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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.”
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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

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FG, Ohanaeze Outlaw ‘Eze Ndigbo’ Titles Abroad Amid Rising Diplomatic Tensions

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FG, Ohanaeze Outlaw ‘Eze Ndigbo’ Titles Abroad Amid Rising Diplomatic Tensions

By: Michael Mike

The Federal Government has moved to curb the controversial installation of “Eze Ndigbo” in foreign countries, backing a sweeping decision by Ohanaeze Ndigbo Worldwide and South East traditional rulers to abolish the practice outside Igboland, following a series of international incidents that have strained Nigeria’s diplomatic relations.

Minister of State for Foreign Affairs, Bianca Odumegwu-Ojukwu, delivered the government’s position at the high-level Imeobi meeting of Ohanaeze in Enugu on Thursday, describing the proliferation of Igbo “kings” in the diaspora as a growing embarrassment to Nigeria and a trigger for avoidable conflicts abroad.

She warned that while diaspora communities are free to promote their culture, attempts to replicate traditional rulership structures in foreign lands have repeatedly sparked tensions with host authorities and local populations.

The latest flashpoint occurred in East London, where the coronation of Solomon Ogbonna Eziko ignited violent protests. The unrest led to the destruction of property, attacks on foreign-owned businesses, and clashes with security forces, after locals interpreted the installation as a challenge to South Africa’s traditional authority system.

South African institutions, including the Eastern Cape House of Traditional and Khoi-San Leaders and the Department of Cooperative Governance and Traditional Affairs, declared the coronation illegal, underscoring the diplomatic sensitivity of such actions.

Nigeria’s foreign missions quickly distanced themselves from the development, with officials clarifying that the event was merely cultural and not a recognized monarchy. The Nigerian Embassy in Pretoria subsequently issued an apology and urged citizens to maintain a low profile.

Odumegwu-Ojukwu revealed that similar tensions had surfaced in Accra in 2025, where protests against Nigerians escalated over the same issue. She led a diplomatic delegation to calm the situation, engaging directly with John Mahama and other key stakeholders.

According to her, the intervention of the Ghanaian president was pivotal in diffusing tensions, as he reaffirmed his country’s commitment to ECOWAS protocols on free movement and rejected calls for xenophobic actions against Nigerians.

The minister stressed that such crises place Nigerian lives, businesses, and diplomatic standing at risk, insisting that urgent measures were necessary to prevent further escalation.

In response, Ohanaeze Ndigbo Worldwide has formally proscribed the conferment and use of “Eze Ndigbo” titles outside Igboland. President-General of the organization, Azuta Mbata, declared that any individual assuming such a title abroad does so without the backing of the Igbo people.

He disclosed that the group would notify state governments and Nigerian missions globally of the decision and is working with traditional rulers to establish sanctions for violators, including community-level enforcement through hometowns and town unions.

The Federal Government has pledged to reinforce the directive through its diplomatic channels, signaling a coordinated effort to prevent further international disputes linked to cultural misrepresentation.

The development marks a decisive shift by both the government and Igbo leadership to separate cultural expression from traditional authority in diaspora settings, amid growing concern over the global implications of local customs.

FG, Ohanaeze Outlaw ‘Eze Ndigbo’ Titles Abroad Amid Rising Diplomatic Tensions

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Africa, France Move to Reset Economic Ties at Nairobi Summit

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Africa, France Move to Reset Economic Ties at Nairobi Summit

By: Michael Mike

African leaders and their French counterparts are set for a critical engagement next month as Kenya and France prepare to host the Africa Forward Summit: Africa–France Partnerships for Innovation and Growth in Nairobi, amid growing calls for a new model of cooperation that delivers real economic impact for the continent.

The summit, scheduled for May 11–12, 2026, will convene top political leaders including Emmanuel Macron and William Ruto, alongside African Heads of State, investors, development partners, civil society groups, and youth representatives.

A Business Forum on May 11 is expected to drive private sector engagement and set the tone for the main summit, where discussions will centre on investment, innovation, and long-term economic collaboration.

Organisers said the summit is designed to move beyond diplomatic symbolism, focusing instead on actionable partnerships in key sectors such as healthcare, agriculture, digital technology, energy, and infrastructure—areas considered vital to Africa’s transformation.

For countries like Nigeria, the outcomes could be significant, offering pathways to attract investment, create jobs, and strengthen economic resilience at a time of global uncertainty.

The summit comes against the backdrop of evolving relations between Africa and France, marked by increasing demands from African nations for more equitable and transparent partnerships.

Historically, France has maintained strong political, economic, and military ties with several African countries, particularly in West and Central Africa. However, in recent years, these relationships have come under scrutiny, with critics calling for an end to perceived imbalances and a shift toward mutual respect and shared benefits.

At the same time, Africa’s global relevance has risen, driven by its growing population, expanding markets, and strategic importance in global supply chains. This has intensified competition among global powers seeking influence on the continent, prompting France to recalibrate its engagement strategy.

The Africa Forward Summit is seen as part of that reset—an attempt to reposition France as a partner in innovation and sustainable development rather than a traditional power broker.

The timing is also significant as it feeds into preparations for the upcoming G7 Summit, where Africa’s economic future, climate challenges, and development financing are expected to dominate discussions.

Analysts said the Nairobi meeting could serve as a testing ground for how Africa and its international partners engage moving forward—shifting from aid-driven relationships to investment-led cooperation.

With unemployment rising and infrastructure gaps widening across many African economies, expectations are high that the summit will produce concrete commitments rather than broad declarations.

Diplomatic missions in Abuja have indicated that further details will be unveiled at a press briefing, but stakeholders are already positioning the summit as a defining moment in reshaping Africa–Europe relations.

If successful, the Africa Forward Summit could mark a turning point—signaling a transition from historic ties to future-focused partnerships built on innovation, shared prosperity, and measurable outcomes.

Africa, France Move to Reset Economic Ties at Nairobi Summit

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Experts Sound Alarm Over Unregulated AI in Nigeria’s Healthcare System

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Experts Sound Alarm Over Unregulated AI in Nigeria’s Healthcare System

By: Michael Mike

Growing adoption of artificial intelligence in Nigeria’s healthcare sector is outpacing regulatory safeguards, raising concerns among experts who warned that without urgent oversight, the technology could deepen inequality and expose patients to new risks.

This warning took centre stage at a policy dialogue titled “AI in Healthcare: Risk or Asset?”, held Thursday at the French Institute in Abuja, where stakeholders from government, medicine, and development circles examined the expanding role of AI in health service delivery.

Speakers at the forum acknowledged that AI is already transforming diagnostics, laboratory systems, and patient management. However, they cautioned that Nigeria’s regulatory environment has yet to catch up with the speed of innovation.

Director of the French Institute, Thierry Vapentin, set the tone for the discussions, describing the platform as a space to confront emerging global issues through open debate. He stressed the importance of interrogating both the opportunities and ethical dilemmas posed by AI in critical sectors like healthcare.

Delivering a policy perspective, Dr. Anthony Ayeke of the European Union Delegation noted that while AI could significantly improve access and efficiency in healthcare delivery across Africa, blind reliance on automated systems could undermine professional judgment and patient safety. He emphasized that human oversight must remain central in all AI-driven processes.

In his intervention, the CEO of Premier Health Systems Consults, Dr. Niyi Osamiluyi argued that Nigeria urgently needs a clearly defined ethical and regulatory framework to guide AI deployment. He outlined key principles including transparency, inclusiveness, accountability, data protection, and auditability, warning that failure to assign responsibility for AI outcomes could create dangerous accountability gaps.

The issue of data integrity also featured prominently. Joshua Kojalo highlighted ongoing government-backed digital health initiatives, particularly mobile applications designed to expand access to health insurance. However, he warned that overdependence on foreign datasets could embed bias into local systems, potentially excluding vulnerable populations. He called for deliberate investment in locally generated data to ensure fairness and accuracy.

From an operational standpoint, Dr. Temitope Agbana, Co-founder of AIDX Medical, shared field experiences demonstrating AI’s impact on laboratory efficiency, noting that automated systems have significantly increased processing capacity. Despite these gains, he maintained that technology must remain a support tool rather than a substitute for human expertise, stressing that no AI system is entirely error-proof.

Equity concerns dominated the latter part of the discussion, with Dr. Chimezie Anyakora, CEO of Bloom Public Health, warning that weak regulation could leave already disadvantaged communities exposed to the harshest consequences of technological failure. He cautioned that without deliberate safeguards, AI could reinforce existing healthcare disparities rather than bridge them.

Participants agreed that Nigeria risks creating a two-tier healthcare system where advanced AI-driven services are accessible only to the wealthy, while rural and low-income populations are left behind.

The forum concluded with a strong consensus that Nigeria must act swiftly to establish robust regulatory frameworks, invest in capacity building, and ensure inclusive access. Experts stressed that while AI holds immense potential to transform healthcare delivery, its benefits will only be realized if innovation is matched with responsibility.

Without decisive action, they warned, the same technology that promises progress could ultimately widen the gap it seeks to close.

Experts Sound Alarm Over Unregulated AI in Nigeria’s Healthcare System

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