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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
NHRC Condemns Killing of Woman, Six Children in Kano
NHRC Condemns Killing of Woman, Six Children in Kano
By: Michael Mike
The National Human Rights Commission (NHRC) has condemned the brutal killing of Mrs. Fatima Abubakar and her six children in Dorayi Chiranchi Quarters, Kano State, describing the incident as a gross violation of the right to life and an attack on human dignity.
The tragic incident, which occurred on Saturday, January 17, 2026, reportedly involved unknown attackers who broke into the family’s residence, killed the victims with dangerous weapons, and allegedly threw an infant into a well.
Reacting to the incident, the Executive Secretary of the Commission, Dr. Tony Ojukwu, OFR, SAN, said the act was not only criminal but also a serious breach of constitutional and international human rights obligations binding on Nigeria. He noted that the right to life is sacrosanct and must be protected at all times, particularly for vulnerable groups such as women and children.
Dr. Ojukwu expressed deep concern over the level of violence displayed in the attack, stressing that such acts threaten public safety and undermine the rule of law. He called on the Nigeria Police Force and other relevant security agencies to carry out a comprehensive and transparent investigation to ensure that those responsible are identified and prosecuted.
The NHRC extended its condolences to the victims’ family, the Dorayi Chiranchi community, and the people of Kano State, assuring them of the Commission’s solidarity during the period of mourning.
The Commission also reaffirmed its commitment to the promotion and protection of human rights across the country, stating its readiness to work with law enforcement agencies to ensure accountability and justice in the case.
Dr. Ojukwu further urged collective action by government institutions, security agencies, community leaders, and civil society groups to uphold the sanctity of human life and prevent a recurrence of such tragic incidents.
He emphasized that justice for the victims is essential to restoring public confidence and fostering a society built on peace, justice, and respect for human dignity.
NHRC Condemns Killing of Woman, Six Children in Kano
News
SOJA Condemns Killing of Woman, Six Children in Kano, Calls for Justice
SOJA Condemns Killing of Woman, Six Children in Kano, Calls for Justice
By: Michael Mike
A human rights advocacy group, Speak Out for Justice Advocacy Ltd/Gte (SOJA), has condemned the gruesome killing of Mrs. Fatima Abubakar and her six children in Dorayi Chiranchi area of Kano State, describing the incident as a grave violation of fundamental human rights and a failure of state protection.
In a statement issued on Tuesday and signed by its legal officer, Hameed Ajibola Jimoh., the organisation said the killing of a mother and her children had shocked the nation and undermined the values of humanity, justice and the rule of law.
SOJA noted that the incident amounted to a serious breach of the right to life as guaranteed under Section 33 of the 1999 Constitution of the Federal Republic of Nigeria (as amended), as well as provisions of international human rights instruments to which Nigeria is a signatory. The group stressed that the African Charter on Human and Peoples’ Rights and the International Covenant on Civil and Political Rights impose clear obligations on the Nigerian State to protect life and ensure accountability for violations.
The organisation further described the killing of six children as a gross violation of the Convention on the Rights of the Child, which mandates governments to take all necessary measures to protect children from violence and unlawful death.
SOJA expressed concern that recurring cases of extreme violence, particularly against women and children, point to systemic weaknesses such as poor early-warning mechanisms, inadequate community-level protection, and insufficient intelligence gathering. According to the group, the responsibility of the state goes beyond prosecuting offenders to preventing foreseeable harm.
The advocacy group called on the Kano State Government, the Nigeria Police Force, the Department of State Services (DSS) and other relevant agencies to conduct a thorough, impartial and transparent investigation into the incident and ensure that all those responsible are brought to justice without delay.
It also urged authorities to provide psychosocial support, protection and relief assistance to surviving family members and the affected community, noting that justice must include healing and institutional reforms, not just arrests.
SOJA further recommended stronger community-based protection and early-warning systems, improved coordination between security agencies and local communities, sustained public education on violence prevention and child protection, and strict enforcement of existing laws protecting women and children.
The group stressed that the victims must not be reduced to mere statistics, adding that their deaths should serve as a catalyst for accountability and renewed commitment to the sanctity of human life.
SOJA said it stands in solidarity with the victims’ family and the people of Kano State, reaffirming its commitment to speaking out until justice is served.
SOJA Condemns Killing of Woman, Six Children in Kano, Calls for Justice
News
EU Sets Aside €557m for West and Central Africa as Part of €1.9bn Humanitarian Budget for 2026
EU Sets Aside €557m for West and Central Africa as Part of €1.9bn Humanitarian Budget for 2026
By: Michael Mike
The European Union has announced a €557 million humanitarian aid package for West and Central Africa, with Nigeria’s North-West region identified as a key focus area, as part of its initial €1.9 billion humanitarian budget for 2026.
The allocation, unveiled on Wednesday by the European Commission, comes amid growing global humanitarian pressures, with an estimated 239 million people currently in need of assistance worldwide and several major donors reducing their funding commitments.
According to the Commission, the €557 million will support vulnerable populations across West and Central Africa, including the Sahel, the Lake Chad Basin, North-West Nigeria, Central and Southern Africa, the Great Lakes region and the Greater Horn of Africa. The funding is intended to provide life-saving assistance such as emergency food, shelter, healthcare services, protection for at-risk groups and educational support for children affected by crises.
Beyond Africa, the EU has earmarked €448 million for the Middle East, particularly Gaza, following last year’s fragile ceasefire, as well as Iraq, Yemen, Syria and Lebanon. Humanitarian needs in Ukraine will receive €145 million as Russia’s invasion enters its fourth year, alongside an additional €8 million for projects in Moldova.
Other regional allocations include €126 million for Afghanistan, Pakistan and Iran; €95 million for Central and South America and the Caribbean; €73 million for Southeast Asia and the Pacific, with emphasis on the Myanmar crisis and its spillover into Bangladesh; and €14.6 million for North Africa. In addition, more than €415 million has been set aside to respond to sudden emergencies globally and to maintain a strategic humanitarian supply chain.
European Commissioner for Equality, Preparedness and Crisis Management, Hadja Lahbib, said the EU’s decision reflects its resolve to sustain humanitarian action despite mounting challenges to international aid and humanitarian law.
“The humanitarian system is under unprecedented strain, and public funding alone will not meet the scale of the crisis,” Lahbib said. “Europe is taking responsibility by committing an initial €1.9 billion for 2026 and leading the global response.”
As part of efforts to bridge the widening gap between humanitarian needs and available resources, Lahbib is in Davos this week to engage business leaders and investors on how private sector innovation and financing can complement public aid. She is also expected to co-host an event with the World Economic Forum on 22 January focusing on new partnerships in aid and development.
The EU and its Member States remain the world’s largest humanitarian aid donors, having provided assistance in more than 110 countries since 1992 through partnerships with non-governmental organisations, United Nations agencies and other international bodies. Humanitarian responses are coordinated through the European Emergency Response Coordination Centre, which operates around the clock to support countries affected by major disasters.
The Commission reaffirmed that its humanitarian assistance would continue to be guided by humanitarian principles, ensuring aid reaches those most in need, regardless of location.
EU Sets Aside €557m for West and Central Africa as Part of €1.9bn Humanitarian Budget for 2026
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