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
News
ECOWAS Court Restates Commitment to Protection of Human Rights
ECOWAS Court Restates Commitment to Protection of Human Rights
By: Michael Mike
The Economic Community of West African States (ECOWAS) Community Court of Justice has restated its unwavering commitment to the protection of human rights and human dignity across West Africa region.
The commitment was given on Wednesday at an occasion hosted by the court to commemorate the 2025 International Human Rights Day, with the theme “Human Rights: Our Everyday Essential”, with legal scholars and jurists emphasizing the Court’s growing influence in shaping human rights jurisprudence in the region.

Prof. Muhammed Tawfiq Ladan emphasized that Human Rights Day is not merely a ceremonial event but a deliberate moment for nations and institutions to reflect on their progress in protecting human rights.
He said: “Every year we commemorate Human Rights Day as a point of reflection,not to recount what civil and political rights are, nor what socio-economic or third-generation rights like the right to development are ,but to underscore the impact of the ECOWAS Court of Justice’s contribution to the development of human rights experience on member states, community citizens, Africa, and even globally.”
He stressed that states in the ECOWAS region often rush to sign and ratify human rights treaties fully, yet drag their feet during implementation.
He noted that: “Promotion and protection of human rights is not a charity work by member states or national governments; it is not optional. It is first a constitutional obligation and second, a treaty obligation. Our governments are always in a hurry to sign and ratify every human rights treaty, but when it comes to implementation, the same governments or their agencies begin to provide grounds for resistance.”
Ladan emphasized that ECOWAS cannot function effectively if member states undermine the institutions established to protect citizens’ rights.
He said: “You cannot be part of a regional economic integration agenda like that of ECOWAS, set up regional institutions to take decisions for and on your behalf and on behalf of your citizens, and then fail to commit to their effective performance. Member states voluntarily join ECOWAS because they believe there are benefits, and therefore they must strengthen and respect institutions such as the ECOWAS Court of Justice.”
He highlighted that human rights obligations to protect against discrimination, marginalization, and exploitation are embedded in constitutions and treaties that West African countries have adopted.
He added that: “It is not a charity when national governments put mechanisms in place to protect vulnerable groups against disadvantage, discrimination, and marginalization.
“These obligations are found in our constitutions and in the treaties we have signed and ratified. When citizens feel a sense of non-discrimination, equality, and equal opportunities, it forms the basis for peace and security and the betterment of all.”
He noted that the 2005 Supplementary Protocol, which grants individuals direct access to the Court without exhausting local remedies, has transformed the Court into a powerful human rights tribunal.
He said: “Direct access for individuals introduced through the 2005 Supplementary Protocol has led to about 90% of the ECOWAS Court’s cases being human rights related. This statistical reality shows the Court’s importance as a forum for redress, where citizens and civil society actors can come when national systems fail or delay justice.”
Ladan explained that the ECOWAS Court’s influence extends beyond rulings; it shapes national reforms, applies global human rights standards, and empowers civil society.
He said: “The Court has issued landmark judgments,from modern slavery cases to the right to education and freedom of expression which now influence legal thinking across the globe. It applies a wide range of regional and international human rights instruments in its judgments, effectively domesticating and enforcing global standards within the West African context. These are measurable indicators of its impact.”
He stressed the indivisibility of rights, explaining that the enjoyment of socio-economic rights is essential to human dignity and the realization of other rights.
“You cannot meaningfully enjoy the right to life when you are deprived of the right to health, the right to human dignity, or the right to a clean and healthy environment. The Court has consistently ruled that ongoing violations of socio-economic rights whether education, health, or environmental protection,are not barred by time limits. This has been a major win for victims over the last seven to eight years.”
Ladan warned that widespread poverty, weak social safety nets, and corruption across West Africa continue to undermine citizens’ ability to enjoy their fundamental rights particularly socio-economic rights.
He emphasized that without political will and accountability, human rights progress will remain slow.
“Poverty undermines the exercise of human rights because many poor people are not covered by any form of social safety net. Statistics in West Africa are not favorable many community citizens still grapple with poverty.
National governments must demonstrate real political will and cooperate in stamping out corruption so that resources can be freed to provide essential socio-economic infrastructure for citizens. If you deprive any group of their everyday essentials, you deny them progress and development.”
On his part, the Honourable President of ECOWAS Court, Justice Ricardo Gonçalves, emphasized that Human Rights Day is rooted in the historic adoption of the Universal Declaration of Human Rights in 1948, reminding all nations that fundamental freedoms belong to every human being, regardless of identity or circumstance.
“December 10 is symbolic because more than 70 years ago, the Universal Declaration of Human Rights was enacted. It was the first global expression of the rights that everyone should enjoy, regardless of where they were born, the circumstances of their birth, their gender, race or any other factor.
On this day, we reflect on our common humanity and the challenges we face to build a community where everyone can enjoy the rights granted by God and God’s Son without discrimination.”
The President stressed that human rights are not theoretical concepts but necessary conditions that allow individuals to live with dignity.
He noted that many West Africans still lack basic needs such as education, food, healthcare, and justice.
“Human rights are not abstract ideals, but a necessity for all individuals to live a free and meaningful existence. Across our community, many still struggle for access to the essentials of life adequate food, drinking water, education, healthcare, housing, a healthy environment, and access to justice. These shortfalls remind us why the defence of human rights remains urgent and relevant.”
Hon. Justice Gonçalves recalled that ECOWAS Heads of State adopted the 2005 Human Rights Protocol to ensure that individuals could seek justice before the regional court. Since then, the Court has significantly shaped rights protection in the region.
“It was with the aim of protecting the individual voice that the Authority of Heads of State and Government adopted the 2005 Human Rights Protocol, granting this Court the mandate to hear cases of human rights violations. Since then, the Court has delivered several decisions covering the right to life, freedom of expression, education, work, unionisation, and a healthy environment, thereby aligning national laws and policies with human rights obligations assumed freely by member states.”
The President expressed deep concern over the persistent failure of some member states to implement the Court’s judgments. He warned that this undermines the credibility of the Court and reduces human rights protection to mere symbolism.
“The Court is concerned that member states have not yet implemented most of its judgments. Without effective and sincere implementation, the promise of protection offered by the 2005 Protocol becomes a mirage. Rights must be real, not ideas on paper. Victims deserve genuine access to justice, and that requires states to apply our decisions fully so that reparations bring meaningful change to people’s lives.”
Hon. Justice Gonçalves highlighted the growing challenges in West Africa ranging from military coups to terrorism, shrinking civic spaces, weak judicial systems, and climate change,warning that these trends place millions at risk.
“Across our community, we witness military coups, attempted coups, the narrowing of civic space, terrorist insurgency, under-resourced national justice systems, and the increasing effects of climate change. These are serious threats. Member states have a duty to confront them and work with all stakeholders to ensure that everyone in our community can enjoy their human rights freely and without discrimination.”
The Court urged national governments, institutions, civil society, and the media to intensify cooperation with the ECOWAS Court to strengthen the regional human rights framework. He paid tribute to those who defend human dignity across West Africa.
“We appeal to all member states to renew their commitment to the ECOWAS legal framework, the African Charter on Human and Peoples’ Rights, and all international human rights instruments. National bodies, human rights commissions, and justice institutions must collaborate with the Court, while civil society, the media, and human rights defenders must be respected and protected. Today, we pay tribute to all who work tirelessly,often at great personal risk to uphold justice and the dignity of human life. Their dedication transforms the promises of international instruments into real human rights every day.”
Director of Research and Documentation, ECOWAS Court, Dr. Ousmane Diallo, noted that 2025 is the first time the Court has formally included this event in its official calendar of activities. He highlighted that this year’s commemoration serves as a reminder of 70 years of struggle in the fight for human rights.
“While much has been achieved, the journey is far from complete. Each of us must continue to work tirelessly to enforce these rights, recognizing that the fight for justice and dignity is a collective and ongoing responsibility.”
The General Statistics on cases and judgments implementation, as presented by Deputy Chief Registrar of the ECOWAS Court of Justice, Mr. Guye Sowe, provided an overview of the Court’s statistics, highlighting both progress and challenges in enforcing judgments across member states.
According to Sowe, a total of 775 cases have been filed before the Court, with 492 judgments delivered and 116 cases still pending. Of the delivered judgments, 192 are enforceable, reflecting the work remaining to ensure implementation.
“More than half of the cases filed before this court get dismissed,” the Deputy Chief Registrar said, noting that 54% of the 419 judgments involving AES countries were dismissed for procedural or substantive reasons.
Enforcement of court decisions remains uneven. Nigeria leads in pending enforcement, with 125 cases filed, 67 dismissed, 10 enforced, and 50 yet to be enforced. Other countries facing significant enforcement challenges include Togo with 58 judgments, 26 dismissed, 29 unenforced, 1 partially enforced, 1 amicably settled, and 1 withdrawn; Guinea with 25 judgments, 7 dismissed, and 18 unenforced; Liberia with 15 judgments, 10 dismissed, 4 unenforced, and 1 enforced; Sierra Leone with 18 judgments, 6 dismissed, 11 unenforced, and 1 enforced; Senegal with 35 judgments, 23 dismissed, 9 unenforced, and 3 enforced; Benin with 19 judgments, 13 dismissed, and 6 unenforced; Cape Verde with 3 judgments, 2 dismissed, and 1 unenforced; and the ECOWAS Commission with 36 judgments, 18 dismissed, 14 enforced, 3 unenforced, and 1 amicably settled.
Mr. Sowe stressed that the total number of unenforced judgments across member states now stands at 153, underscoring the need for stronger mechanisms to ensure compliance.
“These numbers reflect both the growing trust in the ECOWAS Court and the work that remains. Member states must ensure that judgments are fully implemented so that human rights protections become a living reality for all citizens.”
End
News
Boko Haram invade home of police officer in Yobe in a targeted attack
Boko Haram invade home of police officer in Yobe in a targeted attack
By: Zagazola Makama
Suspected Boko Haram gunmen reportedly attacked the residence of ASP Mohammed Modu, Officer-in-Charge of Tattaba Out Station, Bara Division, Gulani Local Government Area, Yobe State, in the early hours of 9 December.
According to sources, at about 0130 hours, the armed hoodlums invaded three houses belonging to the officer, stole his Haojue motorcycle, three bicycles, a Golf 3 motor vehicle, and other personal belongings, before setting the three houses and a Honda Civic vehicle ablaze.
Security operatives visited the scene and documented the damage, with no casualties reported. The officer has been advised to exercise heightened caution while monitoring and patrols have been intensified in the area to prevent further attacks.
The incident is under ongoing investigation as authorities continue to assess the security situation in Gulani LGA. Yobe in a targeted attack
Banditry attacks in Zamfara leave two dead, three injured
By:Zagazola Makama
Armed bandits have reportedly attacked two communities in Zamfara State, resulting in fatalities and injuries.
In Adabka Village, Bukkuyum Local Government Area, about 43 armed bandits stormed the outskirts at approximately 1130hrs on Tuesday, shooting and killing Alhaji Muhammad Dan Dabara, aged 45, before escaping.
The victim’s body was later evacuated to a hospital for autopsy and subsequently released to relatives for burial according to Islamic rites. Investigations into the attack have commenced.
Meanwhile, in Mashayar Zaki Village, along Gusau-Dansadau Road in Maru LGA, unknown armed bandits attacked at about 1245hrs on the same day.
The assailants shot to death one person and injured three others before fleeing. The victims were evacuated to a hospital for treatment, while the deceased was released to relatives for burial in accordance with Islamic rites.
Security patrols and monitoring have been intensified in the affected areas.
Boko Haram invade home of police officer in Yobe in a targeted attack
News
IED explosion injures four in Monguno, Borno State
IED explosion injures four in Monguno, Borno State
By: Zagazola Makama
Four persons sustained injuries after a truck conveying bags of onions reportedly triggered an Improvised Explosive Device (IED) at Lingir Village, Guzamala LGA, while en route from Baga Village, Kukawa LGA to Maiduguri.
Zagazola Makama learnt that the incident, which occurred at about 1030 hours, involved the driver, Umar Isah (25), and three passengers Suleiman Isa (22), Ibrahim Bala (25), and Umar Hassan (22), all residents of Maiduguri.
The truck with registration number XA 504 GSH Yobe was significantly damaged in the explosion.
Troops of Operation HADIN KAI and other security teams responded promptly, cordoning the area, photographing the scene, and searching for additional devices, but none were found.
The injured were initially taken to General Hospital Monguno and later referred to State Specialist Hospital, Maiduguri, where they remain hospitalized and are responding to treatment.
The attack was suspected to have been orchestrated by ISWAP terrorists.
IED explosion injures four in Monguno, Borno State
-
News2 years agoRoger Federer’s Shock as DNA Results Reveal Myla and Charlene Are Not His Biological Children
-
Opinions4 years agoTHE PLIGHT OF FARIDA
-
News8 months agoFAILED COUP IN BURKINA FASO: HOW TRAORÉ NARROWLY ESCAPED ASSASSINATION PLOT AMID FOREIGN INTERFERENCE CLAIMS
-
Opinions4 years agoPOLICE CHARGE ROOMS, A MINTING PRESS
-
News2 years agoEYN: Rev. Billi, Distortion of History, and The Living Tamarind Tree
-
ACADEMICS2 years agoA History of Biu” (2015) and The Lingering Bura-Pabir Question (1)
-
Columns2 years agoArmy University Biu: There is certain interest, but certainly not from Borno.
-
Opinions2 years agoTinubu,Shettima: The epidemic of economic, insecurity in Nigeria
