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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
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PRESIDENT TINUBU ASKS MATAWALLE, MINISTER OF STATE FOR DEFENCE, TO MOVE TO KEBBI OVER SCHOOLGIRLS’ ABDUCTION
PRESIDENT TINUBU ASKS MATAWALLE, MINISTER OF STATE FOR DEFENCE, TO MOVE TO KEBBI OVER SCHOOLGIRLS’ ABDUCTION
By: Our Reporter
President Bola Tinubu has asked the Minister of State for Defence, Alhaji Bello Matawalle, to relocate to Kebbi State over the abduction of 25 schoolgirls in the state.
Matawalle, who was formerly governor of Zamfara State, was asked to remain in the state to monitor security efforts to secure the release of the abducted students.
Gunmen abducted 24 students of Government Girls Comprehensive Secondary School in Maga town, Kebbi State, around 4 am on Monday.
Matawalle, who is expected to arrive in Birni-Kebbi on Friday, gained some experience in dealing with banditry and mass kidnapping during his tenure as governor of Zamfara State from 2019 to 2023.
On 26 February 2021, armed bandits abducted 279 female students aged between 10 and 17 at the Government Girls Science Secondary School, a boarding school in Jangebe, in Zamfara State. The bandits released all the hostages on 2 March 2021.
President Tinubu had postponed his scheduled trip to Johannesburg, South Africa, and Luanda, Angola, as he awaited further security briefings on the kidnapped Kebbi schoolgirls and the attack on Christ Apostolic Church worshippers in Eruku, Kwara State.
PRESIDENT TINUBU ASKS MATAWALLE, MINISTER OF STATE FOR DEFENCE, TO MOVE TO KEBBI OVER SCHOOLGIRLS’ ABDUCTION
News
President Tinubu Hails Jonathan’s Eternal Covenant Of Service At Foundation’s 10th Anniversary
President Tinubu Hails Jonathan’s Eternal Covenant Of Service At Foundation’s 10th Anniversary
*Says Nigeria’s democracy thrives because of leaders who place nation above ambition
By: Our Reporter
President Bola Ahmed Tinubu has praised former President Goodluck Jonathan as a guardian of democracy whose legacy extends far beyond his time in office.
The President described Jonathan as a profound lesson on life after public service, who preserved Nigeria’s democracy at a moment when it mattered most.
Speaking on Thursday during the 10th anniversary dinner of the Goodluck Jonathan Foundation in Abuja, President Tinubu, who was represented by his deputy, Vice President Kashim Shettima, said the former president’s decision to establish the foundation demonstrates that “life begins anew when we leave the high offices for which we are elected.
“There can never be enough words to express the depth of our national gratitude to him,” President Tinubu said, adding that Jonathan has “remained the same guardian of our collective values since leaving office.”
The President drew a contrast between leaders who use their post-office influence destructively and those who devote themselves to serving humanity.

“Some choose a vehicle that serves only themselves, one that pursues causes capable of harming the very society that once carried them. The other group chooses a nobler path: devoting their life to the service of humanity,” he said.
President Tinubu warned that democracy across West Africa and globally has come under severe threat over the past decade, weakened by “adventurists, by extremists, by actors intoxicated by power, by those who see institutions as inconveniences and elections as formalities.”
He emphasised that Jonathan had demonstrated a crucial principle that nobody’s ambition supersedes the sovereignty of the state.
The President called for national unity and respect for democratic processes, urging Nigerians to accept electoral outcomes regardless of personal preferences.
“No matter whether our preferred candidates win or lose, we must learn to respect the wishes of those who vote differently. Because democracy offers us repeated opportunities to renew our mandates.”
President Tinubu described the foundation as a template for us everyone, noting that service is a continuum and that leaving office is not the end of one’s national duty but the beginning of a new chapter.
He said, “No government can succeed without the cooperation of its people, and no people can advance without a government that listens and leads with clarity. Our democracy stands because of people like former President Goodluck Jonathan. People who believe that the Nigerian state is bigger than any individual.”
The President congratulated former President Jonathan and his team, expressing hope that the foundation would continue to be a light on our path toward a more peaceful and prosperous Africa.
Earlier, former President Jonathan thanked Vice President Shettima, former President Ernest Koroma of Sierra Leone and other dignitaries for the honour of attending his Foundation’s 10th anniversary.
Recalling the incident that led to birthing of the Goodluck Jonathan Foundation, the former President said the focus of the foundation was prompted by his experience and challenges while in office as Nigeria’s leader.
He said over the years, the foundation has paid close attention and worked relentlessly on the issues of diplomacy, good governance, election management and promoting the development of democratic institutions.
Dr Jonathan expressed his condolences over the recent incidents of abduction and attack on citizens across the country, calling on political leaders to be more responsible to the issue plaguing the security and wellbeing of Nigerians.
In his remarks, the guest speaker, Dr Mohammed Ibn Chambas, underscored the significance of functional democracy in Nigeria, emphasizing that the youths must be at the centre of all interventions.
He said that building a stable future for Africa must be anchored on the functionality of democratic institutions, effective youth empowerment schemes, a free press and an independent judiciary.
Dr Chambas extolled the leadership qualities of President Goodluck Jonathan, describing him as an African leader who believes in the values of true democracy and the sanctity of human lives, noting that the former president has proven his relevance even outside public office.
Also present at the event were former President of Sierra Leone, Dr Ernest Bai Koroma; former First Ladies, Dame Patience Jonathan and Hajiya Maryam Abacha; Former Secretaries to the Government of the Federation, Senator Pius Anyim and Mr Boss Mustapha; former Speaker of the House of Representatives, Sen. Aminu Waziri Tambuwal; former Governors of Imo State, Hon. Emeka Ihedioha; Sokoto, Attahiru Bafarawa; Adamawa, Boni Haruna; Plateau, Chief Jonah Jang; philantropist, Hajiya Bola Shagaya; former deputy governors; serving and former legislators; former Ministers; the Ooni of Ife, HRM, Oba Adeyey Enitan Ogunwusi, and captains of Industry, among others.
President Tinubu Hails Jonathan’s Eternal Covenant Of Service At Foundation’s 10th Anniversary
News
Concerns Rise Over Security and Governance In Benue State
Concerns Rise Over Security and Governance In Benue State
By: Michael Mike
The Center for Democracy and Human Rights (CEDEHUR) has expressed deep concern over the worsening security and administrative situation in Benue State under Governor Hyacinth Alia.
In a press statement read by Comrade Adebayo Lion Ogory in Abuja, CEDEHUR highlighted a series of violent incidents affecting communities across the state, particularly in Turan (Kwande LGA), Logo, Gwer West, and Agatu.
The group noted that attacks by armed herdsmen have resulted in deaths, displacement, and disruption of farming activities, a vital component of the state’s economy.
The organization also raised concerns over alleged administrative failures and financial mismanagement in several state agencies, including the State Universal Basic Education Board (SUBEB), Bureau for Quality Assurance and Examination Board, Benue Investment and Property Company (BIPC), and the Bureau of Solid Minerals.
CEDEHUR cited reports of irregular contract awards, diversion of funds, and overall institutional inefficiency.
Further, the group reported ongoing illegal mining activities in protected areas involving foreign operators, claiming that the state government had failed to intervene. Last weekend, two young men were reportedly killed in Turan following mining activities in the area.
CEDEHUR also expressed concern over directives allegedly issued by Governor Alia restricting public gatherings without official approval, warning that such measures could undermine civil liberties.
They called for clarity from APC National Chairman Prof. Nentawe Yilwatda regarding the party’s role in these directives.
The organization urged federal authorities, including the Department of State Services (DSS), the Economic and Financial Crimes Commission (EFCC), the Independent Corrupt Practices Commission (ICPC), and the Nigeria Police, to investigate allegations of financial mismanagement, human rights violations, and security breaches in the state.
CEDEHUR further appealed to President Bola Ahmed Tinubu to convene a meeting with Benue stakeholders to address the escalating crisis and called for the immediate halt of illegal mining operations and political thuggery across the state.
The group warned that without swift intervention, insecurity and governance challenges in Benue could escalate, threatening lives, livelihoods, and public confidence in the state government.
Concerns Rise Over Security and Governance In Benue State
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