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Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

2 years ago

March 5, 2024

Ochuwa Ibrahim

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

I don’t know my successor, Zulum declares at APC meeting

Published

10 hours ago

January 26, 2026

Ochuwa Ibrahim

I don’t know my successor, Zulum declares at APC meeting

By: Our Reporter

Borno State Governor Babagana Umara Zulum has stated that he does not know who will succeed him after the expiration of his tenure in May 2027.

The governor reiterated that his administration was focused on strengthening security and providing needed development to the people.

He spoke on Sunday evening during a critical All Progressives Congress (APC) stakeholders’ meeting convened at the Multi-purpose Hall of the Government House in Maiduguri.

Addressing party leaders, elected officials and members, Zulum reiterated his stand for a fair, transparent and just process in the election of party officials during the forthcoming congresses.

He emphasised that the integrity of the process was paramount for the party’s unity and future success.

The governor strongly advocated a fresh set of individuals to occupy the various party positions.

He urged stakeholders to allow new faces to emerge through a democratic process, thereby strengthening the party’s grassroots structure and inclusivity.

Governor Zulum also dismissed speculation about his influence on the party’s future ticket.

He firmly and publicly reaffirmed that he had not anointed any candidate for the upcoming party positions or for any elective position.

“I have no candidate for any position, and I do not know who will succeed me. I have entrusted the choice of leaders to Almighty Allah, in accordance with the democratic will of the party members and the people of Borno State.

The governor set up two committees to scale up the APC e-registration and reconciliation among party members.

The 10-man committee will be headed by Nigeria’s former Ambassador to China, Baba Ahmed Jidda and will include members drawn from the state’s 3 senatorial districts.

The meeting was attended by the acting governor, Umar Usman Kadafur; the former governor of Borno State, Maina Ma’aji Lawan; APC Deputy National Chairman, Ali Bukar Dalori, State APC Chairman, Bello Ayuba and three former deputy governors, including Ali Abubakar Jatau, Adamu Shettim Dibal and Usman Mamman Durkwa.

The Chief Whip of the Senate, Mohammed Tahir Monguno, Senator Kaka Shehu Lawan and 10 members of the House of Representatives, including Dr Midala Balami, who announced his resignation from the People’s Democratic Party (PDP), were in attendance.

The speaker of the Borno State House of Assembly, Abdulkarim Lawan; the deputy speaker, Engr Abdullahi Askira and 25 other members also graced the occasion.

Others in attendance included former Senator Baba Kaka Bashir Garbai, Dr Bulama Mali Gubio and senior government and party officials.

I don’t know my successor, Zulum declares at APC meeting

News

Tuggar Holds Strategic Talks with Turkish Counterpart in Ankara

Published

11 hours ago

January 26, 2026

Ochuwa Ibrahim

Tuggar Holds Strategic Talks with Turkish Counterpart in Ankara

By: Michael Mike

Ahead of President Bola Ahmed Tinubu’s State visit to Türkiye, the Minister of Foreign Affairs Amb Yusuf Maitama Tuggar, on Monday paid an official visit to Ankara where he held high-level talks with his Turkish counterpart, Hakan Fidan aimed at deepening bilateral cooperation between the two countries.

The meeting, Tuggar’s first official visit to Türkiye, focused on strengthening political, economic, security, and multilateral cooperation. Minister Fidan commended Nigeria’s constructive role in promoting regional stability, peace, and prosperity in West Africa, noting Nigeria’s leadership within regional and continental frameworks.

Tuggar placed strong emphasis on expanding bilateral trade and increasing mutual investment, particularly in sectors of interest to Turkish companies, including construction, manufacturing, energy, and infrastructure. Both ministers acknowledged the steady growth in economic relations and underlined the need to unlock further potential through structured public–private engagement.

On security cooperation, the two sides highlighted opportunities to deepen collaboration in military affairs and the defence industry.

The visit reflects the growing strategic character of Nigeria–Türkiye relations, anchored in shared positions on sovereignty, institutional cooperation, and pragmatic partnership, with both sides expressing confidence in the prospects for deeper engagement in the period ahead.

Alkasim Abdulkadir

SA Media and Communications to the Honorable Minister of Foreign Affairs.

Tuggar Meets Turkish Foreign Minister in Ankara Ahead of Tinubu’s State Visit

Nigeria’s Minister of Foreign Affairs, Ambassador Yusuf Maitama Tuggar, has held strategic discussions with Türkiye’s Minister of Foreign Affairs, Hakan Fidan, in Ankara as part of preparations for President Bola Ahmed Tinubu’s forthcoming state visit to the country.

The meeting, which marked Tuggar’s first official visit to Türkiye, focused on strengthening bilateral ties between both nations across political, economic, security and multilateral fronts. The talks underscored the growing importance of Nigeria–Türkiye relations and the shared commitment of both governments to expanding cooperation.

During the engagement, Fidan commended Nigeria’s leadership role in West Africa, particularly its efforts in promoting peace, stability and regional prosperity. He acknowledged Nigeria’s influence within regional and continental institutions and its constructive contributions to addressing common security and development challenges.

Tuggar, in his part, emphasized Nigeria’s interest in deepening economic collaboration with Türkiye, calling for increased trade volumes and stronger investment flows. He identified construction, manufacturing, energy and infrastructure as key sectors offering significant opportunities for Turkish investors. Both ministers noted the steady improvement in economic relations and stressed the need for enhanced public–private sector engagement to unlock further growth.

Security cooperation also featured prominently in the discussions, with both sides expressing readiness to strengthen collaboration in military relations and defence industry partnerships.

The high-level talks highlight the increasingly strategic nature of Nigeria–Türkiye relations, built on mutual respect for sovereignty, institutional cooperation and practical partnership. Both countries expressed optimism about expanding engagement and delivering tangible outcomes in the period ahead.

Tuggar Holds Strategic Talks with Turkish Counterpart in Ankara

News

Ogoni Leaders Petition Tinubu, Accuse Wike of Undermining Peace Dialogue

Published

15 hours ago

January 26, 2026

Ochuwa Ibrahim

Ogoni Leaders Petition Tinubu, Accuse Wike of Undermining Peace Dialogue

By: Michael Mike

Leaders and people of Ogoniland have petitioned President Bola Tinubu over alleged attempts by the Minister of the Federal Capital Territory (FCT), Nyesom Wike, to undermine the ongoing Federal Government–Ogoni dialogue process aimed at resolving the decades-long Ogoni crisis.

The petition was submitted under the auspices of the Conscience of Ogoni People (COOP), formerly known as the Ken Saro-Wiwa Associates, a group of concerned Ogoni stakeholders advocating peace, justice, and sustainable development in Ogoniland.

In a statement issued on Monday and signed by COOP’s Leader and Spokesman, Chief Gani Topba, the group expressed strong support for the dialogue and peace process being facilitated by the National Security Adviser (NSA), Mallam Nuhu Ribadu, describing it as the most credible effort so far to address the long-standing Ogoni question.

COOP alleged that Wike has been engaging in actions intended to frustrate the dialogue, tracing the dispute to unresolved issues from his tenure as Governor of Rivers State.

According to the group, the controversy is linked to a long-standing compensation dispute between the Ejama Ebubu community in Ogoni and the Shell Petroleum Development Company of Nigeria Limited (SPDC) over environmental damage claims that were decided in favour of the community.

The group stated that the Rivers State Government became deeply involved in the matter during Wike’s administration, a development that has remained contentious and unresolved in public discourse.

COOP further alleged that during the recent visit of the NSA to Ogoniland, political associates of the FCT Minister were instructed to boycott and undermine the engagement. The group claimed that efforts were deliberately made to sabotage the dialogue at the community level.

Raising security concerns, COOP alleged that armed youths recruited from different parts of Rivers State are currently being mobilised and camped around the Rivers State House of Assembly quarters, allegedly to destabilise the peace process.

The group also claimed that Wike is displeased with Rivers State Governor, Sir Siminalaiyi Fubara, for cooperating with the NSA to ensure the success of the Ogoni dialogue. According to COOP, local government chairmen in Eleme, Tai, Gokana and Khana LGAs were allegedly directed to recruit armed youths to disrupt the dialogue and frustrate the proposed resumption of oil operations in Ogoniland.

COOP warned that if these alleged actions are not checked, they could pose serious threats to public peace and security in Rivers State and derail the fragile but promising dialogue process.

The group noted that the ongoing engagement has been widely welcomed by Ogoni people as a sincere and inclusive initiative aimed at achieving lasting peace, environmental remediation, economic reintegration of Ogoni communities, and the safe resumption of oil production in Oil Mining Lease (OML) II. They added that a successful outcome would significantly boost national revenue, foreign exchange earnings, energy security and employment.

COOP appealed to President Tinubu to intervene by calling on the FCT Minister to desist from actions capable of reigniting tension in Ogoniland. The group urged the President to protect the dialogue process and mandate relevant security and intelligence agencies to investigate the allegations.

They call on the President to ensure that no individual, regardless of position, undermines national interest for personal or sectional gain, expressing confidence that decisive intervention would help secure peace in Ogoniland and reaffirm the Federal Government’s commitment to justice, national unity and economic recovery.

Ogoni Leaders Petition Tinubu, Accuse Wike of Undermining Peace Dialogue