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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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NDLEA intercepts cocaine shipment from Brazil, detains ship, 20 Filipino crew members

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NDLEA intercepts cocaine shipment from Brazil, detains ship, 20 Filipino crew members

By: Michael Mike

Barely six months after 10 Thai sailors and their ship were convicted and fined $4.3 million for bringing 32.9 kilogrammes cocaine into Nigeria, operatives of the National Drug Law Enforcement Agency (NDLEA) have again intercepted another commodity laden vessel- MV Nord Bosporus marked 9760110 from the port of Santos in Brazil at the Apapa seaport in Lagos with no less than 20 kilogrammes of the Class A drug buried under its cargo.

A statement on Friday by the spokesman of the anti-narcotics agency, Femi Babafemi said the illicit drug consignment was discovered on board the vessel last Sunday by NDLEA officers who thereafter took the Master of the ship, Captain Quino Eugene Corpus and 19 other crew members who are all Filipinos into custody for investigation.

Babafemi said following the seizure and arrest of the crew members, the NDLEA filed an application for an order of court for the detention of the vessel and the 20 Filipinos on board for further investigation.

He disclosed that the motion ex-parte in suit number FHC/L/MISC/1306/25 was argued before Justice Musa Kakaki of the Federal High Court, Lagos, who on Thursday granted the application for an initial 14 days detention of the vessel, Capt. Corpus and 19 other Filipino crew members.

Babafemi said preliminary investigation revealed that this was the first time the vessel was coming to Nigeria and Africa as it’s been largely transporting coal between Colombia and Brazil while Captain Corpus has been barely three months with the ship.

He recalled that the agency had in a similar circumstance arrested 10 sailors who are nationals of Thailand on 13th October 2021 on board a vessel named MV Chayanee Naree for trafficking 32.9 kilogrammes of cocaine from Brazil into Nigeria through the Apapa seaport. Nine Nigerian suspects were also arrested along with the Thai crew members.

He said the 10 Thai sailors and the vessel were eventually convicted on Thursday 15th May 2025 by a Federal High Court in Lagos presided over by Justice Daniel Osiagor who also fined them $4.3 million.

In his reaction to the latest significant seizure of 20 kilogrammes cocaine on board MV Nord Bosporus, Chairman/Chief Executive Officer of NDLEA, Brig. Gen. Buba Marwa (rtd) commended the officers, men and women of the Apapa Strategic Command of the agency as well as the Directorate of Seaport Operations for their vigilance, diligence and professionalism.

​Marwa said the cocaine seizure is not just an operational success but “a clear demonstration of our heightened capacity and unwavering resolve”, adding that “we will continue to tighten our grip on all entry and exit points, especially our seaports, which transnational criminal organisations have historically attempted to exploit.”

According to him, “Let this be an unambiguous message to every international drug cartel and every internal collaborator: Nigeria is not, and will never be, your space or your foothold. The NDLEA is operating with zero-tolerance, and we will not permit any illicit drug to pass through our borders, whether by air, land, or sea. You may scheme, you may attempt sophisticated concealment, but you will fail. Our intelligence network, collaboration with international partners, and the dedication of our officers are steps ahead of your nefarious activities.”

He reminded any Nigerian who chooses to collaborate with foreign syndicates in the illicit drug trade of the consequences their action.

He said: “You are not just committing a crime; you are betraying your nation’s future. The consequences of aiding and abetting drug trafficking will be severe and unrelenting. We are committed to using the full force of the law to dismantle your structures, seize your illicit assets, and secure your long-term incarceration.”

NDLEA intercepts cocaine shipment from Brazil, detains ship, 20 Filipino crew members

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NHRC Announces Programmes for 16 Days of Activism on GBV

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NHRC Announces Programmes for 16 Days of Activism on GBV

By: Michael Mike

The National Human Rights Commission (NHRC) has announced its plans for the 2025 International 16 Days of Activism Against Gender-Based Violence.

The activities which commences on Monday, showed a sweeping nationwide plan and a renewed call for stronger protections for women and girls, as the Commission also marks its 30th anniversary.

Addressing journalists at a press briefing in Abuja, the Executive Secretary of NHRC, Dr. Tony Ojukwu said the anniversary provided an important moment to reflect on three decades of work advancing justice, dignity, and equality in Nigeria — while acknowledging that gender-based violence (GBV) remains one of the gravest human rights violations confronting the country.

He said: “For 30 years, the Commission has remained a steadfast voice for accountability and human rights. This year’s campaign gives us the opportunity not only to reflect on our journey but to intensify the fight against all forms of violence, especially against women and girls.”

The 16 Days of Activism — observed annually from November 25 to December 10 — is part of a global movement launched in 1991 by the Centre for Women’s Global Leadership. It links the International Day for the Elimination of Violence Against Women with Human Rights Day, symbolizing that violence against women is a direct violation of human rights.

Ojukwu noted that Nigeria remains committed to this global call.

He said: “Gender-based violence is unacceptable in every form. These 16 days remind us that survivors must be heard, supported, and protected.”

This year’s programme, one of the NHRC’s most extensive yet, includes coordinated activities across all 36 states and the Federal Capital Territory.

According to Ojukwu, the activities are designed to strengthen prevention, improve accountability, and reinforce protection structures nationwide.

Marking its 30-year milestone, the NHRC urged the National Assembly to pass legislation creating special constituencies for women — a long-standing proposal aimed at improving female representation in public office.

“Denying affirmative action is itself a form of violence against women,” the Commission emphasized. “Empowerment must include political participation.”

The Commission also highlighted multiple empowerment programmes conducted in partnership with local and international organisations. These include:Support for over 60 survivors of sexual and gender-based violence under the EU/UNDP Spotlight Initiative; Financial grants for vulnerable women in collaboration with the Taipei Trade Office; Economic empowerment for more than 100 indigent women through the Thelma Lion Foundation; Distribution of sewing machines, grinding machines, and hair dryers to over 300 women through partnerships with National Assembly members; Ongoing collaboration with the Dorothy Njemanze Foundation to support SGBV survivors.

Ojukwu said: “These interventions are meant to strengthen the socio-economic resilience of women and reduce vulnerabilities.”

He reassured Nigerians that the commission will continue to carry out its mandate with fairness and impartiality.

He said: “We will not allow gender-based violence or any human rights violation to go unaddressed. Every complaint matters, and every perpetrator must be held accountable.”

As the 16-day campaign begins, Ojukwu called on government institutions, traditional and religious leaders, civil society groups, the private sector, and individuals to join in the fight to end violence against women.

“Awareness is not enough,”Ojukwu said. “We must turn commitments into action and build a Nigeria where women and girls can live free from fear, discrimination, and harmful practices.”

NHRC Announces Programmes for 16 Days of Activism on GBV

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IPCR: Livestock Sector Now Sits at the Heart of Nigeria’s Ecosystem

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IPCR: Livestock Sector Now Sits at the Heart of Nigeria’s Ecosystem

By: Michael Mike

The Institute for Peace and Conflict Resolution (IPCR) has said the livestock sector now sits “at the heart of Nigeria’s conflict ecosystem,” influencing local economies, intergroup relations, and national security.

While Nigeria has produced multiple livestock policies over the years, speakers at the Policy Review Meeting of the Network of Policy Makers for the Support of Peace, Security and Reconciliation in Nigeria organized by IPCR in partnership with King Abdullah Bin Abdullaziz International Centre for Interreligious and Intercultural Dialogue (KAICIID), agreed that the country’s biggest challenge is not policy creation but policy implementation.

The Executive Secretary of IPCR, Dr. Joseph Ochogwu said: “Policies exist, but they often die before they leave the shelf,” echoing past criticisms that Nigeria has become a “graveyard of unimplemented policies.”

He warned that the farmer–herder conflict has evolved into a complex risk system shaped by climate pressures, land scarcity, population growth, trans-border migration, and weak governance structures. Without coordinated action, these pressures threaten to overwhelm already stretched local and national institutions.

He stressed that the success of livestock reforms will depend on effective coordination between federal ministries, state governments, local authorities, and community actors.

He said: “When institutions operate in silos, conflict fills the gap. But when federal, state, and local structures move in alignment, policy becomes a stabilizing tool.”

He described traditional rulers, pastoralist associations, farmers’ groups, and religious leaders as “indispensable partners” in the process rather than observers brought in after decisions are made.

The session also addressed growing concerns around communal violence and allegations of targeted attacks against specific religious groups. Recent claims suggesting that Christians are being systematically exterminated in Nigeria have gained international attention.

Ochogwu acknowledged the emotional weight of such claims but cautioned against narratives not grounded in verified evidence.

“Nigeria’s security challenges stem from terrorism, banditry, resource competition, and historical grievances,” he said, while adding that: “These problems affect all groups, and they require collective solutions—not divisive interpretations.”

He emphasized that Nigeria must not allow any trajectory that resembles genocide or the destruction of any community, calling for stronger early-warning systems, improved regulation of pastoral mobility, and policies that prevent local tensions from escalating into large-scale atrocities.

Participants agreed that the partnership between policymakers and faith leaders is central to preventing violence. Religious institutions, they noted, have moral authority and grassroots influence that government structures often lack, particularly in rural communities most affected by the conflict.

“This network exists because peace is not a government-only project,” the convener said. “It must be built through a multi-layered alliance of policymakers, traditional institutions, and religious leaders.”

Ochogwu highlighted four areas requiring urgent action: Strengthening vertical and horizontal coordination across federal, state, and community levels; Embedding conflict-sensitive practices into all livestock policy implementation; Ensuring inclusive engagement involving farmers, pastoralists, women, youth, and local institutions and Institutionalizing evidence-based monitoring systems that track conflict hotspots and pastoral mobility using real-time data.

IPCR reaffirmed its commitment to supporting the Federal Government through conflict analysis, policy advisory services, mediation, and early-warning mechanisms. Its partnerships with KAICIID and other international bodies, it said, are aimed at ensuring that the outcomes of these dialogues translate into tangible impact at the community level.

Participants agreed that Nigeria stands at a critical moment. Transforming livestock policy into practical action, they said, is not only a matter of agricultural reform—it is a prerequisite for national stability.

Ochogwu said: “Moving from intention to impact is the only path to sustainable peace,” note”ing that: “Strengthening coordination in the livestock sector is ultimately strengthening Nigeria itself.”

Policymakers, diplomats, and leading clerics convened in Abuja on Friday for the Second Quarter Policy Review Dialogue of the Network of Policymakers and Religious Leaders, with a renewed push to transform Nigeria’s long-standing livestock policy from paper commitments into real, coordinated action.

The meeting, held at the Institute for Peace and Conflict Resolution (IPCR) headquarters, focused on the theme “From Policy to Practice: Strengthening Coordination and Implementation of Nigeria’s Livestock Policy.” It brought together government officials, faith leaders, security experts and community representatives who described the dialogue as a crucial step in tackling the persistent farmer–herder crisis and its broader security implications.

IPCR: Livestock Sector Now Sits at the Heart of Nigeria’s Ecosystem

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