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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
News
UN Women, Diplomats, Nollywood Stars Intensify Push for Special Seats Bill With New Advocacy Film
UN Women, Diplomats, Nollywood Stars Intensify Push for Special Seats Bill With New Advocacy Film
By: Michael Mike
The Nigeria office of UN Women, alongside diplomats, civil society groups and Nollywood stars, has intensified pressure for the passage of the Special Seats for Women Bill with the premiere of a new advocacy film aimed at confronting the persistent exclusion of women from Nigeria’s political leadership.
The film, Ibukun and the People, was screened at the weekend in Abuja under the Side by Side Naija campaign as part of efforts to mobilise nationwide support for increased women’s representation in parliament and decision-making positions.

The production, supported by UN Women, the Foreign, Commonwealth and Development Office and the Government of Canada, brought together actors, development partners, women groups, civil society organisations, media practitioners and advocates of inclusive governance.
Featuring prominent Nollywood stars including Ivie Okujaiye, Uzee Usman and Joke Silva, the movie highlighted the structural barriers, intimidation, stereotypes and political exclusion confronting women seeking elective offices in Nigeria.
Speaking at the event, the UN Women Representative to Nigeria and ECOWAS, Beatrice Eyong described the initiative as a strategic intervention designed to deepen conversations around gender inclusion and strengthen advocacy for the Special Seats Bill.
She said women’s inclusion in governance must be seen as a national development imperative rather than an act of charity.
“Not as an act of charity, but as a necessity for national development. We need more women at the table when decisions that affect them are made. That is what the movie is advocating,” she said.

Eyong urged Nigerians to look beyond the entertainment value of the production and confront the realities women continue to face in politics, expressing optimism that the movie would inspire broader support for women seeking political offices.
She also commended the actors and production crew for volunteering their talents in support of the advocacy campaign.
The British Deputy High Commissioner to Nigeria, Gill Lever, described women’s participation in politics as an urgent democratic priority, noting that storytelling remains a powerful tool for driving policy conversations and social change.
According to her, the film aligns with ongoing advocacy for affirmative action and could help accelerate reforms that promote inclusive governance.
Also speaking, the Ambassador of Belgium to Nigeria, Pieter Leenknegt, said reserved seats remain one of the practical pathways for improving women’s representation in Nigeria’s political system.
He, however, stressed that broader political reforms and education were equally critical in addressing gender imbalance in leadership.
Similarly, the Ambassador of Finland to Nigeria, Sanna Selin, said gender equality promotes peace, social justice and sustainable development.
She noted that inclusive governance benefits society as a whole through improved stability and economic progress.
The Country Representative of United Nations Population Fund in Nigeria, Muriel Mafico, reaffirmed the commitment of United Nations agencies to supporting the passage of the Special Seats Bill to boost women’s representation in governance.

Director-General of the Maryam Babangida National Centre for Women Development, Adedayo Benjamins-Laniyi, urged women to sustain grassroots mobilisation and remain united in the campaign for increased political participation.
Women’s rights advocate, Ene Obi, said the proposed legislation would help correct Nigeria’s political imbalance and create opportunities for women to contribute more meaningfully to national development.
She called on men and key stakeholders to actively support the bill and champion the inclusion of women in leadership and governance.
President of the League of Women Voters of Nigeria, Irene Awunah-Ikyegh, described the bill as a crucial affirmative action measure needed to deepen democracy and empower women politically.
The National President of the National Council of Women Societies, Edna Azura, commended the organisers and young filmmakers for deploying cinema as a platform for social advocacy and democratic inclusion.
Director of the film, Patience Ejoke-Ogedegbe, said the movie sends a strong message that competent women should no longer be intimidated, blackmailed or discouraged from contesting political positions.
Actor Uzee Usman, who played the role of a senator in the film, stressed the need to encourage and support more women to seek elective offices.
Lead actress Ivie Okujaiye said the production would inspire women to challenge stereotypes and resist intimidation while pursuing leadership positions.
Guests at the screening praised the movie’s production quality, storyline and performances, describing it as socially impactful and politically relevant.
The event also featured the presentation of awards to some of the actors and advocates in recognition of their contributions to gender equality and inclusive governance in Nigeria.
UN Women, Diplomats, Nollywood Stars Intensify Push for Special Seats Bill With New Advocacy Film
News
Korean Cultural Centre Deepens Nigeria-South Korea Ties Through K-Heritage Festival in Abuja
Korean Cultural Centre Deepens Nigeria-South Korea Ties Through K-Heritage Festival in Abuja
By:Michael Mike
The Korean Cultural Centre Nigeria has intensified efforts to strengthen cultural diplomacy and people-to-people relations between Nigeria and South Korea through the expansion of its K-Heritage Festival, an initiative aimed at promoting traditional Korean arts, music and cultural education in Nigeria.
Organisers said the Abuja edition of the festival reflects growing cultural exchanges between both countries and a deliberate effort to expose Nigerians to Korea’s rich traditional heritage beyond the globally celebrated K-Pop culture.
Speaking during the event in Abuja at the weekend, the Event Manager at the Korean Cultural Centre, Yoonjin Lee, said the festival was created to showcase the depth of Korean traditional performances and cultural identity to Nigerian audiences increasingly fascinated by Korean entertainment.
According to her, although K-Pop has gained massive international popularity among young people, the K-Heritage Festival was designed to introduce Nigerians to the traditional roots of Korean culture through indigenous music, dance and live performances.
“K-Pop is more like the modern type, more attracted by young people. But the K-Heritage Festival is trying to also bring Korean traditional performances to Nigeria,” she said.
The festival, which debuted in Lagos in 2025, was extended to Abuja this year as part of efforts to widen participation and deepen cultural engagement across Nigeria.
This year’s edition featured performances by Korean traditional performance duo Sorichum, comprising Melissa Minseong Seo and Hyunjung Park, who entertained audiences with displays of traditional Korean music and dance.
Beyond the stage performances, the artistes also organised intensive two-day cultural workshops where Nigerian participants were introduced to Korean fan dance and the traditional Korean percussion instrument known as the Janggu.
Participants who took part in the workshops later performed during the festival alongside students of the Korean Cultural Centre and winners of previous K-Pop competitions.

Lee described the level of enthusiasm and commitment shown by Nigerian participants as remarkable.
“The students only learned for two days, but they performed perfectly. People are really enjoying it,” she said.
According to her, the response from participants and audiences demonstrates that Nigerian interest in Korean culture is evolving beyond contemporary pop entertainment into deeper appreciation for traditional Korean heritage.
She stressed that the K-Heritage Festival forms part of the centre’s broader cultural mission to present multiple dimensions of Korean identity, history and artistic traditions to Nigerians.
“We really want to show different stages of Korean culture. K-Pop is very big, but as a Korean Cultural Centre, we also want to bring traditions and opportunities for people to experience them,” she added.
The growing popularity of Korean cultural programmes in Nigeria mirrors a wider global expansion of the “Korean Wave,” popularly known as Hallyu — a phenomenon driven by the international success of Korean music, films, television dramas, fashion and cuisine.
Over the past decade, South Korea has increasingly deployed cultural diplomacy as a soft-power strategy to strengthen global influence and international partnerships, particularly among younger populations.
Nigeria has emerged as one of the leading African countries embracing Korean cultural exports, with rising participation in K-Pop contests, Korean language classes, film screenings and cultural festivals organised by the Korean Cultural Centre in Abuja and Lagos.
The Korean Cultural Centre Nigeria, established to promote mutual cultural understanding, has continued to organise language education programmes, cultural exhibitions, culinary events and entertainment festivals aimed at fostering closer bilateral ties.
Lee disclosed that organisers are considering expanding traditional Korean cultural activities in Nigeria through additional workshops and festivals, especially in Lagos.
She revealed that plans are underway for another Janggu drum festival while traditional cultural classes are also expected to be strengthened ahead of the possible introduction of K-Heritage competitions in the future.
However, she noted that competitive events currently remain largely focused on K-Pop activities due to their strong youth appeal.
She further announced that another K-Pop Festival would hold later this year in Lagos as organisers continue rotating major cultural events between Lagos and Abuja to ensure broader national participation.
Observers say the growing acceptance of Korean cultural festivals in Nigeria reflects the increasing role of cultural exchanges in international relations, where arts, music and shared experiences are becoming powerful tools for strengthening diplomatic and economic cooperation between nations.
Korean Cultural Centre Deepens Nigeria-South Korea Ties Through K-Heritage Festival in Abuja
News
Nigeria, China Seek Expanded Cooperation in Tourism, Heritage, Creative Industries
Nigeria, China Seek Expanded Cooperation in Tourism, Heritage, Creative Industries
By: Michael Mike
Nigeria and China have intensified efforts to strengthen bilateral cooperation in tourism, culture, and the creative economy, with both countries identifying the sectors as major drivers of economic growth, cultural diplomacy, and people-to-people relations.
This commitment was reaffirmed at the weekend during the 2026 China Tourism Day celebration hosted by the China Cultural Centre in Nigeria (CCIN) in Abuja, where government officials, diplomats, tourism stakeholders, artists, and cultural enthusiasts gathered to celebrate the growing partnership between the two nations.
Speaking at the event, Yang Jianxing said tourism remains one of the most effective instruments for fostering mutual understanding and strengthening ties among nations.
He explained that the theme of this year’s celebration, “Enjoying Quality Tourism, Exploring Beautiful Landscapes,” reflects the increasing global importance of tourism as a platform for intercultural dialogue and peaceful coexistence.
According to him, both China and Nigeria possess rich historical civilizations, diverse cultural identities, and globally recognised tourism assets capable of deepening cooperation between their peoples.
Yang cited iconic destinations including the Great Wall of China and Mount Tai, alongside Nigeria’s Osun-Osogbo Sacred Grove and Zuma Rock, describing them as enduring cultural symbols that continue to connect civilizations across continents.
He noted that several joint cultural initiatives organised over the years by both countries, including the Happy Chinese New Year programmes and China-Nigeria Cultural and Tourism Festivals, had expanded cultural exchanges through artistic performances, traditional exhibitions, and culinary experiences.
“These activities have not only strengthened friendship between our peoples but have also promoted the spirit of harmony, mutual respect, and cultural inclusiveness,” he said.
Yang further disclosed that China was prepared to deepen collaboration with Nigeria under the framework of the China-Africa Year of People-to-People Exchanges, with fresh opportunities expected in heritage preservation, tourism promotion, cultural innovation, and the creative industries.
He encouraged more Nigerians to explore educational and tourism opportunities in China while expressing optimism that more Chinese visitors would also discover Nigeria’s rich cultural heritage, artistic diversity, and tourism potential.
Also addressing participants, Abdulkarim Ibrahim described the event as another milestone in the long-standing diplomatic and cultural relationship between Nigeria and China, which he said has continued to flourish for more than five decades.
Nigeria, China Seek Expanded Cooperation in Tourism, Heritage, Creative Industries
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