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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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River guard killed in Yobe, police begin investigation

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River guard killed in Yobe, police begin investigation

By: Zagazola Makama

A 40-year-old man, Musa Mohammed, has died after being allegedly attacked and thrown into a river by unknown assailants in Bursari Local Government Area of Yobe State.

Residents of Girim Village, Ya’u Gambo and Adamu Muhammad, told Zagazola Makama that the incident occurred at about 8:00 a.m. on Jan. 19, when the victim, who was employed to guard the village river, was confronted by some unidentified persons.

They said the attackers forcefully held Musa Mohammed, tied his hands and legs, and threw him into the river.

The sources added that about a month earlier, the deceased had a misunderstanding with five men from Dadigar Village in Bursari LGA, who allegedly warned him to stop guarding the river or face consequences.

Upon receiving the report, security operatives visited the scene and evacuated the victim from the river in an unconscious state.

“He was rushed to the Specialist Hospital in Gashua, where a medical doctor later confirmed him dead,” the sources said.

Photographs of the deceased were taken, and his remains were released to his relatives for burial according to Islamic rites.

Musa Mohammed was from Burburwa Village via Mayori in Yusufari Local Government Area of the state.

Investigation into the incident has commenced to identify and apprehend those responsible for the killing.

River guard killed in Yobe, police begin investigation

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At least 31 killed in Yatakala attack in Niger Republic

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At least 31 killed in Yatakala attack in Niger Republic

By: Zagazola Makama

No fewer than 31 persons have been killed following a deadly attack by suspected terrorists in Yatakala, Tillaberi Region of the Republic of Niger, near the tri-border area with Mali and Burkina Faso.

Sources told Zagazola Makama that the attack occurred on Jan. 18 in the Yatakala/Bolsi area of Tera Commune, where the assailants reportedly gathered residents together and opened fire on them.

The sources said that several other people, believed to be mostly women, were abducted during the attack, while five persons were injured as they tried to escape.

“They went from house to house, rounded people up and shot them. Those who managed to flee sustained injuries.

“Residents were rounded up and summarily executed, while an uncertain number mostly women, were abducted. At least 31 people were killed and five others injured as they fled,”one of the sources said.

The sources noted that Yatakala and surrounding villages toward the Burkinabe border had already been deserted by many inhabitants due to persistent attacks by armed groups.

No organisation had formally claimed responsibility for the latest atrocity, but the pattern and area of operation point strongly to Jama’at Nusrat al-Islam wal-Muslimin (JNIM), the Al-Qaeda-linked group active across the Liptako-Gourma axis

The area had previously come under attack on Jan. 3, 2026, when Yatakala/Garoul was assaulted and about 17 soldiers were reportedly killed.

Zagazola report that the Tillaberi theatre is under sustained pressure. The enemy appears intent on clearing large swathes of territory, forcing communities to abandon their homes and creating humanitarian corridors of displacement that terrorists then exploit for further expansion.

The attacks also draws to the attention of the accelerating expansion of jihadist violence across the Sahel and its dangerous spillover implications for Nigeria and the wider West African sub-region.

The attack fits into a broader campaign by both Al-Qaeda- and ISIS-aligned factions to dominate borderlands, forest reserves and riverine routes, particularly around the W Park–Panjari complex, with a creeping approach toward Niamey.

The strategic objective was to degrade state presence, terrorise civilians into flight, and establish uncontested movement and recruitment zones.

Its draws parallels with past atrocities, including the January 2025 killings in Kasuwan Daji in Borgu area of Niger State, allegedly carried out by JNIM in collaboration with JAS/Ansaru networks, as well as recent mass abductions at worship centres in Kurmin Wali, Kajuru LGA, Kaduna State.

These are not isolated incidents. They form part of a synchronised regional campaign aimed at destabilisation, psychological dominance and narrative warfare.

Zagazola warned that beyond the kinetic dimension, insurgents were also leveraging disinformation, including the manipulation of religious and ethnic narratives, to internationalise their cause and weaken regional cohesion.

The humanitarian crisis generated by these attacks will push refugees and internally displaced persons toward north-west and north-central Nigeria, with attendant security, social and economic consequences.

Therefore, Nigeria’s response must go beyond internal counter-terrorism operations to include strengthened diplomatic and security cooperation with Niger, Benin and other frontline states.

Border challenges cannot be curbed unilaterally. There must be deeper intelligence sharing, coordinated patrols and joint operations. ECOWAS and the Alliance of Sahel States (AES) must urgently re-engage on collective security mechanisms to contain this expanding threat,” he said.

Yatakala massacre was both a warning and a call to action.

If proactive regional measures are not taken, the Sahelian conflict arc will continue to bend southward, with Nigeria increasingly in the line of fire.

At least 31 killed in Yatakala attack in Niger Republic

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School renovation: You’ve renewed our hope, Students with disabilities tell Gombe Govt, NEDC

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School renovation: You’ve renewed our hope, Students with disabilities tell Gombe Govt, NEDC

Some students from the Special Education Centre in Gombe, have commended the Gombe State Government, and the North East Development Commission (NEDC), over ongoing renovation of their school.

The students told the News Agency of Nigeria (NAN) in Gombe, that the move would boost access to education for Persons With Disabilities (PWDs).

A NAN correspondent who visited the school, reports that there was ongoing renovation of facilities.

A visually impaired student of the Senior Secondary three class (SS3), Husseini Abubakar, said that the renovation sends a strong message of inclusion to them.

According to him, the ongoing upgrade of the school has renewed their hope in education and a better Nigeria, as emphasised by President Bola Tinubu.

“I was suprised to hear that our school is being renovated after many years of neglect.

“We had lost hope of any intervention, but see what Gombe State government and NEDC are doing; we lack words to express how we feel.

“Today, I feel that our President, Bola Tinubu’s statement of “let’s renew the hope” is being fulfilled in our school because our hope has indeed been renewed,” he said.

Another visually impaired student, Mr Ahmad Umar, noted that they use to share classrooms with junior students during the rainy season, following dilapidated classrooms.

“Some days, we prayed against rainfall so that we will not be beaten by the rain, but thank God the suffering has now ended, and a better structure is here,” he said.

He said that now, he feels relieved.

Another student with hearing disability, Mr Basesa David, who spoke through an interpreter, said he was happy that the days of cold were over

He noted that the rehabilitation of toilets facilities and regular water supply, would improve hygiene and health condition in the school.

“We are grateful, especially the female students who usually suffer severe cold from exposure and poor toilets; thank you Gov. Inuwa Yahaya of Gombe State and the entire leadership of NEDC,” he said

NAN reports that the school, a specialised institution in the state, was established in 1996, to cater for children with disabilities.

The renovation project, is aimed at improving access to inclusive, equitable and quality education for PWDs, who are learners in the state and the North-East.

The centre currently has a population of 615 students

School renovation: You’ve renewed our hope, Students with disabilities tell Gombe Govt, NEDC

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