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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.”
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
Troops score major victory against terrorists in Kadam Forest, Sokoto
Troops score major victory against terrorists in Kadam Forest, Sokoto
By: Zagazola Makama
Troops of the Chief of Army Staff (COAS) Special Intervention Battalion 7, in collaboration with the 8 Division Strike Team under the Joint Task Force North West Operation FANSAN YAMMA, have recorded a significant operational success following a decisive engagement with a notorious terrorist network in Kadam Forest, Tangaza Local Government Area, Sokoto State.
Zagazola report that the operation was launched after credible intelligence revealed that over 100 terrorists, linked to the Lakurawa extremist group, had gathered deep within Kadam Forest to plan attacks on local communities and transport kidnapped victims to their hideouts.

Acting on the intelligence, troops swiftly mobilised to intercept the terrorist movement, establishing contact at approximately 1200 hours.
The ensuing firefight was intense and sustained, with the terrorists attempting a rear-flanking manoeuvre. Troops responded decisively with superior firepower, maintaining tactical dominance and effectively neutralising the immediate threat.
Exploitation operations into the forest confirmed the neutralisation of three terrorists, while several others were believed to have sustained gunshot injuries during their escape.
Security forces recovered one PKT machine gun, two AK-47 rifles, 350 rounds of PKT ammunition, 111 rounds of 7.62 special ammunition, three magazines, two radios, three motorcycles, and a mobile phone. Follow-up operations are ongoing to ascertain additional enemy casualties and recover further arms and equipment.

The Force Commander of Operation FANSAN YAMMA praised the troops’ professionalism and high morale, describing the engagement as a testament to the effectiveness of intelligence-driven, joint security operations in degrading terrorist networks and disrupting their operational capabilities.
He emphasised that aggressive patrols and sustained operations would continue across the general area to prevent fleeing terrorists from regrouping and launching further attacks on communities and transport routes.

“The commitment and courage of our troops remain unwavering. Operations like this demonstrate that the security of citizens is our priority, and we will continue to disrupt and dismantle terrorist networks wherever they operate,” the commander said.
The operation has reinforced confidence among residents of Tangaza and surrounding areas, highlighting the Nigerian Army’s resolve to ensure safety and stability across Sokoto State.
Troops score major victory against terrorists in Kadam Forest, Sokoto
News
NEDC finance director takes development to improve living conditions of people in Yobe
NEDC finance director takes development to improve living conditions of people in Yobe.
By: Yahaya Wakili
The Director of Finance and Admin. of the North East Development Commission (NEDC), Dr. Abubakar Garba Illiya, PhD, FMNG, has made numerous achievements in providing infrastructure facilities to improve the living conditions for the people of Yobe State since he was appointed to that position

The developmental projects provided by Dr. Garba Illiya include the construction and rehabilitation of schools, primary healthcare centers, and water supply in both rural and urban areas with a view to improving the livelihoods of the people of Yobe State.
Dr. Abubakar Garba Illiya, PhD, FMNG, also constructed and rehabilitated numerous rural roads in some local government areas across the state to facilitate the movement of goods and services.
However, Dr. Illiya also accords the same commitment to the schools by procurement of instructional materials as well as construction and rehabilitation of schools destroyed by Boko Haram insurgency across the northeast region.
“Dr. Illiya’s intervention, the NEDC, has contributed tremendously to increasing food sufficiency and food security in Yobe State and the North East by procuring farm inputs and implements as well as providing enough fertilizers and tractors to farmers.

He also assisted youths and women with the capital for business with empowerment initiated for self-employment and also distributed foodstuffs and other humanitarian assistance to Internal Displaced Persons (IDPs) affected by the Boko Haram insurgency in the region.
Dr. Abubakar Garba Illiya further sent youths for training in different categories, like training in phone repairs, welding, tailoring, carpentry, and others, to be self-reliant and assisted them with take-off funds for capital businesses.
He made all these achievements with a view to improving the lives of the peoples of Yobe State and the northeast region after recovery from the Boko Haram insurgency destruction.
NEDC finance director takes development to improve living conditions of people in Yobe
News
Police neutralise three bandits in Benue , rescue senator after attack on convoy
Police neutralise three bandits in Benue , rescue senator after attack on convoy
By: Zagazola Makama
The Police in Benue says have neutralised three suspected bandits during a gun battle following the killing of a 67-year-old man in Katsina-Ala Local Government Area of the state.
Security sources said the incident occurred on March 7 at about 7:30 p.m., when armed bandits loyal to a local kingpin identified as “Chen” had abducted one Zaki Sughter Agenbeer, 67, from his residence in Une Tongov community.
The attackers reportedly took the victim into the bush and killed him after accusing him of providing information about their activities to security agencies.
The DPO Katsina-Ala, in collaboration with the DPO Ukum, subsequently mobilised patrol teams and tactical units to the area. Police operatives later engaged the bandits in a gun duel during which three of the suspects were neutralised.
The corpse of the slain victim was recovered and deposited at the Zaki Ibiam Hospital mortuary, while security operatives have commenced a combing operation in nearby bushes to track down other fleeing suspects.
Meanwhile, the police also confirmed an attack on the convoy of Sen. Udende Emmanuel, representing Benue North-East Senatorial District, during a visit to Tsua town in Vandekiya Local Government Area for a church service.
Sources said some youths from Vandekiya allegedly attacked the senator’s convoy and damaged one of the vehicles.
The Divisional Police Officer in Vandekiya quickly mobilised to the scene and successfully rescued the senator from the situation.
In a related development, some youths also disrupted a thanksgiving service at Tsemke Church in Vandekiya, destroying plastic chairs before police intervened.
Police authorities said the swift deployment of operatives helped to de-escalate the tension and restore normalcy in the area.
Additional patrol and tactical teams have been deployed to Vandekiya to ensure law and order and facilitate the arrest of those responsible for the disturbances.
The State Criminal Investigation Department (SCID) has commenced investigations into both incidents.
Police said the general security situation across Benue State remains relatively calm, while security agencies continue monitoring developments.
Police neutralise three bandits in Benue , rescue senator after attack on convoy
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