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

Published

2 years ago

March 5, 2024

Ochuwa Ibrahim

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

After Boko Haram’s destructions, Governor Buni built modern markets across Yobe

Published

16 hours ago

January 31, 2026

Ochuwa Ibrahim

After Boko Haram’s destructions, Governor Buni built modern markets across Yobe

By: Yahaya Wakili

Yobe State is one of the states whose economic activities were destroyed and suffered from the Boko Haram insurgency in the northeastern part of Nigeria, and in its effort to expand the economic activities in the state and also to provide infrastructure facilities to the citizens of the state after recovery from the Boko Haram insurgency. His Excellency, the Executive Governor of Yobe State, Hon. Mai Mala Buni, has built modern markets across the state in order to boost the economy and businesses in the state. The Commissioner of Home Affairs and Information, Hon. Abdullahi Bego, said there are two types of markets that His Excellency built. The first one is the ultramodern markets: one in Potiskum, one in Damaturu, the state capital, one in Geidam, one in Gashu’a, and another one in Nguru town. The major towns of Yobe State have one each of these markets. And also, we have the modern markets: one in Yunusari, one in Machina, one in Ngalda, and one in Buni Yadi, an ongoing project.

The commissioner of Housing and Rural Development, Architect Ahmed Buba, said His Excellency has constructed 9 modern markets across the state; we have 5 ultramodern markets completed with one ongoing, making 6; and also we have 4 modern markets, and Potiskum ultramodern markets have 500 shops, 192 stalls, and 12 warehouses large enough to accommodate about 12 trucks each, and also they have about 3 kilometers of roads and drainages as well as an administration block and praying ground. The markets are opening up economic activities in Yobe State, and with these markets the economy of Yobe is now building up, and then with the modern markets the businesses are fully on course.

Bego said, “Yobe State Woven and Polythene Company has been an existing company for a long time, and His Excellency Governor Mai Mala Buni is retrofitting and rehabilitating it and making it modern and new.” He starts with the structure, renovating and improving the structure and equipment that are already imported; we are just waiting for the arrival. When they come, they will be installed, and work will start. We produce a lot of grains in Yobe as an agrarian state, so we don’t need to buy all the sacks, all the woven sacks, and all the polythene bags that were used for those grains and other things like that. So this company has existed for a long time but is comatose and dormant. His Excellency has decided to breathe a new spirit into it, retrofitting it, reconstructing it, rebuilding it literally, and then providing equipment. As you can see, the number of people is very few in terms of job creation and in terms of economic activities that will be spanned around this area.

The Mega Motor Park: The former motor park, due to the expansion of that place. His Excellency directed the ministry of housing to identify a site far away from the city; from that roundabout we have a bypass, and henceforth motor vehicles do not pass through Damaturu. They can stop here, and from here other vehicles can transport them to the city center. The commissioner of Housing and Rural Development, Architect Ahmed Buba, said, “This is Damaturu Mega Motor Park, with a capacity of about 500 vehicles. We have a drivers’ lodge, which is going to accommodate up to 150 drivers at a time; we have a terminal building; we have a police station outpost; and we have the clinic, restaurant, and quite a few more.”

Engr. Muhammed Abba Hassan, General Coordinator for the project, said, “This project is awarded to Samsun Nigeria Ltd by the Yobe state government. We started this project about 6 months ago. At this level, we have reached almost over 80 percent, and we expect to complete this project within the stipulated contract agreement. Inshallah, by the end of March, this project will be fully completed.” This Damaturu Mega Motor Park is one of the mega motor parks of its type in Nigeria. We have almost every facility here. We have enough accommodation for travelers and accommodation also for drivers. We have a shop complex, we have a fire service, and we have a comprehensive health clinic that can accommodate not only the passengers but also the environment of this town. We can handle it as far as concern goes; we delivered this project within the stipulated period of time.

Township Stadium in Buni Yadi: This township stadium here in Buni Yadi is transforming sport, which will transform sport in Yobe State. The Permanent Secretary of the Ministry of Youth and Sport, Alhaji Gidado Abubakar, said this project was awarded at the end of September last year to Damuli Investment Company Ltd. for the award of contract for the construction of a mini stadium in Buni Yadi. This is a post-insurgency project being awarded by the state government through the window of the Ministry of Youth, Sport, and Community Development. We signed a 6-month mandate giving the contractor the handing over of the project to the ministry for onward utilization, and about 65% of the project has been achieved. The capacity of the mini stadium is about 5,000 to 6,000 pupils; we have a multipurpose fit, we have badminton, basketball, and the other games, and we have about 78 different games in this project, and it is 250 meters by 200 meters, and 75 thousand square meters.

After Boko Haram’s destructions, Governor Buni built modern markets across Yobe

News

U.S. and Nigeria Forge Stronger Trade Ties Through New Investment Partnership

Published

16 hours ago

January 31, 2026

Ochuwa Ibrahim

U.S. and Nigeria Forge Stronger Trade Ties Through New Investment Partnership

By: Michael Mike

The United States and Nigeria have taken a significant step to deepen commercial relations with the U.S.-Nigeria Commercial and Investment Partnership (CIP), a five-year initiative aimed at boosting trade, investment, and private sector growth.

The partnership was highlighted at a ministerial meeting in Lagos co-chaired by U.S. Deputy Assistant Secretary for the U.S. Commercial Service Bradley McKinney and Nigeria’s Minister of Industry, Trade and Investment, Dr. Jumoke Oduwole. The meeting brought together government officials and private sector leaders to review proposed reforms from the CIP Working Groups on Agriculture, Digital Economy, and Infrastructure.

The Working Groups presented strategies intended to improve the business environment, ease trade barriers, and attract investment. McKinney described the proposals as practical measures that could strengthen bilateral trade and create new economic opportunities for both nations.

Oduwole emphasized Nigeria’s commitment to expanding non-oil exports and making local businesses more competitive in global markets. “We are focused on creating sustainable and inclusive opportunities for Nigerian companies to access U.S. markets and beyond,” she said, noting ongoing efforts to implement reforms that make Nigeria’s economy more predictable and investment-friendly.

Senior officials from both countries attended the session, including U.S. Mission Chargé d’Affaires Keith Heffern and Nigeria’s Permanent Secretary of the Ministry of Industry, Trade and Investment, Ambassador Nura Rimi.

The partnership is expected to facilitate continued consultations on trade and investment, encourage two-way investment flows, and support economic growth on both sides of the Atlantic.

In 2024, bilateral trade in goods and services between Nigeria and the United States reached nearly $13 billion. U.S. foreign direct investment in Nigeria also rose to $7.9 billion, reflecting a 25 percent increase from the previous year, making the U.S. one of Nigeria’s top foreign investors.

U.S. and Nigeria Forge Stronger Trade Ties Through New Investment Partnership

News

Six killed, others injured, abducted in bandit attack on Tsafe community

Published

17 hours ago

January 31, 2026

Ochuwa Ibrahim

Six killed, others injured, abducted in bandit attack on Tsafe community

By: Zagazola Makama

At least six persons were killed and several others injured when armed bandits attacked Kanbiri village via Kwaren Ganuwa in Tsafe Local Government Area of Zamfara on Thursday afternoon.

Residents said the assailants stormed the community at about 2:50 p.m., shooting sporadically and causing panic among villagers.

“They shot many people. Six were confirmed dead on the spot, while others sustained gunshot injuries,” a local source said.

The attackers were also reported to have abducted an unspecified number of residents and taken them to an unknown destination.

Troops and other responders have since moved into the area to evacuate the corpses for burial and to begin efforts to locate and rescue the abducted victims.

Kanbiri and surrounding communities in Tsafe LGA have experienced repeated attacks in recent months, as bandit groups continue to target rural settlements in Zamfara.

Six killed, others injured, abducted in bandit attack on Tsafe community