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
NHRC Confronts Past Challenges, Pushes Digital Overhaul to Fix Broken Complaint System
NHRC Confronts Past Challenges, Pushes Digital Overhaul to Fix Broken Complaint System
By: Michael Mike
The National Human Rights Commission (NHRC) has acknowledged deep-rooted weaknesses in its complaint handling system and is now pushing an ambitious overhaul anchored on digital transformation and institutional reform.
At a high-level stakeholder validation meeting in Abuja, the Commission signaled a decisive shift from outdated, ineffective procedures toward a modern, technology-driven framework designed to restore public confidence and improve access to justice.
Executive Secretary of the Commission, Tony Ojukwu, described the ongoing review of the Complaint Handling Manual as more than a routine update, but a critical reset.
“We are gathered here to review, refine and ultimately validate the Complaint Handling Manual,” he said, stressing that the process must deliver real remedies for victims, particularly the most vulnerable.
But it was the candid admission from former NHRC Director of Civil and Political Rights, AbdulRahman Yakubu that underscored the urgency of reform.
“That manual was not used because of so many deficiencies and was abandoned,” Yakubu revealed, exposing a troubling gap between policy design and implementation that has long hindered the Commission’s effectiveness.
The NHRC, which has expanded from just eight staff to over 1,000 personnel and 38 offices nationwide, now faces mounting pressure to match its institutional growth with functional efficiency.
Yakubu noted that while the Commission’s structure has evolved—with four specialized departments now handling complaints—the absence of a practical, enforceable framework has limited impact.
Central to the reform push is the digitization of the entire complaints process, a move stakeholders say could significantly reduce delays, improve transparency, and strengthen accountability.
“We need automation and digitization of the complaints management process from beginning to end,” Yakubu said, describing the complaints registry as “the engine room” of operations.
The proposed system will also introduce standardized investigation templates and documentation tools, including a certificate of service, aimed at closing loopholes that have previously weakened case tracking and enforcement.
NHRC official Anthonia Nwabueze said the validation exercise is part of a broader effort to rebuild credibility through inclusiveness and expert input.
“The Commission cannot work alone; we decided to bring stakeholders together to join us in this critique,” she said, adding that the process is designed to identify gaps, eliminate inconsistencies, and produce a manual that is both practical and enforceable.
Beyond technical reforms, the Commission is also seeking to reorient its approach toward victims.
Ojukwu challenged participants to adopt a rights-based, people-centered lens. “Look at it through the lens of the most marginalised and vulnerable victims—ask the hard questions,” he urged.
The ongoing validation signals a rare moment of institutional self-reflection for the NHRC—one that acknowledges past shortcomings while attempting to build a more responsive, transparent, and technology-driven system.
If successfully implemented, the reforms could mark a turning point in how human rights complaints are handled in Nigeria, shifting the Commission from a largely reactive body to a more efficient and accountable protector of citizens’ rights.
NHRC Confronts Past Challenges, Pushes Digital Overhaul to Fix Broken Complaint System
News
NIGCOMSAT Targets Industrial Leap with Startup Push, Skills Drive
NIGCOMSAT Targets Industrial Leap with Startup Push, Skills Drive
By: Michael Mike
Nigeria’s state-owned satellite operator, Nigerian Communications Satellite Limited (NIGCOMSAT), is repositioning itself at the heart of the country’s industrialisation agenda, backing over 5,000 startups and expanding digital skills training as part of a broader push to turn connectivity into economic power.
The Managing Director/CEO, Jane Egerton-Idehen, disclosed the scale of intervention at the SOYUZNIK Alumni National Congress in Abuja, where she framed satellite infrastructure not just as a communications tool, but as a catalyst for production, innovation, and national competitiveness.
In a keynote delivered on her behalf by Acting Director of Technical Services, Engr. Ikechukwu Amalu, Egerton-Idehen said the agency’s Space Accelerator Programme—now in its third cohort—has quietly evolved into a pipeline for nurturing technology-driven enterprises, particularly in underserved segments of Nigeria’s digital economy.
The intervention comes amid growing concern that Nigeria’s innovation ecosystem, though vibrant, remains weakly linked to industrial output. NIGCOMSAT’s approach seeks to close that gap—pairing startup support with hands-on technical training and expanding connectivity to areas historically left out of the digital economy.
Across states including Adamawa, Jigawa, Cross River, and Enugu, the agency’s VSAT training programmes are equipping young Nigerians with practical, market-ready skills, targeting employability and enterprise creation rather than theoretical knowledge.
Egerton-Idehen argued that such interventions are critical if Nigeria is to transition from a consumption-driven economy to a production-led one.
“Connectivity is no longer a luxury—it is the foundation of modern economic systems,” she said, stressing that countries that fail to build strong digital infrastructure risk being locked out of the next phase of global industrial competition.
She pointed to ongoing projects such as the 774 Connectivity Initiative, which has so far extended digital access to dozens of local government secretariats, as part of efforts to deepen governance, improve service delivery, and stimulate economic activity at the grassroots.
Beyond infrastructure, she called for a structural reset in Nigeria’s education system, urging stronger alignment with emerging technologies including artificial intelligence, data science, and satellite communications.
According to her, the real challenge is not a lack of talent, but the absence of systems that convert knowledge into measurable economic output.
She also warned that innovation ecosystems cannot thrive without deliberate collaboration between academia, industry, and government, backed by sustained investment in research and clear regulatory frameworks that protect intellectual property.
The SOYUZNIK Alumni—comprising graduates of Russian and former Soviet Union institutions—were urged to leverage their international exposure to drive technology transfer and localisation of innovation within Nigeria.
In his welcome remarks, Abuja chapter chairman, Agu Collins Agu, described the congress as a convergence of technical expertise with the potential to influence national development outcomes.
As Nigeria grapples with sluggish industrial growth and rising youth unemployment, NIGCOMSAT’s expanding role signals a strategic shift—one that places digital infrastructure, innovation, and skills development at the centre of the country’s economic transformation agenda.
NIGCOMSAT Targets Industrial Leap with Startup Push, Skills Drive
News
Tribute to the late flight Sergeant Temitope Beckley
Tribute to the late flight Sergeant Temitope Beckley
By: Bodunrin Kayode
Dear Tope, I am still in shock that you had to leave so early at just 50. Seven years before your father our dear uncle Alaba left at 57. And my own father your uncle too same 57, all of the Akinlawon stock of the Beckleys in Lagos.
Sad you had to leave us so early. I am sad because of the bond we shared as special cousins or what people of your generation call besties. You were a jolly good fellow to me in particular whenever our paths crossed. Aburo (little brother), as I used to call you, family may share the same names sometimes and blood but very few are real friends within a particular family. If there are friends within our family, you are definitely one of them. A very jovial fellow who looks out for the others. A friend indeed among brothers and cousins. Your eyes always glittered when you were around me. And of recent you became more concerned about me when you heard that I was in the North East Nigerian war theatre of operation Hadin Kai. I assured you that because He lives i will always face tomorrow.
How we built our friendship
I remember my brief stay with you guys at the family house in folarin street, Mushin. Trying to rediscover myself as Uncle Alaba would call it anytime he asked me to escort him to EMPLAN consult were he was working then. Each time we returned, you were always close by asking the right questions the little ones always asked their older brothers. I enjoyed your restlessness at that young tender age, wanting to know a lot of things out there especially when we watched TV together and you did not understand what was going on. With the kinds of questions your probing mind used to ask, I always knew that you were going to become one of the shining lights of the family. I even dreamt of you joining me in serving God and country as a media practitioner one day. But you had other plans and ended up at the Nigerian Air Force as you did till your last breath due to a protracted illness.
When I later started my studies to train as a journalist and found myself staying at Akobi crescent with Uncle Akobi, you never forget to stop by and check on me. You kept the flame burning. Your appearances were always remarkable with that glitter in your eyes which used to lighten up my weekend whenever you showed up. Brother Akin was always at hand to host us. Whenever he wasn’t around, we would go out to hang out as young people to have fun. You were always with the older ones hardly having time for your generation. Distance would now separate us when I was posted to Taraba state by the then daily times as its maiden correspondent. But we always met along the way until you joined the air force.
Your worries about Nigeria
Tope, at your level in the service in the military, you already knew the difference between right and wrong and you were very methodical and meticulous in the way you conducted your affairs. You asked more questions as always but this time as a seasoned personnel of the Nigerian Air Force. You knew where you were coming from and were you wanted to be in the nearest future. I encouraged you that in all things we should give thanks to our Creator. The one who is and is to come. You were on course in your relationship with him.
I remember our last discussion, about the insurgency challenge the military is dealing with at our backyard in Borno. Your perception about the Nigerian Air Force which you served till your natural passing. And your projection for the future in terms of security for the country. I asked for your family and you updated me that they were fine. I was worried about the fact that I am yet to meet your loving family but you assured me that we would surely meet someday even though your spouse was in Canada pursuing her dream. The telephone chat zeroed down to why I called. I actually chatted you because I remembered your father the great Uncle Alaba who had gone to the great beyond. And I wanted to honour his memory with a tribute 29 years after his demise. You promised feeding me with the extra details I wanted to add to what I got from your big sis Tosin. But that never happened. I never got the pictures of Uncle or the details I wanted. That has been rested for his 30th anniversary now.
Rather what I got was a rude shock of your sudden collapse and departure from this world. Tope, you suddenly joined your father in the great beyond at the untimely age of 50. We can’t question God Almighty our Creator over this decision. We would rather give thanks to him for the life you lived because He said we must give thanks to Him in all things.
Aburo, all I can say now is permission granted because you never sort for anyone’s permission to bow out. This was the command of your creator, the All knowing I Am who decides when it is time to come or to leave this world. Tope, be rest assured that some of us will never forget coming across your path in this short life. Enjoy your sleep great soldier until we meet to part no more.
Broda Sam.
Tribute to the late flight Sergeant Temitope Beckley
-
News2 years agoRoger Federer’s Shock as DNA Results Reveal Myla and Charlene Are Not His Biological Children
-
Opinions4 years agoTHE PLIGHT OF FARIDA
-
News12 months agoFAILED COUP IN BURKINA FASO: HOW TRAORÉ NARROWLY ESCAPED ASSASSINATION PLOT AMID FOREIGN INTERFERENCE CLAIMS
-
News2 years agoEYN: Rev. Billi, Distortion of History, and The Living Tamarind Tree
-
Opinions4 years agoPOLICE CHARGE ROOMS, A MINTING PRESS
-
ACADEMICS2 years agoA History of Biu” (2015) and The Lingering Bura-Pabir Question (1)
-
Columns2 years agoArmy University Biu: There is certain interest, but certainly not from Borno.
-
Opinions2 years agoTinubu,Shettima: The epidemic of economic, insecurity in Nigeria
