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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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Unlocking the Benefits of Zero-Tariff Measures to Elevate the China–Africa Community with a Shared Future to a New Level

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Unlocking the Benefits of Zero-Tariff Measures to Elevate the China–Africa Community with a Shared Future to a New Level

By Yu Dunhai,
 
On May 1 this year, China will fully implement zero-tariff measures for 53 African countries that have diplomatic relations with China. This represents a concrete step by China to expand high-level opening up and deepen China–Africa cooperation. As the policy enters its implementation phase, China–Nigeria cooperation is also reaching a critical juncture, transitioning from an “opportunity window” to the delivery of tangible outcomes.
 
This measure is characterized by comprehensive coverage. Previously, China had already granted zero-tariff treatment on 100 percent of tariff lines to 33 least developed African countries. Starting May 1, China will further extend zero-tariff arrangements, through preferential tariff rates, to 20 non-least developed African countries, including Nigeria, thereby achieving full coverage of all African countries with diplomatic relations with China. As a result, China has become the first major economy in the world to unilaterally implement comprehensive zero-tariff treatment for all such countries, demonstrating through concrete actions its commitment to providing market opportunities to African partners.
 
Zero tariffs measures directly reduce the cost of Nigerian products entering the Chinese market. From sesame, ginger, and cashews to cocoa and other specialty agricultural products, as long as they meet rules of origin as well as inspection and quarantine requirements, they can access the Chinese market more smoothly. This “channel effect” helps translate potential demand into stable orders and convert market opportunities into tangible benefits.
 
Beyond enabling products to be “sold,” this measure will also help them be “sold better.” The removal of tariffs will both encourage and incentivize enterprises to improve quality standards, optimize product structures, and strengthen brand development, thereby supporting sustainable growth in China’s high-standard market. As export volumes expand and quality improves, the international reputation of “Made in Nigeria” will be further enhanced.
 
From a broader perspective, the measure will promote localized value addition, inject new momentum into Nigeria’s industrialization and agricultural modernization, create employment opportunities, and improve livelihoods. Clear and stable expectations for exports to China will attract increased domestic and foreign investment into sectors such as agriculture, food processing, mineral processing, and manufacturing. Value addition through local processing prior to export will help extend industrial chains and stimulate the development of supporting industries, including R&D, quality inspection, packaging, warehousing, and logistics. In this way, Nigeria will be better positioned to transition from primary commodity exports to more diversified, higher value-added exports, enhancing the resilience and dynamism of its economy.
 
Whether the benefits of zero-tariff measures can be fully realized ultimately depends on effective implementation. African producers and exporters, including those in Nigeria, are encouraged to proactively align with Chinese market requirements in terms of product quality, supply reliability, and brand promotion. China will work closely with Nigeria and other African countries to create an even more enabling environment for expanding exports to China. This includes providing technical support through capacity-building programs, enhancing trade facilitation through “green channels” for agricultural products, and welcoming Nigerian enterprises to actively participate in major platforms such as the China International Import Expo, the Canton Fair, and the China–Africa Economic and Trade Expo to connect with buyers and promote their products. We also look forward to close coordination with relevant Nigerian authorities to ensure that products meet applicable origin rules, inspection and quarantine standards, and other regulatory requirements.
 
The zero-tariff arrangement is an innovative, phased, and pioneering measure in the ongoing negotiations on the Agreement on Economic Partnership for Shared Development between China and African countries. This agreement will more comprehensively reduce both tariff and non-tariff barriers, enhance trade and investment facilitation, and deepen cooperation across a range of development areas, thereby providing long-term, stable, and predictable institutional support for mutually beneficial cooperation between China and Nigeria.
 
Against the backdrop of persistent geopolitical tensions, global economic headwinds, and rising unilateralism and protectionism, China’s commitment to expanding opening up, while focusing on Africa’s development priorities and sharing the opportunities of its vast market and modernization, demonstrates both responsibility and strategic foresight. China stands ready to work with Nigeria to ensure that zero-tariff measures take root and deliver real results, advancing Africa’s modernization and elevating the China–Africa community with a shared future to a new level.
 
Yu Dunhai, is Chinese Ambassador to Nigeria

Unlocking the Benefits of Zero-Tariff Measures to Elevate the China–Africa Community with a Shared Future to a New Level

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Fuel Hike Crisis: NHRC Warns Nigerian Workers at Breaking Point, Demands Urgent Government Action

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Fuel Hike Crisis: NHRC Warns Nigerian Workers at Breaking Point, Demands Urgent Government Action

By: Michael Mike

Nigeria’s worsening cost-of-living crisis came under sharp scrutiny on Thursday as the National Human Rights Commission (NHRC) issued a strong warning that rising fuel prices and systemic economic pressures are pushing workers deeper into hardship, urging immediate government intervention to avert further deterioration.

In a statement marking International Workers’ Day 2026, the Commission’s Executive Secretary, Tony Ojukwu, said the recent petrol price hikes have triggered a chain reaction of economic strain, with transportation costs soaring beyond the reach of average Nigerians and severely eroding workers’ incomes.

He warned that the daily reality for millions of workers—particularly those dependent on commuting—has become increasingly unsustainable, with productivity declining as basic mobility becomes a luxury rather than a necessity. According to him, the situation is steadily undermining not just economic stability but also the dignity of labour in the country.

While acknowledging federal efforts to mitigate the effects of global inflation and economic reforms, the NHRC stressed that such measures have yet to translate into meaningful relief for citizens facing immediate and severe financial pressure. The Commission argued that the gap between policy intentions and lived realities continues to widen.

The NHRC identified transportation as a critical pressure point, noting that the absence of a functional and affordable public transport system has amplified the impact of fuel price increases. It cautioned that without urgent corrective measures, a significant portion of the workforce risks sliding further into economic vulnerability.

Beyond fuel and transport costs, Ojukwu drew attention to entrenched structural challenges worsening the crisis. These include controversial estimated electricity billing practices, persistent metering gaps, rising housing costs, and limited access to quality healthcare under the National Health Insurance framework. He also flagged recurring industrial actions in the health sector, attributing them to poor welfare conditions that ultimately affect both workers and the broader population.

The Commission further raised concerns over wage disparities among workers performing similar roles, calling for transparent and equitable salary harmonisation across sectors. It described delays in the payment of retirement benefits as a grave injustice, warning that such practices strip retirees of dignity and financial security after years of service.

Although the NHRC acknowledged ongoing investments in the railway sector, it insisted that broader and more inclusive transport solutions are urgently needed nationwide to ease the burden on workers.

Framing the crisis in rights-based terms, Ojukwu emphasized that the current economic hardship is not merely a fiscal issue but a human rights concern requiring immediate, people-centered responses. He called on all levels of government to adopt practical policies that directly improve living standards and safeguard workers’ welfare.

As Nigeria joins the rest of the world to mark Workers’ Day, the Commission delivered a blunt message: economic reforms must not come at the expense of citizens’ dignity. Without deliberate protections, it warned, Nigerian workers will continue to shoulder disproportionate hardship in a system that offers little relief.

Fuel Hike Crisis: NHRC Warns Nigerian Workers at Breaking Point, Demands Urgent Government Action

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Troops Recover Rifle, Ammunition During Clearance Operation in Borno

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Troops Recover Rifle, Ammunition During Clearance Operation in Borno

By: Zagazola Makama

Troops of 403 Amphibious Brigade, in collaboration with members of the Civilian Joint Task Force (CJTF), have recovered arms and ammunition during a clearance operation along a major supply route in Borno State.

Security sources told Zagazola that the recovery was made at about 12:00 p.m. on April 29 during a shoulder clearance operation along the Baga–Cross Kauwa road in Kukawa Local Government Area.

The sources said the operation, conducted by troops alongside Explosive Ordnance Disposal (EOD) personnel and civilian volunteers, was part of ongoing efforts to secure the main supply route and prevent insurgent activities.

According to the sources, items recovered include one AK-47 rifle, one magazine and 30 rounds of 7.62mm special ammunition.

They added that no contact was made with any suspected terrorists during the operation, which was carried out successfully without incident.

The sources said troops would continue clearance and surveillance operations to ensure sustained security along key routes in the area.

Troops Recover Rifle, Ammunition During Clearance Operation in Borno

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