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
Crime
Herdsman loses two cows to suspected hoodlums in Adamawa

Herdsman loses two cows to suspected hoodlums in Adamawa
By: Zagazola Makama
Suspected hoodlums have killed two cows belonging to a herdsman in Shelleng Local Government Area of Adamawa State.
The incident, which occurred on Wednesday at about 3:30 p.m., took place in the Wuroyanka District of Shelleng.
A source in the area told Zagazola that the attackers, believed to be from Bare in Numan Local Government Area, ambushed the herder, Shehu Alhaji Yakubu, while he was grazing his cattle in the bush.
The assailants reportedly killed two of the animals before fleeing the scene.
Police and local hunters later visited the area to assess the situation and appealed for calm among residents to avoid reprisals.
A stakeholders’ meeting has been scheduled to discuss measures to prevent further tension between herders and farmers in the area.
Herdsman loses two cows to suspected hoodlums in Adamawa
News
Over 600 patients receive free kidney dialysis, and other treatment on a monthly basis……………Bego

Over 600 patients receive free kidney dialysis, and other treatment on a monthly basis……………Bego
By: Bodunrin Kayode
Over 600 patients receive free dialysis and additional treatment on a monthly basis at the Yobe State University Teaching Hospital (YSUTH), the Yobe state commissioner of information Abdulahi Bego has said.
He said that the free treatment was initiated by former Governor, Ibrahim Gaidam and was consolidated upon by the present administration of Governor Mai Mala Buni.
The Commissioner of information, Abdullahi Bego said that the increase of cases of Kidney diseases, mostly recorded in Jakusko, Nguru, Gashua, Yusufari and some other communities in Northern parts of the state, Governor Mai Mala Buni has came up with the continuation of the free treatment of all patients to save lives.
Bego gave this hint yesterday in an interactive session with some Journalists at the end of the 2-Day Progressive Governors Forum (PGF) 2025 Quarterly Strategy Meeting of Commissioners for information of All Progressive Congress, (APC) Governed States.
He noted that, yobe state has many cases of kidney diseases, as most of the communities on the shores of Yobe/Kumadugu River in northern part of the state suffered most”.
To address the roots causes of the incident, the Commissioner pointed out that, the State Government has established a Biomedical Science Research and Training Centre located at the College of Medical Sciences, Yobe State University.
The centre is fully equipped with equipment worth billions of naira, even as it is collaborating with University of Sussex, United Kingdom and some Researchers, including a US-based Dr. Mahmoud Maina, to take the place to the next level.
Mains a British-Nigerian neuroscientist and educator whose research is focused on the cellular and molecular pathogenesis in Alzheimer’s disease is expected to bring his expertise to bear in the project.
The impact of the state government’s initiative according to Bego, goes beyond providing immediate relief and medical consumables, but to also delve into the root causes of the kidney disease and prescribe proactive solute. .
He also explained that, Governor Buni who have since declared a State of Emergency in the health sector, has constructed over 400-bed capacity at Mamman Ali Maternal and Child Complex hitherto commissioned by the late President Muhammadu Buhari.
The state of the art facility located within the premises of YSUTH, he added, is not only saving millions of lives, but also serve as referral and research centre in addressing maternal mortality in the North East region.
On social infrastructures especially roads and drainage networks within rural and urban centres, the Commissioner said that, “apart from the ongoing construction of multi billion naira Fly Over within Damaturu metropolis, the state government has completed the rehabilitation of key roads such as Katarko-Goniri and Siminti-Godowoli stretch.
Other interventions are the Geidam-Bukarti, Bayamari-Yunusari, and Yunusari-Kanamma roads, Damaturu-Kalallawa 25.5-kilometer dual carriageway, facilitating access to the Muhammadu Buhari International Cargo Airport, and the dualization of the Abattoir Junction-New Bye-pass Roundabout on Potiskum road to manage high traffic volumes.
Additional projects are the construction of roads connecting various communities, such as Damagum-Gubana, Bulanguwa-Kumagannam, Nguru-Bulanguwa, Danchuwa-Garin Abba-Garin Bingel, Chumbusko-Tagali, Nguru Highway-Karasuwa Galu town, Fika-Maluri, Jaji Maji-Karasuwa town, and Kukuri-Chukuriwa-Dawasa among others”. Bego stated.
The Commissioner further explained that Governor Buni expended N3.5 billion in building four Ultra Modern Sesame Seeds Cleansing, Processing and Packaging processing centres across the state.
These factories he said, are located in Machina, Potiskum, Nguru and Damaturu local government areas, as Yobe state is the largest producer of Sesame seeds in Nigeria as at today.
Over 600 patients receive free kidney dialysis, and other treatment on a monthly basis……………Bego
News
Man beaten to death over alleged affair with married woman in Bauchi

Man beaten to death over alleged affair with married woman in Bauchi
By: Zagazola Makama
A 30-year-old man has been allegedly beaten to death by a husband for attempting to entice his wife in Lumbu community, Ningi Local Government Area.
Zagazola Makama learnt that the incident occurred at about 2:09 a.m. on Friday when the deceased, identified as Sanusi Tinau, allegedly visited the house of a yet-to-be-identified man to entice his wife.
The husband reportedly attacked Tinau, beating him to a state of unconsciousness before fleeing the scene.
Police operatives responded promptly, evacuating the victim to the General Hospital, Ningi, where he was confirmed dead by a medical doctor.
The report said efforts are ongoing to apprehend the fleeing suspect as investigation continues.
Man beaten to death over alleged affair with married woman in Bauchi
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