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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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Three Bandits Killed as Terrorists Attack Chediya Community in Tsafe LGA

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Three Bandits Killed as Terrorists Attack Chediya Community in Tsafe LGA

By: Zagazola Makama

At least three suspected terrorists were neutralised on Sunday following a violent attack on Chediya community in Agarin ward of Tsafe Local Government Area, Zamfara State.

According to local sources, armed bandits stormed the village in the early hours, opening fire and setting several houses ablaze. The residents, however, mounted stiff resistance, engaging the attackers in a fierce confrontation that resulted in the death of three of the assailants.

While the villagers succeeded in repelling the attackers, the bandits also burned down several homes and forced many families to flee for safety.

“They came heavily armed and started shooting sporadically. Some of our youth confronted them, and in the fight, we managed to kill three of them,” said a resident who asked not to be named for security reasons.

Three Bandits Killed as Terrorists Attack Chediya Community in Tsafe LGA

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Women engineers urge intensified action to tackle plastic pollution

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Women engineers urge intensified action to tackle plastic pollution

The Association of Professional Women Engineers of Nigeria (APWEN), on Monday, called for urgent global action to tackle plastic pollution causing environmental crisis.

APWEN, under its “STEM for All” initiative, North-East zone, made the call, while commemorating the 2025 World Environment Day in Gombe.

Speaking virtually, President of APWEN, Engr. Adebisi Osim, said it is imperative to encourage recycling of plastics, as part of measures to reduce pollution.

Osim noted that the amount of plastics manufactured annually for use had made it necessary for urgent actions to be taken, to ensure a cleaner and safer environment.

“Today’s theme, “End Plastic Pollution” is not just a catchy phrase, It is a wake-up call; a global one and we are answering that call, not with panic, but with STEM-driven solutions and people-centered action.

“According to the United Nations Environment Programme, the world produces over 430 million tonnes of plastic annually, and over two-thirds of that becomes waste.

“Alarmingly, less than 10 per cent is recycled, and the rest clogs our drains, litters our streets, chokes our rivers, and poisons marine life.

“Here in Nigeria, the World Bank estimates that Lagos alone generates 13,000 metric tonnes of waste per day, and 15 per cent of that is plastic.

“We see it daily in pure water sachets lining our gutters, single-use bags littering markets, and microplastics infiltrating our food chains,” she said
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Osim called on stakeholders to invest more in recycling the plastics towards reducing the need for new plastic production, which will in turn lower greenhouse gas emission.

She assured that state chapters are collaborating with young people, to design plastic alternatives, using local materials, and to build waste-sorting systems using simple robotics.

Osim added that the chapters will also explore the conduct of STEM fairs, which are focused on sustainable innovation.

In the same vein, Chairman of the Gombe chapter of APWEN, Engr. Deborah Danladi, urged stakeholders to invest in plastic waste recycling, to save the environment, as well as create jobs and wealth for youths.

Danladi also underscored the need for more action and sensitisation to ensure collective approach to addressing the menace of plastic pollution.

Women engineers urge intensified action to tackle plastic pollution

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UN Agencies Drum Support for Adequate Investment in MSMEs

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UN Agencies Drum Support for Adequate Investment in MSMEs

By: Michael Mike

The United Nations (UN) agencies in Nigeria have hammered on the need for adequate investment in the development of Micro, Small and Medium sized Enterprises (MSMEs) to advance economic growth in the country.

The agencies disclosed this during the commemoration ceremony of the 2025 MSMEs Day on Monday in Abuja.

The event was jointly organised by the United Nations Industrial Development Organisation (UNIDO), International Labour Organisation (ILO), United Nations Development Programme (UNDP), United Nations Information Centre (UNIC) and World Intellectual Property Organisation (WIPO).

Director, UNIDO Sub-regional Office, Abuja, Mr. Philbert Johnson, who was represented by National Programme Officer at UNIDO, Mr. Reuben Bamidele,, said that MSMEs role in nation building cannot be underestimated, therefore the need for adequate investment to ensure their sustainable growth is of uppermost importance.

Johnson said: “We are gathered together today to discuss proper ways to promote innovation and growth within the MSMEs sector.

“In Nigeria, as we know not less than 40million MSMEs are making huge contribution to the economic growth of the country, by providing employment and serving as means of livelihood for people.

“MSMEs, thereby, contribute to the growth of Gross Domestic Products across sectors of the country’s economy. We gathered to dissect the challenges MSMEs face and also, to work closely together towards achieving sustainable growth.”

The ILO Country Representative, Dr Vanessa Phala, stressed the need for strategic measures to be taken to bolster MSMEs impact on the nation’s economy.

Phala, who was represented by ILO’s National Project Coordinator for the Social Dimension of Ecological Transition, Stephen Agugua, said: “We look at how MSMEs can drive the future of the economy through job creation and employment. When you think of job creation and employment that is where ILO comes in.

“MSMEs are key to the growth of every economic sphere: Through this dialogue platform ILO will know the challenges MSMEs are facing and look at pathways for ensuring sustainable solutions collectively.”

The UNDP Deputy-Director, Ms Varsha Redkar-Palepu, represented the National Programme Specialist and Trade Focal Point at UNDP by Claire Henshaw,, described MSMEs as pivotal to nation building.

She noted that MSMEs form the foundation of inclusive and sustainable development in Nigeria, “MSMEs are vital engines for job creation, innovation and social mobilisation, particularly for women and youths. While operating on margins of formal economic systems, we need to put MSMEs at the centre of our development.

“In Nigeria and across Africa, MSMEs holds the key to transforming economic opportunities to meaningful development and the ambition into tangible outcomes,” Phala said.

On his part, Managing-Director of Prohealth, a private organisation, Dr Chinedu Nnabuihe who spoke on behalf of the Nigeria Employers’ Consultative Association (NECA), commended the UN agencies for putting the event together.

According to him, the event is dedicated to the invaluable role MSMEs play in advancing innovation, creating jobs, increasing inclusive and sustainable economic growth across the country.

“In Nigeria, MSMEs are the engine of our economy, driving local production, supporting livelihood and contributing significantly to national GDPs. This is amidst challenges posed by economic situation, limited access to finance and infrastructure.
“Nigeria MSMEs have continued to demonstrate resilience, creativity and determination. At NECA we remain steadfast in our commitment to fostering an enabling environment in supporting MSMEs development,” Nnabuihe said.

The event attracted stakeholders from Small and Medium Enterprises Development (SMEDAN), Nigerian Association of Small Scale Industrialists (NASSI), Nigeria Association of of Small and Medium Enterprises (NASME) and Corporate Affairs Commission (CAC).

Others include, National Insurance Commission (NICOM), Nigeria Social Insurance Trust Fund (NSITF) and Abuja Chambers of Commerce and Industry (ACCI).

Highpoint of the event was visit by the stakeholders to the exhibition stand of MSMEs, overview of UNDP engagement with MSMEs, government agencies’ engagement with MSMEs and WIP-intellectual property for MSMEs.
End

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