News
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
IPOB attacks police patrol teams in Anambra, snatches rifles, and abandons stolen SUV after shootout
IPOB attacks police patrol teams in Anambra, snatches rifles, and abandons stolen SUV after shootout
By: Zagazola Makama
Suspected members of the proscribed IPOB/ESN militia on Wednesday launched a coordinated armed attack on joint police patrol teams along the Abatete–Eziowelle road in Anambra State, injuring an officer and carting away two service rifles.
Zagazola gathered that the gunmen, armed with general-purpose machine guns and AK-47 rifles, operated with a white Toyota Hummer bus, a black Lexus 350 SUV, and a white Toyota Highlander, all with registration numbers yet to be identified.
The attackers, dressed in full military and police uniforms, opened heavy fire on personnel from the Department of Operations (DOPS), State Headquarters, Awka, and the Special Anti-Cultism Squad. The patrol teams engaged the militants in a fierce gun duel, forcing them to retreat.
During the exchange of fire, rounds fired by the assailants struck the patrol bus of the Special Anti-Cultism Squad, setting it ablaze, while the DOPS patrol pickup van was sprayed with bullets and damaged.
Sources said that during the operation, Insp. Uduak Anthony of MOPOL 29 Awka, attached to the DOPS patrol team, lost his Type 06 rifle (Breech No. 10967) loaded with 35 rounds of ammunition after it slipped from his grip as he dashed for cover. The weapon was carted away by the militants.
As the gunmen fled, they reportedly snatched a Mercedes Benz SUV from a motorist, Eze Tochukwu, from Enugu State, and headed towards Umuoji in Idemili North LGA.
At Umuoji, the attackers sighted two police inspectors attached to former Anambra Governor and ex-Minister of Labour, Senator Chris Ngige. The officers, Insp. Eniobong Roberts of 29 PMF Awka and Insp. Udezike Kingsley of DOPS, were travelling in a vehicle when the militants double-crossed them and opened fire.
Insp. Udezike was shot in the left leg as he attempted to take cover, and his AK-47 rifle was stolen. Insp. Roberts engaged the attackers, forcing them to abandon the snatched Mercedes Benz SUV, which was later recovered by police.
The injured officer is currently receiving treatment at Crown Hospital, Nkpor, and is responding well.
A senior police officer revealed that the Command’s tactical units have been fully activated and are “currently combing suspected hideouts, camps, and escape routes of the terrorists” to arrest the attackers and recover the stolen firearms.
IPOB attacks police patrol teams in Anambra, snatches rifles, and abandons stolen SUV after shootout
HONORARY CONSULATE REPUBLIC OF CÔTE D’IVOIRE – MALTA
By: Michael Mike
Honorary Consulate of Côte d’Ivoire in Malta Signs Memorandum of Understanding with Paradigm Communications Ltd. | Paradigm News, an International Media Partner of ECOWAS Commission, Foreign Affairs Ministry in Nigeria, Germany Embassy in Nigeria and CDD/ WADEMOS West Africa.
The Honorary Consulate of the Republic of Côte d’Ivoire in Malta and Paradigm News, a publication of Paradigm Communications Ltd., have formally signed a Memorandum of Understanding (MoU) establishing a strategic media partnership aimed at enhancing visibility, communication, and public engagement surrounding the Consulate’s diplomatic activities in Malta and internationally.
Under this agreement, Paradigm News is officially accredited as the African Media House for the Honorary Consulate of Côte d’Ivoire in Malta. The partnership reinforces a shared commitment to strengthening diplomatic communication, promoting Côte d’Ivoire’s interests, and supporting accurate, responsible journalism across regional and global platforms.
Speaking at the signing, H.E. Mrqs. Anthony C. Coleiro, Honorary Consul of the Republic of Côte d’Ivoire in Malta, emphasized the significance of the collaboration:
“This partnership marks an important milestone in reinforcing Côte d’Ivoire’s presence and engagement in Malta. Through Paradigm News’ professional coverage, we aim to ensure that our diplomatic initiatives, bilateral engagements, and cultural activities receive the visibility and clarity they deserve.”
Representing Paradigm Communications Ltd., H.E. Ambassador Raymond Enoch noted:
“We are honoured to serve as the official African Media House for the Consulate. Paradigm News is committed to providing accurate, ethical, and comprehensive coverage that reflects the diplomatic aspirations and international outreach of Côte d’Ivoire.”
Scope of the Partnership
Through the MoU, Paradigm News will:
Provide professional coverage of the Consulate’s diplomatic activities, official events, and public engagements. Report on governmental delegations from Côte d’Ivoire visiting Malta and cover international conferences, summits, and events involving the Consulate. Notwithstanding publishing of information related to bilateral cooperation, cultural programmes, business initiatives and disseminate content through its regional and global media channels.
The Consulate, in turn, will:
Grant Paradigm News official accreditation as its African Media House, providing timely press releases, updates, and access to relevant events, subject to protocol. The Consulate will recognize / Paradigm Communications Ltd. as its media partner in appropriate communications and events.
Both parties commit to maintaining professionalism, transparency, and respect for diplomatic sensitivities, ensuring that all published material reflects accuracy and integrity.
About the Honorary Consulate of Côte d’Ivoire in Malta:
The Honorary Consulate works to strengthen bilateral relations between the Republic of Côte d’Ivoire and Malta, promoting diplomatic cooperation, business engagement, cultural exchange, and support for Ivorian nationals.
About Paradigm News / Paradigm Communications Ltd.
Paradigm News is a respected media organization committed to delivering global news and insights. Through its international correspondents and editorial network, Paradigm News covers stories of local, regional, and global relevance with accuracy, neutrality, and journalistic professionalism. Paradigm News International is a Media Partner of ECOWAS Commission, Foreign Affairs Ministry in Nigeria, Germany Embassy in Nigeria and CDD/ WADEMOS West Africa.
HONORARY CONSULATE REPUBLIC OF CÔTE D’IVOIRE – MALTA
News
EU–IDEA, Stakeholders Call for Urgent Review of Social Development Act, Seek National Alignment
EU–IDEA, Stakeholders Call for Urgent Review of Social Development Act, Seek National Alignment
By: Michael Mike
The European Union- International Institute for Democracy and Electoral Assistance (EU-IIDEA), as well as relevant stakeholders has called for an urgent review of Nigeria’s Social Development Act (SDA), insisting that it may be impossible to achieve inclusive growth or protect vulnerable groups in the country under the current fragmented framework.
The call was made on Wednesday in Abuja at the National SDA summit, organized by the International Institute for Democracy and Electoral Assistance (IIDEA), a programme funded by the European Union under its CSOs-Bridge Strengthening Project, in Abuja.
The SD Act was first conceptualised in the 1970s and enacted in 2004 as the central framework for coordinated and inclusive social development in the country.
The Enugu State Commissioner for Children, Gender and Social Development, Valentina Enih, while delivering the keynote address, decried that the existing Act, originally enacted as Decree 12 in 1974 and later reissued in 2004, does not any longer reflects the country’s realities.
She described the Act aa older than many of people in the hall, insisting that outdated provisions and emerging social challenges demand urgent reform.
She also stressed that unity among civil society organisations (CSOs) remained essential for progress, adding that personal interests often overshadowed collective objectives.
She noted that: “One stick is easily broken, but a bundle of broomsticks is not. We must speak with one voice,” while appealing to lawmakers to increase funding for ministries responsible for women affairs, poverty eradication and social protection, added that: “Many times, we use our personal resources just to ensure the work is done.”
On his part, the Chairman of the House Committee on Civil Society Organisations and Development Partners, Hon. Victor Obuzor acknowledged the legislative gaps that have hindered effective coordination of social development nationwide.
He said the National Assembly had made the Act’s review a priority, noting that: “Fragmentation, institutional reassignments and multiple regulatory frameworks have weakened the effectiveness of the Social Development Act.
“Our Committee is reviewing historical gaps, engaging stakeholders and supporting the development of a modernised civil society regulatory bill.”
He said the revised law would create clearer lines of authority, harmonise federal and state mandates and institutionalise civil society participation.
The Deputy Director at the Ministry of Humanitarian Affairs and Poverty Reduction, Peter Audu, said the forum aligns with federal reforms targeting gender equality, social protection and national cohesion.
He noted that the government was committed to building stronger collaboration across ministries, development partners and state institutions.
“This forum provides an important opportunity to consider proposed amendments and develop a national coalition for sustainable financing and measurable results,” he said.
The CEO of the Accountability and Transparency Initiative, Dr. Fumi Akinyele, called for the revised law to embed gender responsiveness from the design stage.
She noted that many rural women were excluded from social protection programmes due to requirements such as smartphones, bank verification numbers and digital literacy.
“Inclusion must go beyond words. We need clear definitions, gender-responsive budgeting and disaggregated data. Committees must be balanced so that different voices are heard,” she said.
The Chairman of the Anambra Civil Society Network, Prince Chris Azor, shared experiences illustrating the challenges faced by sub-national CSOs, including inconsistent regulations that once led to the closure of community organisations’ bank accounts.
“We were stranded. Even registration processes were unclear. When grassroots operators cannot function, you are shrinking the civic space,” he said.
He urged that the amended Act provide states with a clear legal framework for social protection and civil society participation. “We want a standing law that expands the civic space and ensures citizens are part of governance.”
EU–IDEA, Stakeholders Call for Urgent Review of Social Development Act, Seek National Alignment
IPOB attacks police patrol teams in Anambra, snatches rifles, and abandons stolen SUV after shootout
HONORARY CONSULATE REPUBLIC OF CÔTE D’IVOIRE – MALTA
EU–IDEA, Stakeholders Call for Urgent Review of Social Development Act, Seek National Alignment
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