Analysis
Examining Nigeria’s Health System and Preventable Deaths, by Alabidun Shuaib AbdulRahman
Examining Nigeria’s Health System and Preventable Deaths, by Alabidun Shuaib AbdulRahman
My last week’s column, ‘The Agony of a Columnist,’ was written from a place I never expected to occupy. It was not an attempt at catharsis, nor was it designed to elicit sympathy. It was simply an account of what happened when a citizen encountered the Nigerian healthcare system at its most critical moment and found it wanting. The death of my eight-month-old daughter occurred within a public hospital that, on paper, appeared functional. What followed exposed a gap between appearance and capacity that deserves closer scrutiny rather than sentiment.
This week’s column is broader. It is about structure, policy, and outcomes. It is about what the data says and what lived experience confirms about the state of healthcare delivery in Nigeria, a system that reflects not only underperformance but failure at its most consequential moments.
Considering another recent case that captured national attention, that of Ifunanya Lucy Nwangene, a 25-year-old Abuja-based singer who was bitten by a cobra in her home. She sought emergency care immediately, moving from one health facility to another, and struggled to obtain antivenom and appropriate treatment before it was too late.
Accounts vary on the specifics, but the tragedy is indisputable. Her death, amid circumstances that could have been preventable, echoes the avoidable loss of my own child and reflects the same systemic weaknesses that place ordinary citizens at risk every day. Reports indicate that approximately half of Nigerian hospitals lack the capacity to manage snakebite cases effectively and that nearly all facilities experience difficulties in administering antivenom, the only treatment recognized by the World Health Organization for venomous bites. Such deficits in treatment capacity, emergency response, essential medicines, and clinical training are not anomalies; they are the predictable outcome of chronic systemic weakness.
Nigeria’s healthcare system is structured across primary, secondary, and tertiary levels. According to the latest facility registry data, there are roughly thirty-eight thousand six hundred forty-five operational health facilities nationwide, a figure that includes both public and private establishments, translating to approximately eleven facilities per one hundred thousand people in a population exceeding two hundred and twenty million. Primary care facilities account for nearly eighty-eight per cent of all facilities, secondary care roughly twelve per cent, and tertiary facilities less than one per cent.
On paper, the distribution seems extensive, but quantity does not equal quality or functionality. The majority of primary healthcare centers, which form the first line of defence, are unable to deliver essential services consistently due to shortages of trained personnel, drugs, water, power, and equipment. Only about twenty per cent of primary facilities are considered fully functional, leaving millions of Nigerians dependent on emergency care that is often delayed or unavailable.
Health outcomes are determined by human resources as much as infrastructure, yet Nigeria’s health workforce is severely strained. The doctor-to-population ratio remains well below the World Health Organization’s recommended threshold of one doctor per six hundred people, with practical estimates ranging from one doctor per four thousand to one per five thousand citizens, and some areas experiencing ratios as low as one per nine thousand eight hundred.
Nurses and midwives are similarly scarce and unevenly distributed, favoring urban centers over rural and peri-urban areas. Absenteeism and burnout are systemic risks exacerbated by poor remuneration, unsafe working conditions, and limited career progression. The migration of trained health professionals abroad not only represents a loss of public investment but reduces the system’s capacity to respond to emergencies, increasing the likelihood that predictable crises result in preventable deaths.
Funding is a primary driver of these gaps. Nigeria is a signatory to the 2001 Abuja Declaration, committing to allocate at least fifteen per cent of annual budgets to health, yet the highest allocation recorded in any year remains below six per cent. By comparison, global benchmarks suggest public health spending should constitute at least five per cent of GDP to achieve basic universal health coverage, while Nigeria currently allocates approximately half a per cent. Per capita health expenditure ranges between ten and fifteen US dollars annually, which is insufficient to ensure functional hospitals, reliable emergency response, or the availability of essential drugs and equipment.
The inadequacy of public funding shifts the burden to households. Out-of-pocket payments account for nearly seventy to seventy-five per cent of total health spending, meaning that patients and families finance care at the point of illness rather than through pooled systems. Less than ten per cent of Nigerians are covered by any functional health insurance, and coverage is largely limited to formal sector employment. As a result, families often delay care, ration treatment, or avoid facilities altogether until conditions deteriorate beyond recovery.
The human consequences of these systemic failures are evident in national health indicators. Nigeria continues to have one of the highest maternal mortality ratios in the world, exceeding eight hundred deaths per one hundred thousand live births, and accounts for approximately twenty per cent of global maternal deaths despite representing less than three per cent of the world population. Infant and under-five mortality remain high, with recent surveys showing roughly sixty-seven deaths per one thousand live births and one hundred and ten per one thousand respectively. Many of these deaths result not from rare or complex conditions but from the inability of the health system to provide timely, skilled intervention for preventable or manageable illnesses. Malaria, pneumonia, childbirth complications, and neonatal distress often escalate into fatalities that could have been avoided had emergency care been available, adequately staffed, and well-supplied.
Infrastructure alone does not solve the problem. Hospitals are renovated, equipment procured, and wards repainted, but functionality depends on staffing, reliable power, water, supply chains, and governance. Electricity supply is particularly critical, as hospitals depend on continuous power for monitoring, oxygen delivery, laboratory diagnostics, and refrigeration of vaccines and essential medicines. Yet many facilities rely on intermittent generators with uncertain fuel supply, leaving patients exposed to system failures that no renovation or new building can correct.
Primary healthcare centers, despite their numbers, are frequently unable to provide preventive and early intervention services, meaning that conditions that should be addressed at the community level escalate to secondary facilities that themselves are overstretched.
Accountability within the health system is diffuse. Budget allocations are announced, but utilization and outcomes are weakly monitored. Staffing requirements are often unmet, and enforcement is inconsistent. Failures rarely attract consequences proportional to their impact, leaving citizens, including vulnerable infants and young adults, to bear the cost. Hospitals are frequently evaluated on the wrong metrics, such as bed count or physical infrastructure, rather than whether care is actually delivered. Time-sensitive emergencies cannot wait for policy announcements or cosmetic compliance; delays and absenteeism in these circumstances are measured in lives lost.
Both my personal experience and the case of the young singer illustrate these realities. My daughter was taken to Suleja General Hospital where initial symptoms did not appear severe, yet she required urgent intervention. Medical review was delayed, oxygen was administered without a definitive diagnosis or treatment plan, and a requested transfer to another facility was not effected in time. In the singer’s case, urgent antivenom administration was critical to survival, yet the system’s gaps prevented timely care, and the result was fatal. These outcomes are not anomalies; they are predictable expressions of systemic failure.
Nigeria does not lack reform frameworks. Initiatives exist to revitalize primary healthcare, expand health insurance, and improve maternal and child health outcomes. Some interventions have produced measurable gains in targeted areas, but they remain uneven and insufficiently scaled, often undermined by governance failures and weak operational oversight. The result is a system that prioritizes form over function, presenting the appearance of readiness while leaving emergency response and routine care vulnerable to failure. The consequences are borne not by policy-makers or administrators, but by citizens whose lives hang in the balance.
The purpose of revisiting last week’s column is not to relive personal grief but to insist on institutional reflection. Every preventable death, whether of a child in a public hospital or a young adult succumbing to a snakebite or otherwise, represents a failure of policy, funding, and governance. Healthcare is not an area where delays, absenteeism, or cosmetic compliance can be absorbed without consequence. Systems either respond, or they fail. In Nigeria, the record shows repeated, predictable failures. Mortality data, budget analyses, facility assessments, and lived experience all converge to the same conclusion: when the health system is tested, it often cannot deliver.
The crisis is visible, documented, and persistent. Nigeria’s hospitals function intermittently, supply chains are fragile, essential medicines are inconsistently available, and health workers are overstretched. Until outcomes, rather than infrastructure announcements, become the primary measure of success, preventable deaths will continue.
Tragically, the cost is measured not only in statistics but in lives that could have been saved. My daughter’s loss was personal, and the death of Ifunanya Nwangene was public. Both expose the same reality: a healthcare system that cannot guarantee timely, competent response in emergencies is not merely underperforming; it is failing its most fundamental obligation.
The reality requires less rhetoric and more reform, less emphasis on appearances and more attention to function. Budget allocations must be credible and linked to measurable outcomes, staffing requirements must be enforced, essential medicines and equipment must be reliably supplied, and emergency systems must be consistently operational. Until these conditions are met, Nigeria will continue to produce tragic but predictable stories of lives lost to systemic weakness, and citizens will continue to confront a healthcare system that appears reassuring until it is tested at its most critical moments.
Analysis
Bianca Ojukwu and Nigeria’s Firm Stand Against South African Xenophobia
Bianca Ojukwu and Nigeria’s Firm Stand Against South African Xenophobia
By Boniface Ihiasota
In the troubled history of African migration and xenophobic violence, few developments have tested Nigeria’s diplomatic resolve in recent years like the renewed attacks on Africans in South Africa. For many Nigerians in the diaspora, the recurring hostility against fellow Africans in a country once rescued from apartheid partly through African solidarity has become both painful and deeply ironic. At the centre of Nigeria’s latest diplomatic response is the Minister of Foreign Affairs, Bianca Odumegwu-Ojukwu, whose handling of the crisis has drawn attention across the continent.
The recent wave of anti-immigrant protests in Johannesburg, Pretoria and Durban reopened old wounds. Foreign nationals, particularly black Africans, were again accused of taking jobs, contributing to crime and burdening public services. Nigerians, as in previous episodes of xenophobic unrest, found themselves among the major targets. In response, Bianca Ojukwu adopted a tone that combined diplomacy with unmistakable firmness.
Unlike the cautious language that often characterises African diplomacy, the minister spoke with unusual clarity. She declared publicly that Nigeria “cannot stand by and watch the systematic harassment and humiliation” of its citizens in South Africa. That statement resonated strongly among Nigerians abroad who have long complained that African governments often react too slowly whenever migrants become victims of mob violence or political scapegoating.
Her intervention went beyond rhetoric. Nigeria summoned South Africa’s acting High Commissioner in Abuja to explain the situation and demanded full investigations into the deaths of two Nigerians allegedly assaulted by South African security personnel. The Federal Government also requested autopsy reports, legal documentation and accountability measures where wrongdoing is established. These actions signalled that Abuja was no longer willing to treat attacks on Nigerians abroad as isolated incidents.
More significantly, Bianca Ojukwu moved swiftly to establish protective mechanisms for Nigerians living in South Africa. Following consultations with President Bola Tinubu and South African authorities, Nigeria directed its diplomatic missions to create crisis response and notification channels for threatened citizens. Nigerians were advised to contact security authorities immediately whenever they felt endangered.
Perhaps the most controversial aspect of the government’s response was the decision to begin voluntary repatriation for Nigerians who wished to leave South Africa. According to the minister, at least 130 Nigerians initially registered for evacuation following the protests. While some critics viewed the evacuation plan as a retreat, others saw it as a practical humanitarian measure aimed at protecting lives before violence escalated further.
What distinguishes Bianca Ojukwu’s response from previous official reactions is her attempt to redefine the conversation. She questioned whether the attacks should still be described merely as “xenophobia,” arguing that the hostility appeared directed mainly at black Africans. Her suggestion that the crisis increasingly resembles “Afriphobia” touches a sensitive but important continental debate. Why are fellow Africans, rather than Europeans or Asians, often the principal victims of anti-foreigner mobilisation in parts of South Africa?
Another remarkable dimension of her intervention was the emphasis on the psychological impact of the crisis on children. The minister disclosed reports that Nigerian children, including those born to Nigerian-South African parents, were allegedly bullied in schools and told to “return to their country.” By highlighting this aspect, she shifted the discourse from statistics and diplomatic statements to the human cost of intolerance.
For Nigerians in the diaspora, the significance of this moment goes beyond South Africa alone. It raises broader questions about African unity, migration and the responsibility of governments toward citizens abroad. Diaspora communities often contribute immensely through remittances, investments and international networks, yet many still feel vulnerable whenever crises erupt in host countries.
Bianca Ojukwu’s response may not immediately end xenophobic tensions in South Africa, but it has demonstrated a more assertive Nigerian diplomacy, one that seeks not only to protest injustice but also to actively protect citizens. In an era where Africans increasingly migrate within the continent in search of opportunities, governments can no longer afford silence or symbolic outrage. The safety and dignity of Africans, wherever they reside on African soil, must become a continental obligation rather than a diplomatic afterthought.
Analysis
NDC As A New Bride, by Alabidun Shuaib AbdulRahman
NDC As A New Bride, by Alabidun Shuaib AbdulRahman
In Nigerian politics, new parties arrive the way comets appear in troubled skies. They appear suddenly, brightly and with exaggerated promises of redemption. Every election cycle births another coalition of disappointed politicians, frustrated elites, restless youths and displaced loyalists seeking what they call a “new direction.” Yet history has not been kind to many of them. Most vanish into the crowded cemetery of political irrelevance even before the next electoral season matures.
But the emergence of the Nigeria Democratic Congress, NDC, appears different in timing, symbolism and political calculations. Whether it ultimately becomes a genuine ideological alternative or merely another temporary shelter for ambitious politicians remains one of the defining political questions ahead of the 2027 general elections. The metaphor of a “new bride” fits perfectly.
In African culture, especially within the Nigerian sociopolitical imagination, a new bride arrives adorned with admiration, expectations, curiosity and suspicion. Everybody wants to see her. Everybody praises her beauty. Everybody speculates about her future. But beyond the wedding glamour lies the difficult burden of sustaining a home. That is precisely the present condition of the NDC in Nigeria’s political arena.
Officially recognised by the Independent National Electoral Commission, INEC on February 5, 2026, the NDC emerged alongside the Democratic Leadership Alliance after a prolonged legal and administrative process. INEC Chairman, Professor Joash Amupitan, disclosed that while DLA passed the conventional registration requirements, the NDC secured recognition through a Federal High Court order from Lokoja, Kogi State. That detail is politically important.
Unlike parties organically nurtured through ideological evolution, the NDC entered the national consciousness through judicial intervention. In Nigeria, where courts increasingly shape political destinies from governorship victories to legislative leadership tussles, the judiciary has become an unofficial co-author of democratic processes.
Nigeria’s political atmosphere today resembles a nation exhausted by recycled promises. The ruling All Progressives Congress, APC continues to face criticism over inflation, insecurity, unemployment and rising public frustration. Meanwhile, the opposition Peoples Democratic Party, PDP remains weakened by prolonged internal crises, leadership disputes and ideological confusion. The Labour Party, despite its emotional 2023 momentum, has struggled to convert populist enthusiasm into durable institutional structure. That vacuum created the perfect political maternity ward for another party. And Nigerians, perpetually hopeful despite repeated disappointments, naturally turned their attention toward the newcomer.
Already, the NDC is being discussed not merely as another registered party among Nigeria’s political parties, but as a possible coalition platform for displaced opposition figures seeking a stronger vehicle for 2027. The discussion intensified dramatically in early May 2026 following the formal defection of two of Nigeria’s most influential opposition politicians, Peter Obi and Rabiu Musa Kwankwaso. Their entrance transformed the NDC overnight from a little-known political organization into a major national conversation.
On May 3, 2026, both politicians were formally welcomed into the party during a high-profile political gathering held at the Abuja residence of former Bayelsa State governor, Seriake Dickson, who now serves as the NDC’s national leader. The event attracted political stakeholders, party officials and supporters from different regions of the country. During the gathering, Obi and Kwankwaso received their membership cards and addressed supporters on the future of the party.
Kwankwaso reportedly urged Nigerians interested in contesting future elections to register with the party immediately, while Obi spoke about building “a united, secure and prosperous Nigeria.” The symbolism of that event was impossible to ignore.
Obi remains one of the most influential opposition figures among Nigerian youths, especially after his remarkable performance in the 2023 presidential election under the Labour Party. Kwankwaso, on the other hand, commands a formidable grassroots structure in Northern Nigeria through the Kwankwasiyya movement. Their movement into the NDC instantly gave the party national visibility, regional balance and electoral seriousness. But the NDC did not stop there.
In recent weeks, the party has increased nationwide consultations and political receptions aimed at attracting defectors from other parties. Reports indicate that politicians from the APC, PDP, ADC and other opposition platforms have begun gravitating toward the NDC amid growing dissatisfaction within their former parties.
One of the earliest prominent figures to join was Amanda Pam, a notable Federal Capital Territory politician and former Deputy National Legal Adviser of the PDP. Senator Dickson personally received her into the party in April, describing the NDC as a growing ideological platform for national renewal.
More recently, the party also welcomed activist and social commentator Aisha Yesufu into its fold. On May 6, Yesufu announced her resignation from the ADC and formally declared for the NDC, revealing plans to contest the FCT Senatorial seat under the party’s platform.
Aisha Yesufu is not merely a politician. She represents a generation of activist-driven political consciousness that gained prominence during the Bring Back Our Girls campaign, the EndSARS protests and the Obi political movement of 2023. Her entrance into the NDC signaled the party’s attempt to combine elite political experience with activist energy.
The party has also recorded gains within legislative circles. Several members of the House of Representatives reportedly defected to the NDC shortly after Obi and Kwankwaso joined the party.
In another notable development, serving lawmakers from Edo State, including Natasha Osawaru Idibia, were formally received into the NDC during a political gathering in Abuja where Dickson warned against what he described as “transactional politics.” Former Gombe State Deputy Governor, John Lazarus Yoriyo, also joined the party at the same event. These activities have helped project the image of a party aggressively building momentum ahead of 2027. Yet the “new bride” metaphor remains politically dangerous.
Nigerians have a troubling habit of romanticising political newcomers. Every emerging movement is prematurely treated as a revolutionary salvation before its ideological foundation is properly interrogated. The country witnessed this phenomenon during the formation of the APC in 2013 when many Nigerians celebrated it as the coalition that would permanently rescue the nation from PDP dominance. Yet barely a decade later, many citizens who once celebrated that coalition now lament worsening economic hardship and democratic disappointments.
The NDC must answer difficult questions beyond the excitement of novelty. What exactly does it ideologically represent? Is it socially democratic? Progressively reformist? Or merely an emergency political apartment for frustrated elites seeking electoral shelter and survival?
So far, public discourse surrounding the party appears driven more by personalities than philosophy. That is Nigeria’s recurring democratic tragedy. Parties often revolve around influential politicians rather than coherent ideological convictions. In advanced democracies, voters can reasonably predict policy directions from party identity. In Nigeria, politicians migrate between parties with the emotional attachment of passengers changing commercial buses at Ojota.
Today’s progressive becomes something else tomorrow without ideological explanation. That is why Nigerians increasingly struggle to distinguish one party from another beyond slogans, logos and campaign colours. The NDC therefore faces an urgent intellectual responsibility: defining itself before defections define it.
A political party cannot sustainably survive on borrowed popularity alone. Emotional momentum without ideological infrastructure eventually collapses under the weight of ambition. The Labour Party’s post-2023 internal turmoil demonstrated this reality vividly. Popular movements may win elections, but only organized institutions sustain political relevance. This explains why many observers remain cautiously curious about the NDC.
Although there is undeniably a growing appetite among young Nigerians for alternative politics. Nigeria possesses one of the world’s youngest populations, with a median age below 20 years. Yet governance remains dominated by older political establishments. The frustration among youths over unemployment, inflation, educational instability and migration pressures has intensified demands for political renewal. Under such conditions, a disciplined opposition platform can become electorally dangerous to incumbents. But danger to incumbents alone does not equal democratic transformation.
Nigeria does not merely need another election-winning machine. It needs parties capable of institutionalizing governance culture, respecting internal democracy and nurturing ideological clarity. Without these, power simply changes occupants while dysfunction retains ownership of the system.
This is why the NDC must resist the temptation of becoming merely an anti-APC emotional coalition. Opposition built solely around anger eventually collapses after electoral seasons. Sustainable parties require philosophical substance beyond resentment against incumbents.
Equally important is the moral burden now facing the NDC’s emerging leadership. Nigerians are increasingly skeptical of political migration motivated purely by electoral convenience. When politicians defect without explaining ideological disagreements, citizens interpret movements as elite survival strategies rather than principled repositioning.
Social media discussions surrounding Obi and Kwankwaso’s movement to the NDC reflect this division clearly. While supporters view the party as a fresh opposition alternative, critics argue that repeated defections among Nigerian politicians expose the absence of ideological discipline within the political class. Such skepticism is understandable.
Nigeria’s democratic history contains too many abandoned promises. Yet democracy itself thrives on the possibility of renewal. Citizens cannot permanently surrender political hope simply because previous experiments failed. The challenge lies in balancing optimism with critical vigilance.
That balance is exactly how Nigerians should approach the NDC. Admire the bride if you wish. Celebrate the wedding if necessary. But do not ignore the marriage questions.
Can the party survive beyond electoral convenience? Can it manage internal imbroglio, if any arise? Can it resist godfather domination? Can it build structures beyond social media enthusiasm? Can it offer governance ideas beyond opposition rhetoric? Can it institutionalize internal democracy better than existing parties?
Those questions matter far more than registration certificates and ceremonial declarations. For now, however, the bride remains attractive because she is still largely undefined. And perhaps that is both her greatest strength and most dangerous weakness.
Alabidun is a media practitioner and can be reached via alabidungoldenson@gmail.com
Analysis
Why Plot Against Peter Obi Will Fail, by Boniface Ihiasota
Why Plot Against Peter Obi Will Fail, by Boniface Ihiasota
From the diaspora, Nigeria’s political trajectory is often assessed with a mix of distance and clarity. The patterns are familiar—elite coalitions, shifting loyalties, and strategic calculations ahead of every electoral cycle. Yet, as the 2027 general elections begin to gather, one constant remains: the enduring relevance of Peter Obi. Despite recurring narratives about efforts to edge him out of contention, the structural and political realities suggest that such plots are unlikely to succeed.
A central reason lies in the nature of Obi’s political base. Unlike traditional candidates whose influence is tied to party machinery or regional kingmakers, Obi’s support cuts across demographics, particularly among young voters and urban professionals. This base, which gained visibility during the 2023 elections under the Labour Party, is not easily dismantled by conventional political maneuvering. It is decentralized, digitally connected, and ideologically driven—qualities that make it resilient in the face of elite opposition.
Looking ahead to 2027, this evolving voter bloc could become even more significant. Nigeria’s youth population continues to expand, and with it, a growing demand for governance defined by accountability and economic competence. Obi’s consistent messaging around prudent management of resources and institutional reforms positions him as a natural beneficiary of this demographic shift. Attempts to sideline him risk underestimating how deeply this sentiment has taken root, both within Nigeria and among its diaspora.
The diaspora itself remains a critical factor in shaping Obi’s political future. Nigerians abroad, many of whom actively supported his 2023 campaign, have sustained advocacy through funding, media engagement, and policy discourse. Their influence, amplified by digital platforms, has helped maintain Obi’s visibility beyond election cycles. As 2027 approaches, this network is likely to play an even more strategic role—not only in mobilization but also in shaping narratives that counter attempts to delegitimize his candidacy.
Equally important is the broader transformation within Nigeria’s political landscape. The 2023 contest, which featured Obi alongside Bola Tinubu and Atiku Abubakar, marked a departure from the long-standing dominance of two major parties. Obi’s performance challenged the assumption that electoral success must always flow through established structures. As political actors recalibrate for 2027, this disruption cannot be easily reversed. Any strategy aimed at marginalizing him must contend with an electorate that has already demonstrated a willingness to embrace alternatives.
Another reason such plots are likely to fail is Obi’s personal political brand. His tenure as governor of Anambra State continues to serve as a reference point for supporters who view him as disciplined and comparatively transparent.
While critics remain, his reputation has proven relatively durable in Nigeria’s often volatile political environment. This consistency makes it difficult for opponents to construct narratives that significantly erode his credibility ahead of another electoral cycle.
However, the road to 2027 is not without challenges. For Obi to convert goodwill into electoral victory, he will need to strengthen party structures, expand his reach in rural areas, and possibly build strategic alliances. Nigerian elections are not won on sentiment alone; they require organization, negotiation, and adaptability. The resilience of his support base does not eliminate the need for political pragmatism.
Yet, even these challenges reinforce the central argument: efforts to plot against Obi are unlikely to achieve their intended outcome because they often focus on the individual rather than the movement. What emerged in 2023 was not just a candidacy but a shift in political consciousness. That shift—driven by a demand for competence and accountability—has continued to evolve beyond the ballot.
In all, Obi’s prospects for 2027 will depend less on the success or failure of political plots and more on how effectively he harnesses the forces already working in his favor. For many in the diaspora, his continued relevance reflects a broader transformation within Nigeria’s democracy—one that is still unfolding, but increasingly difficult to reverse.
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