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
Operation Hadin Kai debunks Fake news on ISWAP enclave in Tuba, Jere in Borno
Operation Hadin Kai debunks Fake news on ISWAP enclave in Tuba, Jere in Borno
By: Zagazola Makama
Reports circulating online claiming that Boko Haram and ISWAP insurgents have established a new enclave in Tuba, Jere Local Government Area, have been strongly condemned by military sources in Operation HADIN KAI, describing the claims as false, misleading, and deliberately designed to spread fear.

According to the sources, recent operations conducted by troops of 212 Battalion, Operation HADIN KAI, across Tuba and surrounding areas including Dusuman, Jabarmari, Gongulong, Ngom, and along the Maiduguri-Monguno and Maiduguri-Mafa highways, found no evidence of any terrorist enclave, concentration, or movement as claimed in the reports.
The military sources expressed outrage over the circulation of such unverified stories, noting that some media platforms appear to be serving interests contrary to national security and public safety. “These claims are false, sensational, and do not reflect the reality on the ground,” the sources said.
They pointed to previous instances of deliberate exaggeration, where some outlets reported that 40 or even 100 soldiers were killed during attacks in Konduga figures that were never corroborated by even the insurgents themselves. Another example cited involved reports claiming Boko Haram had taken over Ngoshe, only for videos of troops firmly securing the area to emerge, exposing the lies. Despite this, some media still went ahead to report that Army has recaptured Ngoshe without providing further details of how the Operation tool place.

“Who are these media outlets serving?” the military sources demanded. “Are they advancing national or public interest, or are they actively trying to support the terrorists to disintegrate the country through fake narratives?”
While acknowledging operational challenges in the theatre, the military sources emphasized that troops continue to maintain operational dominance, safeguard residents, and protect highways and strategic installations across the North East region.
In other countries, citizens rally around their military to support them in countering violent extremism. Hardly will you find active citizens working as though they are tool of terrorists propaganda. They warned that unverified reports undermine troop morale, endanger civilians, and distort public perception of ongoing security efforts in the country.
Journalists and media platforms were urged to exercise professionalism, verify facts before publication, and avoid being used as instruments of destabilisation. Residents were advised to rely only on credible sources and report suspicious activities to security agencies.
The military remains committed to defeating terrorism, ensuring stability in Borno State and the broader North-East, and will not be distracted or demoralized by falsehoods masquerading as news.
Operation Hadin Kai debunks Fake news on ISWAP enclave in Tuba, Jere in Borno
News
Fresh tension in ISWAP camps as top commander Modu Kunduli neutralised by troops in Borno
Fresh tension in ISWAP camps as top commander Modu Kunduli neutralised by troops in Borno
By: Zagazola Makama
Fresh tension and anxiety have gripped Islamic State West Africa Province (ISWAP) camps following the neutralisation of one of its top commanders, Modu Kunduli, by troops of Operation HADIN KAI during a failed assault on the Army Forward Operation Base in Mayanti village, Bama Local Government Area of Borno State.
Sources say the late commander met his end during a last week’s failed mission targeting the Army Forward Operation Base at Mayanti village. His death is expected to create a significant leadership vacuum within ISWAP, particularly in Sambisa Forest, given his mastery of local terrain and fluency in Fulfulde, Kanuri, and Marghi.
Zagazola report that Kunduli, a high-profile ISWAP commander, had been orchestrating attacks across Borno and Adamawa states for the past ten years, dating back to the era of Boko Haram founder Abubakar Shekau. He joined ISWAP shortly after the death of Shekau in 2021z
He was notorious for terrorising communities in Askira Uba Local Government Area, including Lassa, Multaku, Uvu, Wamdeo, and Ruimirgo villages. Reports also indicate his involvement in attacks on Vita, Yamtage, Izge, Pulka, Warabe, Limankara, and Ubawa villages in Gwoza Local Government Area.
Beyond Borno, Kunduli held operational control over Galta, a border community linking Adamawa and Borno states, overseeing large swathes of territory in Madagali and Michika Local Government Areas of Adamawa. His deep knowledge of the Sambisa Forest terrain, coupled with his leadership capabilities, earned him the command of several ISWAP branches across the region.
Zagazola note that Kunduli’s elimination represents a major blow to ISWAP’s operational capabilities in the north-east, disrupting the group’s command structure and its ability to coordinate attacks across Borno and Adamawa states.
Troops of Operation HADIN KAI continue to exploit the area and maintain aggressive patrols to prevent remaining insurgents from regrouping.
Military sources have assured residents that the offensive will continue until the remnants of the terrorist group are decisively neutralised.
Fresh tension in ISWAP camps as top commander Modu Kunduli neutralised by troops in Borno
News
Lake Chad Basin Commission appoints Amb. Ibrahim Babani as Executive Secretary
Lake Chad Basin Commission appoints Amb. Ibrahim Babani as Executive Secretary
By: Zagazola Makama
The designation of Amb. Ibrahim Babani as the new Executive Secretary of the Lake Chad Basin Commission (LCBC) has sparked fresh expectations for stronger regional cooperation, environmental recovery and security stabilisation across the Lake Chad region.
Babani’s appointment was announced at the 71st Ordinary Session of the Council of Ministers of the LCBC, held on March 6, 2026, in N’Djamena, Chad, where ministers and commissioners from member states deliberated on strategies to address the region’s pressing challenges.
The meeting, chaired by Mr Passale Kanabe Marcelin, Chad’s Minister of Water and Energy Resources and current Chairman of the LCBC Council of Ministers, brought together representatives of the commission’s member states, including Nigeria, Niger, Cameroon, Chad and the Central African Republic.
Nigeria was represented by Prof. Joseph Terlumun Utsev, Minister of Water Resources and Sanitation and First Commissioner of Nigeria to the LCBC, alongside Mrs Bianca Ojukwu, Minister of State for Foreign Affairs and Second Commissioner.
The Lake Chad Basin Commission remains one of Africa’s most important regional bodies, responsible for coordinating water resource management, environmental restoration and socio-economic development among countries sharing the Lake Chad Basin.
The basin supports more than 40 million people across the five member states, whose livelihoods depend largely on fishing, farming and pastoral activities linked to the shrinking lake.
Over the past decades, however, the region has faced severe environmental degradation, climate change impacts and the devastating effects of the ISWAP/Boko Haram insurgency, which has displaced millions and disrupted economic activities. These complex challenges have made the role of the LCBC increasingly strategic in driving recovery, stabilisation and resilience across the basin.
Stakeholders believe Babani’s emergence as Executive Secretary comes at a critical time when the commission is intensifying efforts to implement several large-scale regional programmes.
These include the Regional Strategy for Stabilisation, Recovery and Resilience (RS-SRR) for areas affected by Boko Haram violence, as well as projects aimed at ecological restoration and socio-economic reintegration of vulnerable populations.
During the meeting, commissioners reviewed progress in implementing the strategy and emphasised the need to accelerate key initiatives, including the development of a regional transitional justice policy and improved coordination of stabilisation interventions.
They also recommended the organisation of the sixth edition of the Governors’ Forum in Niger, alongside meetings of traditional rulers and civil society organisations to strengthen community-based recovery efforts.
Prior to his appointment, the incoming Executive Secretary of the LCBC, Amb. Ibrahim Babani, served as Director of External Affairs (DEA) at the Office of the National Security Adviser (ONSA) and also doubles as Head of Mission (HoM) of the Multinational Joint Task Force (MNJTF), bringing extensive security and diplomatic experience to his new role.
Babani’s leadership will therefore be critical in coordinating these initiatives and ensuring that they translate into tangible benefits for affected communities. Another priority expected to dominate Babani’s tenure is the restoration of the Lake Chad ecosystem, which has shrunk drastically over the past half century due to climate change, drought and unsustainable water use.
At the session, commissioners reviewed progress on the Inter-Basin Water Transfer Project, a major initiative designed to replenish the lake by transferring water from other basins.
The Council of Ministers commended the LCBC Executive Secretariat for successfully mobilising funding from the African Development Bank for the project and urged faster implementation of technical support programmes aimed at restoring the lake’s ecological and economic functions. Environmental experts believe that restoring the lake is crucial for reducing poverty, preventing conflicts over natural resources and addressing some of the root causes of insecurity in the region.
The Ministers also reviewed progress on the Lake Chad Region Recovery and Development Project (PROLAC) and encouraged continued engagement with the World Bank to secure financing for a second phase of the initiative.
Similarly, they called for further advocacy with the African Development Bank to support the second phase of the Project to Support the Socio-Economic Reintegration of Vulnerable Groups in the Lake Chad Basin (PARSEBALT).
Both initiatives focus on rebuilding infrastructure, supporting livelihoods and reintegrating vulnerable groups affected by years of insurgency and displacement. These programmes complement military efforts against extremist groups by addressing the social and economic conditions that fuel instability.
Despite its strategic importance, the LCBC continues to face financial constraints that could hamper implementation of its programmes.
During the session, commissioners raised concerns about the accumulation of unpaid contributions by member states and urged governments to settle their arrears and ensure regular payment of statutory dues.
They also mandated the chairman of the Council of Ministers to escalate the issue to the highest political authorities within member states to guarantee sustainable funding for the commission’s activities.
The council approved the commission’s 2026 Annual Work Plan and Budget, estimated at 15.13 billion CFA francs, with over 12.63 billion CFA francs allocated to development programmes and 2.50 billion CFA francs for operational costs.
The meeting also adopted key annexes to the Lake Chad Basin Water Charter, including frameworks governing the management of water infrastructure and procedures for notification of planned measures affecting shared water resources.
Commissioners further endorsed a Five-Year Investment Plan and directed the Executive Secretariat to organise a donors’ roundtable to mobilise international support.
Babani’s leadership comes at a time when the Lake Chad region is at a crossroads. While military operations have significantly weakened insurgent groups in recent years, millions of people still face humanitarian challenges, environmental degradation and fragile livelihoods.
The effectiveness of the LCBC in coordinating development, environmental restoration and stabilisation initiatives could determine whether the region moves toward lasting peace and prosperity.
The Council of Ministers concluded the meeting by expressing appreciation to development partners for their continued support and announcing that the next budgetary session will be held in Bangui, Central African Republic.
For many stakeholders in the Lake Chad Basin, the appointment of Babani represents not only a change in leadership but also a renewed opportunity to accelerate recovery, strengthen regional cooperation and secure the future of one of Africa’s most vital ecosystems.
Zagazola is a Counter Insurgency Expert and Security Analyst in the Lake Chad regional
Lake Chad Basin Commission appoints Amb. Ibrahim Babani as Executive Secretary
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