News

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

2 years ago

March 5, 2024

Ochuwa Ibrahim

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

80 militants surrender arms, embrace amnesty in Cross River

Published

7 minutes ago

January 17, 2026

Ochuwa Ibrahim

80 militants surrender arms, embrace amnesty in Cross River

By: Zagazola Makama

No fewer than 80 militants operating in the creeks of Akpabuyo Local Government Area of Cross River State have voluntarily surrendered their arms and embraced the state government’s peace and reintegration Amnesty framework.

The militants came out in large numbers from the creeks on Friday at Atimbo Rear Area under Operation OKWOK, within the Area of Responsibility of Headquarters 13 Brigade, Nigerian Army and is already being described by as a strategic breakthrough in the fight against coastal militancy and maritime crime in southern Cross River.

Security sources told Zagazola Makama that the surrender was the outcome of months of sustained military pressure combined with discreet dialogue involving community leaders, government officials and security agencies.

Two militant camps dismantled themselves in one coordinated move. The first camp, headed by ThankGod Ebikontei, popularly known as Ayibanuagha, presented 39 fighters. Four additional members, officials said, are expected to report in the coming days.

The second camp, commanded by John Isaac, alias Akpokolo, brought forward 41 fighters. His group, widely known along the waterways as the Akpokolo Marine Forces or “Border Boys,” had controlled large stretches of creeks linking Cross River to neighbouring coastal corridors.

Ten more of his fighters are also expected to join the amnesty process. In total, 80 militants formally stepped out of the creeks and into a state-supervised disarmament and rehabilitation programme.

The disarmament was not symbolic. A significant cache of weapons, equipment and operational assets was voluntarily handed over, illustrating the firepower the groups once commanded.

The sources said that items surrendered included AK-47 rifles, pump-action guns, a Mark 4 rifle, a G3 rifle, multiple single-barrel guns, magazines, speedboats, high-powered boat engines, locally fabricated pistols and assorted military kits.

Of particular concern to security officials was the surrender of an explosive charge and live ammunition, which draw to the attention of the destructive capacity the groups had at their disposal. Also surrendered were machetes, camouflage clothing, tactical vests, knee and elbow guards, and communication tools, all of which painted a picture of organised armed groups rather than loosely structured criminal gangs.

For the Nigerian Army, the scale and quality of the surrendered items confirmed that the amnesty was reaching core actors, not just foot soldiers.

Brig.-Gen. P.O. Alimikhena, Commander of 13 Brigade, Nigerian Army, described the development as a “confidence-building milestone” that validates the military’s dual-track strategy.

“This voluntary surrender shows that consistent operations, combined with constructive dialogue and strong collaboration with the Cross River State Government and other security agencies, can deliver peace,” Alimikhena said.

“We will continue to secure the environment while supporting lawful initiatives that reintegrate repentant youths and ensure lasting stability.”he said.

Military sources said the success in Akpabuyo followed intensified patrols, improved intelligence flow and engagement with local power structures in creek communities.

After the formal disarmament, the former militants were handed over to the Cross River State Government’s Rapid Response Team.
They are currently undergoing profiling by the Department of State Services (DSS) at Muka Sam Hotel in Ikot Ansa, Calabar.

The exercise is designed to verify identities, assess security risks and determine eligibility for rehabilitation, skills training and reintegration support. Officials said the profiling phase is crucial to ensuring that only genuine repentant militants benefit from the programme and that criminal elements do not exploit the amnesty.

Akpabuyo Local Government Area sits along a strategic maritime corridor that links Cross River’s inland communities to coastal and cross-border trading routes. For years, militancy in the area has affected fishing, boat transport, palm produce trade and cross-border commerce with Cameroon.

Sea robbery, illegal taxation of fishermen, extortion and violent turf battles turned the creeks into zones of fear. The collective withdrawal of two major camps in one day is therefore both a psychological and operational shift. It sends a signal that militancy is no longer the dominant survival strategy for youths in the area.

The Nigerian Army credited the success of the Akpabuyo amnesty to what it called “effective civil-military collaboration,” singling out the Cross River State Government under Gov. Bassey Edet Otu for sustained political backing, coordination and logistical support.

Sources said the state government’s willingness to invest in dialogue, rehabilitation and youth empowerment made the option of peace more attractive than continued life in the creeks.

Beyond the powerful images of surrendered weapons and surrendered men, officials insist the hardest phase lies ahead. Reintegration, monitoring and economic re-engagement will determine whether the peace holds or unravels.

Headquarters 13 Brigade has reaffirmed its commitment to consolidating the gains, warning that while the door to peace remains open, security forces will maintain pressure against any group that chooses violence over dialogue.

They has urged the public to continue providing timely and credible information to security agencies, stressing that the breakthrough in Akpabuyo is not an endpoint, but the foundation for a safer and more stable Cross River State.

80 militants surrender arms, embrace amnesty in Cross River

News

Zulum Dismisses Claims of Favoring Candidates for APC Congress

Published

8 hours ago

January 17, 2026

Ochuwa Ibrahim

Zulum Dismisses Claims of Favoring Candidates for APC Congress

By: Our Reporter

Borno State Governor, Professor Babagana Umara Zulum, has firmly dismissed rumours circulating that he has anointed individuals for executive positions in the forthcoming All Progressives Congress (APC) party congresses.

In a statement by his Special Adviser on Media, Dauda Iliya, the Governor described the claims as the handiwork of mischief-makers seeking to cause disaffection within the party.

Governor Zulum emphasised that he has not in any fora endorsed any candidate for any party position, whether in Gwoza Local Government Area or any of the state’s 27 local government areas.

“Let me categorically state that I have not anointed any person for the position of Chairman or Secretary of APC in Gwoza local government in the forthcoming party congress. I wish to also stress that I have not anointed any person for any position in the APC congress in any of the 27 local government areas,” Governor Zulum stated.

He further called on party members to disregard the false information, saying, “I am calling on our party faithful and supporters to disregard the rumour as it is a calculated attempt to create disaffection and derail the party from its trajectory.”

The Governor instead urged party stakeholders to continue constructive consultations aimed at identifying credible candidates to be fielded for all party positions.

Zulum Dismisses Claims of Favoring Candidates for APC Congress

News

VP Shettima Arrives In Guinea For President Doumbouya’s Inauguration

Published

8 hours ago

January 17, 2026

Ochuwa Ibrahim

VP Shettima Arrives In Guinea For President Doumbouya’s Inauguration

By: Our Reporter

Vice President Kashim Shettima has arrived in Conakry, the capital of Guinea, to represent President Bola Ahmed Tinubu at the inauguration of President-elect Mamady Doumbouya.

The Vice President was received by senior Guinean government officials and members of the Nigerian diplomatic corps ahead of the official ceremony, which is scheduled to take place on Saturday, January 17, at the GLC Stadium in Nongo.

The inauguration of President Doumbouya follows his victory in the December 2025 general elections, signalling the formal end of a four-year military transition.

The Vice President’s attendance at the inauguration affirms Nigeria’s leadership role within the Economic Community of West African States (ECOWAS) and its commitment to the restoration of constitutional order across the sub-region.

Under President Tinubu’s Renewed Hope agenda, Nigeria has continued to position itself as a stabilising force, advocating for democratic governance as a prerequisite for regional prosperity.