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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
Nigeria Promotes 70,000 Paramilitary Officers, Deploys High-Tech Immigration Centre to Tighten Border Control
Nigeria Promotes 70,000 Paramilitary Officers, Deploys High-Tech Immigration Centre to Tighten Border Control
By: Michael Mike
In a sweeping show of reform across Nigeria’s internal security architecture, the Federal Government has promoted more than 70,000 paramilitary officers within three years and launched a technology-driven Integrated Operating Centre to track immigration violators in real time.
Minister of Interior, Olubunmi Tunji-Ojo, announced the twin developments in Abuja while declaring open the 2026 Sectoral Performance Retreat for agencies under the Ministry of Interior. The retreat, held at the Nigeria Army Conference Centre, was themed “Accountable Leadership, Measurable Impacts: Reviewing Results, Renewing Commitments.”
Tunji-Ojo described the mass promotion exercise as unprecedented, saying it reflects the commitment of President Bola Tinubu’s administration to improve morale and restore professionalism across the paramilitary services.
“Only yesterday, I approved the 2026 promotion of personnel across all agencies under the Ministry. By April and May, the implementation will commence,” the minister said, urging officers to reciprocate government’s support with discipline, patriotism and improved service delivery.
In what observers see as a major shift toward data-driven border management, Tunji-Ojo disclosed that the Nigeria Immigration Service (NIS) has inaugurated an Integrated Operating Centre (IOC) equipped with sophisticated surveillance and data harmonisation tools.
According to him, the centre provides real-time intelligence on foreigners who have overstayed their visas, with historical data covering up to a decade.
“With the kind of sophisticated gadgets and equipment now in place, the Immigration Service has become a strong internal security enabler. The Service will go after those who have overstayed. It is no longer business as usual,” he declared.
The minister said the deployment of advanced analytics and harmonised databases has placed persons of interest squarely on government radar, reinforcing efforts to secure Nigeria’s borders and sanitise its migration system.
As part of ongoing reforms, he revealed that seven new Forward Operating Bases (FOBs) have been established to strengthen border surveillance and migration management nationwide. He commended the Comptroller-General of the NIS, Kemi Nanna Nandap, for what he described as visionary leadership in modernising the Service.
The minister also applauded the efforts of the Nigeria Security and Civil Defence Corps (NSCDC), the Nigeria Correctional Service (NCoS), and the Federal Fire Service (FFS), but warned that commendation must not breed complacency.
He tasked the NSCDC with intensifying protection of critical national infrastructure, including oil pipelines, solid mineral sites, schools and hospitals, stressing that the corps “cannot be run like a volunteer service.” He urged its Commandant-General, Prof. Ahmed Audi, to submit a clear operational roadmap following his reappointment.
On correctional reforms, Tunji-Ojo insisted that efforts must go beyond custodial management to ensure rehabilitation and reintegration, warning that repeat offending signals systemic failure.
“If offenders complete their sentences and return to crime, then we have not succeeded,” he said.
Permanent Secretary of the Ministry, Dr. Magdalene Ajani, described the retreat as a critical platform for reviewing stewardship and aligning performance with national priorities. She said the Ministry carries enormous responsibility in border management, citizenship administration and internal security, all of which directly affect the daily lives of Nigerians.
Ajani stressed the need to align operations with the Renewed Hope Agenda of President Tinubu, encouraging openness to constructive criticism and innovative thinking.
She expressed confidence that the retreat would produce a concrete roadmap to guide the Ministry’s agencies in delivering measurable results in the year ahead.
The dual announcement of mass promotions and high-tech border surveillance signals a government intent on pairing welfare reforms with operational efficiency — a strategy officials say is essential to strengthening Nigeria’s security framework in an era of complex internal and cross-border threats.
Nigeria Promotes 70,000 Paramilitary Officers, Deploys High-Tech Immigration Centre to Tighten Border Control
News
Troops of Operation FANSAN YANMA neutralise two terrorists, recover weapons in Katsina
Troops of Operation FANSAN YANMA neutralise two terrorists, recover weapons in Katsina
By: Zagazola Makama
Troops of 17 Brigade, Operation FANSAN YANMA of the Nigerian Army, on March 4, 2026, successfully engaged terrorists during clearance operations at notorious hideouts in Barkishi Maiha Gumma, Sabuwa Local Government Area of Katsina State.

Sources told Zagazola Makama that In the ensuing gun battle, the troops overpowered the terrorists, neutralising two insurgents and recovering one AK-47 rifle, one magazine, four rounds of ammunition, a motorcycle, a matchete, a Tecno phone, and two extra phone batteries.

There were no casualties among the troops.
The sources said that the General Officer Commanding 8 Division and Commander, Sector 2 Joint Task Force (North West), Maj. Gen. Paul Koughna, commended the troops for their bravery and urged continued operations to completely eliminate terrorist threats in the region.
Troops of Operation FANSAN YANMA neutralise two terrorists, recover weapons in Katsina
News
NDLEA Insists Drug Case Against Abba Kyari Continues Despite Court Discharge
NDLEA Insists Drug Case Against Abba Kyari Continues Despite Court Discharge
By: Michael Mike
The National Drug Law Enforcement Agency (NDLEA) has reaffirmed that its substantive drug trafficking case against suspended Deputy Commissioner of Police, Abba Kyari, remains firmly on track, clarifying that recent court proceedings discharging him on a separate matter do not affect the ongoing trial.
The agency said the core drug case is scheduled to continue before Justice Emeka Nwite of the Federal High Court, Abuja, on Monday, March 16, 2026.
NDLEA’s clarification follows the decision of Justice James Omotosho, who discharged Kyari in a 23-count charge relating to alleged money laundering and non-declaration of assets. The anti-narcotics agency stressed that the ruling pertains to a different case and should not be confused with the main drug prosecution.
Reacting to inquiries on whether the agency would challenge the ruling, NDLEA’s Director of Media and Advocacy, Femi Babafemi, explained that the prosecution team has been directed to obtain the Certified True Copy (CTC) of the judgment before determining the next legal step.
He emphasized that the matter decided by Justice Omotosho is distinct from the substantive drug charges pending before Justice Nwite, noting that the latter remains active and unaffected.
The spokesman of the anti-narcotics agency, Femi Babafemi in a statement on Thursday, said: “First, I need to clarify that the ruling by Justice Omotosho is completely different from the main and substantive drug case which continues before Justice Emeka Nwite of the Federal High Court, Abuja, on Monday, March 16, 2026. That one is very much on course.”
He added that the prosecution team would review the detailed judgment upon receipt of the CTC to guide the agency’s management in deciding whether an appeal is warranted.
The development underscores the complex legal battles facing the suspended senior police officer, as the NDLEA maintains its resolve to pursue the substantive drug allegations to their conclusion in court.
NDLEA Insists Drug Case Against Abba Kyari Continues Despite Court Discharge
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