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Cover Story :Maternal Mortality Rate in Nigeria A Rising Concern

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Due to rising cases of maternal mortality in Nigeria and its causes Nigerian Tracker’s Yusuf Danjuma Yunusa takes a look and files in this report

Maternal Mortality Rate (MMR)–the rate of deaths that occur due to complications from pregnancy or childbirth–is a pressing issue that demands urgent attention.

Research has shown that Nigeria is one of the top three African countries with the highest recorded cases of MMR. In 2023, the World Health Organization (WHO) reported that South Sudan and Chad had the highest MMR rates, with Nigeria ranking third.

The rise in maternal mortality is most prevalent in rural areas of the country. Between 2008 and 2018, states in the Northeastern and Northwestern regions recorded higher numbers compared to those in the Southeastern and Southwestern parts.

Furthermore, the Federal Ministry of Health recorded that between 2019 and 2022, out of the 36 states in Nigeria, only 15–16 actively participated in post-natal care. The postpartum period accounts for 27% of maternal mortality cases.

In response, the federal government, through the Ministry of Health and in collaboration with the Sustainable Development Goals (SDG 3.1), launched the National Strategic Health Development Plan II. By 2030, the plan aims to reduce Nigeria’s maternal mortality rate to no more than 70 deaths per 100,000 live births.

Healthcare is Dead in Rural Areas”—Dr. Nurudeen Mustapha Speaks on Causes of MMR

Dr. Nurudeen Mustapha, a medical doctor at the maternity ward of Ahmadu Bello University Medical Centre, highlights the gravity of the situation.

 

Dr Nuraddin Mustapha ,Medical expert

Dr Nuraddin Mustapha ,Medical expert

“Maternal Mortality, as defined by the World Health Organization, refers to the deaths of women due to complications from pregnancy or childbirth—either during delivery or up to 48 days postpartum. In Nigeria, for every 22 women who give birth, one dies. This contrasts sharply with developed countries, where maternal deaths occur only after thousands of births.”*

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Dr. Mustapha attributes Nigeria’s high MMR to multiple factors, with marginalization of rural communities being a significant contributor.

“Access to proper healthcare is nearly impossible for people living in rural areas. As a result, they resort to self-administered healthcare, often performed by untrained individuals pretending to be midwives. This leads to complications, including severe hemorrhaging during childbirth—one of the major causes of maternal death.”

Illegal abortion is another contributing factor.

*”Unwanted pregnancies are rampant in our society. Many young girls under the age of 15 get pregnant, and in an attempt to terminate their pregnancies, they succumb to fatal complications.”

Additionally, hypertensive disorders and pulmonary edema—excessive fluid buildup in the lungs—are serious contributors to maternal deaths.

“Women with severe hypertension, particularly those over the age of 35, face heightened risks. Their cases often result in respiratory failure, leading to mortality.”

“Government Negligence Fuels Illegal Healthcare Practices”—Dr. Mustapha Criticizes Unregulated Hospitals.

When asked about the recent deaths at Afolmi Hospital in Durumi, Abuja, Dr. Mustapha did not hold back.

 

“This tragedy could have been avoided if the government actively enforced policies regulating healthcare facilities. Many illegal hospitals operate without consequences, allowing untrained staff to perform life-threatening procedures. Corruption is a major impediment to effective enforcement.”

On April 27, 2025, reports surfaced that Afolmi Hospital, along with staff member Murtala Jumma, was implicated in the deaths of two women due to childbirth complications. Jumma was reportedly responsible for a failed cesarean section that led to one of the fatalities.

The Path Forward: Experts Urge Government Intervention

According to Dr. Mustapha, improving maternal health in Nigeria requires strategic actions.

“Pregnant women should maintain a healthy diet and attend antenatal appointments regularly to monitor both their health and that of their baby. Family planning is also crucial, as excessive childbirth increases the risk of cervical tears, contributing to maternal mortality.”

 

 

Government intervention is equally vital.

Authorities must ensure that rural communities have access to quality healthcare facilities. In urban areas, medical personnel should receive fair remuneration to discourage them from leaving the country. Unregistered hospitals operating illegally must be shut down, and violators should face severe penalties.”

Maternal mortality remains a critical issue in Nigeria, especially in rural regions where healthcare is virtually non-existent. Without immediate action, the country faces severe economic consequences due to dwindling manpower and reduced contributions to the Gross Domestic Product (GDP).

Regulating abortion, enforcing hospital standards, improving healthcare infrastructure, and retaining medical professionals through better compensation could drastically reduce Nigeria’s MMR rate and safeguard the lives of thousands of women.

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President Tinubu Appoints Abel Olumuyiwa As Head Of Service

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President Bola Ahmed Tinubu has appointed Mr Abel Olumuyiwa Enitan as the Head of the Civil Service of the Federation, effective August 27, 2026.

Mr Enitan succeeds Mrs Didi Esther Walson-Jack, who will retire soon from the Federal Civil Service upon attaining the statutory retirement age of 60.

Mr Enitan, from Osun State, is the most senior Permanent Secretary in the Federal Civil Service.

He has served as Permanent Secretary for seven years and seven months, working at the Ministry of Police Affairs, the Ministry of Humanitarian Affairs, and the Office of the Vice President. He is currently the Permanent Secretary in the Federal Ministry of Education.

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He brings considerable institutional experience and a deep understanding of how the Federal Civil Service works to his new responsibility.

President Tinubu expresses his profound appreciation to Mrs Walson-Jack for her distinguished service to the nation and for the reforms, impact and innovations witnessed in the Civil Service during her tenure.

The President wishes her a fulfilling and successful life after service and conveys the nation’s gratitude for her years of dedicated and impactful public service.

President Tinubu charges the incoming Head of the Civil Service of the Federation to consolidate on the reforms and innovations already underway, deepen professionalism and efficiency across the service, and build a more effective and responsive Civil Service capable of delivering on the administration’s Renewed Hope Agenda.

The President further urges Mr Enitan to lead a Civil Service that is professional, merit-driven, accountable, innovative, and responsive to Nigerians’ needs and aspirations.

Enitan was born on December 12, 1966. He had his secondary education at Ajibode Grammar School, Ibadan and the College of Arts and Science, Ile-Ife. He later attended the University of Lagos and graduated in 1988 with a B.Sc. in Finance and Banking.

In 2015, Enitan obtained an M.Sc. in Public Policy Analysis from Nasarawa State University, Lafia.

 

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Kano Trains Mass Education Officers to Strengthen Adult Learning, Tackle Out-of-School Challenge

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The Kano State Agency for Mass Education has trained Area Coordinating Officers from all 44 Local Government Areas of the state as part of efforts to strengthen adult and non-formal education and support the government’s ambition of reducing the number of out-of-school children to zero.

The 2 day capacity-building workshop, held  in Zaria, Kaduna State, brought together Area Coordinating Officers, Zonal Directors, Directors and other key personnel of the agency.

The workshop, organised by SAME in collaboration with Non-Formal Development for Education and Health Initiatives (NDEHI), was held under the theme, “Strengthening Leadership, Community Engagement, and Quality Service Delivery in Adult Non-Formal Education in Kano State.”

Declaring the workshop open on behalf of the Commissioner for Education, Dr. Ali Haruna Makoda, the Permanent Secretary of the Ministry, Baffa Bashir Muhammad, said the initiative reflected the Kano State Government’s renewed commitment to advancing adult and non-formal education.

Muhammad praised Governor Abba Kabir Yusuf for prioritising education under the administration’s “Education First” agenda, noting that non-formal education remained an important tool for empowering citizens, reducing illiteracy and reaching people who were outside the formal school system.

He commended the Executive Secretary of SAME, Dr. Binta Abubakar, for initiating the workshop, describing it as a landmark step towards strengthening non-formal education delivery in the state.

The Permanent Secretary urged participants to maximise the expertise of the resource persons and ensure that the knowledge acquired translated into measurable improvements in adult literacy and learning programmes across Kano.

Speaking on the objectives of the workshop, the Executive Secretary of SAME, Dr. Binta Abubakar, said the training was designed to refresh the knowledge and strengthen the capacity of personnel responsible for implementing the agency’s programmes across the 44 LGAs.

She said the participants were exposed to modern approaches to leadership, monitoring and evaluation, record keeping, community engagement, learning-centre management and the establishment of new learning centres.

Dr. Abubakar emphasised the need for the agency to improve enrolment, monitoring and evaluation, record management and community participation, while expanding learning opportunities to underserved communities.

She said the ultimate goal was to contribute to the reduction of out-of-school learners and support the state government’s ambition of achieving zero out-of-school children in Kano State.

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The lead facilitator, Dr. Auwalu Halilu, said the workshop was aimed at changing the perception and delivery of adult education by moving beyond the traditional focus on literacy and numeracy.

According to him, modern adult education encompasses literacy, numeracy, life skills, community engagement and practical approaches to addressing societal challenges through adult learning.

Majority of them feel adult education is just about literacy and numeracy. In a more globalized perspective now, it’s modern literacy and numeracy—you have to think about literacy, numeracy, and life skills, including engagement with the community and solving societal problems through adult learning,” Halilu said.

He said the workshop brought together university professors, doctors, field practitioners and other resource persons to expose participants to contemporary methods of delivering adult and non-formal education.

Halilu described the initiative as historically significant, noting that it was the first time staff of the agency, including Area Coordinating Officers from all 44 LGAs, had been sponsored to travel outside Kano State for a capacity-building programme of this nature.

He attributed the development to the support of Governor Abba Kabir Yusuf and said participants were expected to apply the knowledge acquired to improve the agency’s operations after returning to Kano.

The Chairman of the Kano State School-Based Management Committee (SBMC), Tijjani Haladu Baraya, commended the agency for organising the training outside the state, describing it as an important step towards improving operational efficiency.

Baraya praised Dr. Binta Abubakar for what he described as innovative approaches since assuming leadership of the agency, saying the initiative aligned with the state government’s priority on education.

He appealed to the Ministry of Education and the Kano State Government to sustain adequate budgetary support for the Agency for Mass Education to enable it to consolidate the gains of the training and improve service delivery.

Also speaking, the Kano Municipal Zonal Director, Rabi Hassan Gwarzo, said the workshop had equipped participants with practical knowledge that would help improve the management of learning centres across the state.

Gwarzo said the training provided clearer understanding of modern administrative practices, particularly the implementation and operation of Centre-Based and Community-Based Management Committees (CBMCs).

She said the knowledge gained would help address challenges affecting some local learning centres and pledged to work with community leaders, facilitators and other stakeholders to revive and strengthen centres in Kano Municipal.

She also stressed the need for continuous retraining of facilitators to address administrative lapses and sustain improvements across the centres.

Gwarzo commended Dr. Binta Abubakar, whom she described as “Super ES,” for initiating the programme and urged participants to implement the strategies acquired during the training.

The workshop featured sessions on the foundations of adult and non-formal education, the structure of non-formal education, adult learners, instructional materials, the role of facilitators and the responsibilities of practitioners.

Other areas covered included leadership, community engagement, monitoring and evaluation, record keeping, learning-centre management and strategies for improving service delivery.

The agency said the training was expected to strengthen leadership, improve accountability and equip its personnel with modern tools to deliver more effective adult and non-formal education programmes across Kano State.

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SEMA Assesses Sites of Building Collapses, Condoles Families of Nine Victims

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The Executive Secretary of the Kano State Emergency Management Agency (SEMA), Alhaji Isyaku Abdullahi Kubarachi, accompanied by directors of the Agency, has visited the scenes of recent building collapses within Kano metropolis and condoled with families who lost loved ones in the incidents.

During the visit, the SEMA team inspected the site of the collapsed Khadija Bala Memorisation School, located at No. 1030, Police Station Road, Fagge Local Government Area, where one female student lost her life while eight others were rescued following the collapse of the Islamic school.

The team also visited Dukawa, Gobirawa area of Dala Local Government Area, where the residence of Malam Mutari Abdulhamidu collapsed, resulting in the death of his four children.

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Similarly, at Gaida, four people reportedly lost their lives following the collapse of a residential building.

The Executive Secretary, alongside a representative of the National Emergency Management Agency (NEMA), expressed deep sympathy and condolences to the bereaved families, praying for the repose of the souls of those who lost their lives and wishing the survivors a speedy recovery.

Alhaji Isyaku Abdullahi Kubarachi urged members of the public to strictly adhere to approved building regulations and safety standards, particularly during periods of heavy rainfall, when building structures may become more vulnerable to collapse.

In a statement, SEMA spokesperson Jamil Sagir Danbala said the Executive Secretary further called on property owners, developers and residents to avoid compromising building standards and to promptly report any signs of structural weakness to the relevant authorities.

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