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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
Police foil bandits’ attack, recover AK-47 rifle in Abuja

Police foil bandits’ attack, recover AK-47 rifle in Abuja
By: Zagazola Makama
Operatives of the Federal Capital Territory (FCT) Police Command have foiled an attempted kidnapping by a notorious bandit gang and recovered an AK-47 rifle and ammunition during a midnight operation in the outskirts of the territory.
Zagazola Makama gathered that the operation followed credible intelligence from the Technical Intelligence Unit (TIU) of the Force Headquarters about a planned attack led by a gang leader identified as Idrisa, also known as Mai Duna.
Acting swiftly, operatives of the Anti-Kidnapping Unit laid an ambush between 9 p.m. on Oct. 10 and 1 a.m. on Oct. 11 along the rail track near Grow Home Estate, a location bordering the FCT and Niger State.
The armed gang, divided into two groups targeting Grow Home Estate and Royal Champion Church in Chikakore, Byazhin District, was intercepted by the police team.
A fierce gun duel ensued, lasting about 20 minutes, after which the bandits were subdued, forcing many to flee with suspected gunshot wounds.
During the search of the area, police recovered an AK-47 rifle with a defaced breech number, one magazine, and a live round of 7.62mm ammunition.
Reinforcement from the military, DSS, and local hunters was deployed to the area to secure the communities and block escape routes.
Sources said that the Commissioner of Police assured residents of continued security presence and renewed commitment to maintaining peace and safety in the FCT.
The Anti-Kidnapping Unit has commenced further investigation, while efforts are ongoing to apprehend the fleeing suspects.
Police foil bandits’ attack, recover AK-47 rifle in Abuja
News
Police arrest mentally unstable woman for killing IDP in Monguno

Police arrest mentally unstable woman for killing IDP in Monguno
By: Zagazola Makama
The Borno State Police Command has arrested a mentally unstable woman for allegedly killing a fellow internally displaced person (IDP) in Monguno Local Government Area of the state.
Sources said that on Oct. 10, 2025, at about 4:35 p.m., one Modu Kolomi of RRR IDPs Camp reported that a woman identified as Yagana Zara, aged 40, of the Water Board IDPs Camp, attacked his wife, Yagana Abba Butu, aged 30, with a wooden stirrer.
The suspect, said to be mentally challenged, allegedly beat the victim severely, resulting in fatal internal injuries.
Security forces Monguno promptly visited the scene, rescued the suspect from mob action, and evacuated the victim to the General Hospital, Monguno, where she was confirmed dead on arrival.
The body was deposited at the hospital mortuary for autopsy and later released to the family for burial according to Islamic rites.
According to sources, the State Criminal Investigation Department (SCID), Maiduguri, has commenced investigation, while the suspect has been taken to a state psychiatric facility for mental evaluation.
End
News
Troops rescue three kidnapped victims, sustain offensive against bandits in Kwara

Troops rescue three kidnapped victims, sustain offensive against bandits in Kwara
By: Zagazola Makama
Troops of 2 Division/Sector 3, Operation FANSAN YAMMA, have rescued three kidnapped victims during sustained operations against bandits in parts of Kwara State.
The operation, conducted on Saturday, Oct. 11, followed credible intelligence that led troops deployed at the Patrol Base Babanla to a suspected bandit hideout within the Babanla Forest.

Sources told Zagazola Makama that the troops rescued Mrs. Oluwabusayo Taiwo, 25, and her three-year-old son, Taiwo Irayomide, who were abducted at Oke-Ode on Sept. 28.
The victims, who were found in stable condition, are receiving first aid treatment at the Patrol Base sick bay and are expected to be reunited with their family members soon.
In a separate operation, troops on routine patrol along a suspected bandit route also rescued a local tea seller, Mr. Mohammadu Sani, popularly known as Mai Shayi, aged 40, from Garkarima community.
According to the sources l, the bandits fled upon sighting the patrol team, abandoning the victim, who was found in a pool of blood. Troops recovered one dane gun and a cutlass from the scene.
Sani is currently receiving medical attention at the Patrol Base sick bay.
The Commander, 22 Armoured Brigade, Brig.-Gen. Ezra Barkins, commended the troops for their swift response and professionalism.
He reaffirmed the Nigerian Army’s commitment to the safety and security of citizens, pledging that troops would continue to intensify operations aimed at restoring peace and stability across Kwara State and its environs.
Troops rescue three kidnapped victims, sustain offensive against bandits in Kwara
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