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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
UN Expresses Deep Pains Over Schoolgirls Abduction in Nigeria
UN Expresses Deep Pains Over Schoolgirls Abduction in Nigeria
…Calls for Gender Equality and Empowerment
By: Michael Mike
The United Nations (UN) has expressed deep pain over school girls abductions in Nigeria.
UN Women Deputy Executive Director, Nyaradzayi Gumbonzvanda who was in Nigeria on official visit at the weekend while expressing the concern of the international body over the continued kidnappings in schools in the country, also called for gender equality, the empowerment and rights for all women and girls in Nigeria.
Gumbonzvanda said she personally feels the pains as a mother of what the abducted children are going through.
She said: “And at the outset, to also express as a mother, as a leader, my deep pain with the abductions that we still continue to see of our daughters. I needed to express that at the outset.
“I therefore join my voice to call for the release of the abducted daughters of this nation. As a mother, I even feel my stomach churning when I wonder, what did she eat today? Where did she sleep tonight? Was she inappropriately touched? What are her fears and her traumas? And I also think of her community, their communities, and their families. And therefore reaffirm that every girl must have a right and does have a right to security and to education.”
She added: “Violence against women and girls remains pervasive in this country, Nigeria, with the abductions that I have mentioned and the attacks on schoolgirls highlighting the urgent need for safety in schools, safety in our homes, in our communities, and online.”
She explained that “This is critical because globally, nearly one in three women experience physical or sexual violence in their lifetime.”
Gumbonzvanda also decried the alarming rate of Technology-Facilitated Gender Based Violence, calling for proper protections for the girl child.
She said: “A critical area of concern remains technology-facilitated gender-based violence, which is rising globally and nationally. Between 16 percent and 58 percent of women worldwide experience some form of online or technology-facilitated gender-based violence, depending on the region.
“Globally, one in three women experience physical or sexual violence. And technology-facilitated abuse affects up to 58 percent of women, according to our UN Women data of 2022.”
The UN Women official also noted that UN Women is supporting the governments and stakeholders in strengthening the policy frameworks, enhancing digital safety, and promoting accountability for online harms.
She however stressed the importance of a legal framework to address the menace.
According to her: “Effective legal frameworks and inclusive governance are essential to reversing this trend. My discussion with ambassadors accredited to Nigeria also underscored the importance of enhanced regional cooperation and particularly across the Sahel and West Africa, where women’s leadership and peace-building efforts are indispensable for stability and for sustainable development.”
Gumbonzvanda commended the Nigeria’s National Assembly’s strong commitment to strengthening legislation that protects women and girls in advancing measures that expand women’s participation in governance.
She also commented on women’s representation at the National Assembly which stood at 3.8 percent, far way below the global average of 27.2 percent according to the Inter-Parliamentary Union data of 2025.
She urged the country to adopt the “Legislative reforms such as affirmative action, such as quotas, and the proposed special seats which are globally recognised to accelerate women’s participation.
She said: “These measures are not just there to strengthen democracy, but also to ensure rule of law in that budget reflects the needs of half of the population.”
She therefore sees the ongoing debate on the special bill as positive, stating that: “Therefore, I am really excited to be here in this country, as the country engages deeply and boldly and confidently on the special seats bill. And I’m looking forward to the day when it will be passed. I do, in every country, because also as the UN, special measures are part of standards, are part of international standards.
“And equally, we have SDG 5 on women in decision making, which aims for gender parity by 2030. So the efforts in Nigeria are a good progressive approach towards that goal. Economic empowerment is vital for sustainable development.”
On the need to empower women, Gumbonzvanda stressed that women make up over 70 percent of Nigeria’s agricultural labour force, yet face barriers to land, to credit, to markets.
She noted that: “Gender responsive budgeting and investments in women farmers and entrepreneurs can unlock growth and resilience. Closing gender gaps in labour participation could add up to 12 million to global GDP by 2025, according to the data from McKinsey, proving that empowering women is smart economics.
“Empowering women economically is not charity. It is innovation, it is development, it is a benefit that extends the entire community. Some of us are sitting here because our mothers in the rural areas were empowered to be able to send their goats to market and be able to pay school fees, that we’re able to give soap and sugar, because our mothers were able to get a little bit of income in the family.
“So economic empowerment is not just about the national economic data. It’s about life, everyday life in our communities. To sustain and scale progress, predictable and innovative financing is essential.”
Speaking on her visit, which is the first to Nigeria, the UN official said it was to deepen partnership, reinforce national leadership, and accelerate collective action to advance gender equality, the empowerment and rights for all women and girls in Nigeria.
She noted that the visit has allowed her to witness the tangible impact of UN Women’s Working Communities.
Gumbonzvanda said: “ Over the past days, I have engaged with various stakeholders and partners. I’ve engaged with the members of the National Assembly, the diplomatic partners, the United Nations country team, civil society organisations, and community women who are driving progress at the very, very grassroots level.”
She also narrated her experience in Kwali, a community in the Federal Capital Territory, where she joined the women to peel cassava and also to partake in processing it into flour (food), saying “ and how we enjoy it with Ogusi soup. It was a very important experience for us to see how we can actually do agro-processing in communities, but to understand what it takes and what is needed to provide that transformation that is needed.”
She also revealed that the targeted investments to improve women’s lives in agro-processing is very important.
“It was also very clear that the investments to improve economic empowerment at community level would reduce the time burdens, would expand income-generating opportunities, and would also unleash the potential of women,” she said.
She explained that: “Globally, access to safe water and sanitation reduces the time women spend on unpaid care work. This is so important for us that we invest in water and sanitation.
“And that when women have greater access to water and sanitation, it enables them greater participation in economic activities.
“These are practical examples of how empowering women strengthens communities and enhances resilience as we turn policy into lived experiences in our communities.
“At the UN system, I have interacted with our colleagues in the UN system and have reiterated UN Women’s commitment to coordinated multi-sectoral action, particularly on gender-based violence prevention, on women’s economic empowerment, and on advancing the women’s peace and security agenda in Nigeria.”
She assured Nigeria women that the “UN Women will continue to mobilise partnership across governments, development partners in the private sector, to ensure that front-line organisations and national institutions have the resources required to deliver lasting change. Nigeria has demonstrated strong leadership and a clear commitment to advancing the rights of women and girls. UN Women stands ready to continue to support these national efforts, working with all partners in translating commitments to measurable transformation results.”
UN Expresses Deep Pains Over Schoolgirls Abduction in Nigeria
News
VP Shettima Departs Abuja For Abidjan To Represent President Tinubu At Alassane Ouattara’s Inauguration
VP Shettima Departs Abuja For Abidjan To Represent President Tinubu At Alassane Ouattara’s Inauguration
By: Our Reporter
Vice President Kashim Shettima has departed Abuja for Abidjan, Cote D’Ivoire, to represent President Bola Ahmed Tinubu at the inauguration of Mr. Alassane Ouattara for a fourth term in office as President of that country.
Senator Shettima is expected to join other leaders across Africa and beyond to witness activities lined up for the swearing-in ceremony scheduled to hold on Monday December 8, 2025 at the Presidential Palace in Abidjan.
Quatara was re-elected for a fourth term in office on October 25, 2025 as President of Côte d’Ivoire, a West African country that shares cordial diplomatic ties with Nigeria.
Both nations collaborate significantly within ECOWAS and the African Union on security, trade, and development, formalized by a Bi-National Commission and numerous agreements covering areas like anti-trafficking, agriculture, and digital economy, with strong informal trade and significant Nigerian diaspora in Côte d’Ivoire, fostering deep bilateral economic and social connections.
The Vice President is accompanied by HE Omar Aliyu Touray, President of ECOWAS Commission; Senator Abubakar Sani Bello, Chairman, Senate Committee on Foreign Affairs and Hon. Usman Zannah, member representing Kaga/Gubio/Magumeri Federal Constituency in the House of Representatives.
The Vice President is expected back in Abuja at the end of the inauguration ceremony.
VP Shettima Departs Abuja For Abidjan To Represent President Tinubu At Alassane Ouattara’s Inauguration
News
Nigeria deploys fighter aircraft to Benin Republic as coup unfolds
Nigeria deploys fighter aircraft to Benin Republic as coup unfolds
By: Zagazola Makama
The Nigerian military has deployed fighter aircraft to the Benin Republic following Sunday’s military coup that toppled President Patrice Talon, reliable security sources have confirmed.
The aircraft, which took off from Lagos earlier on Sunday, were sighted operating within Beninese airspace as Nigeria intensifies surveillance and monitoring of the rapidly evolving political and security situation in the neighbouring country.
Sources told Zagazola Makama that the deployment is part of Nigeria’s precautionary measures to assess regional security implications and protect its national interests amid uncertainty in Cotonou.
“The aircraft have already arrived in Benin Republic. Nigeria is closely monitoring developments and evaluating potential risks,” one senior security official said, noting that the move was not an offensive operation but a strategic response to unfolding events.
The takeover in Benin was led by Lt. Pascal Tigri, who announced the dissolution of state institutions and assumed full military control. The coup adds to the growing list of unconstitutional government changes in West Africa, raising concerns over regional stability.
The coup leaders in Benin, the Military Committee for Rebuilding, issued the following statement: The November 2025 constitution has been suspended, all institutions have been dissolved, political parties’ activities have been suspended until further notice· Benin’s land, sea, and air borders are closed until further notice.
Nigeria shares a long and porous border with Benin, making political instability in the country a direct security concern for Abuja.
As of the time of filing this report, the Nigerian government has not issued an official statement, but military sources said surveillance will continue “until the situation becomes clearer.”
Nigeria deploys fighter aircraft to Benin Republic as coup unfolds
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