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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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NSIA, UK’s Asset Green to Launch $496 Million Dairy Mega-Project in Nigeria

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NSIA, UK’s Asset Green to Launch $496 Million Dairy Mega-Project in Nigeria

By: Michael Mike

The Nigeria Sovereign Investment Authority (NSIA) has signed a landmark Memorandum of Understanding with UK-based Asset Green Ltd to develop a US$496 million integrated dairy livestock production and processing platform, a project set to modernize Nigeria’s dairy sector, boost food security, and create thousands of jobs.

The MoU, signed in London ahead of the State Visit, laid out the framework for collaboration and project development, paving the way for a formal shareholders’ agreement.

The initiative, one of the largest integrated dairy investments ever undertaken in Nigeria, will combine 20,000 hectares of climate-smart, regenerative crop and forage production with a 10,000-milking-cow dairy operation and a state-of-the-art processing plant capable of producing fresh milk, milk powders, butter, cream, and up to 15,000 metric tonnes of infant formula annually.

Designed to reduce Nigeria’s reliance on imported milk powder, the platform will integrate up to 10,000 rural households into the supply chain through inclusive out-grower schemes and is projected to generate over US$620 million annually, while creating approximately 2,500 direct and 5,000 indirect jobs nationwide.

British Deputy High Commissioner Jonny Baxter praised the partnership, noting, “Over a decade ago, the UK provided pivotal support to Nigeria in establishing the NSIA, offering legal and financial expertise that helped lay the foundation for its successful launch and strengthening its governance and credibility. That early institutional investment has paid dividends, helping to build a resilient Nigerian institution capable of creating jobs and driving transformational, long-term development.

“The NSIA and Asset Green partnership is a powerful example of how that groundwork continues to deliver impact—a full-circle moment that reflects the long-term economic cooperation between the UK and Nigeria and the shared commitment to deepening sustainable, private-sector-driven growth.”

NSIA Managing Director & CEO Aminu Umar-Sadiq described the project as transformative, saying, “NSIA is pleased to partner with Asset Green on this transformative investment. With a project size of almost US$500 million, this is one of the most ambitious initiatives aimed at strengthening Nigeria’s food and nutrition security in a generation. By combining climate-smart farming, advanced processing capacity, and inclusive out-grower participation, we are laying the foundation for a modern, competitive dairy sector that reduces import dependence, creates meaningful jobs, and delivers long-term value for Nigerians.”

Asset Green Ltd Director and Agrium Capital Ltd CEO Rod Bassett emphasized the strategic importance of the investment, noting, “This partnership between NSIA and Asset Green is the business and investment innovation required to unlock the potential of the agriculture sector in Nigeria, with the development of such a future (dairy) food system. The foundation of the approach is one of collaborating with NSIA and their shared vision and purpose to establish a platform to catalyse the development of such a national strategic priority. We are incredibly proud to partner with Nigeria’s premier investment institution. The development of greenfield projects have consistently played a major role in our history, establishing industries or nurturing young businesses that are able to deliver catalytic transformation. This US$500 million greenfield investment in Nigeria’s dairy industry allows for the development of advanced and necessary infrastructure spanning the full production and supply system to enhance local production, reduce the reliance on the huge imports of dairy goods into Nigeria, deliver environmental services, and strengthen national food sovereignty and nutritional resilience.”

The partnership signals a major milestone in Nigeria’s agricultural modernization, leveraging private-sector investment, inclusive farming practices, and advanced processing to create a resilient, competitive dairy industry while strengthening national food and nutrition security.

NSIA, UK’s Asset Green to Launch $496 Million Dairy Mega-Project in Nigeria

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IPCR Trains 19 Professionals, Pushes Practical Peacebuilding Across Nigeria

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IPCR Trains 19 Professionals, Pushes Practical Peacebuilding Across Nigeria

By: Michael Mike

The Institute for Peace and Conflict Resolution (IPCR) has urged newly trained professionals to translate their knowledge of negotiation and mediation into concrete actions that will promote peace and stability across Nigeria.

The call was made at the close of a three-week Strategic Course on Negotiation and Mediation (Chartered), held at the National Peace Academy in Abuja, where 19 participants were formally inducted as Members of the Peace Institute (MPI).

Speaking on behalf of the Director-General of IPCR, Joseph Ochogwu, the Director of Finance and Accounts, Sunday Daji, emphasized that peacebuilding is not accidental but the result of conscious daily efforts and effective communication.

He noted that many conflicts begin from simple misunderstandings that escalate due to poor communication, stressing that the skills acquired during the training must be applied in real-life situations.

“Peace is built through our everyday interactions and decisions. Negotiation is not a sign of weakness but a reflection of wisdom, courage, and leadership,” he said.

He also pointed to the participation of officers from the Nigerian Immigration Service as evidence of a growing shift within Nigeria’s security architecture toward preventive and dialogue-driven approaches to conflict resolution.

According to him, achieving lasting peace requires more than enforcement, adding that public institutions must embrace mediation and dialogue as critical tools in managing disputes.

Participants at the training described the programme as impactful and transformative. Speaking on behalf of the cohort, SA Ibrahim said the journey, though initially demanding, proved deeply rewarding.

“What lies ahead is something money cannot buy. We are leaving here not just as participants, but as peace ambassadors committed to making a difference,” she said.

Earlier, the Director of the National Peace Academy, Emmanuel Mmam, commended the participants for their discipline and engagement, describing them as one of the most outstanding groups trained by the institute.

He cautioned against prioritizing certificates over impact, urging them to put their knowledge into practice in their workplaces and communities.

“Knowledge that is not applied is as good as not having it,” he said, while encouraging continued collaboration with the institute to strengthen national peace efforts.

The training programme focused on core areas such as conflict management, workplace reconciliation, and advanced negotiation and mediation strategies, equipping participants with the tools needed to support Nigeria’s evolving peacebuilding framework.

IPCR Trains 19 Professionals, Pushes Practical Peacebuilding Across Nigeria

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Eid-al-Fitr: NSCDC Mobilises 53,500 Operatives Nationwide for Security of Lives and Property

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Eid-al-Fitr: NSCDC Mobilises 53,500 Operatives Nationwide for Security of Lives and Property

By: Michael Mike

Nigeria is tightening its internal security grid ahead of the forthcoming Eid al-Fitr celebrations, with the Nigeria Security and Civil Defence Corps (NSCDC) announcing a sweeping nationwide deployment of more than 53,500 operatives.

The directive, issued by the Commandant General, Ahmed Audi is aimed at pre-empting security threats and ensuring a peaceful atmosphere before, during, and after the festivities. The deployment spans all 36 states and the Federal Capital Territory, underscoring the scale of the operation.

Security presence is to be significantly heightened at identified flashpoints, including Eid prayer grounds, mosques, churches, shopping centres, motor parks, and recreational hubs. The Corps is adopting a dual-layer strategy that combines visible policing with covert intelligence operations to deter criminal elements and swiftly neutralize any emerging threats.

Field commanders across zones and states have been instructed to take full control of their operational environments, with clear orders to intensify patrols and maintain constant surveillance. The NSCDC leadership is also pushing for deeper inter-agency collaboration, emphasizing intelligence sharing and rapid response mechanisms as critical to maintaining order during the festive period.

Audi, while reaffirming the Corps’ readiness, stressed that security is a collective responsibility. He urged citizens to remain alert and cooperate with law enforcement agencies by reporting suspicious activities. He also appealed to parents and guardians to guide young people away from actions that could disrupt public peace.

In a further show of readiness, specialized units—including the Commandant General’s Special Intelligence Squad, Crack Squad, Mining Marshals, Special Female Squad, and Special Forces—have been placed on high alert. These units have been specifically tasked with responding decisively to any threats posed by criminal or subversive elements.

The large-scale mobilization reflects growing efforts by security agencies to stay ahead of potential risks during major national celebrations. With millions expected to travel and gather across the country, authorities say the operation is designed not only to prevent incidents but also to reassure citizens of their safety.

The NSCDC promised its continued commitment to protecting lives, property, and critical infrastructure, while calling on Nigerians to support security efforts to ensure a hitch-free celebration nationwide.

Eid-al-Fitr: NSCDC Mobilises 53,500 Operatives Nationwide for Security of Lives and Property

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