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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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Bandits kill two police personnel, cart away weapons in Musawa ambush in Katsina

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Bandits kill two police personnel, cart away weapons in Musawa ambush in Katsina

By: Zagazola Makama

Suspected armed bandits, allegedly affiliated with a notorious bandit leader, have ambushed a police convoy in Katsina State, killing two police personnel and carting away their service weapons.

Police sources said the attack occurred at about 5:50 p.m. on April 7, 2026, at Sabon Garin Garu village in Musawa Local Government Area.

The assailants, said to be in large numbers and riding on about 30 motorcycles, were reportedly affiliated with a notorious bandit leader identified as Muhammadu.

They ambushed a vehicle conveying five personnel of the Police Mobile Force (27 PMF) who were travelling from Zamfara State through Katsina State.

A swift response by police tactical teams, including patrol units and community watch groups, led to a gun duel with the attackers, forcing them to retreat.

Three of the police personnel were rescued unhurt during the exchange of fire.

However, two personnel were killed in the attack. They were identified as Sgt. Bilyaminu Babangida and PC Abdulaziz Musa.

The attackers also carted away the officers’ service rifles and a riot gunner.

Police reinforcements from Dutsinma, Kankia, Matazu and Kankara were subsequently deployed to block escape routes, while cordon and search operations were ongoing to apprehend the perpetrators and recover the stolen arms.

Security authorities said efforts had been intensified to restore calm in the area and prevent further attacks along the axis.

Bandits kill two police personnel, cart away weapons in Musawa ambush in Katsin

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Fake report of unrest at unijos debunked, military assures campus security

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Fake report of unrest at unijos debunked, military assures campus security

By: Zagazola Makama

The Management of the University of Jos and the Nigerian military have dismissed as false and misleading a viral report alleging unrest, chaos, and destruction within the institution, describing it as a deliberate attempt to cause panic and misinformation.

The fake report, which circulated on social media alongside an image claimed to depict violence on campus, suggested that “student grievances had escalated into chaos” with alleged destruction and insecurity within the university environment.

However, checks by Zagazola and confirmation from university authorities indicate that the situation at the University of Jos remains calm, peaceful, and under control, with normal activities ongoing.

It was further gathered that the image accompanying the false report was generated using Artificial Intelligence and does not reflect any real incident within or around the university.

A senior security source told Zagazola Makama that the General Officer Commanding 3 Division, Nigerian Army and Commander Joint Task Force Operation ENDURING PEACE, Major General E.F. Oyinlola, personally led troops to the University of Jos following the circulation of the fake report.

During the visit, the GOC met with the Vice Chancellor of the institution and assured management of the Nigerian Army’s commitment to safeguarding the university community, students, and staff against any form of threat or security breach.

The military described the viral publication as “fake news deliberately designed to cause confusion, panic, and distrust,” urging members of the public to disregard it in its entirety.

Authorities further cautioned against the circulation of unverified content, especially digitally manipulated images, warning that such misinformation could incite unnecessary fear and disrupt public peace.

The University of Jos management also reaffirmed that there was no unrest or security breach on campus, stressing that academic activities were proceeding without disruption.

Security agencies assured continued surveillance and protection of the institution as part of ongoing efforts under Operation ENDURING PEACE to maintain stability across Plateau State.

The public has been urged to rely only on verified information from official sources and avoid sharing content capable of undermining peace and order in the state.

Fake report of unrest at unijos debunked, military assures campus security

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Athena Observatory Warns of Deepening Structural Risks in Nigeria’s Democracy

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Athena Observatory Warns of Deepening Structural Risks in Nigeria’s Democracy

By: Michael Mike

A new policy report has raised fresh concerns about the stability of Nigeria’s democratic system, warning that growing political fragmentation and institutional strain could undermine the credibility of elections ahead of the 2027 general polls.

The report, released on Tuesday by the Athena Election Observatory (AEO), marks the debut of its Political Landscape Monitor—a policy series designed to track and analyse the country’s evolving electoral environment. Titled “Nigeria’s Democracy and the Imperative of Competitive Politics,” the inaugural note paints a sobering picture of a political system struggling to keep pace with its own internal dynamics.

According to the Observatory, a pattern is emerging across Nigeria’s major political parties in which leadership disputes, fragile alliances, and factional battles are becoming increasingly common. While these crises may appear isolated, the report argues they are symptoms of a deeper structural imbalance.

At the heart of the problem, it said, is a widening gap between political activity and institutional capacity. Political actors, driven by the urgency of coalition-building and power consolidation, are moving faster than the rules and structures meant to regulate them.

“This is not just about party disagreements,” the report noted. “It is about the weakening of the systems that are supposed to organise competition, manage conflict, and ultimately guarantee meaningful choice for voters.”

The analysis drew from recent developments within prominent parties such as the African Democratic Congress (ADC), the Peoples Democratic Party (PDP), and the Labour Party, where internal tensions and contested leadership claims have repeatedly spilled into the public domain.

Observers say the trend reflects a broader shift in how political disputes are resolved in Nigeria. Rather than being settled through internal party mechanisms, disagreements are increasingly pushed toward external institutions—particularly the courts and electoral regulators.

The report highlighted the pivotal role of the Independent National Electoral Commission (INEC) in this process. Its decisions on which party factions to recognise can effectively determine leadership outcomes, making it a central actor in intra-party struggles.

While acknowledging INEC’s constitutional mandate, the Observatory cautioned that inconsistent or opaque decision-making could erode public confidence. It called for clearer procedures and stricter adherence to impartiality to prevent the Commission from being perceived as a political arbiter.

Equally significant is the growing reliance on the judiciary to settle political disputes. The report warned that while the courts remain essential for upholding the rule of law, their increasing involvement in intra-party conflicts risks displacing internal governance systems.

Legal interventions, it argued, should serve as a last resort—not a default mechanism.

“When courts become the primary arena for resolving political disagreements, parties gradually lose the capacity to govern themselves,” the report states. “Over time, this weakens the entire democratic ecosystem.”

Beyond institutional concerns, the Observatory drew attention to the implications for ordinary voters. A fragmented political landscape, it said, reduces the clarity and credibility of electoral choices, leaving citizens with options that may lack cohesion or long-term viability.

In such conditions, elections risk becoming procedural exercises rather than meaningful expressions of democratic will.

The report ultimately framed the issue as a national, rather than partisan, challenge. Strengthening the institutional foundations of political competition, it argued, is critical not only for credible elections but also for political stability and governance.

As Nigeria edges closer to another election cycle, the findings serve as a stark reminder that the health of a democracy depends not just on the conduct of elections, but on the strength of the systems that shape them long before ballots are cast.

The Athena Election Observatory said it will continue to publish periodic assessments under its Political Landscape Monitor, offering data-driven insights into the trends shaping Nigeria’s political future.

Athena Observatory Warns of Deepening Structural Risks in Nigeria’s Democracy

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