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How a Village Head built Primary Healthcare Centre to curb infant and maternal mortality in Kano

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After retiring from civil service in 2003, Alhaji Kabiru Yahaya would return to his community in Kano to witness a deteriorating health situation thousands of people, especially pregnant women are going through. And he would, eventually, be saddled with the responsibility to head the community as “Dakaci,” Village Head. But the appointment would come after the once Executive Director of FBN Merchant Bank took the bull by the horn to single-handedly plant the seed to solving the health challenges in the community, by building a Primary Healthcare Centre to meet the needs of the community. He named it “Hotoron Arewa Community Health Centre,” the second but community-owned PHC in Hotoro.

Hotoro is a fast-growing community in Nassarawa Local Government Area (LGA). It’s about a 9 kilometres drive to the Emir’s Palace in Kano city. The population of the town has been growing “geometrically,” according to Alhaji Kabiru, mainly due to the humanitarian crises in northeast Nigeria. Most of the people migrating settle around that axis.

This sudden increase in population, Alhaji Kabiru found out, has put a lot of pressure on the single existing primary healthcare centre (PHC) built by the government many years ago in the community, and is already in a bad shape. “And perhaps,” Alhaji Kabiru explained, “because of the economic situation in the country, many people in this community, especially women, find it rather difficult to travel 5-6 kilometres to get medical attention in secondary and tertiary-level health facilities.”

Addressing maternal mortality in Hotoro

A pregnant woman, Salma Alhassan, visited the facility for the first time to book an antenatal appointment because it’s closer to her than any other hospital. She learnt about the PHC from community women who have been recommending the facility for other women, and through the “friends of the hospital” who went to their house for an outreach.

Prior to building the Hotoron Arewa Community Health Centre, Lami Ibrahim, a pregnant resident of the community speaking, said they used traditional means of delivery because of distance to the government-owned healthcare facility in Hotoro and, also due to the cost of services in private hospitals in neighbouring communities.

But according to the facility’s health extension officer-in-charge of the Hotoron Arewa Community Health Centre, Aisha Muhammad Ahmad, things have now changed. Since April 2020 when she assumed duty, antenatal care services are now rendered to about 150 – 160 women of Hotoro and neighbouring communities. She said about 5 – 6 births are attended to in the facility, monthly.

Receiving antenatal care from skilled providers usually at a healthcare facility isn’t just important in monitoring pregnancy; it also reduces morbidity and mortality risks for both the mother and child during delivery and 42-days after delivery (postnatal period).

Data from the 2018 National Demographic Health Survey shows that 34.7% of women in Kano are still not receiving antenatal care from a skilled provider and only 23.2% receive postnatal care compared to the 13.8% and 72.8% in Lagos state respectively. The North-Western region – where Kano has the highest population – has the least number of women attending a healthcare facility for antenatal care in Nigeria.

“Friends of the hospital” and management

After the completion of the Hotoron Arewa Community Health Centre, Alhaji Kabiru handed over its management to the Nassarawa LG. To help in the management of the healthcare facility, they set up a committee the locals called “The Community Friends of the Hospital.” The 15-member committee consists of religious influencers and health workers who also organise awareness outreach in the community, educating people on prevailing health problems and the methods of preventing and controlling them. This, according to the committee chairman, Dahiru Adamu Hotoro, has helped reduce ‘self-help’ and the use of traditional means of treatment and has increased hospital attendance by pregnant women.

I am truly happy with the establishment of this facility,” said a resident of Hotoro, Nura Ahmed Bello. “In the past, we must travel to other places for medical attention. But you can now see we’ve everything within our reach.

The facility renders services under the GOPD, antenatal, immunization, family planning, and growth monitoring and evaluation units with no free services but considerable discount. Whenever there’s a malaria outbreak in Kano, treatment is rendered free of charge at the facility as the district head pays for everything.

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Like other government-owned health facilities, all professionals in the Hotoron Arewa PHC are posted by either the State Primary Healthcare Management Board (SPHCMB) or the LG, and they are on their payroll. But support staff such as the securities and cleaners are ‘donated’ by the community which has developed a sense of ownership with the facility. 

“Not enough to lament, someone needs to do something”

In May 2013, while Alhaji Kabiru was flipping through the pages of The Economist magazine, he read an article on Sub-Saharan Africa titled “Where not to be a mother.” The article focused mainly on a non-governmental organisation (NGO)’s annual report, Save the Children, about the high rate of child and maternal mortality in the region.

In the report, Nigeria ranked 172 out of 176 countries on five indicators, including the risk of dying during pregnancy or childbirth and income level. This, Alhaji Kabiru believed was true about northern Nigeria where he said: “the poorest health facilities and the chances of women dying during childbirth are higher.” It’s especially true about his community where women die giving birth at home without having access to any healthcare facility “due to proximity and ignorance.”

Alhaji Kabiru feels “it’s not enough to read and lament, someone has to do something about it.”

Few months after reading the report, he used a portion of his land measuring 100 x 35 feet to single-handedly build – from foundation to roof – and equipped the Hotoron Arewa Community Health Centre. 

The need for more citizen participation

There are currently 2,100 PHCs in Kano State, including the one built by Alhaji Kabiru. While this number is still not enough, many of the PHCs are monumentally inefficient in rendering quality services, due to ineffective and explicit primary healthcare policies and especially citizen participation in the state.

Alhaji Yakubu collecting an award of recognition from KNSG

On July 27, the Kano State Governor, Abdullahi Umar Ganduje convened for the second time in 3-years, the PHC Investment Summit in the state. Stakeholders in attendance including development partners, government agencies, and philanthropists, traditional and religious leaders – including Alhaji Kabiru who was officially recognised by the Kano state government for his contribution towards a healthy Kano, and community members in attendance donated cash in millions to support healthcare delivery in the state.

But the philosophy, according to the governor, was to create and strengthen the synergy between the state and those in attendance that is critical for the overall improvement of the health of the Kano people. “Cash donation isn’t all the state needs,” said the executive secretary of the State Primary Healthcare Management Board (SPHCMB), “it needs intervention from all and sundry to build more PHCs, or improve the existing ones in providing quality services”.

Shortages of health personnel, as well as other socio-cultural and economic barriers, affect the quality of care and it increases the women’s use of alternative health care services.

Recounting on the report he read on The Economist, Alhaji Kabiru said “if people like me who are privileged to have gone to school, got a good job and even buy these papers to read such a report would do something, then a number of health problems would automatically be solved.

Asked whether he faced any negative surprises during the project, Alhaji Kabir said “there were no serious challenges rather, pleasant surprises. From my experience, I will advise anyone willing to take this path to just go ahead.” He said the management of health in Kano State are very “proactive, friendly and business-like officials; they do not act with the usual lacklustre attitude of most public servants.

He added that the health officials in the state are very passionate about seeing health facilities being built and developed in the state.

Hotoro itself needed more

As the population of Hotoro increases, this hospital has only solved a fraction of the community’s need for affordable healthcare services. There’s still not enough space for antenatal and immunization services as the women attending always come in increasing numbers. The hours of operation are also of concern as the facility operates on an 8 am – 4 pm basis. To make the facility do better, there’s more the local government should do as it’s donated to her in good faith.

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Why I want To Rewrite Kannywood’s Playbook – Dan Hausa

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Kamilu Danhausa

 

By Saif Ibrahim, Kano

Who is Dan Hausa?

I am Kamilu Ibrahim born 31 years ago, but most people know me as Dan Hausa. I was born in Fagge, Kano State, and from the very beginning I knew I wanted to tell stories that reflect the realities of my people. I trained at the High Definition Film Academy in Abuja, SAE Institute, and also took part in the U.S. Embassy’s Filmmaking for Impact program. I join the fikm making industry and started directing in 2017 because I wanted full control over how my stories are told.

Can you tell us a bit about yourself and your journey into film directing?

My journey began with a love for storytelling—I started as a scriptwriter, then worked closely with experienced filmmakers before directing my first film. Over the years, I’ve learned that directing isn’t just about cameras and lights, but about understanding people, culture, and the power of narrative.

Growing up, I saw how films could educate and inspire people. In Arewa, cinema is more than entertainment—it’s a mirror of society. I wanted to use that mirror to reflect our values, challenges, and hopes. That desire to make meaningful films pushed me into directing.

What sets your work apart in today’s Kannywood?

For me, it’s about merging modern cinematic techniques with our Hausa cultural identity. I love bold visuals and tight storytelling, but I never want to lose that traditional heartbeat of my origin. My goal has always been to raise our production quality to international standards while staying true to our roots”, proof of that is clear in my current and biggest project, “Wata Shida.

How would you describe your directing style?

I like to call my style “realism with purpose.” I focus on authenticity—every scene, every performance, every frame must feel true to life. But I also ensure that there’s always a message, something the audience can take home and reflect on.

Can you highlight some of your notable works?

Sure, there is Wata Shida which is currently airing and has an overwhelming response from the public and the likes of Lulu Da Andalu a myth-inspired adventure series showing on AREWA24 and YouTube. YouTube pushed us to think bigger in terms of story and production. Mijin Hajiya earned me Best Director at the 2024 Kano Entertainment Awards, while Tataburza made waves at film festivals. Earlier films like Bakon Yanayi (2019) and my debut Kulba Na Barna (2017) helped me define my style. My latest project, Amaryar Lalle, starring Rahama Sadau, premieres August 2025 on Sadau Pictures TV. Each project is a step forward in showing what Kannywood can achieve.

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What awards and recognitions have you earned?

I have also been recognized by the Arewa5050 Awards and Kaduna International Film Festival (KIFF) for Lulu Da Andalu, which even won Best Indigenous Hausa Film. There’s also an AMVCA nomination for best Africanindigenous language , which is exciting because it means Hausa stories are getting wider attention.”

Who are your key collaborators?

Filmmaking is teamwork; TY Shaba has been a creative partner on several projects, especially on Lulu Da Andalu. I have WORKED with Rahama Sadau on Amaryar Lalle has been fantastic; she brings so much energy to the screen.”

What themes do you explore in your films?

I like telling stories where modern life clashes with traditional values—family conflict, cultural identity, gender roles. These are real issues in our society, and I try to explore them honestly but cinematically. I believe film should make people feel and also think.”

What is your next project?

I am working on Wata Shida Season 2, a story about a woman who enters a six-month sham marriage to protect her inheritance. It’s socially meaningful but also very entertaining. I will also continue with season 2 of “Amaryar Lalle.”

Can you tell us a little about your latest project?

This project is very close to my heart. It follows a young girl fighting to get an education in a society full of obstacles. Through her eyes, we see how family, tradition, and resilience collide, and how hope can survive even in the harshest situations.”

What inspired you to make this story?

Growing up, I saw so many bright young girls whose dreams were cut short just because they were girls. I felt a responsibility to tell this story—not as fiction, but as a mirror of what is happening around us.

How do you balance tradition and modernity in your work?

A: It’s about respect. I respect our traditions, but I also embrace new technology and ideas. In my films, I make sure traditional values are represented truthfully, while using modern techniques to improve production quality.

 

What challenges do you face as a director in Kannywood?

Budgets are often limited, and resources can be scarce. But the biggest challenge is sometimes societal misunderstanding of what we do as filmmakers. People forget that film is also an art form and a tool for change, not just entertainment.

Can you tell us your favourite project

Every project has its own special memory, but I’m proudest when a film sparks conversation or impacts people’s lives. For example, one of my recent films about youth unemployment led to community discussions and even small initiatives to help young people. That’s when I feel film is doing its job.

What advice would you give to aspiring directors?

Learn the craft—don’t rush. Watch films, study scripts, spend time on set even if it’s just to observe. Most importantly, stay humble and focused. Filmmaking is about patience, teamwork, and vision.

What should audiences expect from your upcoming projects?

Expect more powerful stories rooted in our culture, with better technical quality. I’m working on projects that tackle real societal issues, and I believe they’ll resonate with audiences not just in Arewa, but globally.

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Antenatal Care: Why some women misses several sessions

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By Aisha Muhammad Rabiu

 

In many parts of Northern Nigeria, antenatal care is a vital step in ensuring the health of both mother and the unborn child. Yet, an increasing number of women are neglecting this crucial stage of pregnancy, putting themselves and their babies at serious risk, hence the high infant, mother mortality rate.

 

Health experts have been warning that antenatal visits help detect pregnancy complications at its early stage, provide essential supplements for healthy mother/child development, and educate mothers on safe delivery practices. But for some women, they find antenatal care as a burden either due to poverty or lack of awareness based on cultural practices and beliefs. As such antenatal remains a neglected priority.

 

 

In Kadawa, Fatima Sani, a 28-year-old expectant mother, admits she has not attended a single session of antenatal since the start of her pregnancy. she said “It’s not that I don’t want to go, but the clinic is far from my house, and my husband says we should save the transport money for delivery day. I just pray Allah protects me and my baby.”

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From Dan Bare, Shago Tara precisely, Khairat a mother of 4 shares her reasons for not attending antenatal session even though she is fully aware that the session is very important to pregnant women. She said “I feel healthy, so I don’t see the need to go for antenatal. My mother gave birth to all her children at home without any clinic visits, and they all survived.”

 

In Rijiyar Zaki, Hadiza Mukhtar recalls her previous pregnancy, where she skipped antenatal visits entirely. “The nurses were rude to me when I first went. I decided I would not return. This pregnancy, I haven’t gone at all,” she confesses.

 

For Usaina Muhammad of Kurna, the problem is financial. “I can’t afford the registration fee, and I also have other children to feed. I know antenatal is important, but survival comes first.”

 

Meanwhile, Maryam Lawan of Layi Kaji reveals that misinformation has influenced her decision. “Someone told me that the iron tablets they give at the clinic make the babies grow too big, making delivery harder. So, I decided to avoid it altogether.”

 

Medical professionals emphasize that skipping antenatal care increases the risk of complications such as anemia, high blood pressure, infections, and even maternal or infant death. Dr. Ibrahim Musa, a gynecologist in Kano, warns: “We see many emergencies that could have been avoided if the mother had attended antenatal. Most of these cases arrive late, making it harder for the doctors to save lives.”

 

Experts and community leaders agree that raising awareness is key in addressing the matter. Antenatal care should be made more affordable, accessible, and culturally acceptable for all women. Religious leaders, health workers, and family members all have a role to play in encouraging expectant mothers to attend regular check-ups.

 

Neglecting antenatal care is not just a personal choice; it’s a public health concern that affects families, communities, and the future of the nation. Ensuring that every mother has the knowledge, resources, and support to seek antenatal care is a step toward a healthier society.

 

Aisha Muhammad Rabiu writes from Bayero University Kano (BUK) and she can be reached at Email: aishatama2020@gmail.com

Phone no.08084273341

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Rano’s Peaceful Legacy: More Than a Slogan, One Tragedy Won’t Define Us

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For decades, Rano Garin Autan Bawo has proudly stood as a symbol of peace and harmony in Kano State. It is a place where neighbors look out for one another, where disputes are settled through dialogue, and where diversity is met with respect—not resentment. In Rano, peace is not just a slogan—it is a way of life passed down through generations.

The tragic incident that recently occurred at the Divisional Police Station in Rano Local Government has deeply shaken our community. Known for generations as one of the most peaceful and united areas in Nigeria, Rano now faces the painful reality of an attack that led to the death of a Divisional Police Officer and the destruction of police property. This senseless act of violence goes against everything our community stands for and must not be seen as a reflection of who we are.

Rano has long been recognized for its peaceful spirit, tolerance, and respect for all. People from different backgrounds, religions, and cultures have lived side by side here in harmony. This didn’t happen by chance—it is the result of years of effort by our leaders, religious figures, and ordinary citizens who believe that our strength lies in our unity and diversity.

Our respect for law and order is deep-rooted. We understand the crucial role that security personnel play in keeping our community safe. The people of Rano have always appreciated the risks and sacrifices made by the police, military, and other agencies to protect lives and property.

Respect for the law here is not just about obeying rules—it’s about a shared belief in justice, fairness, and solving problems peacefully and legally. This belief has helped build a respectful and cooperative relationship between the police and the people.

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What happened at the police station is completely out of character for our community. The individuals who carried out this attack do not represent us. Their actions go against the values that have shaped Rano. We strongly condemn what they did and make it clear that their behavior does not reflect who we are.

The loss of the Divisional Police Officer is not just a blow to the Nigeria Police Force or the Kano State Police Command—it is a loss for all of us. He wasn’t just doing his job; he was part of our extended family. His death is an attack on the peace and security that we all hold dear.

We send our deepest condolences to his family. No words can ease the pain of losing a loved one in such a brutal way. Our thoughts are also with his colleagues in the police force, who have lost a brother and a friend.

We also stand with the Kano State Police Command and the Nigeria Police Force as they face this heartbreaking loss. We understand how much this affects their morale, especially at a time when their work is more important than ever.

Destroying police buildings and equipment is not just an attack on law enforcement—it’s an attack on the very system that helps keep us safe. These facilities belong to the people and serve the entire community. Damaging them harms everyone, especially the most vulnerable among us.

We urge the government and relevant authorities to investigate this incident fully and fairly. Those responsible must be held accountable. Justice must be swift and uncompromised. Our community deserves to see the law upheld and the wrongdoers brought to book.

To our young people—the future of Rano—we ask for calm and reflection. We know that you may be frustrated or angry about many issues. But violence is never the answer. Taking the law into your own hands only brings more pain and setbacks for everyone.

Instead, we encourage our youth to focus on positive, constructive paths. There are peaceful, legal ways to raise your voices and push for change. Use those channels. Help move our community forward.

Rano must now focus on healing, rebuilding trust, and recommitting to the peaceful values that have always defined us. We must come together—young and old, leaders and citizens—to ensure that such violence never happens again.

We call on traditional leaders, religious figures, community elders, youth leaders, and all residents to stand united in promoting peace and respect for the law. Let’s strengthen our partnership with security agencies and support their efforts to keep us safe, while also holding them accountable to serve with respect and dignity.

How we respond to this tragedy will shape our future. Let us choose unity over division, peace over violence, and hope over despair. The actions of a few will not define us. We will protect the legacy of peace that Rano is known for and continue working together for a better tomorrow.

Buhari Abba wrote this piece from Unguwar Liman Rano.

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