News
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
Troops clear ISWAP enclaves, recover arms, neutralise IEDs in Borno
Troops clear ISWAP enclaves, recover arms, neutralise IEDs in Borno
By: Zagazola Makama
Troops of Joint Task Force (North East), Operation Hadin Kai (OPHK), have intensified offensive operations against Islamic State West Africa Province (ISWAP) elements, clearing multiple terrorist enclaves in the Kashimori axis of Borno State and recovering arms, logistics and improvised explosive devices (IEDs).

Sources told Zagazola Makama that the operation was conducted in the early hours of Feb. 2, 2026, under Operation Desert Sanity, with troops of 21 Special Armoured Brigade (SAB) operating in conjunction with volunteer forces.
The sources said the troops carried out a coordinated clearance of several ISWAP hideouts clustered around the Kashimori area, spanning multiple locations within Guzamala axis, following actionable intelligence on terrorist presence and logistics activity.
According to the sources, although the enclaves were active prior to the operation, the terrorists abandoned their positions before the arrival of troops, apparently fleeing on sensing the advancing force.
“During the clearance operations, troops destroyed terrorist life-support structures across the enclaves and recovered one motorcycle, one tricycle, five AK-47 magazines and five terrorist flags,” the sources stated.
It added that two IEDs were discovered at separate locations during the operation and were safely detonated in situ by an Explosive Ordnance Disposal (EOD) team, while one unprimed IED was recovered intact.
The military said the operation was executed across difficult terrain, with troops encountering significant mobility challenges due to sandy soil conditions and mechanical faults affecting several vehicles and motorcycles.

Despite the constraints, the troops successfully completed the mission objectives and later harboured at Forward Operating Base (FOB) Kawuri without casualty.
The sustained pressure was being maintained on terrorist elements to deny them freedom of movement, logistics corridors and safe havens.
Operation Hadin Kai has in recent weeks intensified clearance and domination patrols as part of efforts to degrade ISWAP and Boko Haram remnants, disrupt their IED networks and prevent regrouping ahead of the dry season movement window.
Troops clear ISWAP enclaves, recover arms, neutralise IEDs in Borno
News
NSCDC Launches Gender Policy II to Deepen Inclusive Security Delivery
NSCDC Launches Gender Policy II to Deepen Inclusive Security Delivery
By: Michael Mike
The Nigeria Security and Civil Defence Corps (NSCDC) has unveiled its Gender Policy II, reinforcing its commitment to inclusive, people-centred security delivery and institutional professionalism.
The policy was launched on Tuesday in Abuja at an event that brought together senior government officials, security sector leaders, development partners and civil society organisations.
Speaking at the ceremony, the Commandant General of the NSCDC, Prof. Ahmed Audi, described inclusivity as a critical pillar for building a credible and effective security institution. He said the new policy reflects the Corps’ determination to align its operations with global standards while supporting national security priorities.
Audi, who represented the Minister of Interior, Olubunmi Tunji-Ojo, explained that Gender Policy II is designed to strengthen the Corps’ institutional capacity, enhance operational performance and ensure that personnel carry out their duties with professionalism, dignity and respect for human rights.
According to him, embedding gender responsiveness in security operations will improve service delivery, promote accountability and foster public trust, particularly among vulnerable and underserved communities.
Participants at the event, which was supported by UKFIDO and SPRING, highlighted the importance of inclusive security frameworks in safeguarding citizens and advancing social justice. Speakers noted that policies which promote equity and participation contribute significantly to effective law enforcement and national stability.
The launch of Gender Policy II also reaffirms the NSCDC’s commitment to the implementation of United Nations Security Council Resolution 1325 on Women, Peace and Security. Observers described the policy as a major milestone in the Corps’ ongoing efforts to institutionalise inclusivity, equity and professionalism across its operations nationwide.
NSCDC Launches Gender Policy II to Deepen Inclusive Security Deliver
News
Special Seat Is Democratic: NASS Urged to Pass Bill
Special Seat Is Democratic: NASS Urged to Pass Bill
Austin Aigbe FSM
Gender Rights Advocate
In the aftermath of Nigeria’s 2019 general elections, I sat with a heavy heart and a clear conclusion: affirmative action legislation is essential to address the stark underrepresentation of women in Nigeria’s political leadership. Despite women making up nearly half of Nigeria’s population, they occupy less than 5 per cent of seats in the National Assembly, underscoring a civic duty to effect change.
As the then Secretary of the National Coalition of Affirmative Action (NCAA) in my state, I worked alongside visionary women such as the late Oby Nwankwo, who helped lead the national gender equality architecture, as well as Hajia Saudatu Mandi and Dr Abiola Akiyode-Afolabi, among others. Together, we pushed for the full domestication of the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW), culminating in the proposed Gender and Equal Opportunity (GEO) Bill. Yet, since 2007, that bill has languished in the National Assembly, stalled by political resistance and cultural pushback.
Now, the Special Seats Bill offers a breakthrough. It is not a compromise—it is a resolution. It responds to criticisms of the GEO Bill by focusing on representation rather than just rights. It proposes additional seats in the Senate, House of Representatives, and State Houses of Assembly, to be contested exclusively by women, without reducing existing seats or threatening incumbents. It is a democratic innovation, not a disruption.
Why Special Seats Matter
The argument is simple: democracy must reflect the people. If half of the population is excluded from decision-making, democracy remains incomplete. Special seats are not about tokenism; they are about correcting structural imbalances. Sierra Leone, for example, passed the Gender Equality and Women’s Empowerment (GEWE) Act in 2022, addressing gender gaps by increasing women’s representation in decision-making, improving access to finance and employment, and promoting equal opportunities in education and training. Other countries, including Rwanda, Senegal, and South Africa, have used constitutional and legislative measures to advance gender parity. Nigeria should no longer lag.
The Special Seats Bill also directly addresses the barriers women face when contesting elections:
Violence and intimidation, particularly during party primaries.
The monetisation of politics disadvantages women with fewer financial resources.
Patriarchal party structures that sideline women during candidate selection.
By creating a guaranteed pathway, the bill enables women to enter the political space, build experience, and eventually compete for general seats on a more equal footing.
The Human Cost of Delay
Every election cycle without reform is a missed opportunity. In 2023, only 3.6 per cent of those elected to the National Assembly were women; it is not merely a statistic; it represents hundreds of capable women denied a voice. It reflects the silencing of perspectives on maternal health, education, gender-based violence, and economic inclusion.
I have previously supported interventions aimed at strengthening the capacity of women candidates—many of whom were more qualified than their male opponents but were pushed aside by party gatekeepers. I have seen communities rally behind women leaders, only to be told they are “not electable.” The Special Seats Bill is a lifeline for these women—and for the communities they seek to represent.
A Call to the National Assembly
The National Assembly has a patriotic duty to pass this bill now, as it directly impacts Nigeria’s democratic future and inclusivity.
Nigeria’s lawmakers must rise above partisan interests and act in the national interest. The bill has reached its final stage of legislative consideration. The time to act is now—before the 2027 elections are upon us.
Conclusion: Democracy Is Representation
The Special Seats Bill is a vital democratic correction that ensures equal participation and opportunity, enabling meaningful change.
Let us not wait another decade. Let us not mourn another election cycle defined by exclusion. Let us pass the Special Seats Bill—and finally make democracy whole.
Special Seat Is Democratic: NASS Urged to Pass Bill
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