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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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VP Shettima To Public Servants: Remain Selfless To Sustain Enduring Legacies In Service

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VP Shettima To Public Servants: Remain Selfless To Sustain Enduring Legacies In Service

Extols Hadiza Usman’s contributions to public service, nation building at 50th birthday colloquium

By: Our Reporter

The Vice President, Senator Kashim Shettima, has charged public servants in Nigeria to imbibe the virtues of selflessness and excellence, marked by a commitment to daily discipline, consistency of effort and strength of character.

According to him, enduring legacies in public service are the ones sustained by a consistent dedication to excellence, resilience and hard work regardless of the challenges of building enduring institutions.

Senator Shettima spoke in Abuja on Tuesday during a colloquium organised to commemorate the 50th birthday of Hajiya Hadiza Bala Usman, Special Adviser to the President on Policy and Coordination and Head, Central Delivery Coordination Unit.

“If we are to raise more generations of Nigerians ready to lead with purpose, to deliver with excellence, and to serve with courage, we must remember this truth: intention without the willingness to pay the price of service remains wishful thinking,” he stated.

Eulogizing the celebrant’s distinguished and unique public service career, the Vice President described Hadiza Bala Usman as a mirror not only for the northern Nigerian girl, but for the nation itself.

He said, “There is no doubt that Usman’s place in our public service history is secure. This is so because it was not built on spectacle, nor did it rely on applause. What she has become was a product of decisions taken quietly, responsibilities carried fully, and institutions strengthened with care.”

VP Shettima said Hadiza Bala Usman earned her influence in Nigeria’s public service, continually shaping the country’s national direction through “a rare combination of gifts: grace, strengthened by grit; clarity, guided by courage, vision and excellence.”

He continued: “What has not been noted enough about our celebrant is that she is emerging from a part of our country where many young women still search for proof that ambition such as hers is permitted.

“Indeed, her journey required courage, and that is why she has become that proof. Its trials were visible. Its demands were exacting. Its rewards were earned. Nigeria watched her grow into responsibility early, stepping into critical policy spaces when many are still finding their voice.”

Maintaining that Usman’s achievements were never accidental, Senator Shettima noted that the celebrant’s rise in public service was deliberate, earned and sustained by a faithful commitment to the difficult work of building a functional nation.

“May your example continue to guide those who still believe that service, when done well, can ennoble a nation,” the VP added.

Earlier, Secretary to Government of the Federation, Senator George Akume, said Usman’s life remains a shining example of discipline.

He urged the celebrant to remain steadfast in advancing the Renewed Hope Agenda of President Bola Tinubu, expressing optimism that her years ahead will be marked by continuous, impactful service to Nigeria.

For his part, Chief of Staff to the President, Hon. Femi Gbajabiamila, explained that the gathering was aimed at honouring a life defined by purpose, courage, and an unwavering commitment to service and value addition to the Tinubu administration.

Gbajabiamila noted that when Usman transitioned fully into government at the state and national levels, she introduced structure to governance and clarity in priorities.

He recalled how the presidential aide eventually enforced reforms in one of Nigeria’s most strategic and complex agencies, the Nigerian Ports Authority (NPA), thereby raising the standard of leadership and service within the agency.

Also, the Minister for Youth Development, Ayodele Olawande, recognised Usman’s service and commitment to public institutions in Nigeria, particularly the Ministry of Youth Development.

He noted that her relevance in public service has resulted in her supportive roles in many initiatives aimed at benefiting youths across the country.

The Director General of the National Emergency Management Agency (NEMA), Zubaida Umar Abubakar, described Usman as a friend of over three decades.

According to her, the celebrant exemplifies an overwhelming commitment to principles, matched with quiet clarity and conviction, both in private and public life.

Speaking on “Leadership Delivery and the Courage to Serve,” the keynote speaker at the colloquium, a former Director General of the Bureau of Public Service Reforms, Dr Joe Abah, said serving Nigeria at a senior level is a privilege only a few would attain, entailing that those who occupy such roles must positively impact the lives of the citizenry.

Highlighting a number of leadership lessons practically expressed through Usman’s life, he said, “Your work no longer speaks for you,” adding that one must now speak for their work due to the emergence of fake news and critics.

He noted that leading people remains difficult, and that leaders may not see the impact of their actions in government until they leave office.

On her part, the celebrant, Hadiza, said she was humbled by the personalities who graced the colloquium, just as she thanked President Tinubu, Vice President Shettima, and others for contributing to her political career and personal life.

She recalled her roles in election planning since 2015 and at the NPA, and used the opportunity to recommit herself to the Renewed Hope Agenda for the betterment of Nigeria.

VP Shettima To Public Servants: Remain Selfless To Sustain Enduring Legacies In Service

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Global Peace Development Launches Five-Year Strategic Plan, Targets Peacebuilding, Governance, and Social Justice

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Global Peace Development Launches Five-Year Strategic Plan, Targets Peacebuilding, Governance, and Social Justice

By: Michael Mike

Global Peace Development (GPD) has unveiled its Five-Year Strategic Plan (2026–2030), outlining an expanded vision to strengthen peacebuilding, inclusive governance, and sustainable development across Nigeria and beyond.

The plan was officially launched in Abuja on Tuesday at a well-attended event that brought together civil society leaders, development partners, and government representatives, including the Institute for Peace and Conflict Resolution (IPCR).

Delivering a goodwill message on behalf of the Director-General of IPCR, Dr. Joseph Ochogwu, the institute commended GPD for its long-standing contributions to peacebuilding, gender equality, child protection, and inclusive governance.

Ochogwu, who was represented by Dr. Mang Chaimang, a director in the Institute, described the strategic plan as a timely and well-articulated roadmap that reflects over two decades of practical experience in addressing peace and development challenges in Nigeria.

Ochogwu noted that civil society organisations such as GPD play a critical role in complementing government efforts, particularly in fragile and conflict-affected regions. He added that the new strategic plan provides a strong framework for collaboration among government institutions, development partners, and civil society actors working towards sustainable peace.

Speaking in an interview after the launch, the Board Chairman of GPD, Chief Ejiro Oghenebrume, said the five-year plan represents more than a policy document, describing it as a renewed commitment to justice, good governance, and sustainable peace.

According to him, the organisation is repositioning itself to expand its scope from local interventions to a broader global outlook. He emphasized that peacebuilding is a continuous process and urged stakeholders not to relent in their efforts, warning that unresolved ethnic, religious, and political tensions could undermine national stability if not properly addressed.

Oghenebrume also advised that ethnicity and religion should not be allowed to define access to opportunities, calling for policy reforms that promote inclusion based on residency rather than origin. He stressed that peace cannot be sustained without constant engagement, education, and vigilance.

On the organisation’s priorities, the GPD chairman disclosed that women and young people remain central to the strategic plan, noting that peace at the community level begins with stable families and empowered children. He revealed that the organisation anticipates a budget of about ₦1.8 billion for 2026 to support phased implementation of the plan.

Also speaking, the Executive Director of GPD, Mr. Ebruke Esike, explained that the new strategic plan expands the organisation’s focus from five to eight thematic pillars. These include peace and conflict resolution, gender justice, democracy and governance, environment and climate change, water, sanitation and hygiene, livelihood development, education, and the protection of women and children from gender-based violence.

Esike said the plan is designed to improve security and social cohesion through non-kinetic approaches such as community dialogue, education, economic empowerment, and legal advocacy. He disclosed that the organisation projects a ₦1.2 billion operational budget for 2026, which will be sourced largely through competitive grants and partnerships.

According to him, GPD currently operates across several states in the South-South, South-East, North-Central, and North-West regions, with plans to expand to the North-East and South-West. He noted that the organisation has been involved in conflict mediation between farmers and herders, women-led peace platforms, environmental sustainability initiatives, and civic education programmes.

Esike acknowledged challenges such as insecurity, poverty, and low literacy levels but said GPD continues to work closely with government authorities, security agencies, and local peace institutions to ensure effective and safe programme delivery.

The launch ended with renewed commitments from stakeholders to strengthen partnerships aimed at promoting peace, social justice, and sustainable development in Nigeria.

Global Peace Development Launches Five-Year Strategic Plan, Targets Peacebuilding, Governance, and Social Justice

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AFRICOM Delegation Reaffirms Support for NDLEA in Fight Against Drug Trafficking

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AFRICOM Delegation Reaffirms Support for NDLEA in Fight Against Drug Trafficking

By: Michael Mike

A high-level delegation from the United States Africa Command (AFRICOM) has assured the National Drug Law Enforcement Agency (NDLEA) of stronger cooperation and continued technical support as efforts intensify to curb illicit drug trafficking in Nigeria and the wider region.

The delegation met on Tuesday with the Chairman and Chief Executive Officer of NDLEA, Brigadier General Buba Marwa (Rtd), where both sides discussed the progress of existing partnerships and future areas of collaboration.

Leading the delegation, Philip Esch, who serves as the United States Drug Enforcement Administration (DEA) liaison to AFRICOM, described the working relationship with NDLEA as critical to international security.

He commended the agency’s leadership and professionalism, noting that NDLEA’s operations in Nigeria have far-reaching implications beyond the country’s borders.

Members of the delegation also praised NDLEA for the effective use and maintenance of equipment previously supplied by the United States government, a development they said demonstrates accountability and commitment to the shared anti-drug agenda. They disclosed that additional projects and training programmes are being planned to further strengthen the agency’s capacity.

In his remarks, Marwa expressed gratitude for the visit and acknowledged AFRICOM’s sustained support, which he said has contributed significantly to recent successes recorded by the agency.

He stressed that drug trafficking remains closely linked to other security challenges, including terrorism and organized crime.

The NDLEA boss called for expanded assistance in key operational areas such as airport screening technology, forensic laboratories, digital investigation tools, portable drug detection devices and the deployment of trained sniffer dogs.

The meeting concluded with a mutual commitment to deepen cooperation aimed at disrupting drug networks, enhancing law enforcement capacity and promoting regional and global security.

AFRICOM Delegation Reaffirms Support for NDLEA in Fight Against Drug Trafficking

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