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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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Nigeria Reaffirms One-China Policy, Seeks Deeper Economic Partnership With Beijing

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Nigeria Reaffirms One-China Policy, Seeks Deeper Economic Partnership With Beijing

By: Michael Mike

The Nigeria-China Strategic Partnership (NCSP) has reaffirmed Nigeria’s unwavering commitment to the One-China Principle, describing the country’s position on Taiwan as settled, consistent and non-negotiable.

The reaffirmation comes amid renewed global attention on China’s insistence that the People’s Republic of China remains the sole legitimate government representing China, with Taiwan regarded by Beijing as an inseparable part of its territory.

According to the NCSP, Nigeria’s adherence to the One-China policy dates back more than five decades to the establishment of diplomatic relations with China in 1971, and has remained a cornerstone of bilateral relations between both countries.

The agency noted that Nigeria again demonstrated its commitment during President Bola Ahmed Tinubu’s meeting with President Xi Jinping in Beijing in 2024, where both nations issued a joint statement reaffirming Nigeria’s recognition of the People’s Republic of China as the only legal government representing the whole of China.

The NCSP said Nigeria also expressed support for China’s pursuit of national reunification during the high-level engagement.

The statement followed heightened diplomatic conversations surrounding the Taiwan issue after a recent visit to Beijing by a United States delegation reportedly led by President Donald Trump alongside leading American business executives.

Director-General of the NCSP, Joseph Tegbe, said Nigeria intends to build on its longstanding diplomatic ties with China to unlock broader economic opportunities in manufacturing, technology transfer, industrialisation and export-driven production.

Tegbe observed that China has played a major role in supporting Nigeria’s infrastructure development through investments in railway projects, ports, energy facilities, telecommunications and industrial expansion.

He stressed that the partnership should now evolve into deeper collaboration in Nigeria’s digital economy, solid minerals development, agro-processing and consumer markets in order to create a more balanced and productive economic relationship.

The NCSP reiterated its commitment to expanding bilateral cooperation between Nigeria and China across trade, infrastructure, investment, technology transfer and capacity building, with the ultimate objective of delivering measurable economic benefits to Nigerians.

Nigeria Reaffirms One-China Policy, Seeks Deeper Economic Partnership With Beijing

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NDLEA Busts Mega Nigerian-Mexican Meth Syndicate, Seizes N480bn Drugs in Largest Lab Raid Ever

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NDLEA Busts Mega Nigerian-Mexican Meth Syndicate, Seizes N480bn Drugs in Largest Lab Raid Ever

By: Michael Mike

The National Drug Law Enforcement Agency has dismantled what officials described as one of the most sophisticated transnational drug syndicates ever uncovered in Nigeria, arresting a notorious drug baron, three Mexican methamphetamine experts, and six Nigerian collaborators in a sweeping operation spanning Ogun and Lagos states.

The operation also led to the discovery and destruction of what the agency called the largest clandestine methamphetamine laboratory ever found in the country, hidden deep inside a forest in Ijebu area of Ogun State.

Chairman and Chief Executive Officer of the NDLEA, Mohamed Buba Marwa, disclosed the details on Wednesday during a media briefing at the agency’s headquarters in Abuja, describing the raid as a major blow against transnational organised crime and illicit drug manufacturing networks operating in Nigeria.

According to Marwa, elite operatives from the agency’s Special Operations Unit executed coordinated strikes across Ogun and Lagos within 48 hours after months of intelligence gathering and surveillance.

He said the primary target was a remote property located inside Abidagba forest in Ijebu East Local Government Area of Ogun State, allegedly operated by a drug trafficking organisation headed by suspected kingpin, Anochili Innocent.

Marwa revealed that operatives stormed the forest laboratory on May 16, catching members of the cartel while processing illicit substances.

Among those arrested were three Mexican nationals identified as methamphetamine production specialists allegedly brought into Nigeria to run the operation. They were named as Martinez Felix Nemecto, Jesus López Valles, and Torrero Juan Carlos.

Four Nigerian collaborators arrested at the laboratory were identified as Nwankwo Sunday Christian, Igwe Abuchi Remijus, Ifeanyichukwu Chibuike Joshua, and Egwuonwu Uchenna Victor.

Simultaneously, another tactical team raided the Lekki residence of the alleged cartel leader at Golf Estate, Lakowe, Lagos, where Anochili was arrested.

Marwa said a search of the property uncovered the passports and mobile phones of the three Mexican suspects, linking the alleged drug baron directly to the importation and coordination of foreign methamphetamine specialists.

The NDLEA boss disclosed that follow-up operations on May 18 led operatives to another property linked to the suspect at Mayfair Estate, Lakowe, where another alleged syndicate member, Kingsley Orike Omonughwa, was arrested.

Investigators also stormed the residence of another suspected collaborator, Emeka Nwobum, said to have operated a strategic stash house for the cartel.

The arrests brought the total number of suspects in custody to 10, including the kingpin, the Mexican specialists, and six Nigerian collaborators.

Marwa said the operation yielded an unprecedented 2,419.48 kilograms of chemical substances, including crystallised and liquid methamphetamine as well as dangerous precursor chemicals and industrial solvents.

He estimated the international street value of the seized narcotics at 362.9 million dollars, equivalent to over N480 billion.

According to him, the volume of drugs recovered represented millions of potential street doses capable of fueling addiction, violence, and organised crime across local and international markets.

The agency also recovered operational vehicles including a Toyota Tacoma allegedly used at the forest laboratory and a Toyota Highlander seized from the cartel leader’s residence.

Marwa warned that Nigeria would remain hostile territory for drug cartels and foreign criminal networks attempting to establish manufacturing bases in the country.

“We are fully aware of the shifting tactics of these cartels, including the disturbing trend of hiring South American cartel specialists to set up production factories in our rural communities,” he said.

“No matter how deep into the bush you hide, no matter how secure your gated estate is, the NDLEA will hunt you down, dismantle your network, and seize your illicit wealth.”

The NDLEA chairman also linked the latest operation to the recent takedown of another international drug trafficking network allegedly headed by Simon Amadi, saying the agency was intensifying cooperation with global law enforcement partners to combat organised narcotics operations.

He commended operatives of the Special Operations Unit and the agency’s chemical and forensic teams for what he described as exceptional professionalism and bravery during the operation.

Marwa also urged Nigerians to remain vigilant and report suspicious activities, warning that the Ogun forest laboratory had operated under the guise of a legitimate farm.

NDLEA Busts Mega Nigerian-Mexican Meth Syndicate, Seizes N480bn Drugs in Largest Lab Raid Ever

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U.S. to Deploy Wireless Technology to Nigeria, Benin, Côte d’Ivoire, Ghana and Nigeria

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U.S. to Deploy Wireless Technology to Nigeria, Benin, Côte d’Ivoire, Ghana and Nigeria

By: Michael Mike

The U.S. Trade and Development Agency has announced plans to deepen the deployment of American wireless technology in West Africa, targeting underserved rural communities in Benin, Côte d’Ivoire, Ghana and Nigeria.

The agency said it is funding a feasibility study for the installation of about 1,500 turnkey mobile communications base stations using technology developed by Vanu Inc. as part of efforts to bridge the region’s digital connectivity gap and provide an alternative to Chinese-made telecommunications infrastructure that currently dominates the market.

According to the U.S. agency, the project is aimed at expanding trusted and secure broadband access to millions of people in off-grid and rural communities that still rely on outdated 2G and 3G networks or have no access at all.

Deputy Director of the U.S. Trade and Development Agency, Thomas R. Hardy, said the initiative would unlock affordable internet access while also creating export opportunities for American firms.

“USTDA is bringing private sector solutions to unlock widespread, affordable, trusted internet access in off-grid communities across West Africa,” Hardy said.

“By helping American companies compete in these critical markets, we are offering an alternative to insecure infrastructure while creating export opportunities that make America more prosperous.”

The study will be undertaken for Vanu Côte d’Ivoire, with Vernonburg Group LLC providing technical expertise to assess the commercial viability of the large-scale rollout and mobilise financing for implementation.

Officials said the assessment would examine existing telecommunications infrastructure, market conditions, regulatory frameworks and financing options across the four countries.

The proposed deployment is expected to create opportunities for the expansion of U.S.-made wireless solutions, digital infrastructure systems and network management technologies across West Africa.

Chief Executive Officer of Vanu Inc., Andrew Beard, said the initiative would demonstrate that broadband connectivity in difficult and underserved markets could be profitable and sustainable.

He noted that the company’s systems were designed to help mobile network operators provide broadband internet and voice services in economically challenging locations using cost-effective technology built on open interfaces and architectures.

Beard added that the study would help stimulate investment, boost U.S. exports and accelerate the rollout of secure digital infrastructure globally.

The project comes amid growing competition between the United States and China over digital infrastructure development in Africa, where Chinese firms have played a dominant role in telecommunications expansion over the past decade.

The U.S. Trade and Development Agency said the initiative aligns with its mandate of supporting critical infrastructure projects in emerging markets while promoting the deployment of trusted U.S. technologies and services.

U.S. to Deploy Wireless Technology to Nigeria, Benin, Côte d’Ivoire, Ghana and Nigeria

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