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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
Troops rescue abducted Biu Councillor, religious cleric in Borno as hunt continues for five others
Troops rescue abducted Biu Councillor, religious cleric in Borno as hunt continues for five others
By: Zagazola Makama
Troops of the Nigerian Army under Operation Hadin Kai have rescued two civilians abducted by terrorists along the Buni Gari–Buratai road in Borno, following a swift search-and-rescue operation.
Sources told Zagazola Makama that the rescue was carried out by troops of 27 Task Force Brigade in conjunction with 135 Special Forces Battalion and members of the Civilian Joint Task Force (CJTF).

The sources said the operation was launched at about 7:35 a.m. on Wednesday after the kidnapping of seven civilians at about 5:00 p.m. on Tuesday along the Buni Gari–Buratai axis.
“Consequently, at about 11:35 a.m. on Wednesday, troops discovered two of the kidnapped victims who were abandoned by the terrorists upon hearing the movement of troops towards their location ahead of Mangari village,” the source said.
The rescued victims were identified as Alhaji Mohammed Ali Maiakachi, a serving councillor representing Zera/Wuyep Ward in Biu Local Government Area, and Mallam Aliyu Yusuf, an Islamic scholar and Chairman of Shuaaraul Islam, Borno State.
The troops, according to the source, immediately secured the release of the victims and pursued the fleeing terrorists for about 5.4 kilometres, but no contact was made.

The rescued victims reportedly informed troops that five other civilians were still being held captive, including the past and current Vice Chairmen of Biu Local Government Area, as well as three women.
“The effort to rescue the remaining five civilians is ongoing,” the source added.

The victims were initially taken to medical reception station for medical attention before being moved to Biu, where they were reunited with their families.
Troops rescue abducted Biu Councillor, religious cleric in Borno as hunt continues for five others
News
Northern Christian Youth Coalition Calls for Sack of Matawalle
Northern Christian Youth Coalition Calls for Sack of Matawalle
By: Michael Mike
The Northern Christian Youth Coalition (NCYC) has asked for the sack of the Minister of State for Defence, Bello Matawalle, over what it described as “grave allegations” undermining the integrity of the nation’s security architecture.
In a statement issued on Thursday by its National Coordinator, Jeremaid Hudso Bako, the group said the call was driven by the need to uphold accountability and restore public trust in government institutions.
Bako said the recent dismissal of Farouk Ahmed, the former Chief Executive Officer of the Nigerian Midstream and Downstream Petroleum Regulatory Authority (NMDPRA), was a welcome step toward promoting transparency in public service but urged that the same standard be applied to other high-ranking officials facing serious allegations.
He said: “The recent dismissal of Farouk Ahmed, the former chief executive officer (CEO) of the Nigerian Midstream and Downstream Petroleum Regulatory Authority (NMDPRA), serves as a crucial reminder of the need for accountability in public office. While we commend this action, we must insist that the Bola Ahmed Tinubu administration extend this cleansing process to include the Minister of State for Defense.
“The accusations against Bello Matawalle are not only severe but also deeply troubling, as they touch upon issues of national security that are paramount to the stability and safety of our nation.
“The allegations surrounding Bello Matawalle are grave and cannot be overlooked. Reports indicate that he has been implicated in various activities that compromise the integrity of our defense apparatus and, by extension, the safety of our citizens.
“In a time when insecurity looms large over our nation, with rampant banditry, terrorism, and other forms of violence threatening the very fabric of our society, it is unacceptable to have a Minister of State for Defense whose actions may exacerbate these challenges.
“The defense of our nation is not merely a bureaucratic function; it is a sacred duty that demands the highest standards of ethical conduct and accountability.
As Northern Christian Youth Coalition, we are deeply concerned about the implications of retaining an individual in such a critical position when there are credible accusations against him.
“The Ministry of Defense is tasked with safeguarding our nation’s sovereignty and ensuring the protection of our citizens. Any compromise in this regard is not just a failure of leadership; it is a betrayal of the trust placed in public officials by the people. We believe that the integrity of our government must be upheld, and this can only be achieved through decisive action against those who threaten it.”
Bako noted that the defence portfolio is a “sacred trust” that demands the highest standards of ethical conduct and transparency.
The NCYC stressed that the Tinubu administration’s stated commitment to transparency, accountability, and good governance must be reflected in decisive action against officials whose conduct raises questions of integrity.
He said: “Thhe failure to act against Bello Matawalle would send a contradictory message, undermining the very principles that the administration seeks to uphold.
“It is essential that the government demonstrates its resolve to cleanse the ranks of leadership of any elements that may threaten the stability and security of our nation.
“Moreover, the Northern Christian Youth Coalition believes that the removal of Bello Matawalle is not just about addressing individual misconduct; it is about setting a precedent for future governance. It is a clarion call for all public officials to understand that their actions have consequences and that accountability is non-negotiable.
“We urge President Bola Ahmed Tinubu to take this opportunity to reinforce the values of integrity and accountability within his administration, ensuring that all officials are held to the highest standards of conduct.
“The Northern Christian Youth Coalition calls upon the President to act swiftly and decisively in the matter of Bello Matawalle’s continued tenure as Minister of State for Defense.
“The time for action is now, as the safety and security of our nation depend on the integrity of those who lead us. We stand ready to support any measures that will contribute to the establishment of a clean and accountable government, one that prioritizes the welfare of its citizens above all else.”
Northern Christian Youth Coalition Calls for Sack of Matawalle
News
COAS vows overhaul of Nigerian Army training, operations after 2025 conference
COAS vows overhaul of Nigerian Army training, operations after 2025 conference
By: Zagazola Makama
The Chief of Army Staff (COAS), Lt.-Gen. Waidi Shaibu, has pledged a comprehensive overhaul of the Nigerian Army’s training, operations and administrative systems to align with evolving security threats and his command philosophy.
Shaibu made this known on Thursday at the closing ceremony of the Chief of Army Staff Annual Conference 2025, attended by senior military leadership, including Principal Staff Officers from Defence and Army Headquarters, Corps and Theatre Commanders, General Officers Commanding, Brigade Commanders and heads of Army establishments.
The COAS said the conference provided a platform to critically assess the Army’s operational and administrative performance in 2025, with a view to consolidating plans for the coming year.
“It is gratifying that the past few days have been filled with robust and engaging interactions on administration, training and operations of the Nigerian Army,” he said.
According to him, deliberations at the conference revealed the need for immediate reforms to further transform the Army into a more professional, adaptable, combat-ready and resilient force capable of operating effectively in joint and multi-agency environments.
Shaibu announced that Army Headquarters, through the Department of Training, would soon commence a holistic review of curricula across all Nigerian Army schools, with emphasis on mission-specific and realistic training.
“My grand plan for the total overhaul of our schools’ training curriculum will be codified, as realistic training directly influences operational outcomes,” he said.
The COAS added that greater emphasis would be placed on the training and employment of Special Forces and Army Aviation to achieve desired operational outcomes.
He noted that intelligence briefings and operational updates presented at the conference underscored the increasing complexity of Nigeria’s security environment.
“This evolving threat spectrum necessitates enhanced capabilities in intelligence, surveillance, target acquisition and reconnaissance, as well as cyber operations,” Shaibu said.
He stressed the need for continuous learning, adaptation and innovation, particularly in the face of regional instability and global shifts in the character of warfare.
The COAS expressed appreciation to President Bola Ahmed Tinubu, the Commander in Chief of the Armed Forces for sustained political support, especially in military hardware and software procurement, and commended conference participants for what he described as unprecedented contributions.
COAS orders completion of barracks housing, unveils post-service accommodation drive
Abuja, Dec. 18, 2025 (NAN) — The Chief of Army Staff (COAS), Lt.-Gen. Waidi Shaibu, has ordered the speedy completion of all ongoing residential accommodation projects in Nigerian Army barracks nationwide to address housing shortfalls among personnel.
Shaibu gave the directive on Thursday while addressing participants at the closing ceremony of the Chief of Army Staff Annual Conference 2025 in Abuja.
He said improving troop welfare, particularly accommodation, remained a core component of his command priorities and a continuation of efforts initiated by past Chiefs of Army Staff.
“In line with our welfare commitments to all Nigerian Army personnel, I shall continue to build on the efforts of past Chiefs of Army Staff in addressing the crisis of accommodation shortages,” he said.
The COAS disclosed that all ongoing housing projects would be completed and allocated promptly, while new residential projects would be initiated across divisions and barracks nationwide.
“As a stopgap measure, the Nigerian Army will be investing in a more comprehensive spread of renovation works in all our barracks,” Shaibu added.
He acknowledged that despite progress made so far, significant gaps remained, which required deliberate and sustained intervention.
Beyond in-service accommodation, the COAS said the Army would continue to prioritise post-service housing for soldiers and officers to ensure dignity and stability after retirement.
“With all these efforts aimed at addressing existing accommodation shortfalls, we will continue to strike a balance by also securing post-service housing for all our soldiers and officers,” he said.
Shaibu announced that he would be in Ibadan, Oyo State, on Friday for the commissioning of the Affordable Home Ownership Option (AHOO) project for soldiers, as well as the Post-Service Housing Development Limited shopping complex.
“Under my watch, the post-service housing needs of all our soldiers will remain a top priority, with due attention to the completion of ongoing projects,” he assured.
The COAS expressed confidence that the housing schemes would significantly alleviate accommodation challenges faced by serving and retired personnel, describing them as a critical component of the Army’s broader welfare architecture.
He commended the Chief of Logistics (Army) and other stakeholders for their contributions, and reiterated his resolve to confront accommodation challenges “head on with all the seriousness it deserves.”
COAS vows overhaul of Nigerian Army training, operations after 2025 conference
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