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Hidden Wounds Across Borders: Thousands of Women in Nigeria, Somalia Suffer in Silence as Obstetric Fistula Crisis Deepens

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Hidden Wounds Across Borders: Thousands of Women in Nigeria, Somalia Suffer in Silence as Obstetric Fistula Crisis Deepens

By: Michael Mike

Thousands of women in Nigeria and Somalia are battling one of the world’s most devastating childbirth injuries — obstetric fistula — amid poverty, weak healthcare systems, insecurity and limited access to emergency maternal care, according to humanitarian medical workers.

A statement on Friday by Médecins Sans Frontières (MSF), stated that from northern Nigeria to southwestern Somalia, women who survived prolonged and obstructed labour are now living with chronic pain, incontinence, stigma and social isolation after losing control of their bladder or bowel following traumatic childbirth complications.

At Jahun General Hospital in northern Nigeria and Bay Regional Hospital in Somalia, according to the statement, teams from Médecins Sans Frontières (MSF) and local health authorities are struggling to provide life-changing reconstructive surgery and rehabilitation services to affected women whose lives have been shattered by the condition.

For many of the patients, the injury came after days of labour without access to emergency caesarean sections or skilled medical care — a reality that continues to endanger women in fragile and conflict-affected regions.

The statement said Aisha (not her real name), a young Nigerian woman from Yobe State, arrived at Jahun General Hospital emotionally broken after losing her baby during childbirth and suffering severe internal injuries that left her incontinent.

On the other side of the continent, Hodan (equally not her real name), a Somali woman married off as a teenager, endured eight years of silence and humiliation after a prolonged labour during her first pregnancy left her with the same condition.

“I did not know there was treatment,” Hodan said after finally reaching the fistula unit in Baidoa.

According to MSF, obstetric fistula occurs when prolonged obstructed labour damages tissues between the birth canal and the bladder or rectum, leaving women leaking urine or stool continuously. In about 90 per cent of cases, the baby does not survive.

Medical experts said the condition is closely linked to child marriage, teenage pregnancy, malnutrition, female genital mutilation and the collapse or absence of emergency obstetric services.

In both Nigeria and Somalia, those risk factors are compounded by insecurity, displacement, poor transportation and overstretched health systems, forcing many women to attempt childbirth at home or in poorly equipped facilities.

Dr. Raphael Kananga said many patients arrive at hospitals only after suffering irreversible injuries.

“Most of the women who reach us have already given birth somewhere else or tried to, often at home, and often after several days of labour,” he said.

“By the time they arrive at our hospital, they have already sustained an injury, often with additional infections and complications. Surgical repair is possible, but this should have been prevented from happening in the first place.”

The 55-bed fistula ward at Jahun General Hospital has become a critical lifeline for women across northern Nigeria. Since its establishment in 2008, more than 6,000 reconstructive surgeries have been carried out there.

In 2025 alone, 295 women were admitted, while 224 underwent surgery. Between January and March 2026, another 64 women were admitted, with 48 already receiving surgical treatment.

Care at the facility includes free surgery, physiotherapy, psychological counselling, nutrition support and long-term rehabilitation, with many patients spending up to three months recovering.

Aisha, who has already undergone two surgeries and is awaiting a third procedure, said meeting other survivors gave her hope.

“At first, I thought I would never be cured,” she said. “Then I came here and saw other women with the same condition. I realised I was not alone.”

In Somalia, the fistula unit at Bay Regional Hospital, opened in 2025 with support from MSF and Somalia’s Ministry of Health, remains one of the few specialised centres in the country capable of handling such cases.

Since its launch, only 38 women have received treatment there, even though several thousand more are estimated to require urgent care nationwide.

Frida Athanassiadis said many women live with fistula for years before learning that treatment exists.

“Fistula care is not only about surgery,” she said. “It is about listening, counselling, and helping women rebuild their confidence.”

Healthcare workers warn that demand for fistula care in both countries far exceeds available capacity.

Jahun General Hospital remains the only facility in Jigawa State capable of performing vesicovaginal fistula reconstructive surgery, while Bay Regional Hospital is the only specialised centre in Somalia’s Southwest State.

Humanitarian organisations said the persistence of obstetric fistula reflects deeper failures in maternal healthcare systems across parts of Africa, where preventable childbirth complications continue to claim lives and destroy futures.

Medical experts insisted that fistula is entirely preventable through proper antenatal care, access to trained midwives, timely referrals and emergency caesarean sections before prolonged labour causes permanent tissue damage.

MSF and health officials are now calling for urgent investments in maternal and newborn healthcare services, including skilled birth attendance, emergency obstetric care and expanded fistula treatment programmes for women already living with the condition.

For survivors like Aisha and Hodan, however, the struggle goes beyond physical healing — it is also about reclaiming dignity after years of pain, silence and exclusion.

Hidden Wounds Across Borders: Thousands of Women in Nigeria, Somalia Suffer in Silence as Obstetric Fistula Crisis Deepens

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AURÄI Launches Platform to Strengthen AI Governance, Assurance

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AURÄI Launches Platform to Strengthen AI Governance, Assurance

Firm warns of widening oversight gaps as businesses deploy AI faster than regulatory frameworks and audit systems can keep pace

By: Michael Mike

A global enterprise artificial intelligence (AI) assurance firm, AURÄI, has launched a platform to help organisations monitor, govern and certify AI operations amid growing concerns over accountability, security and regulatory compliance.

The platform was unveiled on the second day of the 30th anniversary conference of the Information Systems Audit and Control Association (ISACA), Lagos Chapter, held at the Oriental Hotel, Victoria Island, Lagos.

The Founder and Chief Executive Officer of AURÄI, Mr Olayinka James, said the rapid integration of AI into business operations was creating governance gaps that could expose organisations to operational, financial, security and reputational risks.

James, who spoke to auditors, risk management professionals and cybersecurity experts at the conference, said 88 per cent of organisations now used AI in at least one business function, while 93 per cent of internal audit functions deployed the technology in some form.

He, however, said only 38 per cent of audit teams had developed an AI strategy, while the same proportion of organisations had comprehensive policies governing AI tools already in use.

According to him, a typical enterprise now operates more than 150 AI tools unknown to its Information Technology (IT) department, highlighting the growing disconnect between adoption and oversight.

“Adoption everywhere. Assurance almost nowhere,” he said.

James said banks were deploying AI models for credit assessments and fraud detection, while fintech companies were integrating foundational AI models into their products faster than policies could address the associated risks.

He added that government agencies were also piloting AI systems capable of directly affecting citizens, making effective monitoring and accountability increasingly necessary.

Drawing parallels with the technology-driven corporate scandals of the early 2000s, James said the current AI transformation could trigger a similar regulatory and professional reckoning.

He recalled that the widespread adoption of Enterprise Resource Planning (ERP) systems and electronic ledgers in the late 1990s was followed by the collapse of Enron and WorldCom in 2001 and 2002, as well as the disappearance of audit giant Arthur Andersen.

He said the developments culminated in the enactment of the Sarbanes-Oxley Act of 2002, which strengthened corporate accountability by requiring executives to certify internal controls and helped establish IT auditing as a specialised profession.

He noted that the emergence of the Certified Information Systems Auditor (CISA) certification was also part of the professional evolution that followed.

James, however, said the current AI revolution presented a more complex challenge because machines were increasingly making decisions rather than merely recording them.

“This time the machines are not recording the decisions. They are making them — credit, claims, benefits, identity — at machine speed and population scale,” he said.

Describing the summer of 2026 as a critical period for AI oversight, James cited several security incidents, industry developments and regulatory responses as evidence of the growing urgency for stronger safeguards.

Among the incidents he referenced were about 1,200 AI agents linked to a breach involving Hugging Face in July, a reported two-week pause in reinforcement learning development by OpenAI in August, the resignation of an Anthropic researcher and Google’s Gemini reportedly escaping a test sandbox into three real companies.

He also cited a breach involving Australia’s Medicare portal as an indication of the security implications of deploying AI systems without adequate safeguards.

On regulation, James referenced California’s SB 813 and AB 1405, which he said mandated independent AI auditors and a state registry.

He also cited a White House Accord committing frontier AI laboratories to independent external audits and board-level oversight, alongside 12 additional AI laws signed in California on Oct. 1.

According to him, the pace of regulatory responses suggested that the world was approaching what he described as an “AI SOX moment”.

He observed that while it took about 10 months from Enron’s collapse to the enactment of the Sarbanes-Oxley Act, the current AI developments had produced a comparable reckoning in about seven weeks.

Against this backdrop, James said AURÄI was positioning itself to support the emergence of a new professional field focused on AI assurance, requiring experts capable of assessing, monitoring and certifying AI operations.

Explaining the platform, he said it combined AI agents that automate governance, risk and compliance activities with trained professionals responsible for supervising their work.

He said its capabilities included AI system discovery, evidence collection, control testing, policy drafting and audit documentation.

According to him, the agents operate within defined boundaries and document their activities, while certified professionals review their outputs, challenge findings and approve critical decisions.

“AI agents should escalate to human judgement instead of guessing,” he said.

James said the company was also introducing training and certification programmes to equip professionals with the expertise required to operate its AI agents and supervise their execution.

He said professionals who acquired AI-related skills would be better positioned to remain relevant as organisations increasingly integrated the technology into their operations.

“AI will not take your job. Someone who mastered it will,” he said.

James said the business model was informed by recurring challenges he encountered during more than 20 years in enterprise auditing and cybersecurity roles at Deloitte, PwC, Citigroup, GE Digital and Zimmer Biomet.

He said his experience showed that although many organisations had sound governance frameworks, they often struggled with effective implementation.

“The same pattern repeated everywhere: the frameworks were sound, the execution was broken,” he said.

He added that regulations such as the European Union’s AI Act were introducing stricter requirements around risk management, transparency and human oversight, making it necessary for organisations to demonstrate that their AI systems were properly governed.

James said AURÄI was designed to help enterprises generate the evidence required by internal assurance teams, external auditors, regulators and corporate boards.

The company was co-founded by James, Mr Mohammed Mijindadi and Mr Chris Kanwei, whose professional backgrounds span enterprise auditing, cybersecurity, infrastructure development and institutional investment.

AURÄI Launches Platform to Strengthen AI Governance, Assurance

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Troops Neutralise Two Suspects Arrested Over Killing of Plateau Couple During Escape Attempt

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Troops Neutralise Two Suspects Arrested Over Killing of Plateau Couple During Escape Attempt

By: Zagazola Makama

Troops of Operation Enduring Peace (OPEP) have neutralised two suspected criminals arrested over the killing of a couple at Tabga/Dogon Ruwa village in Wase Local Government Area of Plateau State after they allegedly attempted to escape while being transported by security personnel.

The suspects, identified as Hussaini Mallam Yusufu and Ishaku Sule, were earlier arrested on Nov. 4 for their alleged involvement in terrorist activities and the killing of Abdullah Adamu, 58, and his wife, Habiba Ibrahim, 45, on their farmland in Bashar District.

Security sources told Zagazola Makama that the incident occurred at about 10:00 p.m. on Nov. 7, when troops of Sector 2 OPEP were conveying the suspects to Wase town for onward transfer to the headquarters of the operation.

The sources said one of the military Hilux vehicles developed a minor mechanical fault, forcing the troops to stop and attend to the vehicle.

During the process, the two suspects allegedly jumped out of the vehicle in an attempt to escape, prompting the troops to respond swiftly and neutralise them.

Troops Neutralise Two Suspects Arrested Over Killing of Plateau Couple During Escape Attempt

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AFCSC Senior Staff Course Participants Visit 3 Division, Operation Enduring Peace Headquarters in Plateau

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AFCSC Senior Staff Course Participants Visit 3 Division, Operation Enduring Peace Headquarters in Plateau

By: Zagazola Makama

Participants of the Junior Staff Course 102/26 of the Department of Land Warfare (DLW), Armed Forces Command and Staff College (AFCSC), Jaji, have visited Headquarters 3 Division of the Nigerian Army and Operation Enduring Peace (OPEP) in Plateau State.

Security sources told Zagazola Makama that the delegation arrived at the headquarters at about 9:00 a.m. on Nov. 5, 2026, and was received by the General Officer Commanding 3 Division and Commander of Operation Enduring Peace, Maj.-Gen. W.M. Dangana.

The team was led by the Director of Land Warfare, Brig.-Gen. B.O. Omokpaniola, who represented the Commandant of AFCSC, Jaji.

During the visit, the participants received a briefing on intelligence-led operations and contemporary security threats in the 21st century within the OPEP Joint Operations Area (JOA).

The briefing was designed to consolidate the participants’ knowledge and understanding of operational planning and execution at the tactical level.

This was followed by an interactive session during which participants sought clarifications on various operational issues and made suggestions.

The visit was conducted without any incident.

AFCSC Senior Staff Course Participants Visit 3 Division, Operation Enduring Peace Headquarters in Plateau

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