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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.”
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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
UNIFEMGA Urges Positive Mindset, National Unity as Key to Nigeria’s Growth
UNIFEMGA Urges Positive Mindset, National Unity as Key to Nigeria’s Growth
By: Michael Mike
Members of the Obafemi Awolowo University Muslim Graduates’ Association (UNIFEMGA) have called on Nigerians to embrace positive thinking, patriotism and collective responsibility as essential ingredients for national transformation and sustainable development.
The association made the call in a communiqué issued at the end of its 2026 Annual National Re-union held at Obafemi Awolowo University, Ile-Ife, Osun State, between May 8 and May 10.
The conference, themed “The Potential Within Nigeria: Positive Mindset and Communication for Success,” brought together Muslim professionals, academics, business leaders and alumni from across the country to deliberate on issues affecting national development, education, governance and economic growth.
The communiqué, signed by the National President of the association, Mohamed Buari, and the National Secretary, Sefiu Ikudaisi, stressed that Nigeria possesses abundant human and material resources capable of transforming the country into a global economic and political force if citizens adopt the right mindset and attitudes.
According to the association, negative narratives, disunity and poor value orientation have continued to undermine the country’s enormous potential.
It noted that Islam encourages development, innovation and the pursuit of knowledge capable of improving the quality of life, provided such advancements remain within the ethical boundaries prescribed by the religion.
The conference commenced with a special Jumat service at the OAU Central Mosque of Unity and a courtesy visit to the Vice-Chancellor of the university, Adebayo Simeon Bamire, and other principal officers of the institution.
During the visit, discussions centred on issues of mutual interest, with the university management reportedly commending the association for its contributions to the growth and development of the institution.
A major highlight of the reunion was the presentation of scholarships worth N14.6 million to 140 students of the university as part of the association’s welfare and educational support programme.
UNIFEMGA disclosed that since the introduction of the scholarship initiative in the 2009/2010 academic session, it has disbursed over N103.4 million to 1,148 students of the institution.
The association also launched a N200 million endowment fund targeted at supporting widows and orphans of members under its welfare scheme.
The event featured a networking dinner sponsored by the Chairman of the Board of Trustees of the association, Rafiu Ebiti, focusing on value-driven entrepreneurship and investment opportunities.
The reunion lecture was delivered by the Director-General of the National Orientation Agency, Lanre Issa-Onilu, while the Managing Director and Chief Executive Officer of Matrix Energy Group, Abdulkabir Adisa Aliu, chaired the occasion.
Also in attendance were representatives of the Osun State Government, including Governor Ademola Adeleke, represented by his Senior Special Assistant on Religious Affairs, Bello Adeniyi, as well as the Pro-Chancellor of the university, Adejare Bello.
The association expressed concern over the growing challenges confronting tertiary education in Nigeria, including brain drain, obsolete learning equipment, unstable academic calendars and outdated curricula.
It urged the government to urgently address the problems and transform the current “japa” trend into an opportunity for “brain gain” capable of enhancing national productivity and innovation.
UNIFEMGA further called for stronger collaboration between universities and the private sector to ensure sustainable research, innovation and technological advancement.
On the economy, the association urged governments at all levels to create an enabling business environment through improved electricity supply, infrastructure development and investment in human capital.
It also stressed the need to tackle unemployment, warning that many jobless youths are vulnerable to manipulation by individuals promoting violence and instability.
The association said that a positive national mindset remains the foundation for building a prosperous and united Nigeria, urging citizens to embrace values that promote peace, productivity, discipline and national cohesion.
UNIFEMGA Urges Positive Mindset, National Unity as Key to Nigeria’s Growth
News
NSITF Restoring Hope to Injured Nigerian Workers Through Compensation Scheme — Faleye
NSITF Restoring Hope to Injured Nigerian Workers Through Compensation Scheme — Faleye
By: Michael Mike
The Nigeria Social Insurance Trust Fund (NSITF) has intensified efforts to restore dignity, confidence and economic relevance to Nigerian workers injured in the line of duty through its Employees’ Compensation Scheme (ECS), with the Managing Director and Chief Executive Officer of the Fund, Oluwaseun Faleye, declaring that no worker should be abandoned after suffering workplace accidents.
Faleye made the declaration in Abuja during the presentation of prosthetic limbs to 10 beneficiaries under the Fund’s rehabilitation and reintegration programme, describing the intervention as a practical demonstration of government’s commitment to social protection and workers’ welfare.
Represented by the General Manager, Claims and Compensation, Mrs. Nkiru Ogunnike, the NSITF boss said the scheme has continued to serve as a lifeline for workers whose lives were disrupted by industrial accidents, occupational diseases and other work-related hazards.
He stressed that the Employees’ Compensation Scheme was not designed merely to pay compensation, but to restore injured workers physically, emotionally and psychologically so they could reintegrate into society with renewed confidence.
According to him, many workplace accidents leave victims permanently altered, with some battling emotional trauma, social stigma and uncertainty about their future livelihoods.
“For many Nigerian workers, a single workplace incident can permanently alter the course of their lives. Through the intervention of the NSITF as administrators of the ECS, affected workers are given a second chance to rebuild their lives and regain independence,” he said.
Faleye cited the case of Daniel Etim, a staff member of the University of Uyo Printing Press, whose arm was amputated after it became trapped in an industrial machine during routine work in May 2024.
He explained that the NSITF not only covered Daniel’s medical expenses under the Employees’ Compensation Scheme but also provided him with a prosthetic arm to aid his rehabilitation and restore his functionality.
“Beyond the payment of medical bills, the Fund extended further rehabilitative support by providing him with a prosthetic arm, reaffirming its commitment not only to compensation but also to restoring dignity, confidence and functionality to injured workers,” he stated.
Faleye also recounted the experience of Festus Okpara, an employee of Tower Aluminium Laos, who lost his hand in a workplace accident in 2015 and endured years of emotional distress and social discomfort.
According to him, the provision of a silicone prosthetic hand by the NSITF has helped Okpara regain confidence and interact freely in public once again.
“Beyond the trauma of the accident itself was the constant public attention, the quizzical looks and the pitying stares that made social interactions difficult. The intervention of the NSITF has helped restore his sense of inclusion and self-worth,” he added.
One of the beneficiaries, Festus Okpara, expressed appreciation to the Fund for what he described as life-changing support.
“I thank NSITF for coming all this way to help. At least with this, I can go out in public and feel free. NSITF has reduced the level of trauma,” he said.

The latest intervention is part of the ongoing rehabilitation and reintegration programme of the NSITF, under which 78 beneficiaries have recently been fitted with artificial limbs.
The Employees’ Compensation Scheme was established under the Employees’ Compensation Act of 2010 to provide compensation for workers who suffer injuries, disabilities, diseases or death arising from workplace activities.
The scheme, funded through employer contributions, was introduced to replace the defunct Workmen’s Compensation Act and broaden social protection for Nigerian workers in both the public and private sectors.
Over the years, labour stakeholders have repeatedly raised concerns over poor workplace safety standards in several sectors of the economy, especially manufacturing, construction and heavy industry, where industrial accidents remain prevalent.
Analysts say the increasing intervention of the NSITF in rehabilitation and compensation is gradually strengthening confidence in Nigeria’s social insurance system and drawing attention to the need for stricter enforcement of occupational safety measures across workplaces.
For many beneficiaries, however, the interventions represent something deeper than compensation — a restoration of hope after tragedy.
NSITF Restoring Hope to Injured Nigerian Workers Through Compensation Scheme — Faleye
News
Troops eliminates several ISWAP Attackers in failed attempt on Gonori, Recover Weapons in Borno
Troops eliminates several ISWAP Attackers in failed attempt on Gonori, Recover Weapons in Borno
By: Zagazola Makama
Troops of Operation Hadin Kai (OPHK) have repelled a late-night attack by suspected ISWAP terrorists on the Forward Operating Base of the 120 Task Force Battalion in Gonori, Borno State.
Military authorities said the failed attack occurred between late Saturday, May 9, and the early hours of Sunday, May 10, 2026, under Sector 2 of the North-East counter-insurgency operation.
The terrorists were said to have advanced toward the location from the Mandunari axis at about midnight but were detected early by troops on ambush positions.
Security sources disclosed that troops immediately launched a coordinated spoiling attack, forcing the insurgents into a heavy exchange of fire before air support from the Air Component of Operation Hadin Kai and the Nigerian Army Aviation joined the operation.
The combined air-land assault reportedly inflicted heavy casualties on the fleeing terrorists, while troops successfully defended the camp without any breach or loss of equipment.
Exploitation of the general area after the encounter reportedly revealed blood trails, body parts and several terrorist corpses within the vicinity, indicating significant casualties among the attackers.
Troops also recovered one General Purpose Machine Gun (GPMG), two PKT machine guns, five AK-47 rifles, belts of assorted ammunition and other items abandoned by the insurgents.
Military authorities confirmed that some soldiers sustained injuries during the encounter but were stable and receiving medical attention.
They added that exploitation and pursuit operations were ongoing to track fleeing terrorists and consolidate gains recorded during the operation.
The military said the latest failed attack further demonstrated the operational readiness of troops and the continued pressure being mounted against terrorist groups across the North-East theatre.
Troops eliminates several ISWAP Attackers in failed attempt on Gonori, Recover Weapons in Borno
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