Breaking the Cycle: Addressing Mental Health and Malnutrition Together

By: Michael Mike

Every year, millions of children around the world suffer from malnutrition—a crisis that is all too visible in their frail bodies and tired eyes. But what is often less visible, yet just as devastating, are the psychological wounds that malnutrition inflicts on both children and their caregivers.
Over the years, the upward surge in children admitted for the treatment of malnutrition in MSF nutrition programmes has been an alarming trend. In the 12 Inpatient Therapeutic Feeding Centres (ITFCs) and over 30 Ambulatory Therapeutic Feeding Centres (ATFCs) supported by Doctors Without Borders/Médecins Sans Frontières across seven northern Nigerian states, its teams are often overwhelmed.
In 2024 alone, over 300,000 malnourished children were collectively treated in Zamfara, Kano, Katsina, Kebbi, Bauchi, Borno, and Sokoto —a 25 percent increase from 2023. With these admissions come psychological wounds that affect the mental health of both the children and caregivers. They both go through a cycle of emotions from the day they are admitted up to the time of discharge.
Kauna Hope Bako, MSF’s mental health supervisor in the Bauchi project, and her team—just like in other project locations in Nigeria—are working to break this cycle. Their approach recognises that malnutrition is not just a medical emergency, but a psychological one as well.
The Hidden Toll of Malnutrition
“Malnutrition is one disease that doesn’t just affect the child physically,” explains Bako. “It has psychological, emotional, and behavioural implications.”
Children suffering from malnutrition often become irritable, withdrawn, and unresponsive. They may miss key developmental milestones—struggling to walk, talk, or interact with their environment like other children.
The emotional pain is real.
“The child is feeling detached, sad that he cannot play like other children, and is trying to understand what is going on with him,” Bako says. “He’s going through a lot of pain and stress—not just from malnutrition, but from other diseases that often come with it.”
The relationship between mental health and malnutrition is deeply intertwined. Malnutrition can lead to emotional and cognitive problems in children, while — traumatic factors such as neglect, abusive home environments, or lack of love—can lead to psychological suffering and contribute to malnutrition.  “They’re two sides of the same coin,” Bako notes. “Malnutrition can lead to mental health problems and mental health problems can lead to malnutrition.”
Experience from Niger and Nigeria over past few years has shown that integrating these activities contributes to faster weight gain, shorter lengths of stay in inpatient feeding centres, and improved caregiver well-being.
The Caregiver’s Burden
The impact of malnutrition extends beyond the child. Mothers and caregivers, who are often the primary source of support, face immense stress and emotional strain.
“At triage, the emotions you’ll find most prominent are anxiety, stress, and fear,” Bako shares. “The caregiver is not really comfortable. She’s worried.”
Additionally, many feel helpless, frustrated, or even ashamed, sometimes blaming themselves for their child’s condition.
“It’s important that we give care not just to the child but also to the caregiver,” Bako emphasises. “If the mother is not able to manage her own stress, it may unconsciously spill over to the child.”
Breaking the Vicious Cycle
MSF’s mental health team uses a holistic approach to support both children and caregivers. There’s a playroom in all MSF-supported hospitals in Nigeria where mothers or caregivers and their children meet every day for mental health sessions. Their daily activities include:

• Psycho-stimulation sessions: Using play, colours, sounds, and gentle massages, these sessions help children regain lost developmental skills and foster emotional bonds with their caregivers.
• Psycho-education: Caregivers learn about the psychological impact of malnutrition, how to manage stress, and how their own well-being affects their child’s recovery.
• Support groups: Caregivers share experiences, coping strategies, and emotional support, building a sense of community and resilience.
• Recreational activities: These sessions offer caregivers and their children a chance to relax and distract themselves from the stress of hospital life.
• Individual counselling: For those experiencing acute distress, one-on-one support is available.
  Recognising the role of fathers, the team also organises men’s sessions to educate and encourage them to support mothers emotionally and make informed decisions about their children’s care.
  Additionally, MSF’s approach extends beyond patients and caregivers. The Mental Health team trains all staff—doctors, nurses, and support workers—in psychological first aid and communication skills.
  “Communication is sometimes service treatment,” Bako says. “When the mother feels listened to, when the child feels safe with the doctor or nurse, that already is treatment.”
  Hope for Recovery
  By addressing both the physical and psychological needs of malnourished children and their caregivers, MSF is helping to break the cycle of suffering.
  “It’s not just about treating the disease,” Bako says. “It’s about restoring hope, dignity, and the bonds that help children and families heal.”
  On World Mental Health Day, MSF reaffirms its commitment to holistic care—because every child deserves not just to survive, but to thrive, body and mind.
  Since 2022, MSF has been raising the alarm over the worsening malnutrition situation in northern Nigeria. The situation has continued to deteriorate, with alarming numbers of children suffering from severe acute malnutrition. Between January and June 2025, MSF admitted 32,940 severely malnourished children in inpatient therapeutic feeding centres, and 136,255 children in outpatient therapeutic feeding centres in northern Nigeria. To help families cope with the psychological toll of the crisis, MSF also conducted 30,880 mental health sessions during the same period. In Bauchi, since the beginning of the project in 2024, our teams have provided mental health support to 113,191 malnourished children and their caregivers.
• Breaking the Cycle: Addressing Mental Health and Malnutrition Together

NATIONAL COUNCIL OF STATE UNANIMOUSLY APPROVES APPOINTMENT OF PROFESSOR AMUPITAN AS INEC CHAIRMAN

By: Our Reporter

The National Council of State has approved the nomination of Professor Joash Ojo Amupitan (SAN) from the North-Central as the new Chairman of the Independent National Electoral Commission (INEC).

President Bola Ahmed Tinubu presented Amupitan as the nominee to fill the vacant position, following Professor Mahmood Yakubu’s exit. Yakubu served from 2015 till October 2025.

President Tinubu told the council that Amupitan is the first person from Kogi, North-Central state, nominated to occupy the position and is apolitical.

Council members unanimously supported the nomination, with Governor Ahmed Usman Ododo describing Amupitan as a man of integrity.

In compliance with the constitution, President Tinubu will now send Amupitan’s name to the Senate for screening.

Amupitan, 58, from Ayetoro Gbede, Ijumu LGA in Kogi State, is a Professor of Law at the University of Jos, Plateau. He is also an alumnus of the university.

He specialises in Company Law, Law of Evidence, Corporate Governance and Privatisation Law. He became a Senior Advocate of Nigeria in September 2014.

Amupitan was born on April 25, 1967.

After completing primary and secondary education, he attended Kwara State Polytechnic, Ilorin, from 1982 to 1984, and the University of Jos from 1984 to 1987. He was called to the bar in 1988.

He earned an LLM at UNIJOS in 1993 and a PhD in 2007, amid an academic career that began in 1989, following his National Youth Service at the Bauchi State Publishing Corporation in Bauchi from 1988 to 1989.

Currently, he serves as the Deputy Vice-Chancellor (Administration) at the University of Jos, a position he holds in conjunction with being the Pro-Chancellor and Chairman of the Governing Council of Joseph Ayo Babalola University in Osun State.

Among the academic positions he has held at UNIJOS are: Chairman of the Committee of Deans and Directors (2012-2014); Dean of the Faculty of Law (2008-2014); and Head of Public Law (2006-2008).

Outside of academics, Amupitan serves as a board member of Integrated Dairies Limited in Vom, a member of the Nigerian Institute of Advanced Legal Studies Governing Council, and a member of the Council of Legal Education (2008-2014), among other roles. He was a board member of Riss Oil Limited, Abuja(1996-2004).

Amupitan is the author of many books on law, such as Corporate Governance: Models and Principles(2008); Documentary Evidence in Nigeria (2008); Evidence Law: Theory and Practice in Nigeria(2013), Principles of Company Law(2013) and an Introduction to the Law of Trust in Nigeria (2014).

He is married and has four children.
End

Immigration Comptroller General Advises Personnel on Excellent Service to Clients

By: Michael Mike

The Federal Government has charged personnel of the Nigeria Immigration Service (NIS) to continue to offer excellent services to its clients, declaring that efficient customer service is a right and not a privilege.

Comptroller General of the Immigration Service (CGIS), Kemi Nandap, gave the charge in Abuja when she declared open the 2025 SERVICOM Customer Service Week.

She assured that the Service is on an irreversible path of reform, modernization and improved transparency in line with President Bola Tinubu’s Renewed Hope Agenda.

The CGIS noted that the week-long event, themed “Mission Possible” with the NIS sub-theme “Meeting and Exceeding Expectations”, was an opportunity for officers to recommit themselves to the principles of courtesy, timeliness and citizens-centered service delivery.

She said: “The Nigeria Immigration Service must not only meet expectations but exceed them. Every passport issued, every permit processed, every encounter at our borders is a test of our professionalism and integrity. We must continue to build public trust and prove that we are a Service that delivers”, the CGIS declared.

She noted that on assuming office in 2024, she raised concerns over negative practices that dented the Service’s image and challenged officers to “go back to the drawing board.”

Nandap said that directive resulted in far-reaching reforms, including the passport automation and contactless processing system, designed to minimize physical interaction and eliminate bottlenecks.

She highlighted that: “Others are the deployment of e-gates and body cameras at airports, enhancing border security while promoting transparency; Intensified sensitization campaigns across formations to combat corruption and entrench professionalism.

“These reforms are already paying off,” she noted, citing improved national ratings, commendations and awards recently received by the NIS at government performance review retreats.

Nandap however urged NIS personnel nationwide to use the 2025 Customer Service Week as an opportunity to recommit themselves to exceeding public expectations, charging officers to uphold the Service’s reputation at all times.

She added that: “This celebration is not for fanfare. It is a solemn call to renew our pledge of service and to institutionalize transparency, courtesy and excellence as our standard culture.”

Earlier, Special Assistant to the CGIS on SERVICOM and Reform Champion, Barr. Muhammad Awwal Abubakar, a deputy comptroller of immigration, described the Customer Service Week as “a call to reflection, action and renewal.”

He emphasized that the global theme “Mission Possible” challenges public institutions to see obstacles as opportunities for innovation rather than excuses for inefficiency.

“Customer service is not a privilege given by government institutions but a right owed to the people. Our duty is to ensure that every interaction with the NIS leaves citizens and travelers with confidence in our integrity and efficiency”, Abubakar said.

The 2025 NIS SERVICOM Customer Service Week will feature activities across commands and formations nationwide, highlighting innovation, best practices and the Service’s ongoing transformation agenda.

Immigration Comptroller General Advises Personnel on Excellent Service to Clients