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Accessing healthcare: An arduous journey for pregnant women in northwest Nigeria
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
News
ActionAid: 45% women in Nigeria experience cyberstalking
ActionAid: 45% women in Nigeria experience cyberstalking
By: Michael Mike
ActionAid Nigeria has decried that 45 percent of women in Nigeria have experienced cyberstalking.
It further lamented that also 10.6 percent is said to have faced doxing, which is revealing a person’s private information online to expose them to harm.
UN Women, alongside members of the Development Partners Group on Gender (DPGG) including ActionAid Nigeria, Plan International Nigeria, GIZ, TETRATECH SPRING, and CARE International in collaboration with the Federal Ministry of Women Affairs, convened a landmark National Multi-Stakeholder Dialogue on Technology-Facilitated Gender-Based Violence (TF-GBV) in Abuja.
Held as a flagship event of the 2025 16 Days of Activism against Gender-Based Violence, the dialogue brought together a broad coalition of government institutions, development partners, technology companies, law enforcement agencies, civil society organisations, digital rights groups, and survivor advocates to address the rapidly growing threat of violence against women and girls in online and digital spaces.
Technology-facilitated GBV ranging from cyber-harassment, non-consensual image sharing, online stalking, digital blackmail, hate speech, and exploitation—continues to escalate in Nigeria, yet reporting pathways remain unclear, institutional mandates overlapping, and coordination across sectors insufficient to match the complexity of digital harms.
The Civil Society Organisation, ActionAid Nigeria also revealed that women and girls especially activists, journalists, politicians, and influencers are major victims of high levels of technology-facilitated gender based violence.
Niri Goyit, Women activist and Programme Manager for Women’s Rights, ActionAid Nigeria, reeled out the data on Friday in Abuja at a National Multi-Stakeholders Dialogue on Technology-Facilitated Gender Based Violence, which was part of the #16daysofactivism 2025.
Goyit in her technical presentation: an overview of TF-GBV trends in Nigeria, listed patriarchal norms, low digital literacy, weak enforcement of online harassment laws, platform moderation gaps, and rapid spread of smartphones/apps as some of the drivers of T-FGBV in the country.
She noted that: “In Nigeria, 45% of women have experienced cyberstalking, especially women in public roles, and 10.6% have faced doxing.”
She stated further that: “Nigeria’s internet adoption has grown faster than the safeguards needed to protect users. Survivors as young as fourteen now seek help. Women in public life face coordinated attacks and gendered misinformation.”
She noted that local data shows that many women have experienced cyberstalking or doxing while thousands of sextortion linked accounts were removed by platforms.
She added that: “In Nigeria, digital spaces mirror offline gender power structures Women and girls—especially activists, journalists, politicians, and influencers—face high levels of threats, coordinated harassment, image-based abuse, and doxing.”
She also stated that: “Women and girls across all ages are affected, but some groups face heightened vulnerability: dolescent girls (12–17) and young women (18–35) due to early, frequent social media use and limited control over privacy.
Other vulnerable groups are Women in public roles — journalists, activists, politicians, influencers.
The aim, according to the activist is to silence or discredit them.
On the impact of TF-GBV on victims, Goyit said it includes withdraw or self-censor, reducing women’s civic participation and economic opportunities.
“TFGBV affects survivors in several ways. Emotionally it causes fear, anxiety and trauma. Socially many withdraw from relationships or communities due to shame. Economically some lose jobs or avoid opportunities. Online threats also escalate into physical danger especially when private information is exposed,” she explained further.
She blamed systemic challenges for low implementation of the laws against TF-GBV, saying “Several challenges stand in the way. Laws have not kept pace with digital realities. Many officers do not have the skills to handle digital evidence. Society often dismisses online abuse as jokes. Platforms act slowly and case management systems are weak. These issues combined create major obstacles for survivors.”
Noting the challenges, the ActionAid officer urged for collaboration among all stakeholders.
She stressed that “No single institution can handle TFGBV alone. Government agencies must provide clear pathways for reporting and investigation. Law enforcement needs support from digital experts. SARCs must connect with cybercrime units. Civil society offers survivor centred approaches while technology companies must improve takedowns and cooperation. When all actors work together survivors are protected more effectively.”
She however said: “Nigeria does not need entirely new laws that will take years to pass. The country can update the laws it already has to match today’s digital realities. Real progress will come from collaboration, clarity and survivor centred systems. When institutions adapt and work together Nigeria can build a safer digital environment for all.”
In his goodwill Message, the Country Director, ActionAid Nigeria, Mr. Andrew Mamedu reiterated the commitment of AAN to ending all forms of GBV including TF-GBV.
He also called on all the stakeholders to join in preventing the menace.
Mamedu who was represented by Goyit said: “At ActionAid Nigeria, our commitment to ending all forms of GBV including TF-GBV—remains firm.
“We work in communities to challenge harmful norms, support survivors, strengthen access to justice, engage men and boys, and build the capacity of women-led organisations.
“We recognise both the opportunities and risks of digital platforms, and we remain committed to ensuring that technology empowers rather than harms women and girls.”
He therefore urged all partners—government, civil society, private sector, media, development partners, and community leaders—to renew their shared commitment to preventing and responding to all forms of GBV.
Special Adviser to the President on Women’s Health, Dr. Adanna Steinaker, representing the Minister of Women Affairs, Mrs. Imaan Sulaiman-Ibrahim noted that:
“As technology evolves, so must our responses. Technology should be a tool for empowerment, not a weapon of abuse. As a nation, we are committed to building systems that protect women and girls in every space—including the digital world. This dialogue moves us closer to a Nigeria where online safety, accountability, and justice are guaranteed for all.”
”Technology-facilitated violence is one of the fastest-growing threats to gender equality. On behalf of UN Women, I reaffirm our commitment to working with the Government of Nigeria and all partners to ensure that women and girls can participate in digital spaces without fear. This dialogue is a critical step toward a coordinated national response that protects rights, amplifies accountability, and builds a safer future for all.” UN Women Acting Deputy Country Representative – Ms. Patience Ekeoba who spoke on behalf of the Country Representative to Nigeria and ECOWAS.
ActionAid: 45% women in Nigeria experience cyberstalking
News
Residents urged to take up employment in the Lassa General Hospital
Residents urged to take up employment in the Lassa General Hospital
By: Bodunrin Kayode
Residents of Lassa town have been urged to take up instant employment in the General Hospital Lassa in the southern senatorial zone of the state.
Borno State Governor, Babagana Zulum said this while on a visit to the facility which is in Lassa town recently.
The Governor decried the deliberate shying away from working in the General hospital by residents with ancestry from the town or the council area.
Zulum regretted that most of the residents with qualified medical background come home only for important holidays and run back but refuse to work for the growth of their town.
The Governor who was on a sympathy tour of the Lassa General hospital recently vowed to change the fortune of the hospital if only trained Borno doctors will be bold to pick the instant employment waiting for them in lassa.
He assured that he was going to recruit as much as five doctors to assist the hospital which has not had a doctor since 2020 when Dr Danladi the last Principal medical doctor died.
The Governor assured that he will do all he can to ensure that the promised employment is effected as soon as the doctors or nurses show up to start work.
Lassa General hospital built by missionaries in 1928 before independence became a recognized secondary facility with the full complements of medical doctors and nurses.
However, as at today the they not only lack doctors but also nurses, medical and health record workers and all manner of health workers that should run a renown facility like this General hospital.
Residents urged to take up employment in the Lassa General Hospital
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VP Shettima: Traditional institutions Remain Irreplaceable, Will Be Preserved Under President Tinubu
VP Shettima: Traditional institutions Remain Irreplaceable, Will Be Preserved Under President Tinubu
By: Our Reporter
Vice President Senator Kashim Shettima has reiterated the commitment of the administration of President Bola Ahmed Tinubu to the preservation and protection of traditional institutions in Nigeria.
According to him, traditional rulers are the closest to the grassroots are the leaders and fathers of the society, and their institutions outlive every administration.

Senator Shettima gave the assurance on Friday during the the 45th Anniversary of the Emir of Gumel, HRH, Alhaji Ahmed Mohammed Sani II, and the Commissioning of Gumel Central Mosque in Gumel local government area of Jigawa State.
The Vice President stated that the tenure of every elective political office holder ends after eight years but the traditional institutions remains.
“Therefore, we must respect them, we must take care of them, and we must preserve as well as protect the institution,” he added.
The Vice President, who congratulated the Emir of Gumel for celebrating his 45th anniversary in good health, prayed Almighty God to spare the life of the traditional ruler to witness his Golden Jubilee and centenary celebrations.

“I am quite glad to be back home. Gumel is home. Founded in 1750 by Danjuma, this Emirate has a rich history. When Danjuma died in 1754, he was succeeded by his son, and our royal father who is celebrating his 45th anniversary as the Emir of Gumel is the 13th Emir of Gumel. He is a graduate of Political Science.
“He was a Commissioner in the cabinet of the late former governor of old Kano State, Alhaji Abubakar Rimi, before he was elevated to the throne of his ancestors. May Allah continue to bless him with good health and may his reign be long.”
VP Shettima also paid glowing tribute to His Eminence, the Sultan of Sokoto, Alhaji Muhammed Sa’ad Abubakar III, saying the Sultan “is truly a leader worthy of emulation by us all.

“He (Sultan) is a symbol of our unity. Last week, he was in Kaduna. Hardly a week passes without the Sultan criss-crossing the length and breath of this country building bridges. Your Eminence, we are very grateful to you. May Allah bless you with sound health and long life,” the Vice President said.
Senator Shettima also applauded the Governor of Jigawa state, Mallam Umar Namadi, for cultivating 10,000 hectares of wheat, which, according to him, is more than what the entire 18 northern states cultivated.
“Your Excellency, we thank you; we are mightily proud of you. May the Almighty Allah continue to strengthen our unity and understanding, ” VP Shettima said.
Earlier, Governor Namadi thanked the Vice President Shettima for honouring the invitation by the Jigawa State Government and Gumel Emirate to grace the 45th Anniversary of the reigning Emir of Gumel and the commissioning of Gumel Central Mosque.

“Your Excellency, we are deeply grateful to you for honouring us with your presence at this historic ceremony. On behalf of the Government and good people of Jigawa State, especially the people of Gumel Emirate, we thank you most sincerely for your unwavering commitment to the progress and development of our dear state, ” Governor Namadi said.
Also, the Sultan of Sokoto and President General of the Nigeria Supreme Council for Islamic Affairs (NSCIA), Abubakar III, preached unity, tolerance, and mutual respect among all Nigerians irrespective of their religious and cultural diversity.
The Sultan, who congratulated the Emir of Gumel for marking his 45th anniversary celebration, commended the Vice President for his dedication and commitment to the preservation of traditional institution, peace, unity and development of the country.
Other dignitaries who graced the celebration are the Deputy Chief of Staff to the President (Office of the Vice President), Senator Ibrahim Hassan Hadeija; Minister of Agriculture and Food Security, Senator Abubakar Kyari; former member of the House of Representatives, Hon. Farouk Adamu Aliyu; Deputy Governor of Jigawa State, Alhaji Aminu Usman, and the Speaker of Jigawa State House of Assembly, Hon. Haruna Dangaji.
Others include the Emir of Machina, HRH, Alhaji Bashir Albishir Bukar Machinama; Emir of Dutse, HRH, Muhammad Hameem Nuhu Sanusi, Emir of Hadejia, HRH, Alhaji Adamu Abubakar Maje; members of the Jigawa State Executive Council, and some members of the National Assembly, among others.
VP Shettima: Traditional institutions Remain Irreplaceable, Will Be Preserved Under President Tinubu
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