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
Military
Military airstrikes eliminate scores of ISWAP terrorists in Borno operations
Military airstrikes eliminate scores of ISWAP terrorists in Borno operations
By: Zagazola Makama
Precision air interdiction missions conducted by the Nigerian Air Force component of Operation HADIN KAI have eliminated scores of ISWAP terrorists in separate coordinated strikes at Kangarwa and Ali Jilamari areas of the Northern Tumbuns in Borno State.
Military sources told Zagazola Makama that the operations were executed on April 1, following credible intelligence and confirmatory Intelligence, Surveillance and Reconnaissance (ISR) missions.
The source said the first strike was carried out at about 12:05 p.m. on ISWAP enclaves in Kangarwa, a known terrorist stronghold, after ISR conducted on March 27 confirmed mass movement of fighters within the location.
According to him, airborne surveillance identified multiple terrorists operating around and inside structures within the enclave before precision munitions were delivered in successive attack passes.
He said the targeted structures were completely destroyed, with scores terrorists neutralised in the strike, while others scampered for safety in different direction.
In a separate operation at about 4:45 p.m. the same day, the air component conducted another interdiction mission at Ali Jilamari, described as a newly established terrorist hideout in the Northern Tumbuns.
The source said the mission followed credible human intelligence and ISR confirmation, which revealed active terrorist logistics hubs and structures within the area.
He added that the air platforms engaged the targets with precision strikes, destroying identified structures and logistics hubs while eliminating additional terrorists.
The source described the operations as part of sustained air offensives aimed at degrading terrorist capabilities and denying them freedom of movement in the Lake Chad Basin.
Military airstrikes eliminate scores of ISWAP terrorists in Borno operations
News
VeryBlackDarkMan denies inciting violence in plateau, gives detailed defence of viral comments
VeryBlackDarkMan denies inciting violence in plateau, gives detailed defence of viral comments
By: Zagazola Makama
Popular social media personality, Martins Vincent Otse, also known as VeryBlackDarkMan, has issued a detailed response to allegations that he incited violence during the recent unrest in Plateau, insisting that his remarks were taken out of context and misrepresented.
The controversy followed a viral video in which Otse, reacting to the March 29 attack in Angwan Rukuba, made statements that critics interpreted as a call to violence.
Otse urged residents not to rely on government intervention, saying: “If you keep quiet and wait for the government… it won’t be the first time, it won’t be the second time… when does this stop? You promise us security, but nobody is secure!”
The content creator also appeared to call for a shift from passive reactions to active confrontation, stating: “No be only Boko Haram sabi kill, no be only bandit sabi kill. All of us fit kill… all of us na Killers, until you ready. No ever to say you no get the mind. You fit kill person. You can kill people. And for these people oh my God.
He added: “Please protect yourselves and don’t wait for the government.”
He further called on the “To the people of Rukuba Enough is Enough, Enough is Enough. Anybody wey you see wey cross your part, KILL AM
However, few hour’s after his emotional outbursts violence quickly began to spread in the Northern part of Plateau. The same night, some youths of Rukuba went on rampage and began targeted killings especially in the Muslim communities.
The remarks triggered widespread backlash, with some commentators accusing him of encouraging reprisals and fuelling religious tension.
However, in a follow-up video, Otse strongly refuted the allegations, maintaining that he never called for violence against any religious group. “Where did I ever say Christians should kill Muslims? When? Show me where I said that,” he said, visibly angered by the accusations.
Providing context to his earlier comments, Otse explained that his reaction was shaped by the traumatic experience of witnessing the aftermath of the killings in Jos.
“I was standing in the middle of dead bodies. Pregnant women, fathers, mothers, children… over 20 people lying there. This is not the first time I have seen something like that. What do you expect me to say in that moment?” he said.
According to him, his statements were an emotional outburst driven by frustration over repeated violence and what he described as inadequate response by authorities.
“The government is not doing anything. People are being killed again and again. So what do you want me to say?” he asked.
Otse clarified that his intention was to urge communities to be vigilant and protect themselves, not to attack others.
“I only said people should protect themselves. I said if you see suspicious movement, defend yourself. That is not the same as telling people to kill others,” he said.
He argued that his words were deliberately twisted to create a false narrative portraying him as promoting religious violence.
“This narrative that VeryDarkMan told Christians to kill Muslims is false. Completely false. People are taking my words out of context and trying to push an agenda,” he said.
The influencer also rejected attempts to frame him as biased against Muslims, noting that he has consistently spoken about violence affecting all Nigerians regardless of religion.
“You can’t say it is only Christians that are dying. Muslims are dying too. People are dying everywhere in this country,” he said.
He cited past incidents in the North-East, including attacks in Borno, to support his argument that insecurity cuts across religious and regional lines.
“Where were these people when bombs exploded in Borno? Monday Market, Post Office junction… people died. Did they speak then?” he queried.
Otse said he had personally visited affected areas, including Borno, to raise awareness and support victims, adding that his advocacy has never been selective.
“I have gone to Borno. I have gone to places where disasters happened, even floods. I have used my platform to raise awareness and help people. This is not about religion for me,” he said.
He further criticised what he described as selective outrage by some social media users and commentators.
“Some people are now acting like they care more about Muslims or Christians, but where were they when others were suffering? Show me what you have done,” he said.
Addressing the broader issue, Otse warned against the growing trend of framing security challenges along religious lines, stressing that such narratives are dangerous.
“Say no to religious war. This is not about Christianity or Islam. This is about Nigerians being killed,” he said.
He emphasised that he does not align himself with any religious divide, insisting that his position has always been neutral.
“I am not speaking for Christians or Muslims. I am speaking for people. I don’t care about religion when it comes to human lives,” he added.
Otse also highlighted what he described as a lack of awareness about the scale of violence in northern Nigeria, attributing it partly to limited social media visibility.
“A lot of people don’t even know what is happening in the North. They don’t see it, so they think it is one-sided. But the reality is different,” he said.
He urged Nigerians to avoid generalisations and stereotyping, warning that such tendencies contribute to division and misunderstanding.
The influencer reiterated his call for unity and collective action against insecurity, rather than blame and division.
“We need peace in Jos. We need peace everywhere. People should stop pushing narratives that will divide us further,” he said.
The incident illustrated the powerful role of social media in shaping public discourse during crises, as well as the risks associated with emotionally charged messaging.
While Otse’s initial comments reflected widespread frustration, the backlash point to the need for caution and clarity in public communication, especially in fragile security environments.
VeryBlackDarkMan denies inciting violence in plateau, gives detailed defence of viral comments
News
Troops neutralise eight terrorists in failed ambush operation in Borno
Troops neutralise eight terrorists in failed ambush operation in Borno
By: Zagazola Makama
Troops of 21 Special Armoured Brigade (21 SAB), in collaboration with Civilian Joint Task Force (CJTF) and hybrid forces, have neutralised eight suspected terrorists during an ambush operation in Bama Local Government Area of Borno.
A military source told Zagazola Makama that the operation was carried out at about 2:06 a.m. on April 1 around the Gadangari axis, behind Government Girls Secondary School (GGSS), Bama.
The source said the troops conducted a planned ambush targeting suspected Boko Haram terrorists and their logistics collaborators operating around the area.
“While lying in wait, the troops intercepted terrorists’ collaborators and logistics suppliers moving towards Yale axis,” the source said.
He added that the troops engaged the targets in a brief exchange of fire, resulting in the neutralisation of eight terrorists, while others escaped with possible gunshot wounds.
The source further noted that follow-up operations were ongoing to track fleeing elements and dismantle their logistics networks in the area.
He assured that the situation remained under control, with troops maintaining aggressive posture in the general area.
Troops neutralise eight terrorists in failed ambush operation in Borno
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