Connect with us

News

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

on

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

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

KACRAN Calls for Increased Funding for Northeast Development

Published

on

KACRAN Calls for Increased Funding for Northeast Development

By: Michael Mike

The Kulen Allah Cattle Rearers Association of Nigeria (KACRAN) has commended the North East Development Commission (NEDC) for demonstrating transparency and accountability following its recently concluded month-long inspection of development projects across the Northeast region.

In a statement released by KACRAN National President Hon. Khalil Mohammed Bello, the association described the inspection exercise as a strong indicator of responsible public administration, noting that comprehensive project verification remains a key test of accountability in public service delivery.

KACRAN stated that the NEDC’s decision to conduct high-level inspections of both ongoing and completed projects reflects a commitment to ensuring that public funds are translated into tangible developmental outcomes for citizens in the region.

The association further praised what it described as the “boldness and confidence” displayed by the Commission during the inspection tour, saying it signals that projects executed by the agency meet required standards and represent value for money.

Of particular interest to KACRAN members are the Commission’s investments in water infrastructure and livestock support projects aimed at improving pastoral livelihoods across the Northeast.

The association noted that such initiatives are critical to sustaining the livestock sector and supporting pastoral communities, while also aligning with President Bola Ahmed Tinubu’s Renewed Hope Agenda, which prioritizes livestock development, food security, and economic diversification.

KACRAN said strengthening livestock production could help reduce Nigeria’s reliance on imported dairy and meat products while positioning the country as a potential exporter of livestock products in the long term.

The group also commended the composition of the NEDC inspection team, which included the Commission’s Governing Board Chairman, Managing Director, and senior directors from finance, operations, and humanitarian affairs. KACRAN said the inclusion of senior management personnel and media representatives during the nearly 30-day inspection tour demonstrates transparency and accountability in governance.

The inspection covered several development sectors including road infrastructure, drainage systems, primary healthcare facilities, educational projects, water points for livestock, and distribution of humanitarian relief materials to internally displaced persons (IDPs).

KACRAN described the NEDC as a model of sincerity and dedication in Nigeria’s public sector, praising the Commission’s efforts toward the rehabilitation and economic recovery of the Northeast region.

The association, however, called on President Bola Ahmed Tinubu to ensure timely and adequate funding for the NEDC to enable the Commission to sustain its development and humanitarian programs.

It stressed that increased funding would strengthen infrastructure development, livestock productivity, peace-building efforts, and humanitarian interventions across the Northeast.

KACRAN Calls for Increased Funding for Northeast Development

Continue Reading

News

Lawmaker Backs Local Solar Manufacturing, Caution Against Immediate Import Ban

Published

on

Lawmaker Backs Local Solar Manufacturing, Caution Against Immediate Import Ban

By: Michael Mike

The National Assembly is considering a range of legislative and policy measures to strengthen local production of solar panels and renewable energy components in Nigeria, as part of broader efforts to tackle energy poverty and reduce installation costs nationwide.

The Deputy Chairman, House Committee on Environment, House of Representatives, Hon. Terseer Ugbor speaking at the Solar Power Nigeria’s National Stakeholders Engagement with theme: “Accelerating Nigeria’s Clean Energy”, said parliament is reviewing key issues affecting the sector, particularly the development of local manufacturing capacity for solar panels, batteries, and other renewable energy components.

According to him, expanding domestic production is critical to lowering the entry cost of solar energy systems for homes, schools, hospitals, and businesses—especially in rural communities where access to electricity remains limited.

“We are looking at how to polish policies around the renewable energy sector and support local manufacturers. If we can advance local production, we can reduce installation costs and expand access to solar power across Nigeria,” he said.

The lawmaker acknowledged concerns that encouraging local production could initially lead to higher prices compared to imported solar panels, particularly those produced at large scale in Asia.

“It is true that imported panels can sometimes be cheaper because countries like China produce at massive scale and export globally,” he noted.

However, he argued that through structured technology transfer and gradual capacity building, Nigeria can develop local manufacturing or at least assembly plants that create jobs and add value within the country.

Rather than immediate full-scale manufacturing, he suggested beginning with local assembly of components, which would stimulate employment, build technical expertise, and strengthen the country’s renewable energy ecosystem.

“Nigeria is already spending billions annually on solar imports. That level of demand is enough to sustain several local manufacturing and assembly plants,” he said.

He stressed that local production would not only reduce long-term dependence on foreign suppliers but also promote economic growth and sector sustainability.

“It is always better to manufacture or assemble components close to where they are installed. That strengthens the economy and ensures long-term sustainability.”

On calls by some stakeholders for a complete ban on solar panel imports, the lawmaker urged caution.

While he did not dismiss the idea outright, he emphasized that any ban must be preceded by a clear assessment of Nigeria’s readiness and production capacity.

“A ban is not entirely a bad concept, but it must be considered within the context of our preparedness. Do we have enough local capacity to meet demand? That is the key question,” he said.

He suggested that instead of an outright prohibition, Nigeria could adopt a phased transition strategy—such as imposing tariffs or import duties on foreign solar products—to give local manufacturers room to compete.

Countries with established large-scale production capabilities, he noted, can produce millions of panels at significantly lower costs, making it difficult for emerging Nigerian firms to compete without policy support.

According to him, a phased approach combining trade measures, investment incentives, and capacity development would allow Nigeria to gradually shift toward local production without jeopardizing affordability for rural communities.

“We must protect affordability while building local industry. A gradual transition, supported by smart trade policies and incentives, is better than an abrupt ban,” he said.

The lawmaker said that strengthening Nigeria’s solar manufacturing base would drive job creation, promote technology transfer, and enhance energy security over the long term.

“We cannot continue to depend entirely on foreign manufacturers. Building local capacity is essential if we want sustainable and affordable renewable energy across Nigeria.”

The Nigeria Country Lead, Global Strategic Communication Council, Daniel Oladoja pushed for evidence-based energy reforms have cautioned against an immediate ban on solar panel imports, arguing that policy decisions must be guided by data rather than sentiment.

He explained that the aim of the study was to introduce credible data into the national debate over local manufacturing and import restrictions.

“What we set out to do with this report is to bring evidence into the conversation,” a policy advocate said. “Anyone can say a ban is good or a ban is bad, but that is sentiment. When it comes to serious policymaking, you must rely on data.”

One of the report’s key findings is that more than 80 percent of Nigerians surveyed do not support a ban on solar panel imports.

“If government says it listens to the people, then it must pay attention to what the people are saying,” the advocate noted.

The report argues that while energy sovereignty and industrialization are legitimate national goals, policymakers must weigh these ambitions against affordability and access — especially in a country battling widespread energy poverty.

He said beyond public sentiment, the report highlights a significant cost disparity between imported solar systems and locally produced alternatives.

According to him, locally manufactured systems are approximately 16 percent more expensive than imported equivalents.

With the average functional household solar system costing around ₦2 million, that 16 percent difference translates to nearly ₦250,000 — a substantial amount for most Nigerian families.

“That margin is enough to discourage adoption,” the advocate explained. “When you’re talking about rural households, small businesses, or schools trying to install solar, ₦250,000 is not a minor difference.”

He said the report stresses that the debate over banning solar imports is not purely economic but also social, adding that a sudden restriction could slow the spread of renewable energy, particularly in underserved rural areas where solar systems are often the most viable electricity option.

“This is not just about industry. It’s about access to power. It’s about livelihoods. It’s about small businesses and healthcare facilities that depend on affordable solar solutions.”

Rather than an abrupt prohibition, stakeholders are recommending a structured five-to-ten-year transition plan.

They warned against repeating policy approaches seen in other sectors, where sudden border closures or bans disrupted markets without adequate local capacity in place.

“Don’t just wake up one morning and shut the borders,” the advocate said. “Have a clear strategic roadmap — build local capacity gradually, encourage assembly, incentivize manufacturers, and then phase down imports in a predictable way.”

Such a phased strategy, they argued, would protect affordability while allowing Nigeria to strengthen domestic production capacity over time.

The overarching message from the report is that policymaking must balance industrial growth with consumer welfare, guided by evidence, cost analysis, and public opinion.

“We are not opposing industrialization. We are saying: let’s do it strategically. Let’s use the numbers. Let’s use public sentiment. Let’s plan properly.”

As Nigeria pushes toward energy security and renewable expansion, the report concludes that careful sequencing — not abrupt restrictions — will determine whether local solar manufacturing becomes a catalyst for growth or a barrier to access.

On his part, the Executive Director, Global Initiative for Food Swcurity and Ecosystem Preservation (GIFSEP), Micheal David said locally manufactured solar systems currently cost about 16 percent more than imported alternatives.

He said: “With an average household solar system costing roughly ₦2 million, that 16 percent difference can mean about ₦250,000 extra,” said an energy market analyst. “For rural households, that difference is enough to delay adoption.”

He noted that: “This is not just an industrial discussion. It is about healthcare facilities, small businesses, and families who depend on solar just to keep basic lights on.”

Stakeholders argued that Nigeria’s fastest path to universal electricity access lies in scaling up distributed renewable energy rather than relying exclusively on large utility-scale solar projects.

“The future for Nigeria is decentralized energy,” said a renewable energy consultant. “Mini-grids and rooftop solar are more realistic for rural electrification than trying to reach extremely high utility solar targets within a short period.”

Lawmaker Backs Local Solar Manufacturing, Caution Against Immediate Import Ban

Continue Reading

News

Suspect arrested for attempting to kill boy in Katsina over juju ritual

Published

on

Suspect arrested for attempting to kill boy in Katsina over juju ritual

By: Zagazola Makama

The Katsina Police Command has arrested a 20-year-old man for allegedly attempting to kill a 10-year-old boy in a ritual-related attack.

According to sources, on Feb. 22 at about 7:30 p.m., Aliyu Ashabu of Kuidawa Village, a self-styled native doctor popularly known as “Boka,” lured Alhassan Usman into a nearby bush and pushed him into a well. The boy was later rescued on Feb. 23 by a Good Samaritan and taken to the General Hospital Katsina with varying degrees of injuries.

During the investigation, the suspect was traced, arrested, and reportedly confessed to the offense, claiming he was preparing charms for one Khalid, who is still at large.

The case remains under investigation for culpable homicide, unlawful juju, and cultism.

Suspect arrested for attempting to kill boy in Katsina over juju ritual

Continue Reading

Trending

Verified by MonsterInsights