Nigeria can make.

According to the new analysis, scaling up proven programmes in Kano and Kaduna States with an investment of US$ 114 million over four years would reach 1.1 million adolescent girls and generates 3.9 million additional years of schooling averts 327,000 child marriages, prevents 383,000 adolescent pregnancies, saves 3,651 adolescent mothers’ lives, reduces 35,675 under-five deaths and delivers an astonishing 21-to-1 return on investment, valued at $2.5 billion

Policymakers are calling the findings a “wake-up call” for national and state governments and an opportunity Nigeria cannot afford to miss.

Despite progress in some parts of the country, millions of Nigerian girls especially in the North still face interrupted education. More than 7.6 million girls are out of school, half of them in the Northwest and Northeast. And while the national secondary school completion rate hovers at 34%, it is just 28% in the Northwest.

The consequences are immediate and generational. Girls without schooling face earlier marriage (median age 16.6 with no education vs. 21.7 for those completing secondary school), higher risk of intimate partner violence, reduced decision-making power Increased risk of maternal complications and death, a greater likelihood of having stunted or malnourished children

Unfortunately, these outcomes reverberate through communities, reinforcing cycles of poverty, poor health, and limited opportunity.

But fortunately, Northern Nigeria is not starting from scratch. The Centre for Girls’ Education (CGE) in Kaduna has spent over a decade pioneering targeted, evidence-backed models that are now informing national policy.

The Executive Director of the Centre for Girls’ Education (CGE), Habiba Mohammed, delivered an urgent call for Nigeria to expand opportunities for every girl—whether in school, out of school, married, young, or facing barriers to further education.

She said educating girls is the foundation for safer communities, stronger families, and a more prosperous nation.

Speaking to policymakers, development partners, teachers, and community members, Mohammed outlined CGE’s comprehensive approach to supporting girls aged 4 to 24, emphasizing that the organization “works with girls at every stage” from preschoolers to married adolescents, from girls seeking vocational skills to those aiming for careers in STEM.

CGE’s model blends literacy, numeracy, life skills, vocational training, and mentorship in safe spaces across communities and schools.

She said: “We train teachers to become mentors. This gives us ripple effects indirect beneficiaries who carry forward the skills and knowledge.”

The organisation works hand-in-hand with community leaders, religious leaders, parents, husbands of married adolescents, school heads, and government officials, ensuring interventions align with local realities.

CGE also collaborates closely with local government education authorities to secure school placements for girls returning to the classroom and to ensure smooth transitions from one level of schooling to the next.

“We don’t want a situation where girls drop out. When girls learn, the possibility of them being retained in school is very high,” she said.

Mohammed highlighted the story of Sakina, a CGE beneficiary who used her voice to spark policy change.

During an advocacy visit supported by the Malala Fund, Sakina told the former governor of Kaduna State:

“I have achieved something, but I have sisters out there who need the same opportunity. School fees are stopping many girls.”

Her plea moved the governor to scrap school fees for all children girls and boys from primary through senior secondary school. The reform became reality, opening classrooms to thousands of learners.

“The voice of the girl was powerful,” Mohammed said. “When we get the right stakeholders, no girl will be left behind.”At CGE, girls are not passive recipients they are activists.

“We believe in the slogan: nothing for us without us,” Mohammed said. “We train our girls to use their voices to speak to policymakers.”

Girls supported by CGE appear on radio and TV, advocate in Hausa and English, and speak publicly about why they want education and why it is a fundamental right.

Addressing the barriers faced by married adolescents, Mohammed shared her own story of completing university while raising three children:

“I was eight months pregnant with my first child when I started university… and before I graduated, I had three children. It did not stop me.”

She stressed that married girls can thrive academically if given supportive environments including child care options, mentorship, and encouragement from family members.

“Our mothers-in-law, co-wives, and extended families can help us continue,” she said. “The issue is understanding not control.”

According to her, girls trained in CGE safe spaces develop the life skills to navigate complex family dynamics. “When you see them, everybody wants to be like them.”

Security threats from community clashes to insurgency remain a challenge. While CGE cannot enforce security, Mohammed said community partnerships are critical.

“Our focal persons inform us immediately if there is a conflict. The safety of mentors, staff, and girls is a priority.”

Communities themselves provide protection and ensure that programmes continue when conditions are safe.

Mohammed urged state governments to develop concrete policies that allow girls who married early or became pregnant to return to school seamlessly.

“Every girl who wants to go back to school should find the door open,” she said.

She pointed to CGE research showing that transition from primary to secondary school was once only 4% in programme communities. But after just one year of life skills intervention, 82% of girls re-enrolled.

“This shows what can happen when girls gain confidence and support,” she said. “Now it is the responsibility of government to create space for every girl.”

“Issues of early marriage will be history. Issues of girls not going to school will be history. Issues of gender-based violence, Boko Haram, kidnapping all will be history in Nigeria. The only thing we need is to educate the girl child.”

Mohammed emphasized that the goal is not to position education against marriage, but to ensure that girls enter both on their own terms, prepared, informed, and empowered.

“Marriage does not stop education, and education does not stop marriage”

Mohammed challenged the widespread belief that schooling and marriage are mutually exclusive for girls in Northern Nigeria. Instead, she argued that girls should marry “at an appropriate age, when she is ready”and that readiness is most often achieved when they complete secondary education.

“For us, it is not the age, it is the maturity,” she said. “If a girl is able to marry after completion of secondary school, she is ready.”

“A girl who is able to go through a life skills component… will understand that she has a voice. She can use her voice,” she said.

According to her, stigma loses its power when girls develop self-confidence and resilience. “Even if it is there, it will not stop her from achieving her goals.”

CGE’s life skills curriculum includes lessons on self-esteem, communication, goal setting, and managing emotional and psychological challenges such as trauma from gender based violence.

Mohammed also discussed CGE’s innovative approach to literacy, supported by the Jolie-Phoenix phonics component, which transforms learning into an interactive, fun experience.

“It is a fun way of learning. The participants learn between songs,” she explained.

She noted that the approach has yielded success, particularly for girls who previously struggled with literacy, stating that phonics-based lessons enable girls to read and write, adding that local -language numeracy makes mathematics easier to grasp, being able to read signs in hospitals, on the road, or at school motivates girls to stay in school; peer learning allows fast learners to support slower learners, strengthening community bonds and accelerating progress.

Mohammed said: “In Hausa, they want to see the end of that education,” describing the sense of achievement girls feel when they can read independently.

She noted that effective teacher training is absolutely critical and that “no teacher is untrainable.”

From her experience recruiting mentors from public schools, she recounted how educators who initially struggled quickly transformed with the right training:

CGE’s life skills curriculum also includes modules to support survivors of rape, domestic abuse, and other forms of gender-based violence. These sessions help girls rebuild emotional strength and regain control of their lives.

“They can be able to do better with their emotions,” habiba explained. “They can be able to help themselves out of the situation they found themselves in.”

She appeal for collaboration among government agencies, civil society, donors, teachers, traditional leaders, and parents.

“If we put our hands and heads together, not working in silos… we will be able to reach where we want to go about girls’ education,” she said.

CGE’s model continues to demonstrate that when girls are nurtured academically, emotionally, and socially, they thrive regardless of the stigma or barriers around them.

Nigeria’s North Poised for Transformation as New Analysis Shows Investing in Girls Could Yield Massive Returns

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Lincoln University, Kumo launches admission portal, pledges commitment to quality education

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Lincoln University, Kumo launches admission portal, pledges commitment to quality education

Prof. Adamu Sadiq Abubakar, the Vice Chancellor of Lincoln University Kumo, the first foreign university in Nigeria, licensed by the National Universities Commission (NUC) has opened its admission portal for the enrolment of students for the 2025/2026 academic session.

Abubakar, who made the announcement at a news conference at the school premises in Kumo, Akko Local Government Area of Gombe State, described the development as a significant milestone, noting that Lincoln University Kumo is the first institution to operate in Nigeria under the Transnational Education (TNE) model.

He said applications could be completed through the university’s portal, after which qualified applicants will receive admission within five working days and upon graduation, students would earn foreign-certified degrees while studying locally in Nigeria.

According to him, the institution was established through a public-private partnership between the Gombe State Government and Lincoln University Malaysia.
“The university currently operates three faculties Medicine and Allied Health Sciences; Sciences and Computing; and Management and Social Sciences—with programmes including Medicine (MD/MBBS), Nursing, Public Health, Community Health, Radiography and Medical Imaging, Health Information Management, Microbiology, Biochemistry, Biomedical Science, IT, Cybersecurity, Business Administration, Accounting, Oil and Gas Management, and Mass Communication,’’the Vice Chancellor said.

Abubakar lauded Gov. Inuwa Yahaya of Gombe State for providing the enabling environment that facilitated the smooth take-off of the institution.

Speaking via Zoom, the President and Founder of Lincoln University College Malaysia, Professor Amiya Bhaumik, described the launch of admissions as a historic moment for the university.
Bhaumik assured that the quality of education delivered in Kumo would match what students receive at the university’s headquarters in Malaysia.

He said the university was founded on the belief that everyone has a right to quality education and expressed gratitude to the Gombe State Government for its support.

The institution’s President added that Lincoln University’s programmes were globally recognised, enabling graduates to compete internationally and pursue global entrepreneurship, stressing that Lincoln trains students to become job creators rather than job seekers.

Also speaking, the Vice President and CEO of Lincoln University Nigeria, Dr. Murtadho Alao, highlighted the university’s global rankings and accreditation by the Malaysian Qualifications Agency, Times Higher Education, and QS World Rankings.
He said the TNE model offered Nigerians an affordable alternative to foreign education while still earning an internationally recognised degree.

Alao explained that tuition fees range from ₦100,000 to ₦150,000 per semester, with scholarships of at least 50% for all Nigerians and up to 60% for Gombe indigenes.
He said the institution’s curriculum integrates Practical Class Assessment (PCA) and Practical Skill Application (PSA) to equip students with employability and entrepreneurial skills.

Lincoln University Kumo announced that it will run up to two admission intakes annually and reaffirmed its commitment to expanding access to quality education and building a generation of graduates capable of driving innovation, entrepreneurship, and socio-economic development in Nigeria.

Lincoln University, Kumo launches admission portal, pledges commitment to quality education

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NHRC Gives Human Rights Media Award to ThisDay Correspondent

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NHRC Gives Human Rights Media Award to ThisDay Correspondent

By: Michael Mike

The National Human Rights Commission (NHRC) has given ThisDay correspondent, Michael Olugbode its 2025 Human Rights Media Award.

Also awarded in a special recognition marking its 30th Anniversary are

Falmata Daniel of Premium Times and Emeka Amafor of TV 360. UNHCR and Dorothy Njemanze Foundation were also awarded for their contributions to human rights.

In a citation, Michael Olugbode was described as “a veteran Nigerian journalist whose career spans more than twenty-five years of dedicated service, distinguished reportage, and unwavering commitment to truth and public accountability. A graduate of Business Administration, he began his professional journey with the Nigerian Tribune, where he was employed as a business correspondent.

“His career took a defining turn when he joined ThisDay Newspaper, one of Nigeria’s leading national dailies. Michael was posted to Maiduguri at a time when the Boko Haram insurgency was intensifying, and it was there that he produced some of his most impactful work.

“He covered the insurgency and its devastating humanitarian consequences with rare courage and empathy, bringing national and international attention to the plight of affected communities.

“Following the relative easing of the crisis, Michael was redeployed to Abuja, where he now covers major beats including Foreign Affairs, the Interior Ministry, and several strategic agencies and parastatals. Among these is the National Human Rights Commission (NHRC), where he has distinguished himself as one of the Commission’s most consistent and accurate chroniclers. His reportage on human rights issues is marked by depth, clarity, and an unwavering commitment to factual accuracy.

“Michael is widely respected for his professionalism, consistency, and ethical approach to journalism.

“He is known for syndicating NHRC stories across multiple platforms, ensuring wide visibility and public engagement. His dedication to promptly delivering credible reports, as well as his habit of ensuring his beat is fully covered even in his absence, reflect his exceptional work ethic and sense of responsibility.

A hardworking and principled journalist, Michael Olugbode has contributed immensely to strengthening public awareness on governance, humanitarian issues, institutional accountability, and human rights in Nigeria.”

Michael Olugbode was also described as one of Nigeria’s most respected journalists.

In his speech, the Executive Secretary of NHRC, Tony Ojukwu at the occasion commemorating its 30th anniversary and 2025 International Human Rights Day, said:

“As Nigeria’s National Human Rights Institution, we recommit ourselves today to the mandate that has guided us for 30 years to protect, promote, and enforce the rights of all persons in Nigeria.

“This Year’s event is a special one. It commemorates the 30th anniversary of Nigeria’s National Human Rights Institution. Hence, we proudly celebrate 30 years of service to humanity since our establishment in 1995.”

He explained that International Human Rights Day is celebrated every year on 10 December to commemorate the adoption of the Universal Declaration of Human Rights (UDHR) by the UN General Assembly in 1948.

He added that it serves as a global call to action to uphold everyone’s fundamental rights, dignity, and freedom from discrimination.

This year’s International Human Rights Day is themed ‘Human Rights, Our Everyday Essentials’.

According to the United Nations, the theme is necessary to re-emphasise the values of human rights as a unifying solution to the challenging and uncertain times.

NHRC Gives Human Rights Media Award to ThisDay Correspondent

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