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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
Plateau steps back from the brink as Nigerian Armed Forces coordinated response halts escalation
Plateau steps back from the brink as Nigerian Armed Forces coordinated response halts escalation
By: Zagazola Makama
After days of tension, anxiety and painful losses, a cautious calm is returning to parts of Plateau State after a narrowly averted escalation.
The hostilities which recently escalated along the Barkin Ladi-Riyom–Jos corridor have significantly reduced in the past few days, averting what many feared could spiral into a broader ethno-religious crisis.
Multiple sources attribute the de-escalation to proactive and coordinated interventions of the Federal Government, which directed its armed forces, alongside the Nigeria Police Force and the Department of State Services (DSS), to ensure that the situation was brought under control.
The synergy prevented Plateau from tipping into a full-blown crisis with possible regional contagion across other Northern states.
For decades, this axis has carried the weight of unresolved grievances land-use disputes, indigene-settler narratives, youth unemployment, and political rivalry. Each new killing risks reopening old wounds, and each reprisal threatens to widen the circle of suspicion.
The recent flare-ups, however, occurred within Plateau State, particularly in Barkin Ladi and Riyom, with anxiety spilling toward Jos North and Jos South. Yet, in the past few days, the feared urban ignition has not materialized.
Security presence has been reinforced along flashpoints, while high-level engagements with all warring communities have reportedly led to a cooling of ultimatums and counter-ultimatums that had earlier hardened positions.
Political, community and religious leaders in Jos, as well as elder statesmen in other parts of the country, have intensified peace engagements, urging restraint and rejecting inflammatory rhetoric capable of transforming localized disputes into full-scale ethno-religious confrontation.
Yet what unfolded in recent weeks does not fit the legal or factual threshold of genocide. Rather, it followed a tragic but familiar retaliatory pattern one group attacks, the other responds, and the cycle deepens unless decisively interrupted.
This time, it was interrupted. Security deployments were reinforced. Intelligence coordination improved. Youth leaders were engaged. Religious figures amplified calls for restraint. Political actors, mindful of the state’s fragile equilibrium, moved to cool tempers rather than inflame them, while those who inflamed the situation were cautioned.
But beyond the immediate violence, another battle was playing out the battle of narratives.
Nigeria remains vulnerable to destabilization efforts by internal conflict entrepreneurs and, potentially, external actors who exploit local grievances for strategic advantage, just as what is currently playing out in Plateau and Benue. External security elements, sometimes operating under the guise of NGOs, are also fueling resentment and making inflammatory statements that could further ignite chaos in the country.
It has been noted that these elements make exaggerated claims, use inflammatory framing, and deploy emotionally charged labels that covertly transform localized disputes into perceived existential wars.
A recurring theme among peace advocates is the danger of waiting for external rescue or framing domestic challenges as externally solvable crises. Nigerian politicians have also failed to fully discharge their responsibilities by investigating the crises and implementing concrete policies and programs that would further prevent recurrence.
Top government officials often hesitate to speak against prevailing narratives. We even saw that those who opposed certain framings, like Rabiu Kwankwaso, were tagged as supporters of the persecution of Christians.
The Nigerian media has largely refused to give the Plateau crisis balanced and sustained attention. Coverage has often focused in one direction, hardly depicting the perspectives of both sides of the conflict. Few media outlets have carried out fact-based, thorough research to unravel the real causes of the crisis in Plateau with a view to fostering peace and development in the state.
History offers sobering lessons. The insurgency of Boko Haram or the IPOB Biafra agitation began with local grievances that metastasized into protracted conflicts, partly sustained by narratives of persecution and apocalyptic struggle. Bandit networks similarly capitalized on identity-based fear, at times spreading claims of collective extinction to recruit and radicalize Fulani youths into their violent campaigns.
In parts of the Sahel, groups such as Jama’at Nasr al-Islam wal Muslimin (JNIM) have demonstrated how porous borders and grievance politics can intersect, expanding insecurity beyond its point of origin. This is what is already playing out — Nigerian bandits inviting other terrorist groups from Mali, Niger and Burkina Faso to operate in Nigeria’s Kwara, Niger, Sokoto and Kebbi corridors.
Today, Plateau was at risk of becoming an ignition point of a wider Nigerian Muslim–Christian crisis, a “soft ground” where localized clashes could be amplified into national rupture. Had urban centers been drawn in, especially after the killing of five Plateau North indigenes, the ripple effects might have extended far beyond the state’s borders.
Some will tell you that Christians are being targeted by jihadists with the aim of eliminating every Christian household in Nigeria. But how could that narrative stand when a significant percentage of households in Northern Nigeria are bound by intermarriages between Muslims and Christians? There are families where Muslims and pastors coexist within the same lineage.
Those who lived through the Boko Haram conflict know that such sweeping narratives were deeply misleading. Yet religion remains the easiest weapon for those who seek chaos.
Therefore, the suggestion that any side faces inevitable annihilation is both historically inaccurate and operationally dangerous. Such framing fuels fear, and fear fuels mobilization. Both Fulani communities and local groups in Plateau have, at different times, amplified such narratives.
Nigeria’s problems are largely local in origin. And sustainable solutions must be local. Government must take ownership of the entire situation. Outsiders do not carry our wounds, and they cannot heal them for us. History shows that external actors often pursue their own interests, not necessarily the interests of the affected country.
The darker scenario one in which reprisals escalate, youth radicalize, security forces are perceived as partisan, and politicians exploit division is not hypothetical. It is a pattern Nigeria has seen before. What prevented that pattern from fully unfolding in Plateau was early containment.
Troops of Operation Safe Haven maintained forward presence in flashpoints. Police units increased patrols. DSS monitoring curtailed incendiary mobilization. Traditional rulers convened urgent meetings. Interfaith leaders urged restraint from pulpits and podiums.
Collectively, these actions slowed the spiral.
However, calm does not mean closure. The structural drivers land administration ambiguities, grazing corridor disputes, unemployment, and political instrumentalization of identity. remain unresolved. Without deliberate reform, cycles can re-emerge.
Rejecting violence therefore requires rejecting simplistic narratives. There is no moral victory in framing complex disputes as civilizational wars. There is no strategic gain in exaggerating communal fear. And there is no national future in allowing grievance merchants to profit from division whether they are pastors, imams, community leaders or youth leaders.
Nigeria’s common enemies are those who weaponize difference for power insurgent groups, bandit networks, militias, separatist agitators, or self-serving politicians.
For now, Plateau has stepped back from the brink. The question that remains is whether Nigeria, as a whole, will use this moment not merely to breathe, but to reflect, reform and recommit to coexistence.
Because in the end, no external power will determine Nigeria’s stability.
Plateau steps back from the brink as Nigerian Armed Forces coordinated response halts escalation
News
Lafarge Africa records 53% revenue increase, hits ₦1.1trn in 2025
Lafarge Africa records 53% revenue increase, hits ₦1.1trn in 2025
By Laraba Usman
Lafarge Africa Plc recorded a revenue milestone of ₦1.1 trillion for the 2025 financial year, representing a 53 per cent increase from ₦696.8 billion posted in 2024.
Profit Before Tax surged by 170 per cent to ₦411 billion, reflecting strong operational performance and improved cost management.
Profit After Tax rose by 173 per cent to N273 billion, up from N100.1 billion in the previous year. Operating profit also climbed from N193 billion to N392 billion.
The growth was driven by strong volume expansion, enhanced plant stability, disciplined cost optimisation, and improved distribution efficiency. Earnings per share increased from N6.22 to N17.
Chief Executive Officer Lolu Alade-Akinyemi described the performance as a historic turning point, attributing the results to disciplined execution and the company’s four-point strategy focused on operational excellence and value creation.
He expressed optimism about 2026, citing collaboration with Huaxin Cement Co., Ltd. and ongoing expansion projects at the Ashaka and Sagamu plants, which will raise total production capacity to 14 million metric tonnes per annum.
The company said it remains focused on improving capacity utilisation, embedding sustainability across operations, maintaining cost discipline, and delivering long-term shareholder value.
Lafarge Africa records 53% revenue increase, hits ₦1.1trn in 2025
News
54 Borno Students Arrives Isaac Balami University as Government Justifies Investment
54 Borno Students Arrives Isaac Balami University as Government Justifies Investment
By: Our Reporter
The 54 Borno indigenes who were sponsored by the state government to pursue aerospace and related engineering courses have arrived at Isaac Balami University of Aeronautics and Management in Lagos.
Before they departed from Maiduguri, the Commissioner for Education, Science, Technology, and Innovation, Engr. conducted a farewell ceremony. According to Lawan Abba Wakilbe, the beneficiaries were selected through a competitive process that involved more than 1,200 applicants.

He announced that the Borno State government would provide scholarships worth about $30,000 per year to the 54 beneficiaries, covering tuition, accommodation, transportation, food, and other necessary costs.
Justifying the decision of the state government, Engr. Wakilbe said the choice of Isaac Balami University was strategic, cost-effective, and supportive of local capacity development.


According to him, “the university charges about $30,000 per student annually, covering tuition, accommodation, feeding, training, and stipends. While Aviation schools in the Philippines charge about $34,000 annually without accommodation, and institutions in the there States and the United Kingdom, where fees range between $120,000 and £90,000, excluding living costs,” Wakilbe stated.
The Commissioner for Education noted that the founder of the Institution, Isaac Balami, is an indigene of Borno State whose success in establishing Nigeria’s first private aeronautic university is a source of pride.
“If one of our own has built a specialised aviation university, it is only right that we patronize him first, noting that investing in local institutions keeps resources within the country.
“Isaac Balami, as an example, recalls how a scholarship enabled him to pursue aviation training and eventually establish a private aeronautic university. “We expect you to return as 54 Isaac Balamis,” he charged.

Addressing the students at IBUAM Lagos, the Executive Secretary of the Borno State Scholarship Board, Dr. Bala Isa, urged the beneficiaries to justify the expenditure made by Governor Zulum’s administration through discipline, excellence, and commitment.
“Some people are complaining about the cost of this training and other major projects,” he said. “But when you complete this programme successfully and begin to contribute meaningfully to society, those same critics will appreciate the vision behind it,” Isa remarked.

He reminded them that they were selected to pursue academic and professional excellence, not to engage in misconduct.
“You are here to learn, not to play. Put in your best efforts. This profession demands seriousness, focus, and responsibility. Lives will one day depend on your competence,” he cautioned.
On discipline, the Executive Secretary issued a stern warning, revealing that scholarships have previously been withdrawn from beneficiaries who failed to uphold acceptable standards of conduct.

“We have withdrawn scholarships before due to indiscipline. Even abroad, including in India, a student was sent back home for misconduct. We will not hesitate to take similar action if necessary,” he stated.
Founder of the University, Dr. Isaac Balami, urged the students to take their studies seriously and make the most of what has been described as a rare and highly privileged opportunity.

He reminded the students that the government is making significant financial investments in their training and expects measurable results in return. He cautioned that only those who demonstrate competence, discipline, and commitment will thrive in the programme.
“Aviation is about safety first, safety second, safety third. There is no room for carelessness. There is no participation in the air, underscoring the high level of responsibility required in the profession,” Balami stressed.

Dr. Isaac Balami said qualified professors, instructors, and technical personnel are on the ground to provide guidance and ensure their success.
54 Borno Students Arrives Isaac Balami University as Government Justifies Investment
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