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Breaking the Cycle: Addressing Mental Health and Malnutrition Together

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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Children suffering from malnutrition often become irritable, withdrawn, and unresponsive.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
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FG Says GEJ is Safe, Out of Guinea Bissau

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FG Says GEJ is Safe, Out of Guinea Bissau

… Condemns Country’s Military Coup

By: Michael Mike

Nigeria’s Former President Goodluck Jonathan is very safe and out of Guinea-Bissau, the Federal Government has announced.

The spokesperson of the Ministry of Foreign Affairs, Kimiebi Ebienfa made the announcement on Thursday. He said: “He (President Goodluck Jonathan) left with a special flight with members of his delegation including, former President, Economic Community of West African States (ECOWAS) Commission, Ibn Chambas.”

Jonathan, who is the head of ECOWAS Election Monitoring Mission to Guinea Bissau, was tramped along with members of his team in the country when military suspended democratic process and took over government.

Meanwhile, the Nigeria’s government has condemned the military coup d’etat in Guinea Bissau.

The Nigerian government in a statement on Thursday by the spokesperson of the Ministry of Foreign Affairs, Kimiebi Ebienfa said: “The Federal Government of Nigeria has learned with profound dismay and deep concern the unfortunate military coup which has led to an unconstitutional change of government in the Republic of Guinea-Bissau.

“The Federal Government of Nigeria, in the strongest possible terms, condemns this act of military insurrection which undermines the democratic progress, constitutional order, and stability not only of Guinea-Bissau but of the entire West African sub-region. This coup d’état represents a blatant violation of the fundamental principles of the ECOWAS Protocol on Democracy and Good Governance, which explicitly rejects any ascension to power through unconstitutional means.

“We stand in solidarity with the people of Guinea-Bissau and call for the immediate and unconditional restoration of constitutional order, the safety and security of all those detained and the full respect for the sanctity of democratic institutions in Guinea-Bissau.”

The statement added that: “The Federal Government of Nigeria unequivocally calls on the authorities in Guinea-Bissau to ensure and guarantee the safety of all election observers still in the country on official assignment.

“The Federal Government of Nigeria urges all actors involved to exercise utmost restraint, prioritize peaceful dialogue, and respect the will of the people of Guinea-Bissau as expressed through their ballots and the peaceful conclusion of the election with the announcement of results by the electoral management body.

“We warn that those behind this act will be held accountable for their actions, which threaten to plunge the nation into chaos and reverse the hard-won gains of its democracy.”

It further added that: “Nigeria, as a key member of the Economic Community of West African States (ECOWAS) and the African Union, will work closely with our regional and international partners to take all necessary measures to ensure the swift return to normalcy and constitutional governance in Guinea-Bissau. We reaffirm our unwavering commitment to the promotion of democracy, peace, and stability across the African continent.”

FG Says GEJ is Safe, Out of Guinea Bissau

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Federal Government Commissions Public Toilets in Nasarawa

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Federal Government Commissions Public Toilets in Nasarawa

By: Michael Mike

The Federal Government on Thursday inaugurated a new smart toilet in Nasarawa State, calling for stronger sanitation efforts across the state to ensure Nigeria exits her unenviable position as one of the top nations with open defecation.

Few days ago, the Minister of Environment, Balarabe Lawal decried that just about 25 per cent of Nigerians have access to safely managed sanitation facilities leaving over 45 million Nigerians still practice open defecation.

The Federal Ministry of Environment on Thursday called for stronger sanitation efforts across the states at the commissioning of new smart public toilets at Orange Market, Mararaba, in Nasarawa state to mark the 2025 World Toilet Day

The Director General of the Nasarawa State Waste Management and Sanitation Authority (NASWAMSA), Hon. Muhammad Isah, warmly welcomed dignitaries and partners to the 2025 World Toilet Day commemoration, expressing deep appreciation for the strong support the state has continued to receive toward improving sanitation and environmental health.

Addressing the Governor of Nasarawa State, the Honourable Minister of Environment, the Permanent Secretary, the Director of Pollution Control and Environmental Health, the Commissioner of Environment, the Nasarawa State Ministry of Environment, and other distinguished officials and partners, the DG extended his gratitude for their presence and ongoing collaboration.

Isah said “on behalf of our Authority, I sincerely appreciate His Excellency, the Governor, for his strong support toward improving sanitation and environmental health in our state.” He applauded the Federal Ministry of Environment for its continued partnership, noting that the provisioning of smart toilets being commissioned at the event, as well as an earlier air pollution monitoring facility, have contributed meaningfully to improving community well-being.

According to him, “our deep gratitude also goes to the Honourable Minister of Environment and the entire staff of the Federal Ministry of Environment for their continued partnership. The provision of the Smart Toilets we commission today, as well as the air pollution monitoring facility earlier provided, are meaningful contributions that strengthen our work and improve the well-being of our communities.” The DG also highlighted new collaborative initiatives between NASWAMSA and the Ministry, particularly in waste-to-energy development and job creation. He noted that the Ministry requested ten locations for public toilets between Mararaba and Masaka, areas where sanitation facilities are urgently needed.

He explained that “NASWAMSA worked with Orange Market management to provide two suitable sites for modern public toilets. These are the facilities being commissioned today.” Hon. Isah further expressed sincere appreciation to Dr. Engr. Bahijjahtu Abubakar, describing her as “maman talakawar jahar Nasarawa,” for her consistent support of women’s engagement and youth initiatives in the state. He stated, “your dedication is having a significant impact, and both the government and the people of Nasarawa State are truly grateful for your contributions. Thank you for your commitment to improving our environment and community.” The DG reaffirmed NASWAMSA’s commitment to continued collaboration with partners in pursuit of a cleaner and healthier Nasarawa State,

Also speaking at the event, the Executive Chairman of Karu Local Government Council, Barr. Abubakar Aliyu Madaki, described the newly commissioned Public Toilet Project at Orange Market, Mararaba, as a significant milestone in efforts to promote public health, environmental sanitation, and community wellbeing in Karu Local Government Area. During the Community Engagement/Sensitization Campaign and Commissioning of the Public Toilet Project organized by the Federal Ministry of Environment, he expressed appreciation to the Ministry for selecting Karu as one of the beneficiaries of the initiative.

He said “it is with great pleasure and a deep sense of responsibility that I stand before you today on behalf of Government and the good people of Karu Local Government Area.” He noted that the commissioning marks “another significant milestone in our collective efforts to promote public health, environmental sanitation, and community wellbeing in Karu.”

Madaki emphasized that Orange Market, being one of the busiest commercial hubs in the Local Government, attracts thousands of traders, buyers, transporters, and visitors daily, which creates the urgent need for proper sanitation facilities to prevent pollution and disease outbreaks. Describing the facility, he said, “This Public Toilet Project is therefore not just a building but it is an investment in public health, dignity, and environmental protection. It provides a safe, hygienic, and accessible facility for all market users, and supports our ongoing efforts toward a cleaner and a healthier Karu for everyone in line with the vision of His Excellency Engr. Abdullahi A. Sule the Executive Governor of Nasarawa State.”

He outlined recent efforts of the Local Government Council toward improving sanitation, stating that “over the past months, we have intensified efforts to improve waste management in markets and across communities, strengthen environmental monitoring and compliance, support community-based sanitation initiatives, and promote health education and community awareness.” Madaki assured the Federal Ministry that Karu Local Government would ensure the facility is well managed, adding, “Karu Local Government Council will take full responsibility for the maintenance, security, and effective use of this facility.” He urged traders and residents to safeguard the facility, saying, “this facility is yours. I urge you to take ownership of it. Let us use it properly, keep it clean, and protect it from vandalism.”

In his remarks, he expressed special appreciation to the Honourable Minister of Environment, the Honorable Commissioner of Environment, the DG NASWAMSA and their staff “for the support and dedication to environmental sustainability nationwide,” and stated that Karu Local Government remains open to more partnerships aimed at uplifting the health, economic, and social wellbeing of the people.

As the ceremony concluded, the Chairman reminded attendees that “development is meaningful only when it touches the lives of the people directly,” urging renewed commitment toward a cleaner society. He added, “Together, let us continue to promote a cleaner, safer, and healthier Karu for us and the future generation to come,” and ended with, “Thank you and may God bless us all. God bless Karu Local Government Area, Nasarawa State and the Federal Republic of Nigeria.”

Federal Government Commissions Public Toilets in Nasarawa

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NESREA, Ogun State Seal Recycling Facilities

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NESREA, Ogun State Seal Recycling Facilities

…Quarry Shut after Flying Rocks Injured School Students

By: Michael Mike

The National Environmental Standards and Regulations Enforcement Agency (NESREA) in collaboration with Ogun State Ministry of Environment, on Thursday sealed off recycling facilities in Ogijo community in Ogun State.

The sealing followed the failure of the operators to comply with the provisions of the National Environmental (Battery Control) Regulations 2024 and the Protocol developed by NESREA to ensure environmentally sound management of used lead acid batteries and safeguard the health of residents and the environment.

Under the protocol, the facilities committed to manage ULAB slag and base metal residue in a safe, environmentally sound and socially responsible manner, and also prioritize staff health and safety including an annual blood lead testing and provision of Personal Protective Equipment.

The recyclers, as duty to the host community and environmental responsibility are to conduct annual environmental impact audits on surrounding communities, transition to cleaner recycling technologies and participate in pilot projects for slag reuse for bricks and cement raw materials.

NESREA in collaboration with Ogun State government and other partners under the Project for Responsible Battery and Metal Recycling (PROBAMET)had carried out extensive assessment and sensitization of the operators in the sector on international best practices in the recycling sector.

In the same vein, official of the agency have shut down Cornerstone, managed by Istanbul Quarry in Dutse area of Abuja on Wednesday, after flying rocks from a blasting operation injured staff and students of Graceland High School, and damaged the school properties as well.

According to a statement by the spokesperson of the agency, Nwamaka Ejiofor, Investigations by NESREA showed that the students were in their various classes writing exams when they heard a bang at about 12.30 pm, followed by flying rocks which destroyed the school buildings, with 11 students and 2 staff of the school sustaining various degrees of injury. Nearby shops were also affected by the flying rocks.

Deputy Director, Conservation Monitoring, Glory Uboh. said the agency took the step to shut down the facility as their operations were contrary to the provisions of the National Environmental (Quarrying and Blasting Operations) Regulations 2013.

She said, “What happened is life threatening, that was why we had to move in immediately to seal the facility. Cornerstone, managed by Istanbul Quarry, which carried out the blasting operation will be sanctioned because our preliminary investigation shows contradiction to Quarry operating procedure and regulations. We will continue with our investigations and the facility will definitely be sanctioned in line with the National Environmental (Quarry and Blasting Operations) Regulations 2013”.

NESREA, Ogun State Seal Recycling Facilities

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