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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 Donates ₦50m to Family of Fallen Officer, Reaffirms Support for Military Heroes
Zulum Donates ₦50m to Family of Fallen Officer, Reaffirms Support for Military Heroes
By: Michael Mike
Borno State Governor, Babagana Zulum has donated ₦50 million to the family of late Lieutenant Colonel OC Okolo, who was killed during a Boko Haram attack in Mandaragirau, Biu Local Government Area of Borno State, on February 16, 2026.
The gesture comes amid a series of similar interventions by the governor, including a recent ₦150 million donation to families of three military officers who lost their lives in separate attacks across the state.
Zulum reiterated his administration’s unwavering commitment to supporting families of fallen soldiers, describing their sacrifices as invaluable to Nigeria’s security and unity. He assured that his government would continue to identify with and assist families of personnel killed or declared missing in action in the ongoing counter-insurgency operations.
The donation was delivered at a funeral service held in Obinofia Ndiuno, Ezeagu Local Government Area of Enugu State on Firiday. The governor was represented by his Special Adviser on Security, Brigadier General Abdullahi Sabi Ishaq (Rtd), who presented the cash on behalf of the Borno State Government.
Speaking through his representative, Zulum expressed deep sorrow over the officer’s death.

He said: “Lt. Col OC Okolo was a gallant, dedicated and committed officer of the nation whose contributions will not be forgotten,” while extending condolences to the family, friends, and colleagues of the deceased.
He also prayed for the repose of the late officer’s soul and for strength for the bereaved family.
Responding on behalf of the family, Stanley Okolo expressed profound gratitude to the governor for the support and solidarity shown during their time of grief.
@The family members were particularly touched by the cash donation and the delegation sent from Maiduguri to attend the funeral service despite the short notice,” he said.

He further commended the Chief of Army Staff and the General Officer Commanding, 82 Division, for sending representatives to honour the late officer.
The funeral was attended by senior military representatives, including Brigadier General G.A. Suru, representing the Chief of Army Staff, and Brigadier General I.P. Omoke, who represented the Theatre Commander of Operation HADIN KAI, alongside members of the Nigerian Army Officers’ Wives Association (NAOWA) and the host community.
The donation underscores ongoing efforts by the Borno State Government to recognise and support the families of those who have made the ultimate sacrifice in Nigeria’s fight against insurgency.
Zulum Donates ₦50m to Family of Fallen Officer, Reaffirms Support for Military Heroes
News
MSF Ramps Up Emergency Response as Lassa Fever Outbreak Deepens in Benue
MSF Ramps Up Emergency Response as Lassa Fever Outbreak Deepens in Benue
By: Michael Mike
A worsening Lassa fever outbreak in Benue State has triggered an urgent intervention by international medical humanitarian organisation Médecins Sans Frontières (MSF), as rising infections and deaths place severe pressure on already stretched health facilities.
Working in collaboration with the Benue State Ministry of Health, MSF has deployed emergency teams to reinforce infection prevention and control (IPC) measures, following a surge in cases that has exposed critical gaps in healthcare safety systems—particularly affecting frontline workers.
Official data indicate that as of mid-March, the state recorded 410 suspected cases of Lassa fever, with 60 confirmed infections and 14 deaths. Disturbingly, 14 healthcare workers are among those infected, raising serious concerns about inadequate protective measures within treatment centres.
The situation reflects a broader national crisis. The Nigeria Centre for Disease Control and Prevention (NCDC) reports that Nigeria has recorded 167 deaths from Lassa fever in the first 13 weeks of 2026 alone, with a case fatality rate of 25.2 per cent—significantly higher than the 18.5 per cent recorded during the same period in 2025.
Benue State formally declared the outbreak on February 3, 2026, as infections escalated across communities in what is already recognised as one of Nigeria’s high-risk zones for the disease.
Lassa fever, an acute viral haemorrhagic illness endemic in Nigeria, typically peaks between November and April. It is primarily transmitted through contact with food or household items contaminated by infected rodents, but can also spread through direct contact with the bodily fluids of infected persons—making healthcare settings particularly vulnerable when safety protocols are weak.
Responding to the emergency, MSF launched a three-month intervention in March aimed at containing the outbreak and preventing further transmission. The mission was initiated at the request of state authorities, especially in light of rising infections among health workers and persistent shortages of personal protective equipment (PPE).
“Healthcare workers and patients are at significant risk when infection prevention measures are not fully in place,” said MSF Emergency Coordinator, Juniper Gordon. “Strengthening IPC and improving the organisation of care are critical to reducing transmission in health facilities.”
MSF teams are now providing hands-on support in selected facilities, focusing on strengthening clinical practices and improving patient management systems. This includes training healthcare workers on IPC protocols, reorganising triage processes, and establishing clearly defined high-risk and low-risk zones to limit cross-infection.
The organisation is also supplying essential materials, including PPE, hygiene kits, and sanitation supplies, while reinforcing waste management systems and infection control procedures. Handwashing stations are being installed across supported facilities, and surveillance efforts are being strengthened through improved data collection and monitoring.
In a move to support patient welfare, MSF is also providing food assistance to individuals in isolation centres, helping to ease the burden on affected families.
MSF said it is coordinating closely with global and national partners, including the World Health Organization, UNICEF, and the NCDC, to scale up response efforts and curb the spread of the disease.
Despite these interventions, public health experts warn that the outbreak underscores deeper systemic challenges in Nigeria’s healthcare system, particularly in infection control preparedness and rapid response capacity.
MSF Ramps Up Emergency Response as Lassa Fever Outbreak Deepens in Benue
News
Troops arrest 20 suspects, recover cash, electronics in Adamawa raid
Troops arrest 20 suspects, recover cash, electronics in Adamawa raid
By: Zagazola Makama
Troops of 232 Battalion (Tactical) have arrested 20 suspects and recovered cash and electronics during a raid on suspected criminal hideouts in Mubi North Local Government Area of Adamawa State.
Security sources said the operation was conducted at about 5:00 a.m. on April 10 in Agwan Rami and Agwan Mallam areas, following credible intelligence.
The sources disclosed that troops, in collaboration with local hunters, stormed the identified hideouts and apprehended the suspects.
“During the operation, 20 suspects were arrested in criminal hideouts, while others were picked up for loitering during curfew hours,” the source said.
Items recovered include seven mobile phones, eight touch lights, one ThinkPad laptop and the sum of ₦2,137,285, among other items.
The suspects are currently in custody for further investigation and necessary action.
The operation is part of ongoing efforts to curb criminal activities and enforce law and order in Adamawa State.
Troops arrest 20 suspects, recover cash, electronics in Adamawa raid
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