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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
Zulum Appoints Prof. Bukar Usman as Pioneer Chairman of Zakkat, Waqf Commission, Names New Secondary Education Board Member
Zulum Appoints Prof. Bukar Usman as Pioneer Chairman of Zakkat, Waqf Commission, Names New Secondary Education Board Member
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has approved the appointment of Prof. Bukar Muhammad Usman as the pioneer Executive Chairman of the newly established Zakkat and Waqf Collection and Distribution Commission.
The Commission, which became operational in 2025 following the passage of its enabling law by the State Assembly and the Governor’s subsequent assent, is mandated to oversee the collection, administration, and equitable distribution of Zakkat and Waqf across the state.
The appointment of the Executive Chairman is in accordance with the powers conferred on the Governor under Section 4 (1) and (2) of the Commission’s Law, 2025.
Prof. Bukar Muhammad Usman, a Professor of Arabic Literature and a distinguished Islamic scholar, brings to the role expertise in Islamic jurisprudence and academic leadership.
He began his academic career at the Nigerian Arabic Language Village, Gamboru Ngala, where he served as a lecturer from 2006 to 2018. Following the completion of his Ph.D., he joined the Department of Arabic at Yobe State University, where he currently holds the rank of professor.
Before his appointment, Prof. Bukar served as Head of the Department of Arabic at Yobe State University and was a member of both the university’s Senate and Council. He also served on the editorial board of Al-Nur Journal, a scholarly publication of the Department of Arabic.
He participated in numerous seminars, workshops, and conferences both nationally and internationally. He has published several scholarly papers in reputable local and international journals and also supervised many Master’s and Ph.D. theses across various institutions.
In a related development, Governor Zulum has also approved the appointment of Malam Muhammad Ibrahim Muhammad as a member of Borno State Senior Secondary Education Board, representing Southern Borno.
The appointment follows the demise of Alhaji Ibrahim Sarki in January 2026 and is in line with the provisions of Section 4 (1)(a) of the Borno State Senior Secondary Education Board (Amendment) Law, 2024.
Until his appointment, Malam Muhammad Ibrahim Muhammad was a lecturer at the College of Education, Gashua, and holds a Master’s degree in Fundamentals of Religion.
Governor Zulum congratulated the appointees and urged them to deploy their experience, integrity, and commitment toward strengthening their respective institutions.
Both appointments are for an initial term of four years and are subject to confirmation by the Borno State House of Assembly.
Zulum Appoints Prof. Bukar Usman as Pioneer Chairman of Zakkat, Waqf Commission, Names New Secondary Education Board Member
News
Zulum elated by Tinubu’s approval of 3 federal institutions for Borno in 3 years
Zulum elated by Tinubu’s approval of 3 federal institutions for Borno in 3 years
.. Says Borno will reciprocate the gesture in 2027
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has commended President Bola Ahmed Tinubu for approving three major federal institutions for the state within three years of assuming office.
Zulum made the commendation on Sunday in Bama, shortly after a sympathy visit to residents affected by a devastating windstorm that struck part of the town last week.
Zulum specifically noted that since President Tinubu took office, he has approved the take-off of three vital federal institutions, including the Federal College of Education, Gwoza; the National Orthopaedic Hospital, Azare; and the Federal University of Agriculture and Entrepreneurship, Bama.
He expressed delight that the institutions would directly transform the lives of the people of Borno through job creation, improved access to quality education, and specialised healthcare delivery.
Zulum commended President Tinubu for his sustained attention to Borno’s recovery and development needs, noting that the three federal institutions would significantly accelerate post-insurgency reconstruction and economic revitalisation.
“I want to draw your attention to the establishment of the Federal University of Agriculture and Entrepreneurship, Bama, by the President of the Federal Republic of Nigeria, Bola Ahmed Tinubu, just two days ago.
“The pioneer principal officers were appointed. This is a remarkable achievement, and we want to hail the President for what he has done.”
“The take-off of the Federal College of Education, Gwoza, and the National Orthopaedic Hospital, Azare, was achieved under the administration of President Tinubu; therefore, I want to commend him and assure him that the people of Borno State will reciprocate the kind gesture at the appropriate time.”
Zulum had last year announced the handover of Umar Ibn Ibrahim El-Kanemi College of Education, Science, and Technology, Bama, for the immediate commencement of academic activities at the newly established Federal University of Agriculture and Entrepreneurship, Bama. The Governor also approved one billion naira for the immediate take-off of the University.
The Governor has consistently offered similar support to the Federal Polytechnic, Monguno; Federal College of Education, Gwoza; and National Orthopaedic Hospital, Azare, approving over N5 billion to facilitate a seamless take-off.
The Governor also inspected ongoing construction work for the 19 Brigade headquarters in Bama, underscoring his administration’s determination to consolidate security gains and restore full civil authority around the Bama general area.
Zulum elated by Tinubu’s approval of 3 federal institutions for Borno in 3 years
News
Gov. Lawal Commends Troops Over Successful Operations Against Bandits in Zamfara
Gov. Lawal Commends Troops Over Successful Operations Against Bandits in Zamfara
By: Zagazola Makama
Governor Dauda Lawal of Zamfara State has commended troops of the Joint Task Force (North West) Operation Fansan Yamma for recording significant operational successes against armed bandits across parts of the state.
The governor gave the commendation following a series of coordinated military operations conducted in Kaura Namoda, Birnin Magaji and Shinkafi Local Government Areas of the state.
In a statement issued on Saturday by his spokesperson, Sulaiman Bala Idris, the governor described the renewed military offensive as timely and strategic in disrupting activities of terrorist groups operating within Zamfara and neighbouring states.
According to the statement, troops of Operation Fansan Yamma launched coordinated offensives in the early hours of May 7 in Kaura Namoda and Birnin Magaji LGAs, leading to the neutralisation of three bandit kingpins.
The troops also recovered a cache of arms and ammunition, including one AK-47 rifle, one machine gun, one locally fabricated pistol, seven rifle magazines and 571 rounds of ammunition.
The statement further disclosed that troops achieved another major breakthrough on May 10 following intelligence reports indicating that several notorious terrorist commanders had gathered at a hideout in Tumfa village, Shinkafi LGA, to coordinate attacks on communities within the state.
According to the governor, the Air Component of Operation Fansan Yamma carried out a precision airstrike on the identified location, destroying the structure used as the terrorists’ meeting point and disrupting the planned attacks.
Lawal said the sustained operations have demonstrated the commitment and resilience of security forces in tackling insecurity across the North-West region.
He reiterated the Zamfara State Government’s continued support for the military and other security agencies through the provision of logistics and operational assistance aimed at restoring lasting peace in the state.
The governor also urged residents to continue supporting security agencies with credible intelligence to aid ongoing operations against criminal elements.
Gov. Lawal Commends Troops Over Successful Operations Against Bandits in Zamfara
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