News
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
Security checks find no confirmation of alleged terror build-up around Heipang axis
Security checks find no confirmation of alleged terror build-up around Heipang axis
By: Zagazola Makama
Available security checks and field verifications do not support the claim circulating in the alert attributed to Barr. Dalyop Solomon Mwantiri alleging imminent coordinated attacks around Heipang Airport and surrounding communities in Plateau.
Multiple security sources indicate that: There is no confirmed intelligence of mass movement or staging of armed groups in the Heipang, Kwi, Kuru, Bisichi, or Wereng axis as described.
Routine patrols and surveillance by security forced in Barkin Ladi, Jos South, and Riyom LGAs have not reported unusual or mobilisation consistent with a planned large-scale attack.
The claim of a “narrow escape” has not been corroborated by any official report from security agencies or local command structures.
Sources said that such messages often emerge during periods of heightened tension and can trigger panic, reprisals, or misinformation cycles, especially in volatile communities.
However, authorities emphasise that the absence of confirmation does not eliminate the need for vigilance.
Residents should rely on verified channels and promptly report any suspicious activity to security agencies. Spreading unverified alerts can undermine coordinated security responses and create unnecessary fear.
A senior security source described the message as “unverified and likely exaggerated”, urging the public to remain calm while security forces continue routine dominance patrols across the affected LGAs.
The general security situation in the area remains under observation but stable, with no immediate indication of an impending coordinated attack as claimed.
Security checks find no confirmation of alleged terror build-up around Heipang axis
News
Eight killed in fresh Plateau attack by Fulani Bandits as troops intensify clearance operations
Eight killed in fresh Plateau attack by Fulani Bandits as troops intensify clearance operations
By: Zagazola Makama
Suspected Fulani Bandits have killed eight residents in Mbwelle Village, Kwatas District of Bokkos Local Government Area of Plateau, in the latest wave of tit for tat attacks in the state.
The incident occurred at about 10:30 p.m. on April 9, according to security sources.

The victims were identified as Habila Istifanus (38), Hassan Istifanus (31), Iliya Mangut (70), Sunday Gideon (31), Innocent Banabas (20), Lucky Titus (38), Wisdom Lucky (15), and Bwehsun Hassan (25).
Joint security forces responded to the distress call but did not establish contact with the attackers, who fled before their arrival.
A security source attributed the delayed response to the distance of about 15 kilometres between the troops’ base and the community, as well as difficult terrain.
All casualties, including the injured, were evacuated to Bokkos Cottage Hospital, while troops have launched pursuit operations to apprehend the fleeing militia.
Earlier on April 9, troops under Operation Wutan Daji recorded a major operational success in Wase and Kanam LGAs, neutralising 13 suspected terrorists during an offensive along identified corridors in Daba and Seri villages.
The troops had established blocking positions between Dutsen Zaki and Odare Forest, where they intercepted armed elements moving on motorcycles.
Recovered items included two motorcycles, five 25-litre jerrycans of Premium Motor Spirit (PMS), one AK-47 rifle, and a magazine loaded with three rounds of 7.62mm special ammunition.
Military sources said several fleeing terrorists escaped with gunshot wounds, while clearance operations remain ongoing.

In a separate operation on the same day, troops of 33 Artillery Brigade, in collaboration with the Office of the National Security Adviser (ONSA), conducted clearance operations in Daji Madam Forest, targeting camps at Dogo Ruwa and Bogwas.
The operation, supported by troops of a Combat Support Infantry Battalion and Civilian Joint Task Force (CJTF), led to the rescue of 21 kidnapped victims and the destruction of multiple bandits’ enclaves, including one linked to a notorious leader identified as Auta Kachalla.
Items recovered included one G3 rifle, four magazines, three generating sets, and a solar panel.
Despite these gains, security incidents have persisted across Barkin Ladi, Riyom, Jos South, and surrounding areas.
On April 8, troops of Operation Enduring Peace (OPEP) foiled an attack on commuters along the Razat–Kafi Abu road in Barkin Ladi LGA, where one civilian was killed and two others injured.
Later the same day, troops repelled a militia attack along the same axis and conducted a cordon-and-search operation in Suma Suga Takwok, recovering two AK-47 rifles, two magazines, and five rounds of 7.62mm ammunition.
In Riyom LGA, one civilian was killed in an ambush along the Dagbam bridge axis on the GOL–HOSS–Bwei road, while two others escaped unhurt. Troops also foiled an attack on Jol community on April 7, forcing the assailants to retreat without casualties.
Similarly, troops rescued one victim and recovered ammunition following an earlier attack in Dum village, Bachi District, where another victim was found dead.
Security operatives also intercepted 16 stray cattle grazing on farmland in Tahoss community, an incident linked to recurring disputes between farmers and herders.
The pattern of violence reflects a sustained cycle of reprisals between farming communities and pastoral groups.
On April 5, a Fulani herder, identified as Abubakar Hababe (40), was found dead in Riyom LGA in what sources described as a reprisal attack. The killing by suspected Berom Militia was reportedly linked to earlier incidents, including the attack on an illegal mining site in Gyel village where three miners were killed.
Other incidents include the discovery of the body of a 30-year-old herder, Shafiyu, in Jos South LGA, and the killing of a Fulani boy, Abdullahi Mohammed, in Mangu LGA.
Tensions were escalated since March 28, after the assassination of a Fulani leader, Alhaji Bilyaminu Julde, the Ardo of Gindiri in Barkin Ladi LGA.
Security reports also identified repeated destruction of farmlands and cattle rustling, further aggravating hostilities between communities.
Authorities said troops and other security agencies have intensified patrols, surveillance, and community engagements across affected LGAs to prevent further escalation.
“Operations are ongoing to dominate the general areas, dismantle criminal networks, and restore normalcy,” a security source said.
The developments illustrate the complexity of the security situation in Plateau, where counter-terrorism operations intersect with long-standing communal tensions, making sustained peace efforts increasingly challenging.
Security agencies have urged residents to remain calm, avoid reprisals, and provide credible information to support ongoing operations aimed at restoring lasting peace in the state.
Eight killed in fresh Plateau attack by Fulani Bandits as troops intensify clearance operations
News
Zagazola defends Gebi, urges Nigeria not to discard “one of its best minds” over allegations
Zagazola defends Gebi, urges Nigeria not to discard “one of its best minds” over allegations
By: Zagazola Makama
Counter-insurgency expert and security analyst, Zagazola Makama, has called for a fair and balanced assessment of the career and contributions of former lawmaker and security governance expert, Mr Aliyu Ibrahim Gebi, amid ongoing allegations of providing false intelligence to foreign embassies.
Makama appealed to Nigerian government not to dismiss Mr Gebi, over ongoing allegations, urging Nigeria to carefully weigh his long record of service in national security and diplomacy.

Makama, who spoke in reaction to the controversy surrounding alleged intelligence-related activities linked to Gebi, stressed that Nigeria must evaluate his long-standing record of service in both kinetic and non-kinetic aspects of national security rather than isolate him based on allegations.
He said Gebi remained one of the country’s finest notable figures in security governance, regional diplomacy, and conflict resolution architecture, noting that his contributions over the years cut across legislative oversight, governance, counter-terrorism engagement, and high-level diplomatic mediation.
According to him, Gebi’s past involvement in sensitive national assignments, including inter-agency coordination efforts and regional stabilization initiatives, places him among a small pool of Nigerian actors with practical exposure to both domestic and transnational security dynamics.

Makama recalled that Gebi played roles in legislative security oversight during his tenure in the House of Representatives, where he chaired security-related committees and participated in discussions shaping internal security responses at a time of growing insurgency threats in the country.
He further noted his participation in regional engagements under ECOWAS frameworks, where he contributed to discussions on border security, free movement protocols, and counter-terrorism cooperation among West African states.
The analyst also highlighted Gebi’s involvement in non-kinetic interventions, particularly diplomatic engagements aimed at de-escalating tensions between Nigeria and neighbouring countries, including efforts to restore communication channels during periods of strained bilateral relations.
Makama added that Gebi’s role in broader regional security dialogues involving Nigeria, Niger Republic, Mali, and Burkina Faso demonstrated his exposure to multinational coordination mechanisms and alternative conflict resolution approaches outside conventional military operations.
He stressed that individuals with such background often operate within sensitive intelligence and diplomatic environments where misinterpretations can easily arise, noting that such complexity should not be ignored in public judgment.

“Nigeria must not to discard one of its best hands in the non-kinetic and strategic communication space based on allegations that are still under investigation. “Nigeria cannot afford to lose experienced actors in its security ecosystem without full and fair consideration of their track records,”Makama said.
He added that Nigeria’s security challenges required experienced bridge-builders capable of working across intelligence, diplomacy, and civil-military coordination, rather than a narrowing of the country’s human capacity pool through premature exclusion.
He said that the former lawmaker had, over the years, participated in several high-level policy engagements, advocacy programmes, and security governance platforms, where he consistently advocated for stronger intelligence sharing, regional cooperation, and a whole-of-government approach to insecurity in West Africa.
“Whether in formal government assignments or informal diplomatic engagements, Gebi has consistently positioned himself on the side of Nigeria’s national interest,” Makama stated.
The security analyst also highlighted Gebi’s public communication role, noting that he had frequently used social media platforms, particularly Twitter, to mobilise youth engagement around national unity, counter-extremism narratives, and civic responsibility, describing it as part of modern strategic communication in security governance.
According to him, such engagements formed part of modern strategic communication efforts that complement kinetic military operations with information-driven stabilization strategies.
Makama cautioned that isolating individuals who have contributed significantly to national security discourse based solely on allegations could discourage future participation by experts in sensitive intelligence and diplomatic engagements.
The nation must judge fairly, investigate thoroughly, but also remember those who have consistently worked to keep it stable. Gebi is one of them.
Zagazola defends Gebi, urges Nigeria not to discard “one of its best minds” over allegations
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