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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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Funding of Politics with State Funds: ActionAid Demands Impeachment of Governors Found Culpable

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Funding of Politics with State Funds: ActionAid Demands Impeachment of Governors Found Culpable

By: Michael Mike

Human rights and anti-poverty organisation, ActionAid Nigeria, has called for the immediate impeachment of any governor found guilty of using state resources to fund political campaigns ahead of the 2027 general elections.

The organisation made the demand in a statement issued on Tuesday in Abuja by its Country Director, Andrew Mamedu, following growing public concerns over alleged movement of huge sums of money by some political actors for campaign-related activities.

ActionAid Nigeria said the allegations have raised serious questions about the source of the funds allegedly being deployed for political mobilisation and consolidation of power ahead of the next election cycle.

Mamedu described the reports as disturbing and unacceptable, especially at a period when millions of Nigerians are grappling with economic hardship, rising inflation, insecurity, unemployment and worsening living conditions.

According to him, it would amount to a grave abuse of public trust if state resources meant for governance and development were diverted for partisan political purposes.

“It is appalling that at a time when Nigeria is drowning in debt, workers are struggling with the rising cost of living, public hospitals are underfunded, schools are collapsing, insecurity is spreading, and millions of Nigerians are battling hunger and extreme economic hardship, that any suggestion of public resources are being diverted or deployed for political campaigns,” he stated.

The organisation stressed that governors were elected to serve the people and not to convert state resources into what it described as “political war chests.”

ActionAid Nigeria challenged governors and political actors allegedly linked to the claims to publicly explain the source of the funds being used for political activities, insisting that Nigerians deserve transparency and accountability.

The group further urged anti-corruption agencies, including the Economic and Financial Crimes Commission and the Independent Corrupt Practices and Other Related Offences Commission, as well as State Houses of Assembly, to commence immediate investigations into the allegations.

According to the organisation, any governor found culpable should face impeachment, prosecution and recovery of diverted public funds.

“Any governor who diverts public resources for political campaigns has violated public trust and abused the mandate given to them by citizens. Such individuals should not remain in office,” Mamedu said.

He warned that unchecked misuse of public resources could weaken democratic institutions and create an unfair political environment where incumbents enjoy undue advantage over other contestants.

The organisation also noted that while political parties have the right to organise campaigns and raise lawful support, such activities must not involve public funds, government assets or state institutions.

ActionAid Nigeria cited countries such as the United Kingdom, United States, Canada, Germany and South Africa as examples where strict accountability measures exist to prevent incumbents from using state resources for partisan political activities.

The organisation called on citizens, civil society groups, journalists, whistleblowers and anti-corruption advocates to remain vigilant and expose any suspicious use of public resources for political purposes ahead of the 2027 elections.

ActionAid Nigeria maintained that safeguarding democracy and protecting public resources must remain a collective responsibility of both institutions and citizens.

Funding of Politics with State Funds: ActionAid Demands Impeachment of Governors Found Culpable

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Execution Discipline Will Define Tegbe’s Agenda for Nigeria’s Power Sector-

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Execution Discipline Will Define Tegbe’s Agenda for Nigeria’s Power Sector-

By: Adeola Labzy

When the Minister-Designate for Power, Joseph Olasunkanmi Tegbe, told the Nigerian Senate that there was “no quick fix” to Nigeria’s electricity crisis, the statement stood out for departing from the familiar rhetoric that has long shaped public conversations about the sector. In a country where ambitious declarations on power reform have often generated headlines faster than measurable outcomes, Tegbe’s remarks offered an early signal of a different leadership posture, one anchored less on spectacle and more on execution.

This matters because Nigeria’s power sector has spent decades trapped in cycles of overpromising and institutional under-delivery. Successive reform efforts have come with bold projections, aggressive timelines, and repeated assurances. Yet the sector continues to struggle with liquidity constraints, weak market confidence, transmission vulnerabilities, collection inefficiencies, infrastructure deficits, and operational instability. Over time, the deeper casualty has not only been electricity supply, but institutional credibility.

Against that background, Tegbe’s emphasis on transparency, execution discipline, and operational realism should be read as a useful starting point, not a completed achievement. Nigeria’s electricity market does not suffer from a shortage of reform language. The problems are already well known to policymakers, operators, investors, regulators, and consumers. What has consistently undermined progress is fragmented implementation, weak accountability, poor coordination across the value chain, and the absence of sustained commercial discipline.

In that sense, Tegbe’s early posture appears calibrated toward restoring confidence in the system’s ability to execute before pursuing grand transformation narratives. This is particularly important in a sector where investor confidence, market liquidity, and operational stability are deeply interconnected. Markets respond not merely to ambition, but to predictability, governance credibility, and measurable execution. Each part of the value chain affects the other. Generation without evacuation capacity creates waste. Tariff reform without metering creates distrust. Investment without payment discipline weakens confidence. Policy statements without visible milestones deepen cynicism.

Financial sustainability will be one of the defining pillars of any credible reform effort. For years, the electricity market has operated within a fragile commercial structure marked by accumulated debts, subsidy pressures, payment shortfalls, collection gaps, and uncertainty over cost recovery. The long-term viability of the sector depends not only on expanding infrastructure, but on restoring commercial discipline and rebuilding confidence in the market itself.

This is where transparency becomes strategically important. Transparent reforms reduce uncertainty, strengthen accountability, and give investors, operators, consumers, and policymakers a clearer basis for judging progress. In practical terms, transparency is not merely a governance principle; it is an economic stabilisation tool. It can help rebuild trust in tariff decisions, improve confidence in sector data, and create a more disciplined environment for investment and performance monitoring.

Equally important is execution discipline. Infrastructure projects rarely fail only because funding is unavailable. Many fail because coordination weakens, procurement becomes opaque, implementation drifts, and accountability is diluted. In the power sector, credibility will not be rebuilt by rhetoric alone. It will require visible, measurable, and sustained improvements in the operating system of reform.

Nigeria’s power sector does not require another cycle of exaggerated optimism followed by institutional disappointment. It requires leadership capable of confronting difficult realities honestly while building a credible pathway toward operational stability, financial sustainability, and long-term reform credibility.

That is why Tegbe’s insistence on transparent reforms and execution discipline is important. Its significance will not lie in the statement itself, but in whether it becomes a governing method. In a sector where credibility has become almost as scarce as stable electricity, restoring confidence in governance may be the first and most important reform of all.

Adeola Labzy writes from Abuja, Nigeria.

Execution Discipline Will Define Tegbe’s Agenda for Nigeria’s Power Sector-

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Troops Intervene in Farmer-Herder Clash in Riyom, Recover 37 Sheep

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Troops Intervene in Farmer-Herder Clash in Riyom, Recover 37 Sheep

By: Zagazola Makama

Troops of Operation Enduring Peace (OPEP) have intervened in a farmer-herder clash in Riyom Local Government Area of Plateau State, rescuing the injured parties and securing livestock pending peaceful resolution of the dispute.

Security sources Zagazola Makama that the incident occurred at about 2:00 p.m. on May 11 at Potok Fongon village in Ganawuri District of Riyom LGA.

The sources said troops of Sector 6 OPEP deployed at Ganawuri responded swiftly following reports of a clash between a farmer, Mr Fon Gehgeh, and a herder, Mr Usman Iliyasu, over alleged grazing on farmland.

According to the sources, troops arrived at the scene and found both men with varying degrees of injuries sustained during the altercation.

The victims were immediately evacuated to the Primary Health Centre in Ganawuri for medical treatment.

The troops also recovered 37 sheep belonging to the herder and moved them to a safe location pending amicable settlement of the dispute by relevant authorities and community leaders.

Security officials said efforts were ongoing to ensure peaceful resolution of the matter and prevent escalation of tensions within the community.

Troops Intervene in Farmer-Herder Clash in Riyom, Recover 37 Sheep

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