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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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ECOWAS Unveils Comprehensive Digital Ecosystem for Gender Development at Regional Workshop in Senegal

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ECOWAS Unveils Comprehensive Digital Ecosystem for Gender Development at Regional Workshop in Senegal

By: Michael Mike

The Economic Community of West African States (ECOWAS) has launched a new Digital Ecosystem for the ECOWAS Centre for Gender Development (CCDG), marking a major step toward improving regional data management and collaboration on gender equality.

The unveiling took place during a five-day regional capacity-building workshop holding from 24 to 28 November 2025 in Saly, Senegal.

The workshop, convened under the supervision of the ECOWAS Commissioner for Human Development and Social Affairs, brought together gender experts, national focal points, technical staff of the ECOWAS Commission, and representatives of partner organisations.

The newly launched CCDG Digital Ecosystem comprises five interconnected platforms: the CCDG website, the ECOWAS Gender Equality Observatory (ECOGO), a virtual workspace, an artificial-intelligence–powered support system and the CCDG web security command centre.

According to officials, the digital system is designed to simplify real-time data collection, improve reporting consistency across Member States, and strengthen joint action on gender initiatives throughout the region.

By the end of the workshop, the Digital Ecosystem is expected to become fully institutionalised, enabling ECOWAS Member States and the Commission to use the platforms for more accurate monitoring, evidence-based policymaking, and more effective coordination of gender-related programmes.

Participants included CCDG Gender Focal Points from all ECOWAS Member States, personnel from ECOWAS institutions and agencies, national teams of the “50 Million African Women Speak” initiative, members of the Community of Practice on Gender and Climate Change, civil society organisations, development partners, and media representatives.

Facilitators emphasised that the launch is not only a technological advancement but also a strategic investment in strengthening gender governance across West Africa.

The Economic Community of West African States was established in 1975 with the signing of the Treaty of Lagos by 15 West African Heads of State and Government, with the goal of promoting economic integration and cooperation across the region. Cabo Verde joined in 1977, while Mauritania—initially a founding member—withdrew in 2000 and later signed an associate membership agreement in 2017.
On 29 January 2025, Burkina Faso, Mali and Niger formally exited the bloc.

Current ECOWAS Member States include: Benin, Cabo Verde, Côte d’Ivoire, The Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Nigeria, Sierra Leone, Senegal, and Togo.

Recognised as one of the building blocks of the African Economic Community, ECOWAS aims to promote collective self-sufficiency, strengthen trade integration, and eliminate barriers to regional unity. Its work spans multiple sectors including industry, transport, telecommunications, agriculture, energy, natural resources, finance, and social development.

The ECOWAS Secretariat was restructured into a Commission in 2007, headed by a President and supported by a Vice President, Commissioners, and an Auditor-General. The organisation’s budget is sustained largely through the Community Levy—a 0.5% charge on imports from non-ECOWAS countries.

Ongoing reforms and programmes are geared toward achieving ECOWAS’ long-term transformation agenda: transitioning from an “ECOWAS of States” to an “ECOWAS of the People: Peace and Prosperity for All” by 2050.
End

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New scandal rocks Yobe NSCDC as herder alleges multi-million naira extortion by Agro Rangers Commander

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New scandal rocks Yobe NSCDC as herder alleges multi-million naira extortion by Agro Rangers Commander

By: Zagazola Makama

A fresh storm is sweeping through the Yobe State Command of the Nigeria Security and Civil Defence Corps (NSCDC), following explosive allegations by a livestock owner who says senior Agro Ranger officers unlawfully detained, extorted, and converted his animals for personal use.

The victim, Alhaji Ardo Dan Karami, a respected pastoralist from Kumari Village in Damaturu LGA, is accusing Assistant Commandant Ahmed Isa Michika, head of the NSCDC Agro Rangers Unit in Yobe, and his team of perpetrating what he describes as “daylight robbery under the cover of uniform”.

This latest scandal comes barely months after the NSCDC Command in Yobe was mired in a major corruption case involving the escort of vandalised and stolen railway materials, a development that led to the removal of the then State Commandant.

According to a petition filed by Dan Karami through his lawyer, the ordeal began on Oct. 18, 2025, when Agro Rangers personnel stormed his home in his absence and arrested 340 cows and 18 sheep, accusing them of destroying a farm. The animals were transported to Damaturu, but what followed, according to the victim, “was nothing short of criminality”.

The officers allegedly slaughtered one of the sheep claiming it had a fracture but refused to hand over the carcass to its owner. Even more troubling, three cows were reportedly loaded into their official Hilux vehicle, never to be seen again.

Later, one of the missing cows, which was heavily pregnant at the time of arrest, was discovered to have delivered and died in custody at the Damaturu Pilgrims Camp under the NSCDC’s watch. The remaining two cows are still missing. The petition states that before the officers agreed to even “open the case”, they demanded ₦250,000 from the victim.

After admitting to holding the livestock, the officers then compelled the herdsman to pay ₦2,000,000 as “compensation” for alleged farm damage, despite no court process, no assessment, and no verification of the claim.

But the extortion allegedly did not end there.
The officers reportedly charged ₦3,000 per cow as “bail money” for 300 cows, amounting to close to another ₦900,000. In essence, the victim was allegedly forced to pay: 250,000 “case opening fee”,2,000,000 “compensation” and 900,000 “bail fees” for the cows, bringing total alleged extortion to ₦3,150,000.

After these payments, only 340 cows and two sheep were released. However, 15 sheep, one ram, one slaughtered sheep, and two cows remain unaccounted for, animals the victim values at ₦6.25 million.

When senior authorities from Yobe Sate Government confronted Assistant Commandant Michika and his deputy over the matter, they were forced to refund ₦900,000.
But rather than admit the full amount collected, they allegedly claimed they took only ₦800,000, and said they had already spent ₦50,000 from it. Despite being caught in this contradiction, no known disciplinary action has yet been taken.

This is not the first time that the NSCDC Yobe Command has found itself entangled in accusations of corruption and criminal collusion.
On July 8, 2025, troops of Operation Hadin Kai intercepted a truck loaded with vandalised railway iron sleepers along with a shiny NSCDC-marked Hilux van escorting the stolen materials. Inside the vehicle were five NSCDC officers, They were escorting the loot.

A total of ₦128,500 in bribe money was found stuffed inside the inner clothing of one of the officers. The scandal was so damning that it triggered the removal of the State Commandant.

In community pushed to the brink and region still plagued by insecurity, such actions by security personnel could worsen tensions.

Beyond the financial loss and personal trauma, the victim’s lawyer warns that the actions of the NSCDC officers carry serious security implications for Yobe State and the entire North-East.

In the petition, the counsel stressed that incidents of extortion, illegal seizure of livestock, and abuse of pastoral communities are not isolated misdemeanours — they are triggers of insecurity.

“Acts of injustice like this, if not swiftly addressed, are capable of escalating into full-blown security crises,” the petition warned.

The lawyer cited examples from Zamfara, Katsina, Sokoto, and parts of Niger and Kaduna States, where years of unchecked harassment, extortion, illegal arrests, and exploitation of Fulani pastoralists by certain security operatives and local vigilantes eventually contributed to the rise of banditry.

New scandal rocks Yobe NSCDC as herder alleges multi-million naira extortion by Agro Rangers Commander

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Troops repel ISWAP attack near Kareto, recover rifles

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Troops repel ISWAP attack near Kareto, recover rifles

By: Zagazola Makama

Troops of the Nigerian Army, Operation HADIN KAI have repelled an attempted ambush by ISWAP fighters near Wakilti village, close to Kareto in Borno State, recovering two motorcycles and an AK-47 rifle from the fleeing terrorists.

Zagazola Makama learnt from reliable sources that the encounter occurred on Monday at about 1:30 p.m., when troops of 145 Battalion (Main) on Main Supply Route (MSR) patrol and piquetting duties, operating in conjunction with Keystone operatives and members of the Civilian Joint Task Force (CJTF), made contact with the insurgents around Wakilti.

The sources said that the troops engaged the terrorists in a heavy firefight, forcing them to retreat in disarray after coming under superior firepower.

According to the source, the soldiers pursued the fleeing fighters but made no further contact.

“During exploitation of the scene, troops recovered two motorcycles, one AK-47 rifle fitted with a magazine. The enemy casualty figure is still unconfirmed,” the source said.

A reinforcement team from Operation HADIN KAI later linked up with the patrol team and dominated the route to prevent further infiltration.

The source said that there was no casualty recorded on the side of the troops.

The sources further added that the Army has intensified Operation Desert Sanity IV under Operation Hadin Kai, with increased surveillance and patrols aimed at denying terrorists freedom of movement around critical routes and communities.

Troops repel ISWAP attack near Kareto, recover rifles

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