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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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Gunmen kill police inspector, two others in Nassarawa, cart away rifle

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Gunmen kill police inspector, two others in Nassarawa, cart away rifle

By: Zagazola Makama

Gunmen have killed a police inspector and two civilians during an attack on a patrol team in Doma Local Government Area of Nasarawa State, the police have confirmed.

Zagazola gathered that the incident occurred on Dec. 14, 2025, at about 6:30 p.m. along Ajimaka Village road en route to Rukubi town.

According to the sources, the patrol team, attached to Operation Restore Peace and led by Inspector Jampi Mbursa, was ambushed by a group of unidentified gunmen while on routine patrol alongside vigilante members.

“The assailants shot Inspector Jampi Mbursa, as well as two other persons identified as Julius Igbogh and Raphaeal Julius, all from Ajimaka Village,” the sources said.

The attackers reportedly carted away the inspector’s AK-47 rifle containing 30 rounds of live ammunition before fleeing the scene.

The victims were rushed to Rukubi General Hospital, where they were confirmed dead by medical personnel. Their remains have been deposited at the hospital’s mortuary.

The police said efforts were ongoing to recover the stolen firearm and arrest those responsible for the attack.
End

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President Tinubu: We’re Mobilising All Military Assets To Protect Nigerians, Crush Security Threats

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President Tinubu: We’re Mobilising All Military Assets To Protect Nigerians, Crush Security Threats

** Procures mine-resistant vehicles, new armoured fleet for armed forces modernisation

** Charges troops on discipline, professionalism, adherence to constitutional order

By: Our Reporter

President Bola Ahmed Tinubu has restated his administration’s firm resolve to mobilise all military and law enforcement assets to crush security threats and protect the lives all citizens of Nigeria.

Accordingly, he announced the procurement of mine-resistant ambush-protected vehicles and a new armoured fleet for the military, as well as the refurbishment of over 100 Armoured Fighting Vehicles for return to active service.

President Tinubu disclosed this in Ojuelegba, Lagos State, on Monday when he declared open the Chief of Army Staff Annual Conference 2025.

Speaking at Nebo Hall, Abalti Barracks, venue of the conference, the President who was represented by his deputy, Vice President Kashim Shettima, reaffirmed that security remains a central pillar of his administration’s Renewed Hope Agenda.

“There is no nation that can achieve greatness without security. This government remains resolute in mobilising all military and law enforcement assets to eliminate security threats and protect the lives and property of all Nigerians,” he said.

The Nigerian leader noted that his administration is firmly committed to the modernisation of the Armed Forces through improved training, modern equipment and enhanced operational capacity.

He said beyond the recent induction of helicopters into Nigerian Army Aviation and the training of pilots, the government has advanced the procurement of additional Mine Resistant Ambush Protected Vehicles, Armoured Vehicles and Patrol Vehicles to boost troop protection and battlefield effectiveness.

His words: “Following the induction of helicopters into Nigerian Army Aviation and the training of pilots, we have advanced the procurement of additional Mine Resistant Ambush Protected Vehicles, Armoured Vehicles, and Patrol Vehicles.

“We have also refurbished over one hundred Armoured Fighting Vehicles, now returned to active service. These efforts reflect our clear commitment to strengthening the Nigerian Army’s operational readiness.”

He added that the Federal Government is deepening partnerships with friendly nations to promote research, innovation and indigenous defence production, with the long-term goal of achieving self-reliance in defence and security.

Commending the Nigerian Army for what he described as impressive gains in the fight against terrorism and other security challenges, President Tinubu said reports from various theatres of operation point to improved outcomes driven by professionalism, courage and effective joint operations with sister services and security agencies.

“The positive reports emerging from the various theatres of operation are encouraging and stand as testimony to your resilience and professionalism,” he said.

The President assured the military of the government’s unwavering support in fulfilling its constitutional mandate of safeguarding Nigeria’s territorial integrity, noting that security is one of the eight priority areas of his administration.

He also stressed the importance of discipline, professionalism and adherence to constitutional order, describing the apolitical posture of the Armed Forces as critical to sustaining public trust.

President Tinubu further praised the Nigerian Army’s civil-military cooperation initiatives across the country, noting that security efforts must also focus on winning hearts, restoring dignity and supporting development at the grassroots.

Paying tribute to fallen soldiers, the President said their sacrifices remain permanently etched in Nigeria’s national memory, assuring that the government will continue to support their families and improve the welfare of serving personnel in recognition of their service to the nation.

Earlier, Lagos State Governor, Babajide Sanwo-Olu, commended the Nigerian Army for its efforts in strengthening civil–military relations in the state.

He reaffirmed the commitment of the Lagos State Government to supporting the Army in the discharge of its constitutional responsibilities within the state and beyond.

In his remarks, the Minister of Defence, General Christopher Musa (rtd), confirmed the commitment of the Tinubu administration, through the Ministry of Defence, to providing continuous policy direction for the Nigerian Army.

He called on officers and commanders to remain loyal and united, stressing the need for collective support to enable the Army effectively address the country’s security challenges.

The Defence Minister also praised the officers and men currently deployed in various operations, even as he thanked Nigerians for their confidence in the Armed Forces, assuring that government would act with renewed vigour and decisiveness in tackling prevailing security threats.

In his welcome address, the Chief of Army Staff, Lieutenant General Waidi Shaibu, unveiled a range of welfare packages designed to enhance the wellbeing of officers and men of the Nigerian Army.

He explained that the welfare packages are part of deliberate efforts to boost morale and improve operational effectiveness across the Army.

The Chief of Army Staff also disclosed that President Tinubu has consistently provided the operational needs of the Nigerian Army since assuming office.

He commended the Federal Government for meeting the operational demands of the Army, urging officers, particularly commanders and personnel on special operations, to justify the confidence reposed in them.

Reviewing the Army’s achievements over the past year, General Shaibu reaffirmed the readiness of the Nigerian Army to match government’s support with decisive action against terrorism and other security threats confronting the nation.

High point of the event was unveiling of a biography of the late former Chief of Army Staff, Lieutenant General Taoreed Lagbaja, by Vice President Shettima, alongside senior military officers and other dignitaries.

The Vice President presented 15 Toyota Hilux vehicles to deserving warrant officers as part of efforts to motivate personnel and encourage excellence in service.

He also witnessed the presentation of cheques under the Nigerian Army Personnel Insurance Scheme to the families of five fallen soldiers.

The event was attended by representatives of the President of the Senate, former Defence and Army Chiefs, and traditional rulers, among others.

President Tinubu: We’re Mobilising All Military Assets To Protect Nigerians, Crush Security Threats

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Defence Minister urges unity, actionable strategies at COAS 10th annual conference to consolidate Nigeria’s security gains

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Defence Minister urges unity, actionable strategies at COAS 10th annual conference to consolidate Nigeria’s security gains

By: Zagazola Makama

The Minister of Defence, General Christopher Musa, has called for a decisive shift from discussion to action in addressing Nigeria’s complex security challenges, stressing that the country’s gains against terrorism, banditry, and other criminal networks can only be sustained through joint operations, inter-agency collaboration, and collective national effort.

Speaking at the opening ceremony of the 10th Chief of Army Staff (COAS) Annual Conference 2025 in Lagos, on Monday, General Musa described the gathering as a critical forum for assessing the operational posture, readiness, and professionalism of the Nigerian Army while aligning the service’s priorities with the nation’s strategic security objectives.

“The importance of this conference cannot be overstated,” General Musa said. “Nigeria continues to face a combination of terrorism, banditry, criminality, and other asymmetric threats that demand sustained focus, strategic clarity, and adaptive leadership. The Army, together with other security agencies and the society at large, must operate in unison to confront these threats effectively.”

The Minister highlighted that the operational capacity of terrorist groups, insurgents, and criminal networks has been significantly degraded across multiple theatres, attributing these gains to the courage and professionalism of the troops, improved planning, education, and coordinated joint operations conducted within a multi-agency framework.

“The truth of the matter is that no single service, no single individual, can achieve this alone,” he said. “Success in today’s security environment requires the whole of society working together in synergy.”

General Musa emphasized that inter-service cooperation and intelligence sharing are no longer optional but fundamental to effective national defense. He urged the Army leadership to ensure that the recommendations from the conference are implemented through concrete operational actions, stressing that strategic discussions must translate into measurable tactical outcomes.

“While we celebrate our successes, we must never lose sight of the human dimension of service,” he added, paying tribute to fallen soldiers, wounded personnel, and the families who bear the enduring cost of national service.

He commended the families of the late Lieutenant General Tariq Lagbajan and Brigadier General Oba for their sacrifices and underscored the government’s continued commitment to the welfare, medical care, and long-term support of personnel and their families.

General Musa also lauded the Chief of Army Staff, Lieutenant General Waidi Shaibu, for his professional trajectory, from battalion and brigade commands in the North East to theatre command, culminating in his appointment as the Army Chief. “Your leadership exemplifies operational excellence and a deep understanding of the challenges on the ground. The challenge before all senior commanders is to evolve new strategies to defeat the enemies of the state,” he said.

He further highlighted that security remains central to the President’s Renewed Hope Agenda and reiterated the Federal Government’s unwavering support for the Armed Forces.

According to the Defence Minister, strategic direction, policy support, and capability development provided by the Ministry of Defence will ensure that the Armed Forces remain professional, responsive, and future-ready, while reinforcing institutional accountability and operational effectiveness.

“The Nigerian Army and indeed the Armed Forces have stabilized this country and will continue to do so. We must take these security challenges as our own and contribute individually and collectively to winning this war,” General Musa stated.

The 10th COAS Annual Conference, themed “Examine the Correct Landscape of Terrorism Through the Lengths of Diplomatic and Military Action: Strategies for Long-Term Prevention and Stabilization,”brings together senior commanders, security stakeholders, and resource persons to reflect on lessons learned, examine emerging threats, and propose practical measures to enhance operational readiness and effectiveness in the year ahead.

The Defence Minister concluded by thanking Nigerians for their support and the Governor of Lagos State for hosting the conference, noting that collaborative engagement between the government, security agencies, and citizens is key to sustaining national peace, security, and stability.

Defence Minister urges unity, actionable strategies at COAS 10th annual conference to consolidate Nigeria’s security gains

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