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
Marwa Charges Nigerian Youths on Skills Acquisition, Warns Against Drug Abuse
Marwa Charges Nigerian Youths on Skills Acquisition, Warns Against Drug Abuse
By: Michael Mike
The Chairman and Chief Executive Officer of the National Drug Law Enforcement Agency (NDLEA), Brig. Gen. Buba Marwa (retd) has urged Nigerian youths to prioritise skills acquisition and empowerment opportunities as a strategic defence against drug abuse, unemployment and other social vices threatening national stability.
Marwa gave the charge in Abuja on Thursday while speaking as Special Guest of Honour at the launch of a youth empowerment and skills acquisition programme organised by Grassroots Bridge Builders, a non-governmental organisation.
He described the initiative as a critical intervention that supports the Federal Government’s Renewed Hope Agenda, particularly its focus on youth empowerment, job creation, social inclusion and crime prevention. According to him, equipping young Nigerians with practical and employable skills is a sustainable approach to addressing poverty, drug dependency and insecurity.
The NDLEA boss commended Grassroots Bridge Builders for its plan to train and empower 10,000 youths, noting that such efforts go beyond charity to serve as long-term investments in national development. He stressed that empowering young people strengthens their resilience, builds character and reduces their vulnerability to drug abuse and criminal activities.
Marwa emphasised that the fight against drug abuse cannot be left to government alone, calling for stronger collaboration among non-governmental organisations, civil society groups, faith-based institutions, community leaders and the private sector. He encouraged stakeholders to partner with the NDLEA in developing community-driven programmes that provide young people with skills, dignity and a sense of purpose.
Addressing the beneficiaries, Marwa described Nigerian youths as a vital asset to the country’s future rather than a burden to be managed. He urged them to take advantage of empowerment initiatives, reject drug use and invest in their talents to contribute meaningfully to national growth.
He reaffirmed NDLEA’s commitment to supporting credible, non-partisan initiatives that promote youth development, skills acquisition and drug-free communities, describing youth empowerment as the most sustainable pathway to securing Nigeria’s future.
Marwa Charges Nigerian Youths on Skills Acquisition, Warns Against Drug Abuse
News
NSCDC Boss Charges Personnel on Professionalism, Integrityin VIP Protection
NSCDC Boss Charges Personnel on Professionalism, Integrityin VIP Protection
By: Michael Mike
The Commandant General (CG) of the Nigeria Security and Civil Defence Corps (NSCDC), Prof. Ahmed Audi has issued a stern mandate to officers to uphold the highest standards of professionalism, integrity, and commitment in the protection of Very Important Persons (VIPs).
The CG gave this charge during his keynote address at a three-day VIP leadership and management workshop held at the NSCDC National Headquarters in Abuja on Wednesday.
The intensive training brought together state commandants, VIP commanders, and armorers from across the country.
Audi emphasized that the mandate for VIP protection as conferred by President Bola Tinubu is a sacred trust that must not be compromised. He warned that his administration maintains a zero tolerance policy for any form of misconduct.

He said: “This administration will sanction any personnel found sabotaging the Corps’ efforts in implementing the VIP mandate,” adding that: “This responsibility must be carried out to the admiration of the government and Nigerians to justify the confidence reposed in us.”
The workshop, organized under the Directorate of Training and Manpower Development, serves as a strategic intervention to sharpen the tactical and administrative skills of the Corps’ leadership.
Acting Deputy Commandant General Muktar Lawal, explained that the curriculum focuses on: strengthening leadership capacity and management skills.
Improving interdepartmental coordination.
Reinforcing professionalism in armory management and decision-making.
The CG underscored the importance of excellence by commending the VIP National Commander, Deputy Commandant of Corps Anyor Donald, for his professionalism and loyalty, urging others to embrace similar qualities.
The event featured goodwill messages from the Corps’ top brass, including Deputy Commandants General Zakari Ibrahim Ningi, fdc; Nnamdi Nwinyi; Pedro Awili Ideba; and Professor Tyoor Frederick Terhemba, all echoing the need for heightened accountability in the field.
NSCDC Boss Charges Personnel on Professionalism, Integrityin VIP Protection
News
VP Shettima Launches Vision 2050 Blueprint For South-East’s Economic Development
VP Shettima Launches Vision 2050 Blueprint For South-East’s Economic Development
Says new investment company, diaspora partnerships will drive infrastructure, industrial transformation
By: Our Reporter
Vice President Kashim Shettima has launched a 25-year development blueprint for the South-East region, saying the region is a central pillar of Nigeria’s economic future.
He also announced that President Bola Ahmed Tinubu has approved the establishment of the South East Investment Company Limited, designed to mobilise resources from the diaspora, capital markets, and development finance institutions for the region’s development.
Speaking on Wednesday during the South-East Vision 2050 Regional Stakeholders’ Forum in Enugu, the Vice President said the gathering was a decisive break from short-term governance cycles toward a structured, multi-decade development framework.
“This forum reflects foresight, responsibility, and a shared understanding that the future is not something we wait for, but something we must deliberately design.
“In recognition of the distinctive character of the South-East, its entrepreneurial spirit, its global diaspora, and its long-standing relationship with international capital, President Bola Ahmed Tinubu approved the establishment of the South East Investment Company Limited,” VP Shettima said.
He said the company will work in synergy with the South-East Development Commission (SEDC) to address postwar infrastructure gaps and drive long-term regional competitiveness.
Senator Shettima reaffirmed that the SEDC was conceived to focus on structural transformation rather than routine administrative activity, insisting that Nigeria is strongest when its regions thrive.
“Let me be clear. This is not another layer of bureaucracy. It is a delivery institution, focused on tangible outcomes that translate into jobs, productivity, and growth,” he stated, noting that the South-East carries a unique historical burden, which makes deliberate regional planning both urgent and necessary.
The VP praised the inclusive nature of the forum, which brought together federal and state governments, traditional institutions, the private sector, civil society, and development partners.
He also acknowledged the presence of Umu Igbo Unite, a United States–based network of over 10,000 young professionals, saying, “The future of the South-East will be built both at home and abroad, together.”
Addressing the youth directly, the Vice President insisted that development must produce concrete results.
“To the young people of the South-East and of Nigeria as a whole, let me speak plainly. You are not spectators in our national journey. You are central to it. Your energy, creativity, and ambition are essential to the Nigeria we are working to build. Development must not remain an abstract promise. It must be felt in the daily lives of our people.

Earlier, Governor Peter Mbah of Enugu State joined his colleagues in the region in endorsing the vision 2050, explaining that the vision is an opportunity for the South East region to tap into the national agenda tagged vision 2060.
He applauded the unity of purpose among leaders and stakeholders in the region and proposed the birthing of a South East common market, describing the moment as the awakening of an economic giant.
On reimagining the South East as an economic bloc, Governor Mbah said the focus on the unity and synergy of ideas and resources and the decision to change the thinking of leaders and the people about their development trajectory, must remain paramount.
He urged a paradigm shift in the planning and execution of projects across the region while calling on the people of the area to complement the renewed drive by the Federal Government to improve the security of lives and livelihoods as well as integrate all parts of the region’s plan for inclusive development.
He thanked the Vice President for his show of dedication and substance to the cause of the South East region, noting that his presence reinforced the principle that sustainable regional development does not thrive in isolation but on dedicated national leadership as exemplified by the presence of the Vice President.
In his remarks, Governor Francis Nwifuru of Ebonyi State, pledged the support of the state government for the implementation of a development plan for the region, noting that the plan will close unemployment and poverty gaps, while unlocking potentials across different sectors of the region’s economy.
He said Ebonyi State, under his administration, is building on the foundation of past administration in agriculture and agribusiness, education, solid mineral development, and a roadmap for the transformation of Ebonyi state as a hub of rural development in the South East.
In the same vein, Governor Alex Otti of Abia State, expressed happiness and satisfaction over the unanimous adoption and support for the South East Vision 2050 by critical stakeholders across the private and public sectors, saying the summit is connected to revolution of the region and its economic transformation.
Citing examples of transparent leadership in Abia State and abundance of solid minerals and other natural resources across the South East, Governor Otti said the task of economic transformation and industrialisation of the region was feasible and possible with committed and transparent execution of development agenda.
For his part, Governor Charles Soludo of Anambra State, thanked President Tinubu for the creation of the SEDC, describing it as a gift to the region that has been clamoured for by stakeholders for a long time.
He said the conversation around the SEDC Vision 2050 was historic, as it was the first time the governors and other leaders across the region were united in the adoption of a framework that will guide the transformation of the area.
In a keynote address, the Resident Representative of the UNDP, Mrs Elsie Attafuah, spoke on global lessons in long-term regional planning through institutional capacity for sustainable implementation of development plans in complex contexts.
She said for genuine industrialisation to be achieved, policymakers and stakeholders must ensure that infrastructure built across the region serve domestic production.
She urged cutting edge execution of Vision 2050 by stakeholders across the region and noted the importance of catalysing the comparative advantages of southeastern states in ensuring sustainability of the gains recorded in the years to come.
In his remarks, the Minister of Regional Development, Engr Abubakar Momoh, said the event was a crowning moment in the development of the South East region, especially in fostering a united and prosperous future.
He said the creation of the SEDC by the administration of President Tinubu reflects an institutional commitment to the coordinated and targeted transformation of the region through the revitalisation of critical infrastructure such as the rail sector and the commodity ecosystem, among others.
For her part, the Minister of Trade and Investment, Dr Jumoke Oduwole, underscored the significance of aligning resources and efforts, which she said had been prioritized through the South East Vision 2050 programme.
Dr Oduwole pledged the support of her ministry and announced the ministry’s launch of a nationwide trade facilitation tour to boost the export potentials across the country, describing the South East region as the springboard for Nigeria’s industrial transformation.
In a goodwill message, President of Ohanaeze Ndigbo World Wide, Sen. Azuta Mbata, commended the Federal Government for its efforts in prioritizing regional integration and development through the summit.
He said the integration of the South East in the broader national development agenda is key, and pledged the support of the people of the region for the aspirations of the vision 2050 and the Renewed Hope Agenda of administration of President Bola Ahmed Tinubu.
On his part, Chairman of the South East Development Commission, Sir Emeka Wogu, thanked President Tinubu for his commitment to the progress and development of the South East region and its people.
He said the South East vision 2050 is unique and designed to ensure continuity in the execution of development agenda for the region and the synergy of efforts by the respective state governments.
For his part, the Managing Director of the SEDC, Mr Mark Okoye, thanked President Tinubu for the creation of the commission as a special purpose vehicle to champion the economic transformation of the region.
He said the SEDC will seek the partnership of state governments, diaspora community and the organised private sector in implementing the 2050 vision aimed at charting a shared path to sustainable prosperity for South East Nigeria focusing on infrastructure, power, peace building and connectivity, among others.
There were also goodwill messages from representatives of corporate bodies, the Manufacturers Association of Nigeria (MAN), faith-based organisations, youth groups, diaspora community and development partners, among others.
The Vice President, accompanied by governors of the southeast region and other dignitaries, toured the exhibition gallery mounted by the Director-General, National Council for Arts and Culture.
VP Shettima Launches Vision 2050 Blueprint For South-East’s Economic Development
-
News2 years agoRoger Federer’s Shock as DNA Results Reveal Myla and Charlene Are Not His Biological Children
-
Opinions4 years agoTHE PLIGHT OF FARIDA
-
News10 months agoFAILED COUP IN BURKINA FASO: HOW TRAORÉ NARROWLY ESCAPED ASSASSINATION PLOT AMID FOREIGN INTERFERENCE CLAIMS
-
News2 years agoEYN: Rev. Billi, Distortion of History, and The Living Tamarind Tree
-
Opinions4 years agoPOLICE CHARGE ROOMS, A MINTING PRESS
-
ACADEMICS2 years agoA History of Biu” (2015) and The Lingering Bura-Pabir Question (1)
-
Columns2 years agoArmy University Biu: There is certain interest, but certainly not from Borno.
-
Opinions2 years agoTinubu,Shettima: The epidemic of economic, insecurity in Nigeria
