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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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NAPTIP Raids Onitsha Hotel, Arrests Six Suspects, Rescues 17 Trafficking Victims

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NAPTIP Raids Onitsha Hotel, Arrests Six Suspects, Rescues 17 Trafficking Victims

By: Michael Mike

The National Agency for the Prohibition of Trafficking in Persons (NAPTIP) has uncovered an alleged human trafficking operation following a coordinated raid on a popular hotel in the 33 Area of Onitsha, Anambra State, resulting in the arrest of six suspects and the rescue of 17 victims.

The operation, which was carried out with the support of military personnel, led to the arrest of four suspected traffickers at the hotel, while two other suspects believed to be involved in the buying and selling of babies within the South-East region were apprehended during related operations.

NAPTIP disclosed that four of the rescued victims were diagnosed with HIV and are currently receiving counselling and medical support from the agency, alongside volunteers from the Anambra State AIDS Control Agency (ANSACA).

According to the agency, the raid was triggered by credible intelligence from a non-state actor in Anambra State, which indicated the presence of underage girls allegedly being exploited within the facility.

The intelligence also revealed concerns about the health conditions of the victims, prompting voluntary medical screening after proper counselling.

Investigations revealed that residents in the area had previously raised alarm over suspicious activities at the hotel, which has about 45 rooms. The hotel was reportedly known for frequent visits by men suspected to be engaging in illicit activities with underage girls.

During the operation, some victims were found in compromising situations with clients, while others were reportedly dressed provocatively and waiting for customers.

The victims were said to have told investigators that they were recruited from Benue, Imo, Ebonyi and Akwa Ibom states and trafficked to Onitsha under false pretences before being forced into prostitution.

The victims further disclosed that they were compelled to remit between ₦20,000 and ₦25,000 daily to their handler, popularly referred to as their “Madam,” after engaging multiple clients each day.

One of the rescued victims recounted being lured to Onitsha by a promise of employment, only to discover upon arrival that she had been forced into sex work.

Another victim alleged that after undergoing HIV testing, their handler seized the medications provided and physically assaulted them for attempting to seek medical treatment.

Reacting to the development, the Director-General of NAPTIP, Hajiya Binta Bello, expressed deep concern over the victims’ suffering and deteriorating health conditions.

She commended the military and the Gender and Human Rights State Response Team domiciled at ANSACA for their swift intervention and collaboration.

Bello described the denial of medical care to the victims as a criminal act, revealing that NAPTIP has launched a manhunt for the fleeing handler. She also confirmed that the owner of the hotel has been invited for questioning as investigations continue.

The NAPTIP boss reaffirmed the agency’s commitment to intensifying its crackdown on human trafficking, warning traffickers that 2026 would be a difficult year for anyone involved in the crime.

NAPTIP Raids Onitsha Hotel, Arrests Six Suspects, Rescues 17 Trafficking Victims

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Behold! Wind Of Change In Borno’s Third-tier Governance

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Behold! Wind Of Change In Borno’s Third-tier Governance

By Dauda Iliya

A phenomenal wind of change is blowing across third-tier governance in Borno State, with the inauguration of the state’s 27 newly elected local government council chairmen, Thursday, January 29, as launchpad.

In a strategic shift in grassroots governance, named: Zulum’s New Formula, about sixty percent of the council chiefs are all under the age fifty, a historic departure from the dominant paradigm of majority above-sixty, and already aging-out, politicians holding the third-tier governance fort.

Most striking, however, is the fact that Governor Zulum has ensured fifteen percent of the chairmen are in their thirties—a novel and unprecedented development.

Moreover, over sixty percent of them hold bachelor’s or postgraduate degrees, combining knowledge, education and leadership, a pacesetting accomplishment in the annals of local government administration, at least in Northern Nigeria.

This novel grassroots governance approach has already produced results: several chairmen have prepared strategic blueprints aligned with the Governor’s 25-year development framework and 10-year strategic transformation plan.

The new chairmen were elected on 13th December 2025, in the third local government poll conducted under Governor Babagana Umara Zulum’s administration within six and a half years.

The election fulfilled the provision of the 1999 Constitution (as amended), which mandates that local government areas be governed by elected officials—a principle recently reaffirmed by the Supreme Court.

Apart from the striking age shift, majority of these grassroots-governance new breeds were sieved from backgrounds in administration, political appointment, academia, business and, most-strikingly, practical farming.

Zulum’s New Formula is advised by the fact that the youth form the largest demographic group in Borno State, as is incontrovertibly the case in all states of the country, and have played a significant role in promoting the state’s peace and stability.

To, therefore, integrate them into governance, Governor Zulum has entrenched the trend of appointing many young people to political and public offices.

The newly inaugurated local council leadership is also gender-inclusive, with a considerable number of women elected as councillors and further opportunities emerging for women in both elective and appointive roles.

Prior to the inauguration, Governor Zulum submitted an executive communication to the House of Assembly seeking to amend the Local Government Administration Law 2000, extending chairmen’s tenure from two to three years. This responds to popular demand and allows greater time to initiate and deliver development projects.

As he administered the oath of office on them, that historic Thursday, Zulum whose massage was delivered by the acting Governor, Hon. Umar Usman Kadafur, charged them to be above board in the conduct of local governance and develop their local government areas in fulfillment of their respective realities and according to existing and emerging imperatives.

His aim is to put to shame, all doubting Thomases and pessimists about his pacesetting novel grassroots governance formula.

“As you take your oaths of Allegiance and Office, you have not just won an election, but you have accepted a covenant with the people of Borno State,” Zulum. He pointed out to the local council helmsmen, “You have volunteered to bear the weight of their hopes, their struggles and their aspirations for a better life at the grassroots, the very foundation of our society.”

The governor emphasized that their stewardship comes at a pivotal moment in the history of the state, and described them as the primary engines for the implementation of his 25-Year Development Plan and the immediate drivers of his 10-Year Strategic Transformation Initiative.

“Your success at the local level is the critical foundation for the Borno of our collective vision, a State of sustained peace, shared prosperity and renewed hope,” he charged.

Zulum underscored to them his profound passion for, and commitment to, his novel grassroots governance formula.

The resources you steward are the lifeline of our communities. You must be guardians of every Naira, aligning every project and programme with the pillars of our 10-Year Strategy. Focus on essentials that directly improve lives, security and dignity of our people. No vanity projects. Furthermore, I direct your immediate attention to the welfare of Local Government staff. Timely payment of salaries and entitlements is non-negotiable. In the same vein, all workers must report to their duty posts promptly. Productivity and discipline must be restored.

As he bade them farewell in their tortures grassroots governance voyage, he charged:

“The path ahead is steep, but the destination is worth the climb. You are the critical keystone for our long-term plan to transform Borno state. The legacy you leave begins today, with your integrity, your humility and your unwavering commitment to service. I have faith that you will be the leaders Borno State needs.”

Zulum, on one hand, and the massive assemblage of well-wishers, Doubting Thomases and pessimists, all on the other, watched the newly inaugurated local council helmsmen as they set their respective ships sailing across the turbulent sea of grassroots governance on a voyage to justify, or otherwise, the governor’s novel grassroots governance formula.

Whatever happens, a desirable wind of change is blowing across Borno State’s grassroots governance, purposefully for the lasting good of a state rising from the ruins of terror.

Dauda Iliya is the Special Adviser on Media/Spokesperson to the Borno State Governor

Behold! Wind Of Change In Borno’s Third-tier Governance

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Woman Accuses Police of Shielding Officers in Husband’s Disappearance, Seeks Justice Through Courts

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Woman Accuses Police of Shielding Officers in Husband’s Disappearance, Seeks Justice Through Courts

By: Michael Mike

Allegations of institutional cover-up have again put the Nigeria Police under scrutiny following claims by Mrs. Nnenna John-Anozie that senior police authorities are deliberately protecting officers linked to the abduction and disappearance of her husband, Mr. John Chukwuemeka Anozie.

Mrs. John-Anozie, at the weekend in Abuja accused the police of ignoring valid court orders and the outcomes of formal investigations, insisting that the actions of the Nigeria Police point to an internal network operating above the law.

According to her, the continued protection of the officers involved has not only obstructed justice but has also eroded public confidence in the institution constitutionally empowered to protect lives and liberties.

She described the police response to her case as a consistent and deliberate failure rather than an administrative lapse. “This is not just negligence; it is a betrayal of public trust,” she said, adding that the law is being openly disregarded by those sworn to uphold it. She maintained that the police authorities are fully aware of the circumstances surrounding her husband’s disappearance but have chosen not to act.

Mrs. John-Anozie further stated that contrary to public perception, the judiciary has not hindered her quest for justice. She explained that the court had ruled in her favour, but enforcement of the judgment has been frustrated by the police’s refusal to comply with binding orders. She warned that such disobedience undermines the authority of the courts and weakens the rule of law.

Her legal counsel, Mr. Vincent Adodo, has since approached the Federal High Court in Abuja, filing a contempt application against the Inspector-General of Police, Mr. Kayode Egbetokun. The application seeks an order compelling the police to produce for prosecution officers allegedly connected to the case — identified as Sunday Okpe, Anthony Obiozor Ikechukwu, Emeana Uzochukwu, John Eze, and an officer known as Oriole (also called Tboy) — as well as to release investigation records relating to the matter.

The contempt proceedings are scheduled to be heard on February 9, a date Mrs. John-Anozie describes as crucial not only for her family but also for accountability within law enforcement. She argues that the absence of effective mechanisms to enforce compliance with court orders has prolonged her ordeal and cast doubt on the integrity of the justice system.

Mrs. John-Anozie lamented that efforts to seek justice through the National Human Rights Commission and the EndSARS Judicial Panel seems to have failed as police officers ignored several summons and orders.

She said despite the lengthy process, she is determined to pursue justice through lawful means, stressing that only strict adherence to the rule of law can guarantee accountability, protect citizens’ rights, and restore confidence in public institutions.

Woman Accuses Police of Shielding Officers in Husband’s Disappearance, Seeks Justice Through Courts

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