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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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Agribusiness Conglomerate Targets Over 6,000 Jobs With Multi-million Dollar Investments In Nigeria

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Agribusiness Conglomerate Targets Over 6,000 Jobs With Multi-million Dollar Investments In Nigeria

As VP Shettima hails decision, assures security of investments

By: Our Reporter

The Vice President, Senator Kashim Shettima, has hailed the multi-million-dollar investment portfolio by African agribusiness conglomerate, Export Trading Group (ETG), in Nigeria, assuring that ongoing reforms by the administration of President Bola Ahmed Tinubu will guarantee the company’s investments.

According to him, the company’s interests across agro-logistics, fertilizer systems, seed production and industrial processing, among others, is commendable and fully aligns with the Renewed Hope Agenda of President Tinubu.

Senator Shettima stated this on Thursday when he received, on a courtesy visit to the Presidential Villa, a delegation from the ETG led by its Global Chief Operating Officer, Mr Niren Murugan.

“You have been in the country since 2010, but this time around, you have decided to play a more active role in Nigeria’s agricultural value chain. This is where the action is. We have the population and abundance of resources for your investments to thrive.

“All your investment decisions are wonderful. I am particularly thrilled by your interventions especially in seed development, oil processing, fertilizer blending, and agricultural extension services, among others. I commend the efforts of your team in Nigeria in the selection of locations for the proposed Centres of Excellence,” he stated.

The Vice President urged the company to explore the abundant opportunities across the country to expand its stakes in the country’s agricultural value chain, particularly in boosting food production.

Earlier, ETG’s Global COO, Murugan, said his visit was to inform the VP of the company’s investment portfolio in Nigeria, seek high-level alignment, secure government guidance and accelerate coordination with stakeholders in the public sectors across all levels.

He announced the take-off of the company’s expanded multi-million-dollar oil processing facility in Sagamu Ogun State by the second quarter of 2026, disclosing proposed investment pipelines in fertilizer blending, seed production and integrated agro-logistics, among others.

The COO also disclosed a collaboration to establish Centres of Agro-Excellence in seven states of Kaduna, Ebonyi, Cross River, Ekiti, Jigawa, Nasarawa and Borno to serve as regional hubs for the provision of inputs, mechanisation, storage, and primary processing, among others.

On his part, Cross River State Governor, Senator Bassey Otu, expressed the state’s readiness to collaborate with the conglomerate to harness the vast agricultural potentials of the state.

He said the state government has, on its part, carried sweeping reforms aimed at not only boosting agricultural productivity, but in building a sub-national economy that serves the rest of the country and gives the state an edge in revenue generation and food production.

Governor Otu also spoke about the state government’s vision to attract investments in port facilities, particularly the Bakassi Deep Seaport and Calabar Port projects.

“We can match your vision end-to-end. We have the land, the mineral resources and the enabling environment to make it happen,” the Governor assured the company.

Also present at the event were the company’s Business Manager in Nigeria, Mr Ogu Goodluck; ETG’s Senior Business Development Manager, Mr Bharat Shinde, and the company’s CFO, Amin Ahmad.

Agribusiness Conglomerate Targets Over 6,000 Jobs With Multi-million Dollar Investments In Nigeria

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Nigerian Engineering Olympiad Launched to Strengthen Global Engineering Competitiveness

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Nigerian Engineering Olympiad Launched to Strengthen Global Engineering Competitiveness

By: Michael Mike

The Nigerian Society of Engineers (NSE) has expressed commitment to bolstering engineering education in the country through linking academia with industry sector to bring about meaningful growth in Nigeria.

Nigeria while announcing a bold step toward strengthening its global engineering competitiveness with the launch of the maiden Nigerian Engineering Olympiad (NEO), an initiative the Nigerian Society of Engineers (NSE), expressed willingness to transform university inventions into market-ready technologies capable of advancing national development.

Speaking during inauguration of the maiden Nigerian Engineering Olympiad (NEO), a national programme designed to identify, nurture, and commercialise engineering talent across tertiary institutions, the President of NSE, Margaret Oguntala, disclosed that the Olympiad aims at tackling pressing needs in infrastructure, manufacturing, energy transition, sustainability, and digital technology, as ultimate goal to produce a generation of job creating engineers, problem solvers, and globally competitive innovators.

The Nigerian Engineering Olympiad was organised by Enactus Nigeria in partnership with NSE, Nigerian Content Development and Monitoring Board (NCDMB), Renaissance Africa Energy Company (RAEC), and the First Exploration and Petroleum Development Company (FIRST E&P).

Oguntala said, “As the foremost Engineering professional body, NSE believes that the addition of new ideas is critical for professional development and community impact.

“Every great invention in history began with an idea. All the transformations humanity has seen from the steam engine, to towering skyscrapers, electricity, internet, and artificial intelligence started as ideas acted upon.

“Ideas do shape the world. The power of ideas in transforming societies cannot be overemphasised; indeed, great nations have stood on the shoulders of men and women of ideas to advance growth and development.

“Nigeria is brimming with such creative minds in our universities. In our quest to turn technological development as a nation, NEO offers dynamic platform for students to unleash innovative capacity, as collective effort to create environment where ideation can truly thrive.”

Oguntala, also Chairman-in-Council of the NSE, stressed the need for stakeholders from across government agencies, academia, industry leaders and media to prioritise NEO.

According to her, the Olympiad creates a structured pipeline—regional contests, prototype bootcamps, iterative design, product validation, intellectual property support and a national finale in April 2026—designed to take ideas from concept to commercialization.

She described the Olympiad as “a national innovation incubator” that will provide mentorship, seed funding and technical guidance to the top teams.

Oguntala also highlighted NSE’s recent $17.4 million partnership with MIDAS IT of India to supply advanced engineering design software to 15 universities, a step she said would “strengthen academic excellence and prepare young engineers for global competitiveness.”

She reiterated that the Olympiad reflects Nigeria’s determination to elevate its technological capacity and compete on a global scale.

She said: “Today, we ignite a spark that will light the way for Nigeria’s engineering future. The innovations born from this Olympiad could become the solutions that drive our industries, improve our infrastructure and uplift our communities.”

In a remark, Executive-Secretary, Nigerian Content Development and Monitoring Board (NCDMB), Omatsola Ogbe commended Olympiad for aligning with the Federal Government’s policy drive for indigenous innovation and industrial competitiveness.

Ogbe, represented by Director Capacity Building of NCDMB, Abayomi Bamidele explained ongoing capacity building programmes in petroleum engineering, robotics, digital technology, and advanced technical disciplines efforts would help to reinforce the Olympiad’s talent pipeline.

He disclosed that industry surveys showed not less than 79 per cent of engineering graduates lacked practical and hands-on competencies aligned with global standards a challenge NCDMB says must be addressed urgently.

According to him, engineering skills deficit contributed to shortage of competent local engineers, heavy reliance on expatriates, and increasing brain drain

“Nigeria has a population exceeding 237 million people, nearly half of West Africa, yet only about 5 per cent of our engineering graduates are industry ready at graduation.

“This Olympiad provides a structured pathway to identify and support young innovators who can design solutions for our national challenges,” he said.

For his part, Enactus Nigeria’s Country Director, Michael Ajayi, said that national-scale impact can only come from strong collaboration across government, private sector, and civil society.

Ajayi said: “This partnership proves that when we combine policy support, private-sector systems, and nonprofit expertise, we can deliver transformational impact not just for individuals, but for entire industries.

“Olympiad’s objectives include encouraging students to apply classroom knowledge to real-life problem-solving and enabling them to build engineering-driven businesses that generate jobs and wealth.”

He disclosed that the Olympiad was designed to run a seven-month cycle and will feature regional contests, intensive mentorship, prototype development, and a national grand finale scheduled to hold in April 2026.

First E&P’s General Manager for Integrated Gas Development, Yetunde Taiwo, said the company’s involvement stems from a commitment to innovation and talent development.

She said: “Our core values are around fostering talent, innovation and entrepreneurship. Some of the perennial challenges we see in the industry can actually be solved by these very bright young minds.”

She added that engaging students early with real industry problems could help reduce brain drain by creating clear pathways into the workforce.

Representing Renaissance Africa Energy Company, Nigerian content manager Olanrewaju Olawunyi said their support reflects a longstanding commitment to developing human capital.

“We are made in Nigeria, we’re built for Africa. We invest in people. People are our biggest resource.”

He noted that Renaissance funds STEM education from primary to tertiary levels and runs fully funded scholarships—including sending candidates from the Niger Delta overseas for postgraduate studies.

“This is not just a flash. All our programs are annual and fully funded, and we also pay students during internships.”

On behalf of the Minister of Youth Development, Technical Adviser Ebiho Agun said the Olympiad aligns fully with government priorities and the nation’s long-term workforce needs.

“It provides young minds with the opportunity to stretch their imagination, deepen technical abilities, and demonstrate excellence on a national and international stage,” he said.

He described the initiative as “a catalyst for mentorship, discovery and long-term career development,” urging participants to seize the opportunity: “You are the heartbeat of Nigeria’s future. remain steadfast in your pursuit of excellence.”

Nigerian Engineering Olympiad Launched to Strengthen Global Engineering Competitiveness

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ADC leadership tussle: Adamawa court to deliver judgment on Nov. 27

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ADC leadership tussle: Adamawa court to deliver judgment on Nov. 27

Adamawa High Court IX, fixed Nov. 27th for ruling and judgment on suit filed by Shehu Yohanna and Zubairu Ishaq challenging their removal from office as Chairman Secretary, African Democratic Congress (ADC), Adamawa chapter.

The presiding judge, Justice Benjamin Manji, announced this at the end of the hearing on Thursday in Yola.

Earlier the plaintiff complained that their four-year tenure was illegally terminated before expiration.

Kambile who challenged: Amb.Omar Suleiman, Chairman Coalition Adamawa stakeholders; Sadiq Dasin, Chairman Transition Electoral/Congress Commitee; Malam Saidu Komsiri, State Interim Chairman and his Led Executive Committee members.

Others are: Babachir Lawan, National Vice Chairman North East; Sen. David Mark, ADC National Chairman and his Led National Executive Committee Members; National Working Committee and the ADC.

Yakubu Philemon (SAN) pleaded for the Court to allow Kambile to complete their four year tenure best on what the constitution of the party says.

Dr Emem Ibrahim-Effiong, counsel defendants argued that the matter is an internal party affair which the court should not interfere with.

After hearing both sides, Justice Manji subsequently adjourned the matter to Thursday November 27, for ruling and judgment as earlier agreed by all counsels.

ADC leadership tussle: Adamawa court to deliver judgment on Nov. 27

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