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
Madiba Advocates Raise Alarm, Urge Presidency, Labour Ministry, NSITF Management Board & relevant authorities to Probe Alleged ₦297bn NSITF Irregularities Linked to MD Faleye Oluwaseun
Madiba Advocates Raise Alarm, Urge Presidency, Labour Ministry, NSITF Management Board & relevant authorities to Probe Alleged ₦297bn NSITF Irregularities Linked to MD Faleye Oluwaseun
Madiba Advocates for Good Governance has criticised what it described as the continued silence of authorities over serious allegations of financial irregularities at the Nigeria Social Insurance Trust Fund (NSITF), calling on President Bola Ahmed Tinubu, the Honourable Minister of Labour and Employment, the NSITF Management Board, and other relevant agencies to urgently initiate a comprehensive investigation.
The group said the allegations, which have persisted in the public domain for weeks, involve the Managing Director/Chief Executive Officer of NSITF, Mr. Oluwaseun Mayomi Faleye, and have yet to receive any clear institutional response despite their gravity.
The call follows a series of petitions and public disclosures that have brought increased scrutiny to the management of the Fund, particularly in relation to financial transactions and governance processes within the institution. Madiba Advocates noted that the scale of the allegations and the sensitivity of the funds involved make immediate intervention both necessary and urgent.

At the centre of the controversy are allegations involving the management of approximately ₦297,019,145,288.60 in funds collected under the Employees’ Compensation Act (ECA) between January 2 and October 9, 2025.
The Employees’ Compensation Scheme is funded through mandatory employer contributions designed to provide compensation to Nigerian workers who suffer injury, disability, or death in the course of employment. Stakeholders have consistently emphasised that these funds are not government revenue, but trust funds belonging exclusively to Nigerian workers, requiring strict oversight and accountability.
₦243bn Allegedly Spent Without Board Approval

Documents referenced in the public domain indicate that out of the total inflow of ₦297 billion, an estimated ₦243,203,518,621.17 was expended within the same period. Sources allege that a significant portion of these expenditures may have been carried out without the approval of the NSITF Management Board, raising concerns about compliance with the NSITF Act and established financial regulations.

‘No Approval Limit’ Raises Governance Concerns
Central to the allegations is an internal document reportedly linked to a March 4, 2025 Executive Committee (EXCO) meeting, which outlined financial approval thresholds for officials. While limits were reportedly set for other officers, the Managing Director was allegedly assigned “no approval limit”, a development that has raised serious concerns about internal controls and governance safeguards.
Multiple Accounts and Financial Flow Allegations
Further reports allege the existence of over 100 bank accounts linked to a single Bank Verification Number (BVN), alongside financial inflows amounting to over $7.3 million and hundreds of millions of naira into accounts linked to the Managing Director and associated entities. Analysts note that such patterns, if verified, would require thorough scrutiny by relevant financial and regulatory authorities.

₦5.5bn Commission Payments Queried
Additional concerns have been raised over alleged commission payments totalling ₦5.53 billion, reportedly made without clear evidence of requisite approvals from the Board or the supervising Ministry. The payments are said to range between 15 and 20 per cent commissions and were allegedly executed outside standard procedures.
Governance Gap Raises Further Questions
Observers have also pointed to a governance gap between July 2023, when the Managing Director was appointed, and January 2025, when the Management Board was reportedly constituted, raising concerns about the level of oversight during that period.
Madiba Advocates for Good Governance stated that the issues have now reached a critical point, requiring decisive action from all relevant authorities to ensure transparency and accountability in the management of the Fund.
Call for Urgent Investigation
Reacting to the development, Madiba Advocates for Good Governance, led by its Executive Director, Alhassan Kabiru, expressed concern over the prolonged delay in addressing the allegations and the absence of a coordinated institutional response.
The group called on:
• The Chairman of the NSITF Management Board,
• The Honourable Minister of Labour and Employment,
• Relevant regulatory and anti-corruption agencies, and
• President Bola Ahmed Tinubu
to urgently intervene and ensure a thorough and independent investigation into the matter.
“This matter has lingered in the public space without clarity. It is important that the appropriate authorities take decisive steps to investigate and establish the facts,” the group stated.
Madiba Advocates emphasized that transparency in handling the allegations is essential to restoring confidence in public institutions and safeguarding workers’ funds.
Responses and Presumption of Innocence
When contacted, Mr. Faleye reportedly stated that he was not aware of the allegations. Officials of the Ministry of Labour were also said to have denied prior knowledge of the claims, while the NSITF Management Board indicated that the issues would be verified.
All allegations remain unproven and subject to investigation.
A Test of Accountability
Analysts say the situation presents a significant test of Nigeria’s public finance accountability framework, particularly for institutions entrusted with workers’ welfare.
Madiba Advocates for Good Governance warned that the continued delay in addressing these allegations risks sending the wrong signal about accountability within public institutions. The organisation urged the Presidency, the Ministry of Labour, and the NSITF Management Board to act without further delay to investigate the issues and restore confidence in the system. It added that failure to act decisively could further erode public trust and undermine the Federal Government’s Renewed Hope Agenda on transparency, accountability, and good governance.
Madiba Advocates Raise Alarm, Urge Presidency, Labour Ministry, NSITF Management Board & relevant authorities to Probe Alleged ₦297bn NSITF Irregularities Linked to MD Faleye Oluwaseun
News
Easter: IPCR Calls for Peace, Unity, National Reconciliation
Easter: IPCR Calls for Peace, Unity, National Reconciliation
By: Michael Mike
The Institute for Peace and Conflict Resolution (IPCR) has called on Nigerians to embrace peace, unity, and national reconciliation as Christians across the country mark Easter.
In a press statement issued on Saturday, the Director-General of the institute, Joseph Ochogwu, extended warm greetings to Christians, describing Easter as a sacred season that reflects sacrifice, redemption, and hope.
He noted that the celebration of the death and resurrection of Jesus Christ remains a defining moment in the Christian faith, symbolising victory over adversity, renewal of life, and the triumph of light over darkness.
Ochogwu urged Christians to use the period to pray for peace, tranquility, and harmony in Nigeria, especially at a time when the country is grappling with security challenges. He referenced recent incidents of violence in parts of the country, including Plateau State, Kaduna State, and Maiduguri.
The IPCR boss expressed condolences to families and communities affected by the violence, offering prayers for strength, healing, and comfort for those grieving.
He emphasised that Easter serves as a reminder of the enduring power of hope, urging Nigerians—regardless of religion, ethnicity, or background—to embrace peaceful coexistence and mutual respect.
Ochogwu also called on citizens to remain vigilant and support lawful efforts to safeguard lives and property, stressing that peacebuilding is a collective responsibility.
“As we celebrate this holy season, let us preach love, extend kindness, and demonstrate compassion in our daily interactions,” he said, adding that the spirit of Easter should inspire reconciliation and a renewed commitment to building a peaceful and prosperous nation.
The institute reaffirmed its commitment to promoting dialogue, strengthening conflict resolution mechanisms, and supporting initiatives aimed at achieving sustainable peace across Nigeria.
He gave a message of hope, praying that Easter would bring healing to the nation, comfort to the afflicted, and renewed optimism for a future defined by unity and shared progress.
Easter: IPCR Calls for Peace, Unity, National Reconciliation
Military
Army, DSS arrest notorious cultist, gunrunner in Cross River, recover weapons
Army, DSS arrest notorious cultist, gunrunner in Cross River, recover weapons
By: Zagazola Makama
Troops of 13 Brigade, in collaboration with the Department of State Services (DSS), have arrested a suspected cultist and gunrunner during a raid operation in Ikom Local Government Area of Cross River State.
Security sources said the operation was carried out at about 1:10 a.m. on April 3 along Effangha Spring Road in Ikom.
The sources disclosed that the suspect, who hails from Khana Local Government Area of Rivers State, was apprehended during the coordinated raid.
According to the sources, troops recovered one revolver pistol, one sword, two laptops, four mobile phones, one digital camera, one wristwatch, three identity cards, and a sack of garri allegedly used to conceal the weapon.
The suspect and recovered items have since been handed over to the DSS for further investigation and possible prosecution.
Security authorities said the operation is part of ongoing efforts to curb cult-related violence and illegal arms circulation in the South-South region.
Army, DSS arrest notorious cultist, gunrunner in Cross River, recover weapons
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