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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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All Hands Must Be On Deck To Boost Nigeria’s Business Environment, Says VP Shettima

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All Hands Must Be On Deck To Boost Nigeria’s Business Environment, Says VP Shettima

  • Urges states, MDAs, others to work towards actualizing President Tinubu’s reforms at PEBEC Gala and Awards Night

By: Our Reporter

The Vice President, Senator Kashim Shettima, has implored state governments, ministries, departments and agencies (MDAs) of the federal government, the organised private sector, and other stakeholders to do more in advancing the business environment in Nigeria.

He acknowledged the successes recorded this year, describing them “as the triumph of collaboration over silos,” even as he said when the 36 states of the federation, MDAs, development partners and other critical sectors commit to working together across the board, it becomes a big win for Nigeria.

Senator Shettima gave the charge on Tuesday in Abuja during the PEBEC Gala and Awards Night organized by the Presidential Enabling Business Environment Council (PEBEC) to celebrate exceptional public service delivery, reform excellence, and collaborative efforts toward improving Nigeria’s business environment.

He said, “The end of this night does not signal the end of your pursuit of excellence because excellence is a culture, not an event. It lives only where it is nurtured. And so, in the new year, let us do even more to advance the reform agenda for Nigeria’s business environment.

“Let us build a nation where efficiency is normal, where transparency is routine, and where excellence is the governing creed of public service.”

The Vice President underscored the importance of working as a team, noting that while every organisation reflects the kind of people working within, the people cannot “achieve excellence in a vacuum.”

According to VP Shettima, excellence is cultivated – “the result of choices, of discipline, of a refusal to settle for the bare minimum,” adding that it is not something that is inherited.

He observed that it is for this reason that the Gala and Awards Night was organised “to honour the belief that public service can and must be synonymous with excellence.”

Reminding stakeholders that the ball is in their court to make a difference, the VP said, “His Excellency President Bola Ahmed Tinubu has laid the critical foundation for the reforms required to reset our economy, and the success of this depends on the awardees we celebrate tonight.

“Your dedication and excellence embody the spirit of this administration’s Renewed Hope Agenda. You represent the very best of our public sector, and your work is the foundation upon which our nation’s prosperity is built.”

Senator Shettima described the Gala and Awards Night as “a celebration of public servants across Nigeria who have refused to accept mediocrity as our national ceiling,” by working hard to actualize the ongoing reforms undertaken by the Tinubu administration.

“The Presidential Enabling Business Environment Council, PEBEC, has spent the last couple of years championing reforms that speak to the soul of our economic aspirations—reforms that make it easier to do business, that restore investor confidence, that ensure our institutions work at the speed of national ambition.

“And tonight, we salute the men and women driving this mission forward, those who have placed the national interest above their comfort zones,” he said.

Acknowledging that there had been interagency collaboration on reforms that rapidly improve the nation’s business environment, the Vice President cited the establishment of the Ports and Customs Efficiency Committee (PCEC), which he said is “already bearing significant fruit through joint inspection procedures at” the ports.

Earlier, the Deputy Chief of Staff to the President (Office of the Vice President), Senator Ibrahim Hadejia, said under the leadership of Vice President Shettima, PEBEC has continued to deliver reforms that is incrementally impacting businesses in different sectors across the country.

He, however, reminded stakeholders that the task of transforming Nigeria’s business environment is far from over, as every improvement celebrated at the 2025 awards will be the foundation upon which more lasting reform initiatives will be built.

On her part, the Director-General of PEBEC, Princess Zahrah Audu, outlined some of the achievements recorded by the agency in the past year through deliberate and result-oriented collaboration to transform operations across MDAs, noting that reform is embedded and remains a critical component of PEBEC’s service delivery.

She added that the scope of PEBEC’s achievements under the current dispensation reflects the depth of partnership established and nurtured by management with critical stakeholders across the country over the past months.

The highpoint of the occasion was the unveiling of the 2025 Business Facilitation Act (BFA) Compliance Report and the Subnational Ease of Doing Business Report, as well as the presentation of various categories of awards, including access to justice; legislative trailblazer; leadership of action and business advocacy and partnership, among others.

Also present at the event were the Deputy Governor of Benue State, Dr Sam Ode; Deputy Governor of Enugu State, Mr Ifeanyi Ossai; Chairman of NDLEA, Brig. Gen. Mohammed Buba Marwa; Executive Secretary of the Nigerian Shippers Council, Mr Pius Akutah; Executive Vice Chairman of Nigerian Communications Commission (NCC), Dr Aminu Maida; Managing Director of the Nigerian Ports Authority, Dr Abubakar Dantsoho, other heads of agencies and parastatals; members of the diplomatic corps, and captains of industry, among others.

All Hands Must Be On Deck To Boost Nigeria’s Business Environment, Says VP Shettima

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PRESIDENT TINUBU NOMINATES GENERAL CHRISTOPHER MUSA AS THE NEW MINISTER OF DEFENCE

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PRESIDENT TINUBU NOMINATES GENERAL CHRISTOPHER MUSA AS THE NEW MINISTER OF DEFENCE

By: Our Reporter

President Bola Ahmed Tinubu has nominated General Christopher Gwabin Musa as the new Minister of Defence.

In a letter to Senate President Godswill Akpabio, President Tinubu conveyed General Musa’s nomination as the successor to Alhaji Mohammed Badaru Abubakar, who resigned on Monday.

General Musa, 58, on December 25, is a distinguished soldier who served as Chief of Defence Staff from 2023 until October 2025. He won the Colin Powell Award for Soldiering in 2012.

Born in Sokoto in 1967, General Musa received his primary and secondary education there before attending the College of Advanced Studies in Zaria. He graduated in 1986 and enrolled at the Nigerian Defence Academy the same year, earning a Bachelor of Science degree upon graduation in 1991.

General Musa was commissioned into the Nigerian Army as a Second Lieutenant in 1991 and has since had a distinguished career. His appointments include General Staff Officer 1, Training/Operations at HQ 81 Division; Commanding Officer, 73 Battalion; Assistant Director, Operational Requirements, Department of Army Policy and Plans; and Infantry Representative/Member, Training Team, HQ Nigerian Army Armour Corps.

In 2019, he served as Deputy Chief of Staff, Training/Operations, Headquarters Infantry Centre and Corps; Commander, Sector 3, Operation Lafiya Dole; and Commander, Sector 3 Multinational Joint Task Force in the Lake Chad Region.

In 2021, General Musa was appointed Theatre Commander, Operation Hadin Kai. He later became Commander of the Nigerian Army Infantry Corps before being appointed Chief of Defence Staff by President Tinubu in 2023.

In the letter to the Senate, President Tinubu expressed confidence in General Musa’s ability to lead the Ministry of Defence and further strengthen Nigeria’s security architecture.
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Finally, DSS Arraigns Sowore on alleged Cybercrime Offences

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Finally, DSS Arraigns Sowore on alleged Cybercrime Offences

By: Our Reporter

Judge bars him from inciting public, undermining national security

The Department of State Services (DSS) on Tuesday arraigned a politician and online publisher, Omoyele Sowore, before a Federal High Court in Abuja, for alleged cybercrimes, with the court barring him from further making statements that are detrimental to the peace and security of the country.

Justice Mohammed Umar, in a ruling, threatened to revoke the bail granted Sowore’ should he ever make such statements. The arraignment came after two previous attempts, with the politician’s lawyer introducing what the DSS lawyer, Akinolu Kehinde SAN, called legal obstacles.

On Tuesday, however, Justice Umar held that since there was evidence that Sowore was a presidential candidate in the country before and having also earlier been granted bail by the court, with his international passport still being held by the court, he was entitled to be granted bail on self-recognition.

The ruling was on a bail application argued by his lawyer, Marshall Abubakar, shortly after Sowore was arraigned on a five-count charge, in which he is accused of defaming President Bola Tinubu by referring to him as a criminal in his posts on X and Facebook.

When the charge, being prosecuted by the Department of State Services (DSS), was read to him, Sowore pleaded not guilty.

In the charge, Sowore, the presidential candidate of the African Action Congress (AAC) in the 2019 and 2023 elections, is accused of contravening the provisions of the the Cybercrimes (Prohibition, Prevention, etc) Amendment Act, 2024 and the Criminal Code Act by calling President Bola Tinubu a criminal

The two other defendants listed in the charge, marked: FHC/ABJ/CR/484/2025 are X Incorp (formerly Twitter) and Meta (Facebook) Incorp.

Details shortly.

Finally, DSS Arraigns Sowore on alleged Cybercrime Offences

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