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
Crime
Bandits kill two, injure six in Ikara community attack
Bandits kill two, injure six in Ikara community attack
By: Zagazola Makama
Armed bandits have killed two residents and injured six others during an attack on Gidan Duma in Gangarida village, Ikara Local Government Area of Kaduna State.
Zagazola Makama report that the incident occurred at about 12:35 a.m. on Friday.
The source said the gunmen, armed with sophisticated weapons, invaded the residence of one Yakubu Samaila, 37, and abducted him after firing multiple shots.
According to sources , members of the community mobilised in an attempt to rescue the victim, during which Samaila managed to escape with gunshot wounds.
The sources said two other residents Ibrahim Isah, 45, and Solomon Ishaya, were shot and fatally injured during the confrontation.
“Four others, namely Irimiyah Samaila, Halilu Isah, Abel Markus, and Elkana Mohammed, all from Katsinawa village, also sustained various gunshot injuries,” the source added.
The sourcss disclosed that security teams were mobilised to the area and evacuated the injured victims to the hospital for treatment.
Those confirmed dead were certified at the hospital, while the injured are currently receiving treatment at Ahmadu Bello University Teaching Hospital (ABUTH), Zaria.
The source added that intensified operations were ongoing to track down the attackers.
“Investigation has commenced and further updates will be communicated,” he said.
Bandits kill two, injure six in Ikara community attack
News
Lost Talents on Our Roads: A Call to Remember, Support, and Act
Lost Talents on Our Roads: A Call to Remember, Support, and Act
By: Mohamed Malick Fall & Shehu Mohammed
Every day, lives are shattered. Dreams are cut short. Families are left in silence. On our roads, tragedy unfolds, not in distant lands, but in our own streets and communities. Children, young people, parents, neighbours—gone forever.
This is no ordinary loss. This is a pandemic of sorrow. A hidden crisis claiming millions each year. According to the WHO 2023 Global status report on road safety, road crashes claim approximately 1.19 million lives and injure nearly 50 million people annually, with the greatest burden borne by low- and middle-income countries.

In Africa, road traffic remains the leading cause of death among youth aged 5–29, with pedestrians and cyclists among the most vulnerable. Each number is not just a statistic; it is a life, a story, a promise unfulfilled.
On this World Day of Remembrance for Road Traffic Victims, we pause, remember, and mourn. But remembrance is not enough, we must act.
In Nigeria, every life lost on the road is a talent lost to our nation: a young person, a parent, a worker, taken too soon. A quiet room where laughter once lived. A deserted playground.
An empty stage. These are the spaces where absence speaks the loudest.
Road traffic injury is one of the leading causes of death for children and young people; the leaders, innovators, artists, teachers, and builders of tomorrow. When we lose them, we lose potential, progress, and hope.
Too often, our response is muted. Laws are weak, enforcement is inconsistent, and road deaths are treated lightly. A crash is called an “accident,” as if fate alone is to blame. But we know better: these are preventable tragedies. Every crash has a cause. Every injury leaves a mark that can last a lifetime.
We must acknowledge the tireless work of emergency responders, police, paramedics, and doctors. They face heartbreak daily, rushing to scenes of carnage, lifting bodies, comforting the wounded, offering solace where sorrow overwhelms. They are heroes, but even their courage cannot compensate for unsafe roads and broken systems.
The World Day of Remembrance calls on us to Remember. Support. Act. We remember the lives lost. We support those left behind—the families, the injured, and the communities. We act with urgency, compassion, and resolve.
Action begins with awareness. Every road user must understand that safety is a shared responsibility. Roads are not racetracks. Vehicles are not weapons. Speed kills. Distraction kills. Carelessness kills. Respect saves lives.
Action requires enforcement. Traffic laws must be clear, fair, and applied consistently. Speed limits are lifelines. Seatbelts, helmets, and child restraints are shields against death. Every driver, passenger, and cyclist must feel the weight of responsibility.
Action demands infrastructure. Safe roads, clear signs, pedestrian crossings, street lighting, and proper markings save lives. Governments, communities, and civil society must design roads that protect rather than endanger.
Action calls for empathy. Victims and their families deserve support, psychological care, medical aid, legal assistance, compensation, and recognition. The pain of loss should never be deepened by neglect.
On this day, we honor those taken too soon and the resilience of those who survive. We pledge not to let their talents vanish into silence. Their stories will guide us; their memory will drive us to change.
Every life saved is a victory. Every law enforced is progress. Every child protected is a promise kept. We have the knowledge, the tools, and the will. What remains is action; bold, urgent, persistent.
To the families of those lost: your grief is seen. Your sorrow is shared. Your loved ones are not forgotten. Their memory lives in every campaign, every policy, every act of prevention.
To our leaders: the cost of inaction is measured in lives; the cost of indifference, in tears. Invest in road safety. Strengthen laws. Build safer streets. Educate citizens. Every measure matters. Every moment counts.
To every citizen: your choices matter. Your speed matters. Your attention matters. One second of caution can save a lifetime. One act of responsibility can prevent unimaginable pain.
On this World Day of Remembrance, we say again: Remember. Support. Act. Not tomorrow, not later, but today.
Let us turn grief into resolve, loss into action. Roads must become safe again. Talents must not be lost again. Lives must be valued. Families must be spared. Together, we can rewrite the story of our roads.
Remember the lost. Support the living. Act to prevent more heartbreak. Every life matters. Every family matters. Every future matters.
Mr Mohamed Malick Fall is the UN Resident and Humanitarian Coordinator in Nigeria while Mr Shehu Mohammed (mni) is the Corps Marshal/ CEO of the Federal Road Safety Corps (FRSC)
Lost Talents on Our Roads: A Call to Remember, Support, and Act
News
Army trolls in Adamawa arrest major drug supplier to terrorists
Army trolls in Adamawa arrest major drug supplier to terrorists
By: Zagazola Makama
Troops of Operation Hadin Kai (OPHK) have arrested a suspected major drug supplier to Boko Haram and ISWAP terrorists operating across parts of Borno and Adamawa.
The suspect, identified as Zubairu Muhammad, 45, was arrested at about 6:30 a.m. on Tuesday by troops of 232 Battalion (Tactical), Uba, Adamawa State.

Sources told Zagazola Makama that Muhammad is believed to be one of the major suppliers of cannabis sativa and crystal meth (popularly known as ICE) to terrorists through the Askira-Uba, Chibok, Michika and Damboa corridors.
According to the source, the troops recovered 14 blocks of cannabis sativa valued at over N1 million, and 43 grams of ICE, valued at more than N3 million, from the suspect.
He was also found with two Army camouflage T-shirts, which he allegedly used while delivering illicit substances to terrorists.

The source said preliminary investigation had been concluded, and that the exhibits would be handed over to the National Drug Law Enforcement Agency (NDLEA), Yola Command, for further action.
Army trolls in Adamawa arrest major drug supplier to terrorists
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