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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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54 Borno Students Arrives Isaac Balami University as Government Justifies Investment

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54 Borno Students Arrives Isaac Balami University as Government Justifies Investment

By: Our Reporter

The 54 Borno indigenes who were sponsored by the state government to pursue aerospace and related engineering courses have arrived at Isaac Balami University of Aeronautics and Management in Lagos.

Before they departed from Maiduguri, the Commissioner for Education, Science, Technology, and Innovation, Engr. conducted a farewell ceremony. According to Lawan Abba Wakilbe, the beneficiaries were selected through a competitive process that involved more than 1,200 applicants.

He announced that the Borno State government would provide scholarships worth about $30,000 per year to the 54 beneficiaries, covering tuition, accommodation, transportation, food, and other necessary costs.

Justifying the decision of the state government, Engr. Wakilbe said the choice of Isaac Balami University was strategic, cost-effective, and supportive of local capacity development.

According to him, “the university charges about $30,000 per student annually, covering tuition, accommodation, feeding, training, and stipends. While Aviation schools in the Philippines charge about $34,000 annually without accommodation, and institutions in the there States and the United Kingdom, where fees range between $120,000 and £90,000, excluding living costs,” Wakilbe stated.

The Commissioner for Education noted that the founder of the Institution, Isaac Balami, is an indigene of Borno State whose success in establishing Nigeria’s first private aeronautic university is a source of pride.

“If one of our own has built a specialised aviation university, it is only right that we patronize him first, noting that investing in local institutions keeps resources within the country.

“Isaac Balami, as an example, recalls how a scholarship enabled him to pursue aviation training and eventually establish a private aeronautic university. “We expect you to return as 54 Isaac Balamis,” he charged.

Addressing the students at IBUAM Lagos, the Executive Secretary of the Borno State Scholarship Board, Dr. Bala Isa, urged the beneficiaries to justify the expenditure made by Governor Zulum’s administration through discipline, excellence, and commitment.

“Some people are complaining about the cost of this training and other major projects,” he said. “But when you complete this programme successfully and begin to contribute meaningfully to society, those same critics will appreciate the vision behind it,” Isa remarked.

He reminded them that they were selected to pursue academic and professional excellence, not to engage in misconduct.

“You are here to learn, not to play. Put in your best efforts. This profession demands seriousness, focus, and responsibility. Lives will one day depend on your competence,” he cautioned.

On discipline, the Executive Secretary issued a stern warning, revealing that scholarships have previously been withdrawn from beneficiaries who failed to uphold acceptable standards of conduct.

“We have withdrawn scholarships before due to indiscipline. Even abroad, including in India, a student was sent back home for misconduct. We will not hesitate to take similar action if necessary,” he stated.

Founder of the University, Dr. Isaac Balami, urged the students to take their studies seriously and make the most of what has been described as a rare and highly privileged opportunity.

He reminded the students that the government is making significant financial investments in their training and expects measurable results in return. He cautioned that only those who demonstrate competence, discipline, and commitment will thrive in the programme.

“Aviation is about safety first, safety second, safety third. There is no room for carelessness. There is no participation in the air, underscoring the high level of responsibility required in the profession,” Balami stressed.

Dr. Isaac Balami said qualified professors, instructors, and technical personnel are on the ground to provide guidance and ensure their success.

54 Borno Students Arrives Isaac Balami University as Government Justifies Investment

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We will soon submit the report on the research into kidney disease prevalence in Borno state… Prof Umate

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We will soon submit the report on the research into kidney disease prevalence in Borno state… Prof Umate

The Nigerian Association of Nephrologists (NAN) recently met in Maiduguri for their annual meeting. This exclusive interview with Professor Ibrahim Umate was conducted recently after the opening session where he was honored with a fellowship of the award. Below are extracts of the interview

By: Bodunrin Kayode

Q: Governor Babagana Zulum and his directive for the UMTH to embark on research on prevalence of kidney diseases in Borno

A: We have gone very far in the sense that we have been able to find out the real militating factors responsible for the prevalence of the disease. But there is something we are waiting for to be able to conclude. In all the research we have been doing so far, we have been searching for genetic components igniting the problem.
This genetics research involves taking samples to the molecular laboratory and assessing the genetic components within each sample. There are other genes that may also be responsible like NHY genes which we are looking into how it influences kidney diseases. So we have taken samples to the molecular lab and results will soon be ready. People that have this kinds of genes are more likely to have these kinds of diseases.

Q: Cuts in….So the results will be ready before the Governor leaves office next year?

A: It will be ready within a month or so. We will present the official details to the Governor as soon as we are done with the details.

Q: How about the Challenges you are faced within the realm of the nephrology practice at UMTH?

A: Challenges are always there especially when people come to the hospital with very late presentation of the disease. Its a major and worrying challenge. If only people will come early with their ailments, some of these challenges would become reversible but if they come late there is almost nothing for us to do. Some of them come so late that you have nothing left to do other than to start dialysis. Or even begin to bother about transplant of another kidney to keep them alive. This is all due to the Challenges of late reporting.

Another challenge is about the facilities. Its not as if we don’t have, but you know as the patients population is growing, the machines are over stretched. For now, we have about 20 functional machines and we have to do two to three sessions on some of the machines on a daily bases depending on the number of patients waiting in the queue. Sometimes we have 30, 40 or even more patients waiting in a day for the same service. So sometimes we finish the first session and embark on the second session and these kinds of daily routines affects the machines badly. So ideally, after using the machines that day we can’t use again till the next day. Another challenge is that many people can’t afford the funds for the dialysis.
Again our daily challenge is not only around dialysis alone. There are other aspects of treatment which are far more expensive than dialysis. Example if you are to maintain the red blood vessels of a patient to avoid anemia, electro-positive stimulating agents are very important but its quite expensive. And it is expected that the patients should take it daily while just a vile of it is about 18,000. So if a patient is taking it just twice a week, he must have about 36,000 naira to take it.

Q: The CMD once hinted in a news conference about a foundation to help kidney patients, is it functional now?

A: Yes we have the Kashim Shettima foundation that is helping out with anyone that has transplant issues. As it stands today, anyone that does a transplant will not buy drugs again as long as the operation was done in Maiduguri. And this is courtesy of the Kashim Shettima foundation which will enable them to access the drugs and consumables.

Q: You seem to be having a good time with consumables Prof. What is the reality in the kidney centre?

A: Indeed, government is trying its best on that. We are getting them at subsidized rates. Instead of patients paying over 50,000 naira, they pay just 12,000 for a session of dialysis. So it is about 80% subsidized. That is a good deal to me.

We will soon submit the report on the research into kidney disease prevalence in Borno state… Prof Umate

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Nigerian Embassy in Kuwait Issues Safety Advisory to Citizens Amid Regional Tensions

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Nigerian Embassy in Kuwait Issues Safety Advisory to Citizens Amid Regional Tensions

By: Michael Mike

The Embassy of the Federal Republic of Nigeria in the State of Kuwait has urged Nigerian nationals in Kuwait and Bahrain to remain calm, vigilant, and compliant with host government ldirectives in light of prevailing regional developments.

In a circular dated March 1, 2026, and referenced NKT/GA/C/004/Vol. I, the Embassy — which holds concurrent accreditation to the Kingdom of Bahrain — advised citizens to strictly observe safety guidelines and official advisories issued by authorities in both countries.

The mission encouraged Nigerians to stay informed by monitoring credible local news outlets and official government announcements in Kuwait and Bahrain. It assured the community that it is closely tracking the situation and maintaining communication with leaders of Nigerian groups and associations in both countries.

To enhance real-time communication, the Embassy announced the creation of a dedicated mobile and WhatsApp line to ensure active engagement with nationals.

For further inquiries or assistance, Nigerians were advised to contact the Embassy via email at nigeriakuwait@yahoo.com or through the designated telephone and WhatsApp numbers provided by the mission.

The Embassy reaffirmed its commitment to the safety and welfare of all Nigerian citizens in its jurisdiction and pledged to continue providing timely updates as the situation evolves.

Nigerian Embassy in Kuwait Issues Safety Advisory to Citizens Amid Regional Tensions

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