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
Rivalry: Dogo Gide Eliminates 20 Sadiku Boko Haram terrorists in North West
Rivalry: Dogo Gide Eliminates 20 Sadiku Boko Haram terrorists in North West
By Zagazola Makama
In a complex and evolving battle for supremacy in Nigeria’s North-West, notorious bandit leader Dogo Gide has reportedly killed 20 Boko Haram fighters from the Sadiku faction and seized a cache of weapons.
A recently surfaced video shows Dogo Gide addressing his rivals, claiming victory after an ambush attempt by the Sadiku faction. In the video, Gide displayed seized items, including ten AK-47 rifles, RPGs, mobile phones, and an identity card allegedly linked to members of the faction.
“Sadiku and his group ambushed us, but we prevailed. Only one of our men was injured, while at-least 20 their men were killed,” Gide stated. He further accused the Sadiku faction of hypocrisy, condemning them for killing women, children, and innocent people under the guise of jihad.
This development spotlight the shifting dynamics of extremist activities in the region, where alliances and rivalries among criminal and terrorist groups continue to complicate security efforts. The rivalry between Dogo Gide and Boko Haram factions, particularly the Sadiku-led group, appears to stem from deeply personal and strategic reasons.
Credible intelligence suggests that Gide, once an ally of Boko Haram, turned against the group after his brother Sani was killed in 2023. Since then, Gide has vowed to avenge his brother’s death and has worked to expel Boko Haram elements from his area of influence.
Gide’s recent operations have focused on the Shiroro Local Government Area (LGA) in Niger State, where he reportedly dismantled Boko Haram roadblocks along the Kuruba-Uduwa highway. Addressing local communities, Gide pleaded for forgiveness and pledged to restore normalcy, encouraging displaced villagers to return home.
Observers believe Gide’s actions are driven by a combination of personal vendettas and a desire to consolidate control over lucrative criminal enterprises, such as cattle rustling and kidnapping, in the region.
The dynamics in Nigeria’s North-West are increasingly influenced by the infiltration of Boko Haram and its splinter groups, such as Jama’atu Ahlis Sunna Lidda’awati Wal-Jihad (JAS) and Ansaru. These groups operate alongside local bandit kingpins, forming temporary alliances and engaging in fierce competition for dominance.
JAS factions, led by figures like Sadiku and Umar Taraba, maintain headquarters in Niger and Zamfara states and are reportedly proficient in manufacturing improvised explosive devices (IEDs). These factions have expanded their operations into the North-West and North-Central regions, employing brutal tactics to enforce compliance and raise revenue through taxes on local populations.
Ansaru, on the other hand, has established a stronghold in Niger, Kogi, and Kaduna states, focusing on ideological propaganda and recruitment. The group has maintained links with al-Qaeda affiliated groups in the Sahel, raising concerns about the potential for regional spillover of extremist activities.
The rivalry between Dogo Gide and Boko Haram factions presents both opportunities and challenges for Nigeria’s security forces. On one hand, internal conflicts among extremist groups could weaken their overall operational capacity. On the other hand, the fluid alliances and shifting loyalties complicate intelligence gathering and counterterrorism operations.
In conclusion, the ongoing conflict in Nigeria’s Northwest is a multifaceted crisis that requires a nuanced understanding of the local dynamics at play.
Dogo Gide’s rise as a key player in the fight against Boko Haram signifies the complexities of power, revenge, and the quest for control in a region plagued by violence.
As the situation continues to unfold, the need for comprehensive strategies to address the root causes of extremism and foster peace remains paramount.
Rivalry: Dogo Gide Eliminates 20 Sadiku Boko Haram terrorists in North West
News
Governor Buni commended for selecting Maigari for appointment as Commissioner of the Federal Character Commission
Governor Buni commended for selecting Maigari for appointment as Commissioner of the Federal Character Commission
By: Yahaya Wakili
Yobe state Governor, Hon. Mai Mala Buni CON, and Chiroman Gujba have been commended for doing the best thing for selecting Hon. Jibrin Maigari, Commissioner, Federal Character Commission, representing Yobe state.
The commendation was made by the executive chairman of the Nangere local government council, Hon. Samaila Musa FICN, while receiving the commissioner of the federal character commission, Hon. Jibrin Maigari, who was on a sensitization visit in his office.
He said Hon. Maigari is performing excellently because since this commission was created, we have never gotten the federal commissioner who has brought something tangible to Yobe, because in the past five years we have seen the result when he assumed office.
Musa maintained that, “His Excellency, Governor Mai Mala Buni CON, has done the right thing by appointing the right person in the right place, because I was a director in the federal service. I know how difficult it is to secure employment for the teeming youths.
He advised that His Excellency, Hon. Mai Mala Buni, should continue to put the right people in that place so that the right people will be employed. Adding that, before I came here, I had something in mind that we have youths who have completed their secondary education, and they could not secure admission into tertiary institutions.
According to the chairman, these youths performed; they had gotten the requirements to be admitted, but because of the family background of the family, they could not, and they feel that the local government should bring a package whereby the youth will compile their CVs and go to university, polytechnic, or college of education to secure admission for them.
“We have graduates who are diploma holders, NCE, HND, and degree holders. There is nothing doing; I had to believe that we are going to adopt entrepreneurial activity within Nangere, training them three months after training them. We come up with different varieties of skills for them to engage in different businesses and activities,” he said.
“So by doing that, we are able to train 500 youths, and at the end of the day, every youth will be able to engage four people, so plus him, there are five. So you multiply five times five hundred, and you have 2,500 employed, and we called it a blue-collar job because what a cola job these days is too easy. So we have to develop a plan or strategies whereby the youth must survive.
The chairman said we have a work plan already, and very soon we are going to develop it, because we have adopted that in the 2025 budget, and very soon, by the second quarter, we are going to embark on it. He noted that I have already discussed with the consultancy services of Yobe State University in that regard.
Governor Buni commended for selecting Maigari for appointment as Commissioner of the Federal Character Commission
News
World Medical Relief donates healthcare equipment to Yobe State
World Medical Relief donates healthcare equipment to Yobe State
By: Yahaya Wakili
The Yobe State Executive Council has noted the delivery of healthcare equipment to the state donated by World Medical Relief in the United States. These equipment include hospital beds, infusion pumps, patient monitors, surgical instruments, and tools, amongst others.
Governor Mai Mala Buni CON disclosed this yesterday while chairing the first State Executive Council meeting held at the Government House in Damaturu.
The governor spoke about his administration’s human capital development effort, adding that in 2024, many people across the state were reached with various forms of support, particularly the students sent to India for undergraduate studies.
Briefing the newsmen on the outcome of the Exco meeting, The state Commissioner of Home Affairs, Information, and Culture, Alhaji Abdullahi Bego, said the governor reflected on the preceding year, noting it as one in which the state government was able to execute many projects and programs that have positive impacts on the lives of the people of the state.
He said the government has also built four modern sesame seed processing factories in Machina, Nguru, Potiskum, and Damaturu, and all of them have been completed 100% and will be commissioned soon.
In addition, all local government areas cut off by last year’s rains, especially in the northern part of the state, have been repaired and vehicular traffic restored, and the state government is also currently constructing a road from Potiskum to Ngojin and from Fadawa to Daya in the Fika local government area.
World Medical Relief donates healthcare equipment to Yobe State
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