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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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Troops arrest suspected ISWAP logistics courier in Monguno

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Troops arrest suspected ISWAP logistics courier in Monguno

By: Zagazola Makama

Troops of Operation Hadin Kai have arrested a suspected Boko Haram/ISWAP logistics courier in Monguno Local Government Area of Borno State.

Security sources said the suspect, identified as Chari Kura from Gajiram in Nganzai LGA, was apprehended at about 6:20 p.m. on April 20 at Charlie 19 location in Monguno town.

The arrest followed credible intelligence indicating that the suspect was en route to deliver logistics supplies to terrorists at Bindur village in Kukawa Local Government Area.

According to the sources, items recovered from the suspect include 180 mosquito coils, 12 packs of Jolly Jus, one Itel mobile phone and the sum of N500.

The suspect is currently in the custody of Sector 3 for further interrogation and necessary action.

Military authorities said the arrest is part of ongoing efforts to disrupt terrorist supply chains and deny insurgents access to logistics support within the theatre of operations.

Troops arrest suspected ISWAP logistics courier in Monguno

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An appreciation of the armed forces: weeklong actions across multiple theatres

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An appreciation of the armed forces: weeklong actions across multiple theatres

By Bayo Onanuga

Some Nigerians and armchair analysts are often quick to criticise the Federal Government for perceived shortcomings in security, highlighting isolated incidents such as kidnappings, improvised explosive devices, suicide bombings, and attacks in parts of the country.

Such perceptions, however, tend to downplay and discount the heroic exploits of members of the Nigerian armed forces, saddled with the responsibility of countering the evil machinations of God-forsaken non-state actors, who operate like guerrillas.

My position is reinforced by the security reports I receive daily from Zagazola Makama, a journalist who has emerged as a counter-insurgency expert in Nigeria. This past week alone, Zagazola inundated me with reports from multiple theatres, indicating that our troops are making significant gains in the asymmetrical war against insurgents, terrorists, ISWAP, Boko Haram, IPOB, bandits, kidnappers, and crude oil thieves.

Let’s begin with some heartening news that made headlines on Monday.

A few days ago, some newspapers sensationally reported that gunmen kidnapped 14 passengers of a Benue Links bus travelling from Makurdi to Otukpo. Seventeen passengers were in the bus, among them eight youngsters going to write the UTME. Three of the passengers escaped from the clutch of the abductors.

On Sunday, April 19, troops of Sub-Sector 1B, OPWS rescued the remaining 13 passengers following a search-and-rescue operation conducted in a forested area in Ohimini Local Government Area.

“Security sources,” according to Zagazola, “clarified that the perpetrators were local criminal elements in Benue and not Fulani bandits as initially speculated in some quarters. The media hastily attributed the attack to external groups without proper verification”.

Those rescued include Hycent Oko (56), Elaiguli Joshua (25), Orili Raphael (29), Sunday Augustine (18), Emmanuel Elaicha (21), Gbile Nguyor Daniel (18), Ukacha Tersoo (18), Nyikwagh Aoridakator (22), Iornav Ngukuhan (18), Nyikwagh Benjamin (18), Buker Agatha (19), Paul Wende (29) and Akor Jessica (19).

The victims were evacuated to the General Hospital in Otukpo for medical attention, as some of them sustained varying degrees of injuries during their captivity. Later, some of the victims had a photo-op with Governor Hyancinth Alia, who appealed to JAMB to set another examination for the traumatised youngsters.

The incident illustrated a growing trend of locally grown criminality, where local elements exploit familiar terrain and community networks to carry out abductions.

On Saturday night, April 18, troops were alerted by gunshots along the Kpashio-Ansa Road in Bassa LGA of Plateau State. They rapidly responded and found three wounded victims of the gun attacks by the roadside. They were travelling on a motorcycle when they came under a burst of gunfire. The gunmen stole the motorcycle. The troops evacuated the three victims to a nearby hospital. One died, and two survived.

On the same April 18, troops under Sector 1 of Operation Enduring Peace arrested two suspects in Jos North Local Government, one of them, Khalid Usman, for stabbing a police inspector. The other suspect, Ali Izang, was arrested at about 0615 hrs near the Correctional Centre. He had a round of 7.62mm ammunition.

Troops of Operation Enduring Peace also arrested nine ethnic militiamen responsible for targeted killings. They recovered arms and ammunition following an operation in Riyom Local Government Area of Plateau State, amid ongoing security concerns linked to recurring attacks and cycles of violence in the area.

The suspects were arrested at about 0135 hours on April 18, 2026, when troops deployed at Ganawuri responded to reports of the suspects moving towards the Danwal area.

The troops intercepted and apprehended the suspects, who were found with blood stains on their bodies, raising suspicion of recent involvement in silent killings.

Items recovered from them include three motorcycles, one pistol, one submachine gun, one locally made revolver rifle, 20 rounds of pistol ammunition, and one locally fabricated rifle, among other items.

The arrest came amid sustained insecurity in parts of Plateau State, where communities in Riyom, Barkin Ladi, Bokkos, Mangu and surrounding areas have witnessed repeated incidents of violent attacks and reprisals. Across these flashpoints, the patterns are consistent, which suggests that perpetrators of violence are not faceless outsiders operating in isolation.

“Sources said that the suspects were currently in custody, providing information, and are responsible for carrying out a series of attacks in recent months, which have escalated violence and reprisal attacks in Plateau State,” Zagazola reported.

In recent months, security reports have indicated a pattern of violence involving Fulani bandits and armed elements of the Berom operating within local communities.

The most recent development occurred on April 13 at about 0700 hrs, when troops under Operation Enduring Peace (OPEP) conducted a search-and-rescue operation in Ariri and Kwasha villages of Bassa LGA following reports of a missing herder. During the operation, troops discovered the corpse of the herder and recovered 32 cattle alive, while three others were found dead. The troops handed the remains of the herdsman and livestock to community leaders.

On the same day, troops responded to intelligence on an illegal settlers’ camp in Ungwan Doki, Riyom LGA, where four suspected migrants were arrested. On April 12, at about 1440 HOURS, troops restored calm after a clash between farmers and herders in Rakum village, Barkin Ladi LGA. Five locals, two herders, and a police officer sustained injuries after being attacked by the Berom Militia. The troops arrested one suspect.

Earlier, at about 1222 HOURS in Rasa village, troops foiled another attack on a herder by suspected armed Berom elements and evacuated the injured victim to the hospital. At about 2100 HRS, troops responded to sporadic gunfire along Hukke–Rewienko road in Bassa LGA, repelling attackers and rescuing an injured civilian.

In a related development, at about 1800 HOURS, troops foiled an attempted cattle rustling incident in Kpashio village, recovering 92 cattle reportedly abandoned by fleeing suspects.

Within the same period, armed Berom Militia engaged troops of Operation Enduring Peace in a heavy gun battle in Barkin Ladi. The troops killed five of the attackers. Later that same day, the corpses were hastily buried by the community to avoid the determination of the identity of the attackers.

On April 11 at about 2145 HOURS, troops responded to an ambush in the Tanjol community, where a 21-year-old resident, Joseph Irmiya, was attacked by Fulani bandits. The victim later died from injuries.

Shortly after, troops intercepted an attempted attack on the Rim community by Berom militants, where one youth sustained gunshot wounds. Separately, troops conducting stop-and-search operations in Kuru, Jos South LGA, at about 2030 HOURS, arrested two suspects in possession of a pistol and ammunition.

Troops have continued operations across flashpoints in Riyom and neighbouring LGAs, with authorities maintaining that sustained patrols, arrests and recovery of arms are aimed at restoring lasting peace in the area.

Still in Plateau, troops of Operation Safe Haven reported the suspected poisoning of nine cattle in Rakum Village, Kassa District of Barkin Ladi Local Government Area. The cattle belonged to one Dauda Jalo. Some Berom youths were suspected of poisoning the grazing field. An incident like this is usually the precursor of a reprisal attack in the community, as the cattle owner wants to take the blood of humans as a form of revenge for his dead cattle. This is one incident, along with cattle rustling, that has made peace elusive on the Plateau for decades.

In Borno state, troops of Operation Hadin Kai neutralised two terrorists on April 18 as they foiled an attempted attack by Boko Haram/ISWAP along the Kirawa-Pulka axis. The insurgents, riding on bikes, along with others, were trying to infiltrate the Ngoshe axis when the troops of 153 Task Battalion confronted them. The others escaped, as their comrade in arms fell to our troops’ superior firepower. The troops recovered a walkie-talkie radio set from the neutralised insurgents.

In Yobe, troops arrested three ISWAP logistics suppliers during an operation in the Damaturu Local Government Area. The suspects, believed to be linked to ISWAP and Boko Haram elements, were apprehended at about 3:00 p.m. on April 15, 2026, by troops of 233 Battalion in collaboration with members of a local hunters’ group.

Also in Borno on 16 April, troops of Operation Hadin Kai repelled a terrorist attack in Benisheikh, Kaga Local Government Area of Borno State. The incident occurred at about 8:30 a.m. on April 16, 2026, when the terrorists launched an assault on troops of Headquarters 29 Task Force Brigade, the second time in recent days.

According to the sources, the troops engaged the attackers in a firefight, forcing them to retreat in disarray. The soldiers pursued the fleeing insurgents but did not make further contact.

On April 17, troops of Operation Hadin Kai discovered and detonated an improvised explosive device (IED) in Mairari town along the Gajiram axis of Borno State.

The device was detected at about 9:00 a.m. by an Explosive Ordnance Disposal (EOD) and route-scanning team deployed from a Forward Operating Base in the area. The IED, found at the edge of the town’s exit gate, raises concerns about potential threats to both civilians and security personnel using the route.

In Auchi, Edo state, troops of 195 Battalion, responding to a distress call, foiled a kidnap attempt on the morning of August 16 at Iyuku in Jattu. Before the troops arrived, three of the kidnapped victims had overpowered one of the kidnappers and seized his Ak 47, loaded with nine rounds of 7.62mm ammunition. The troops pursued the rest of the kidnappers. They rescued other kidnapped victims, arrested five of the kidnappers, and handed them to the DSS for justice.

In the North West, soldiers of 8 Division repelled an attack by suspected terrorists in Garin Hillo Village, Sabon Birni Local Government Area of Sokoto State. The incident occurred in the early hours of April 17, when troops deployed at a Forward Operating Base (FOB) in Gatawa responded to reports of terrorist activities in the area.

On arrival, the troops made contact with the attackers and engaged them in a shootout, forcing the attackers to retreat.

Further inquiry revealed that about 30 armed terrorists had stormed the village on foot, firing sporadically and causing panic among residents. As a result of the attack, six civilians sustained gunshot wounds.

The injured victims were evacuated to the General Hospital in Sabon Birni for medical attention. Troops continue to dominate the area to prevent further attacks and ensure the safety of residents.

In central Nigeria, troops of 12 Brigade under Operation MESA destroyed a suspected terrorist camp and intercepted a logistics courier in Yagba West Local Government Area of Kogi State.

The operation on April 16 was carried out in the early hours following credible intelligence on the presence of a suspected terrorist camp between Ejiba and Ofi communities. The troops, in conjunction with Police and members of the Civilian Joint Task Force (CJTF), mobilised from their Forward Operating Base (FOB) in Egbe and advanced to the location.

During the operation, the troops intercepted a suspected courier on a motorcycle who was delivering food items to the camp. However, the suspect fled on sighting the troops, abandoning the motorcycle and the items.

The troops proceeded to locate and destroy the suspected camp. No firefight between the troops and the terrorists. Again, this incident shows how civilians collaborate with the terrorists.

In the East, on April 16, Joint security forces comprising personnel of the Nigerian Army, Navy, Air Force, Police, Department of State Services, and Civil Defence Corps conducted a fighting patrol in Orsu Local Government Area of Imo State, leading to the discovery and safe disposal of improvised explosive devices.

The operation took place at about 9:50 a.m. within the Uda general area. An Explosive Ordnance Disposal (EOD) team discovered two improvised explosive devices during the patrol and safely defused them.

On the international front, Nigeria’s Minister of Defence, Christopher Musa, participated in a high-level counterterrorism panel at the Antalya Diplomacy Forum 2026 in Türkiye, where leaders and experts discussed strategies for countering violent extremism, stressing international cooperation and intelligence sharing.

I have taken the time to present this comprehensive account of the recent heroic exploits of the Nigerian armed forces to underscore that our troops are resolutely prosecuting this asymmetric war, fearlessly defending us all, and making sacrifices—some paying the supreme price. Challenges remain, and the battle is far from over. However, what the armed forces and government deserve from us is appreciation and commendation, not condemnation and vilification.

An appreciation of the armed forces: weeklong actions across multiple theatres

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2027: Group Endorses Engr Gubio For Borno Governorship

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2027: Group Endorses Engr Gubio For Borno Governorship

By Melvin Anthony

A political group, Southern Borno Youth Advancement Initiative ( SOBYAI ) ,has endorsed Engr Mustapha Gubio , the immediate commissioner of works for the Borno State governorship ahead of the 2027 elections.

The group said Gubio’s experience in public service and infrastructure development makes him a credible choice to succeed Governor Babagana Umara Zulum.

The Group in their call titled: “The 2027 Gubernatorial Succession In Borno State: A Call for Continuity, Competence, and Consolidation of Security Gains,” said the Southern Borno Youth Advancement Initiative (SOBYAI), after extensive consultations across youth structures, community leaders, and professional groups in Southern Borno, wished to make its position clear to the good people of Borno State, distinguished stakeholders, the revered Borno Elders Forum, the vibrant youth constituency, and all leaders of the All Progressives Congress (APC) in the State.

A statement signed and issued to newsmen on Tuesday in Maiduguri by SOBYAI President , Hon. Suleiman Tanimu and the Secretary Comrade, Suleiman Abdullahi respectively, noted that Borno State today stands at a decisive crossroads.

The group said while remarkable progress has been recorded under the visionary leadership Governor Babagana Umara Zulum, they are equally confronted with the stark reality of resurging security threats, with insurgent elements attempting to regroup and destabilise the hard-won peace of our communities.

These circumstances according to them demand that the choice of the next leadership be guided by prudence, foresight, and an uncompromising commitment to continuity.

“The administration of Prof. Zulum has set a high governance benchmark through massive infrastructure renewal, aggressive resettlement of displaced persons, institutional reforms, agricultural revitalization, and a people-centered approach to security.

“Key milestones include: Rebuilding of communities and dignified return of IDPs across Local Government Areas.

“Over 1,000 capital projects delivered, including roads, schools, and healthcare facilities.

” Recruitment of teachers and healthcare workers, plus scholarships for indigent students. Transparency, accessibility, and hands-on leadership that restored public trust”, the group said.

They added that this legacy is too valuable to be left to uncertainty, opining that Borno requires a successor with the technical depth, administrative discipline, and moral clarity to consolidate these gains and chart a path to greater stability and prosperity.

“It is the considered view of SOBYAI that Engr. Mustapha Gubio represents the most credible and prepared individual to sustain and advance the Zulum legacy.

” Engr. Gubio is a distinguished engineer and public servant whose career reflects a rare blend of technical competence, administrative acumen, and genuine compassion for the people of Borno.

” He has, over the years, demonstrated track record of executing complex, high-impact projects with efficiency and accountability, consistent with the standards set by Governor Zulum.

” Deep understanding of Borno’s security architecture and the socio-economic drivers of conflict, positioning him to sustain counter-insurgency and peacebuilding efforts.

” In Engr. Mustapha Gubio, we see a bridge between the remarkable foundations of today and the greater Borno we all aspire to tomorrow. He is a builder, a stabilizer, and a leader for these trying times.

” SOBYAI therefore respectfully appeals to all stakeholders; the Borno Elders Forum, traditional institutions, party leaders, women groups, and the youth to prioritise competence, continuity, and character in the forthcoming 2027 gubernatorial selection process.

“The peace, rebuilding, and future of Borno must supersede all other interests. We are confident that with Engr. Mustapha Gubio, the developmental trajectory initiated by Prof. Zulum will not only be sustained but accelerated for the benefit of every citizen of Borno State,” SOBYAI concluded.

2027: Group Endorses Engr Gubio For Borno Governorship

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