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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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Tension in Kebbi as bandits attack GGCSS Maga, kill vice Principal , abduct students

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Tension in Kebbi as bandits attack GGCSS Maga, kill vice Principal , abduct students

By: Zagazola Makama

Tension has gripped the Zuru Emirate of Kebbi State following a late-night attack on Government Girls Comprehensive Senior Secondary School (GGCSS) Maga in Danko/Wasagu Local Government Area, during which bandits killed the school’s Vice Principal, Malam Hassan Yakubu Makuku, and abducted an unspecified number of students.

A resident, Malama Murjanatu Hassan Gishiri, who confirmed the incident on Monday, said the attackers stormed the school at night and operated freely, throwing the community into panic.

She described the invasion as “a heartbreaking tragedy that has thrown the entire region into deep fear and mourning”, adding that the bandits moved in large numbers and overpowered the area without resistance.

Gishiri said the late Vice Principal was shot while attempting to protect students from the attackers.

“People in the community have been offering prayers for his soul, asking Allah to grant him mercy, a peaceful resting place, and to console his family over this painful loss,” she said.

Efforts to get official comments from security agencies proved unsuccessful as of the time of filing this report.

Residents appealed to the government to act swiftly to rescue the abducted students and to strengthen security around schools and communities in the area, which have suffered repeated attacks by bandits.

Tension in Kebbi as bandits attack GGCSS Maga, kill vice Principal , abduct students

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VP Shettima: Hajiya Sutura Shagari Will Be Remembered For Her Selflessness, Compassion

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VP Shettima: Hajiya Sutura Shagari Will Be Remembered For Her Selflessness, Compassion

  • Leads FG delegation on condolence visit to the late former president’s family in Sokoto

By: Michael Mike

The Vice President, Senator Kashim Shettima, has described the passing of Hajiya Sutura Shehu Shagari, the last surviving wife of former President Shehu Shagari as a huge loss to Nigeria, saying she will be remembered for her life of compassionate and selfless service to her community and the nation at large.

Senator Shettima spoke on Sunday when he led the Federal Government delegation to condole with the Shagari family over the demise of the matriarch of the Shagari family in their residence in Sokoto State.

Announcing the death of the last surviving wife of the former President, a statement signed by the eldest son of the former President and Sarkin Mafaran Shagari, Capt. Bala Shagari, had noted that the late Hajiya Sutura died at about 3pm on Monday, November 10, 2025, after a prolonged illness at the age of 79.

Commiserating with the Shagari family in Sokoto, the Vice President who said he was in the state at the instance of President Bola Ahmed Tinubu prayed for the repose of Hajiya Sutura’s soul, as well as comfort for the family and the Sultanate.

“We are here at the instance of His Excellency, President Bola Ahmed Tinubu, to condole with the government and people of Sokoto State, His Eminence, the Sultan of Sokoto and the immediate family of our late President, Alhaji Shehu Usman Aliyu Shagari, over the sad event of the passing of his last surviving wife, Hajia Sutura Aliyu Usman Shagari,” he stated.

Vice President Shettima also prayed Almighty Allah to reward the departed with Aljannah Firdaus, as well as the fortitude for the immediate family, Sokoto State and the entire nation to bear the loss.

“May Allah grant her soul eternal rest and reward her with Aljana Firdaus. May Allah also grant the family and the good people of Sokoto and the nation as a whole, the fortitude to bear the irreparable loss,” he prayed.

Earlier, the Governor of Sokoto State, Dr. Ahmed Aliyu Sokoto, thanked the Vice President for the show of love and concern about not only the Shagari family but the entire Sokoto State.

“The visit is a gesture which speaks volumes for having you in our midst today. Distinguished audience, you may recall that the Vice President has been here almost, I can say, four times since the inception of our administration. This is a show of love and the concern.

“We thank you most sincerely; we thank you for your coming. We pray Allah to give you sound health, and to give you courage to continue the good work you are doing for this great country,” the Governor told VP Shettima.

Also, leader of the Shagari family and District Head of Shagari, Capt. Bala Shagari (rtd), thanked the Vice President for leading the Federal Government’s delegation to condole with the family.

He said it was a great honour having the Federal Government’s delegation sent by President Tinubu to condole with the Shagari family in their moment of grief, even as he also thanked the state Governor for taking care of the Shagari family.

Also in attendance were the Minister of State for Works, Senator Bello Mohammed Goronyo; former Attorney -General of the Federation and Minister of Justice, Bello Mohammed Adoke, and former Deputy Governor of Sokoto State, Alhaji Mukhtari Shagari, among other senior government officials.

VP Shettima: Hajiya Sutura Shagari Will Be Remembered For Her Selflessness, Compassion

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Duke of Edinburgh Visits Nigeria to Host Series of Events, Meets Tinubu

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Duke of Edinburgh Visits Nigeria to Host Series of Events, Meets Tinubu

By: Michael Mike

His Royal Highness The Duke of Edinburgh is expected in the country to host a series of events in Lagos, Nigeria from 17 – 23 November 2025 to champion the expansion of the Duke of Edinburgh’s International Award across the world.

He is also expected to meet President Bola Tinubu in Abuja, and get involved in some other activities at the nation’s capital.

According to a statement on Sunday, Prince Edward, as Chairman of the Duke of Edinburgh’s International Award Foundation, will convene almost 200 young people from more than 50 countries over the week, alongside hundreds of leaders delivering the Duke of Edinburgh’s International Award globally, policymakers, and representatives from global youth movements.

Young people will take part in an intensive three-day youth leadership programme, before taking part in the International Award’s triennial Forum focused on expanding access to the Award globally.

Last year almost 1.2 million young people in more than 130 countries took part in the Award. While young people in the UK make up around half of all participants, Kenya has the second-highest number of young people involved in the Award. In Nigeria – where this week’s events are taking place – participation has surged by 37% in the past year, reflecting increasing interest across West Africa.

On the eve of the Duke of Edinburgh’s Award turning 70 next year, new analysis about the global impact of the Award shows that the social value generated by young people completing the Award in the last year has exceeded £1 billion for the first time. The social value is calculated through a robust methodology developed by PWC quantifying the impact of volunteering, improved mental and physical health, and social cohesion.

The Award has gained increasing momentum in recent years, as the likes of the World Bank, World Economic Forum and International Labor Organisation have placed strong emphasis on skills developed beyond the classroom, such as teamwork, communication skills, resilience and problem-solving.

Over the course of the week the Duke of Edinburgh will meet the President of Nigeria in Abuja, convene senior ministers and international development agencies in Lagos to foster deeper collaboration on non-formal education and take part in major events hosted by the Governor of Lagos and the British Deputy High Commissioner in Lagos.

Secretary General of the Duke of Edinburgh’s International Award worldwide, Mr. Martin Houghton-Brown, commented that: “More and more young people across the world are taking on the challenge of the Award, and embracing learning outside the classroom. Through smartphones and AI, young people can access the world’s knowledge in seconds fingertips, but the Award is providing a fresh challenge and helping young people develop the skills that give them the ‘human edge’. From team work to creativity, determination to flexibility, the Award is helping young people across the world become World Ready. Our gathering here in Lagos is focused on significantly increasing opportunities for young people in every country to take on the Award’s challenge and opportunity.”

British Deputy High Commissioner in Lagos, Mr. Jonny Baxter said: “The Duke of Edinburgh’s International Award exemplifies the potential of Nigeria’s young people, and that is important because Nigeria’s success matters deeply to the UK. As partners, we share a commitment to empower the next generation, create jobs, and unlock economic potential. We applaud Nigeria’s bold reforms and are optimistic that these plans will remove constraints on Nigeria’s entrepreneurial spirit and help move Nigeria forward. The UK stands ready to work together to drive growth, stability, and prosperity for the benefit of both our countries.”

The Duke of Edinburgh’s International Award is a global framework for non-formal education, empowering young people to develop skills, resilience, and a spirit of service. It is delivered through schools, youth organisations, and community groups worldwide.

Founded in 1956 by HRH The Duke of Edinburgh, Prince Philip, the Award has grown from a UK-based initiative into the world’s most widely recognised youth achievement framework delivered in more than 130 countries and territories, with 1.2 million participants annually. The Award equips young people aged 14 to 24 with essential skills for life and work, including confidence, empathy, teamwork, resilience and leadership, through experiential learning beyond the classroom.

As the Duke of Edinburgh’s International Award approaches its 70th anniversary, more than 1,500 young people begin their Award journey every day, engaging in activities from environmental restoration and volunteering to skills development and adventurous journeys.

Duke of Edinburgh Visits Nigeria to Host Series of Events, Meets Tinubu

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