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

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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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Between Hope and History: What Nigerians Expect from Tegbe as Power Minister

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Between Hope and History: What Nigerians Expect from Tegbe as Power Minister

By: Michael Olukayode

For decades, electricity has remained Nigeria’s most enduring national embarrassment. From military administrations to democratic governments, promises of stable power supply have come and gone with little to show beyond recurring darkness, collapsing grids, abandoned projects and rising public frustration.

Now, with the appointment of Joseph Olasunkanmi Tegbe as Minister of Power, expectations are once again rising. Yet unlike in previous eras, Nigerians are no longer impressed by ambitious declarations. They are demanding results.

The question confronting Tegbe is not whether he understands the scale of the crisis. It is whether he can succeed where many before him failed.

Nigeria’s electricity sector is littered with the ruins of grand promises.

From the Olusegun Obasanjo administration’s multi-billion dollar National Integrated Power Projects (NIPP), to the Goodluck Jonathan-era privatisation of generation and distribution companies, successive governments repeatedly promised that stable electricity was around the corner. Under former President Muhammadu Buhari, Nigerians were told that the Siemens-backed Presidential Power Initiative would revolutionise transmission and distribution. The current administration of President Bola Ahmed Tinubu also pledged sweeping reforms, improved generation and a more efficient market-driven electricity sector.

Yet millions of Nigerians still rely on generators as their primary source of power.

The irony remains painful: Africa’s largest economy continues to generate barely between 4,000 and 5,000 megawatts for over 200 million people, despite an installed capacity exceeding 13,000MW.

Entire industries have collapsed under the burden of self-generated electricity. Small businesses spend more on diesel than on salaries. Manufacturers complain of rising operational costs. Students study under torchlights. Hospitals struggle to preserve vaccines and operate life-saving equipment. For many Nigerians, electricity is not merely an infrastructure issue; it is the dividing line between poverty and productivity.

That is why Tegbe’s appointment comes with enormous pressure.

Unlike many previous political appointees in the sector, Tegbe comes into office with the image of a technocrat rather than a career politician. A chartered accountant and management consultant, he built his reputation in the private sector through years of corporate advisory work, investment strategy and institutional restructuring. He previously served as the Director-General and Global Liaison for the Nigeria-China Strategic Partnership, where he was credited with helping to deepen investment engagement between Nigeria and Chinese investors in infrastructure, manufacturing and industrial development initiatives.

Before that appointment, Tegbe had a long corporate career spanning consulting, finance and business transformation. He worked with multinational consulting firm Deloitte and later became a senior business strategist with extensive experience in public-private partnerships, governance systems and economic planning. Supporters argue that this background gives him a better understanding of the financial and structural complexities that have crippled Nigeria’s power sector for years.

His defenders also point to his record in economic coordination and institutional reforms, arguing that the electricity crisis is no longer just a technical problem but a management and governance challenge requiring strategic execution, investor confidence and policy discipline.

At his Senate screening, Tegbe outlined a reform agenda focused on improving gas supply, strengthening grid reliability, accelerating metering, enforcing accountability among distribution companies and restoring financial discipline across the sector.

Those priorities are significant because Nigeria’s electricity crisis is no longer just about generation. The problems are systemic.

Generation companies complain of unpaid debts and inadequate gas supply. Distribution companies struggle with huge financial losses, weak infrastructure, electricity theft and poor revenue collection. Transmission infrastructure remains fragile and outdated, leading to frequent system collapses and stranded power capacity.

The national grid itself has become symbolic of institutional weakness. Grid collapses have repeatedly plunged large sections of the country into darkness, disrupting businesses and exposing the fragility of the system. Regulatory reports continue to show wide gaps between installed generation capacity and actual available electricity supply.

For many Nigerians, these recurring failures have destroyed public confidence.

Citizens openly question whether government officials genuinely intend to solve the crisis or merely manage it politically. Some blame corruption and weak regulation; others argue that decades of policy inconsistency and poor implementation are the real culprits.

That skepticism explains why Tegbe’s promises are being greeted with cautious optimism rather than celebration.

Still, his supporters believe he enters office with certain advantages. His experience in corporate restructuring and investment negotiations may prove useful in a sector desperate for efficiency, investor confidence and credible execution. But technical knowledge alone will not solve Nigeria’s electricity crisis.

What the sector requires most is political courage.

Any meaningful reform will involve difficult decisions: enforcing payment discipline, restructuring failing distribution companies, addressing subsidy distortions, improving tariff transparency, tackling electricity theft and compelling stronger private sector accountability. These reforms are politically sensitive because electricity affects every household and business in the country.

The minister must also confront the deeper institutional problem that has undermined previous reforms — weak governance.

Over the years, billions of dollars have reportedly been invested in power infrastructure with minimal impact on supply. Projects are often launched with fanfare only to disappear into bureaucratic delays, contractual disputes or funding crises. Nigerians have grown weary of ceremonial commissioning without measurable outcomes.

That is why measurable targets will matter more than speeches.

If Tegbe hopes to build public trust, Nigerians will expect clear timelines, transparent reporting and visible improvements in supply stability. Citizens want fewer excuses and more accountability. They want to know why power plants cannot get gas despite Nigeria’s enormous natural gas reserves. They want to know why transmission bottlenecks continue years after repeated intervention programmes. They want to know why estimated billing still persists despite promises of mass metering.

Most importantly, they want leadership that acknowledges that electricity is central to national development.

No serious industrial economy can thrive in darkness.

Countries that transformed their economies invested heavily in stable electricity infrastructure. Without reliable power, Nigeria’s ambitions for industrialisation, digital innovation, manufacturing growth and foreign investment will remain severely constrained.

The challenge before Tegbe therefore goes beyond fixing transformers or stabilising the grid. His real assignment is to restore credibility to a sector where public trust has nearly collapsed.

There are signs that structural reforms may finally be gaining momentum. The Electricity Act 2023 has opened the door for states to develop independent electricity markets, reducing overdependence on the fragile national grid. Several states are already moving toward decentralised power arrangements.

But Nigerians have heard reform language before.

What they seek now is evidence.

The success or failure of Tegbe’s tenure may ultimately depend on one simple question: can his administration deliver stable and predictable improvement, even if gradual?

If he succeeds, he could become the minister who finally begins the long-delayed transformation of Nigeria’s electricity sector.

If he fails, he risks joining a long list of officials whose promises disappeared into the darkness Nigerians know too well.

Between Hope and History: What Nigerians Expect from Tegbe as Power Minister

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Gombe guber: APC clears Gwamna to contest in 2027

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Gombe guber: APC clears Gwamna to contest in 2027

The All Progressives Congress (APC) has officially cleared Dr Jamil Isyaku Gwamna to participate in the forthcoming gubernatorial race in Gombe State.

This is contained in a press statement issued to journalists in Gombe on Saturday by Mr Ibrahim Sani Shawai, the media aide to Dr Gwamna.

According to the statement, the screening took place today at Kaduna State Governor’s Lodge, Plot 37,Jose Marti Street, Asokoro, Abuja and was
conducted in line with the provisions of the party’s constitution and internal guidelines governing the nomination process.

The statement read that the screening committee headed by Dr Benjamin Obi Nwoye stated that Gwamna had satisfactorily fulfilled all constitutional and procedural requirements necessary to participate in the party’s governorship process ahead of the upcoming elections.

Responding shortly after the screening, Dr Gwamna expressed appreciation to the leadership of the APC for conducting what he described as a transparent, credible, and rigorous exercise aimed at strengthening internal democracy and ensuring quality leadership within the party.

“I am honoured to have successfully gone through this important constitutional process of our great party. This exercise further strengthens confidence in the democratic values and internal structures of the APC,” he stated.

Gwamna reaffirmed his determination to consolidate the developmental strides recorded in Gombe State under the leadership of Muhammadu Inuwa Yahaya, CON.

“Our vision is to ensure that, Gombe State works better for every citizen, regardless of background or status. We are committed to building on existing achievements while introducing new ideas that will further improve the lives of our people,” Gwamna added.

The APC governorship candidate also commended the performances of Governor Inuwa Yahaya and Bola Ahmed Tinubu, saying their leadership and developmental achievements have continued to strengthen public confidence in the APC at both state and national levels.

According to him, the visible progress recorded under the current administrations would further energise the party’s support base and make the APC’s campaign message more compelling to the people.

Gwamna also called on party members and supporters to remain united, disciplined, and focused, stressing that the success of the APC in Gombe State depends on collective effort, mutual respect, and a shared commitment to progress.

Gombe guber: APC clears Gwamna to contest in 2027

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One killed, five injured during violent clash at peace meeting in Plateau

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One killed, five injured during violent clash at peace meeting in Plateau

By: Zagazola Makama

A peace meeting between local residents and Fulani community members in Pankshin Local Government Area of Plateau State turned violent on Thursday, leaving one person dead and five others injured after youths allegedly attempted to disarm soldiers deployed to maintain security during the engagement.

Security sources told Zagazola Makama that the incident occurred at about 3:00 p.m. on May 7 at Mier village, where troops of Sector 8 under Operation Enduring Peace (OPEP), deployed at Fier guard post, had organised a stakeholders’ meeting aimed at easing tensions between locals and Fulani residents in the area.

The sources said the meeting was part of ongoing confidence-building and peace restoration efforts by security forces following recent incidents of communal violence, cattle rustling, reprisal attacks, and growing mistrust between farming and pastoral communities across parts of Plateau State.

According to the sources, the meeting was progressing peacefully before a group of agitated youths reportedly became hostile and attempted to forcefully seize the rifles of two soldiers providing security at the venue.

“The situation suddenly turned violent when some youths moved aggressively toward the troops and attempted to disarm two soldiers,” a security source said.

The source added that amid the struggle and confusion, one of the soldiers discharged his weapon in self-defence to prevent the mob from overpowering the troops.

Following the incident, one local resident sustained fatal injuries and was later confirmed dead, while four other civilians and one soldier were injured during the confrontation.

The injured persons were immediately evacuated to nearby medical facilities for treatment, while the corpse of the deceased was deposited at the General Hospital morgue in Pankshin.

Security operatives subsequently reinforced the area to prevent further breakdown of law and order, while efforts were intensified to calm tensions among residents.

The four youths who attacked the soldiers were arrested.

The latest violence occurred amid heightened security concerns and recurring communal clashes across Plateau State, where troops of Operation Enduring Peace have continued to conduct patrols, peace engagements, arrests, and intelligence-driven operations to contain reprisals and attacks involving armed militias, bandits, and cattle rustlers.

Military and community leaders have repeatedly urged residents to avoid taking the law into their hands and to cooperate with security agencies to sustain peace efforts across the state.

One killed, five injured during violent clash at peace meeting in Plateau

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