Connect with us

News

Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria

Published

on

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

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

News

Troops neutralise seven terrorists, rescue hostages in Borno

Published

on

Troops neutralise seven terrorists, rescue hostages in Borno

By: Zagazola Makama

Troops of Joint Task Force (North East), Operation Hadin Kai, have neutralised seven terrorists and rescued three abducted persons during coordinated clearance and ambush operations in Konduga Local Government Area of Borno.

Zagazola Makama reliably informed that the latest encounters occurred in the early hours of Saturday under Operation Desert Sanity V.

According to the sources, troops operating in conjunction with members of the Hybrid Force and Civilian Joint Task Force (CJTF) made contact with terrorists at about 4:40 a.m. at Sojiri, a known terrorist crossing point in Konduga LGA.

“During the firefight, five terrorists were neutralised, while three hostages kidnapped by the terrorists were successfully rescued. One AK-47 rifle was also recovered,” the sources said.

They added that no casualty was recorded on the side of own troops, with no personnel killed, wounded or missing.

In a related operation, the main advancing force into terrorist territory was reported to be about four kilometres short of the crossing point at Kana after commencing movement from a harbour position.

The sources said contact was made by an ambush team between Meleri and Ngirbua, where two additional terrorists were neutralised and one AK-pattern rifle recovered.

Zagazola reports that Operation Desert Sanity V is part of sustained offensive actions by the Nigerian military aimed at degrading terrorist networks, blocking movement corridors and rescuing abducted civilians across the North East.

Troops neutralise seven terrorists, rescue hostages in Borno

Continue Reading

News

Three women killed as Bachama–Tsobo crisis resurfaces in Adamawa

Published

on

Three women killed as Bachama–Tsobo crisis resurfaces in Adamawa

By: Zagazola Makama

The killing of three Tsobo women on a dry season rice farm in Numan Local Government Area has reignited the Bachama–Chobo conflict, whose roots stretch far beyond the sound of gunfire.

Zagazola Makama report that the latest incident occurred on Friday at about 10:30 a.m. while some Tsobo women were working on their dry-season rice farm. Sources said that suspected Bachama youths stormed the farming area in large numbers and began shooting sporadically. In the process, three women were shot dead,” the source said.

The killing of the three Tsobo women on a dry-season rice farm in Numan is not an isolated tragedy. It is the latest expression of a conflict whose roots lie far deeper than gunshots, farmlands or a single failed peace meeting.

The Bachama–Chobo crisis is a classic Nigerian communal conflict, layered, historical, emotional and politically combustible where land ownership, identity, chieftaincy authority and generational amnesia have fused into a dangerous cocktail.

At its core, the crisis is not merely about who owns which farmland. It is about who belongs, who rules, and who decides the future of a shared space. For centuries, Bachama and Chobo communities lived together in Numan and its environs under a largely harmonious arrangement. Markets were shared. Water points were communal. Schools, hospitals and even marriages crossed ethnic lines. There was no rigid separation between “host” and “settler” in daily life.

That coexistence was sustained not by written treaties or court judgments, but by social contracts rooted in tradition, mutual respect and the authority of traditional institutions. Disputes over land were settled locally. Authority was recognised, even if grudgingly. Peace endured because both sides saw coexistence as more valuable than confrontation.

What has changed is not history but how history is interpreted, weaponised and transmitted to younger generations. The Bachama and Chobo tell fundamentally different origin stories, and each story carries political implications.

The Chobo present themselves as original inhabitants, landlords who accommodated Bachama migrants out of goodwill. From this perspective, the Bachama are “guests” who have overstayed their welcome and now seek to dominate both land and chieftaincy.

The Bachama counter this narrative by portraying the Chobo as mountain dwellers who were encouraged to descend into the plains, settled and supported through leased farmlands. In this account, Bachama authority is not imposed but historically earned.

Neither narrative is neutral. Each defines who has moral legitimacy, who should defer, and who has the right to rule. Once such narratives harden, compromise becomes betrayal and dialogue becomes surrender.

Investigations and community testimonies consistently point to farmland disputes involving Waduku and Rigange as the immediate triggers of violence. But land is only the spark, not the fuel. Land disputes in Nigeria rarely remain about boundaries alone. They quickly evolve into questions of identity and power, especially where farming is the primary means of survival.

For Chobo communities described as largely mountain dwellers, access to fertile plains is existential. For Bachama communities, control of land reinforces political and traditional dominance. Once farming rights are framed as existential threats, moderation disappears.

Historically, traditional rulers resolved such disputes. Today, that mechanism is broken.
The Chobo’s rejection of traditional mediation stems from their perception that the entire traditional hierarchy is Bachama-dominated, making justice structurally impossible. From their standpoint, accepting verdicts from Bachama-led institutions amounts to legitimising subordination.

The Bachama, however, see this rejection as bad faith and intransigence, especially when mediation panels include Chobo representatives. Each side believes the other is deliberately undermining peace. This mutual distrust has hollowed out traditional conflict-resolution systems, leaving a vacuum filled by courts, security forces and increasingly youth militancy.

Perhaps the most dangerous element in the crisis is generational. Older community leaders remember coexistence. Younger actors remember grievance. Many of today’s youths were born into suspicion, not solidarity. They inherited anger without inheriting context.

Slogans like “Sokoto must go” illustrate how historical migration narratives are simplified into political weapons. Such rhetoric does not seek negotiation; it seeks erasure. Once a community is told it must “return” after centuries of settlement, violence becomes not only possible but, to some, justified. Social media, music and street mobilisation have amplified these sentiments, weakening elders’ authority and making youth groups de facto power brokers.

The chieftaincy question has transformed the conflict from communal disagreement into a struggle over sovereignty. Bachama leaders insist that Chobo fall under the statutory authority of the Hamma Bachama. Chobo leaders reject this, seeing it as symbolic domination. Withdrawal of allegiance was not merely cultural, it was political defiance.

Peace talks collapsed largely because reconciliation was framed as submission rather than coexistence. Apologies demanded, loyalties reaffirmed and conditions imposed turned dialogue into a zero-sum contest. In conflicts of identity, dignity often matters more than land.

The Adamawa State Government, through peace agencies and direct intervention by Gov. Ahmadu Umar Fintiri, has made sustained efforts to mediate between the warring communities. Multiple meetings involving elders, youth representatives, traditional rulers and government officials have been held. Yet, each round of talks has ended without lasting agreement, often undermined by fresh outbreaks of violence shortly after. Curfews and security deployments have restored temporary calm, but residents say such measures amount to enforced silence rather than genuine peace.
The renewed violence has taken a heavy toll on civilians, particularly women engaged in farming and trading.

Community leaders lament that farms and markets once symbols of shared livelihood have become theatres of bloodshed. The killing of women working on rice farms has deepened fears and resentment, reinforcing the sense that the conflict has spiralled beyond control. The Bachama–Chobo crisis mirrors broader challenges across Nigeria, where disputes over land, identity and traditional authority intersect with weak dispute-resolution mechanisms and rising youth radicalisation.

Until issues of legitimacy, land access and historical grievances are addressed through an inclusive and neutral process, observers warn that violence will continue to recur.
End

Continue Reading

News

NDLEA Intercepts Drugs Hidden in Coffee Sachets, Detains 22 Indians Over Cocaine Shipment

Published

on

NDLEA Intercepts Drugs Hidden in Coffee Sachets, Detains 22 Indians Over Cocaine Shipment

The National Drug Law Enforcement Agency (NDLEA) has recorded a major breakthrough in its nationwide crackdown on drug trafficking, intercepting illicit substances concealed in coffee sachets and arresting 22 Indian nationals linked to a large cocaine seizure at the Apapa seaport in Lagos.

Operatives of the agency intercepted consignments of ketamine, ecstasy and tramadol pills hidden inside sachets of coffee mix and parcels of books destined for Zambia and the United Kingdom. The seizures were made at a courier facility in Lagos on December 24 and 29, 2025.

In a related operation, NDLEA officers arrested the entire crew of a merchant vessel, MV Aruna Hulya, after 31.5 kilogrammes of cocaine were discovered in Hatch 3 of the ship at the GDNL terminal, Apapa last Friday . The vessel had arrived from the Marshall Islands.

Those taken into custody include the ship’s master, Sharma Shashi Bhushan, and 21 other Indian crew members, all of whom are being investigated for their alleged roles in the trafficking attempt.

Meanwhile, in Oyo State, NDLEA operatives arrested a notorious female drug dealer, 65-year-old Fatima Ilori, popularly known as Mama Kerosine, following an intelligence-led operation in Ibadan. The suspect, described as a major distributor of illicit drugs in the state, was apprehended on December 29, 2025, alongside another woman, Olusanya Abosede, 35. The arrest followed the seizure of 238.4 kilogrammes of skunk linked to the drug network.

In Borno State, the agency disrupted supply routes feeding illicit drugs to insurgents with the arrest of two suspects and the seizure of large quantities of tramadol.

A suspect, Isa Mohammed, 26, was arrested along the Maiduguri–Gamboru Ngala road with 9,150 ampoules of tramadol injection, while Musa Samaila, 30, was nabbed at Biu market with 34,000 tramadol capsules on the same day.

The spokesman of the anti-narcotics agency, Femi Babafemi in a statement on Sunday, said additional seizures were recorded across several states. He said in Lagos, operatives recovered about 400 kilogrammes of skunk and a van at the Mobolaji Johnson area on New Year’s Day. In Jigawa State, a suspect, Bilya Ibrahim, 39, was arrested at a motor park in Hadejia while attempting to transport 260 compressed blocks of skunk weighing 140.8 kilogrammes from Taraba State to Yobe State.

In Kwara State, NDLEA officers recovered 238.5 kilogrammes of skunk from a suspect’s residence in the Asadam area of Ilorin. Another suspect, Abubakar Rabiu, 32, was arrested at Bode Saadu in Moro Local Government Area with 32,000 pills of tramadol and diazepam last Wednesday.

Babafemi noted that beyond enforcement operations, the agency intensified its War Against Drug Abuse (WADA) sensitisation campaigns during the week, reaching schools, youth groups, worship centres and communities in states including Katsina, Lagos and Niger.

Commending the officers involved in the operations, NDLEA Chairman and Chief Executive Officer, Brigadier General Buba Marwa (rtd), urged commands nationwide to sustain and strengthen the agency’s drug control efforts.

NDLEA Intercepts Drugs Hidden in Coffee Sachets, Detains 22 Indians Over Cocaine Shipment

Continue Reading

Trending

Verified by MonsterInsights