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Breaking the Cycle: Addressing Mental Health and Malnutrition Together
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Children suffering from malnutrition often become irritable, withdrawn, and unresponsive.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
News
Troops repel bandits’ attack in AgatuBenue
Troops repel bandits’ attack in Agatu
Benue
By Zagazola Makama
Troops of the Nigerian Army, in collaboration with the police, repelled an attack by suspected armed bandits on a joint patrol team in Agatu Local Government Area of Benue State.
Security sources said the incident occurred at about 9:00 a.m. on April 4, when the troops on routine patrol encountered the armed bandits.
According to the sources, the bandits opened fire on sighting the troops, leading to a gun duel.
“The troops responded decisively, forcing the bandits to retreat after a brief exchange of fire,” the source said.
The attackers reportedly fled through a nearby river, taking advantage of the difficult terrain.
The sources confirmed that no casualty was recorded among the troops during the encounter.
Following the incident, troops have intensified patrols and commenced combing operations in surrounding bushes to track down the fleeing suspects.
The operation is part of ongoing efforts by the military to curb banditry and sustain peace in the area.
Troops repel bandits’ attack in Agatu
Benue
News
Six more top bandit leaders eliminated alongside Ado Allero’s son in Zamfara offensive
Six more top bandit leaders eliminated alongside Ado Allero’s son in Zamfara offensive
By Zagazola Makama
Additional details have emerged on the identities of notorious bandit leaders eliminated during the recent military offensive in Tsafe Local Government Area of Zamfara State, where the son of feared kingpin Ado Allero and scores of fighters were neutralised.
At the heart of the operation was the elimination of Kachalla Iliya Sarki, the son of Ado Allero, alongside more than 65 fighters and several high-ranking commanders who had long orchestrated attacks, kidnappings, and cattle rustling across Zamfara and neighbouring states.

For years, the forests of Tsafe, Shinkafi, and Zurmi have served as operational bases for heavily armed groups, with Allero’s network emerging as one of the most feared. The death of his son, widely regarded as a rising figure within the hierarchy, is not just a tactical success, it is a symbolic strike at the core of the group’s command structure.
Security sources confirmed that the offensive, which targeted multiple camps in Munhaye and surrounding forest enclaves, led to the elimination of several key commanders.

Among them was Kachalla Biyabiki, a notorious kidnapping kingpin linked to numerous abductions in the western Tsafe axis. Intelligence indicated he had at least 10 victims in captivity at the time of his death, with ransom negotiations ongoing.
Also killed was Kachalla Dogon Bete, a feared field commander known for leading violent raids on rural communities and coordinating cattle rustling operations.
Other commanders neutralised include Kachalla Dan Bakolo, believed to be responsible for arms supply and logistics; Kachalla Na’Isa, a sub-commander involved in enforcement operations; Kachalla Yellow, linked to reprisal attacks; and Kachalla Mudi, associated with kidnapping activities along rural transit routes.

Together, these figures formed a critical part of the operational backbone of banditry in the Tsafe–Shinkafi corridor.
“These individuals were key actors within the network. Their neutralisation has disrupted command and control structures in the area,” a security source said.
The offensive, which targeted multiple camps in Munhaye and surrounding forest enclaves, also resulted in the destruction of hideouts and recovery of weapons and other logistics.
However, security experts warn that the killing of such high-profile figures—particularly the son of Ado Allero—may provoke retaliatory attacks by fleeing elements seeking revenge.
Troops have consequently intensified clearance operations, aerial surveillance, and aggressive patrols across Tsafe, Shinkafi, and adjoining areas to prevent regrouping and forestall possible reprisals.
Efforts are ongoing to track down remaining loyalists and dismantle residual cells operating within the wider Zamfara-Katsina forest corridor.
In Zamfara’s forests, where power shifts quickly and alliances are fluid, today’s victory can only be secured by tomorrow’s vigilance.
Six more top bandit leaders eliminated alongside Ado Allero’s son in Zamfara offensive
News
Why truth, not narratives, will end the killings in Plateau’s endless cycle of bloodshed
Why truth, not narratives, will end the killings in Plateau’s endless cycle of bloodshed
By Zagazola Makama
In Plateau State, the sound of gunfire is no longer shocking. It is expected. What follows each incident has also become predictable outrage, media attention, blames and accusations, as well as a rush to frame the tragedy within familiar narratives.
The latest reports of miners lynched by unknown gunmen have once again drawn national and international attention. Youth leaders, clerics, and advocacy groups are already describing the incident in sweeping terms, some branding it as genocide.
But beneath the headlines lies a more complicated and more troubling reality. Plateau is not witnessing isolated acts of violence. It is caught in a deeply entrenched cycle of reprisals, where attacks and counter-attacks have become the norm, and where truth is often buried beneath sentiment and selective narratives.
In the early hours of April 3, troops responded to a distress call from Sabongida village in Jos South Local Government Area. What they found was grim: the lifeless, beheaded body of a 30-year-old herder, identified as Shafiyu, lying in the bush. Security sources indicated that the killing was allegedly carried out by suspected Berom youths. Before the shock of that incident could settle, retaliation came swiftly.
Later that same day, armed men attacked an illegal mining site in Gyel village, Riyom Local Government Area. Three miners, including Samuel Davou, were killed in cold blood, while others fled for safety as troops moved in to secure the area. What might appear as separate incidents are, in reality, part of a continuous chain of violence, one feeding directly into the other.
Across Plateau, recent events reveal a troubling pattern that has defined the conflict for years.
On March 25, the body of Abdullahi Mohammed , a Fulani boy, was discovered in a shallow grave in Mangu Local Government Area, raising suspicions of targeted killing. On the same day in Riyom, irrigation farms belonging to several farmers were destroyed, by Fulani herdsmen, an act capable of provoking immediate retaliation.
Three days later, on March 28, gunmen assassinated Alhaji Bilyaminu Julde, a prominent Fulani community leader and Ardo of Gindiri, in Barkin Ladi. The attack, carried out at his residence, sent ignited tensions through the Fulani community and set off alarm bells across the state.
That same day, another flashpoint emerged in Riyom, where stray cattle destroyed farmlands in Tahoss village an incident that further strained relations between farmers and herders.
By April 2, violence had escalated again. In Bokkos Local Government Area, troops foiled an attack by suspected armed herders following a clash with vigilantes over grazing disputes. One vigilante sustained gunshot injuries.
Then came April 3, a day that encapsulated the crisis. Aside from the killing of the herder in Sabongida and the retaliatory attack on miners in Gyel, more killing were reported in Jos South.
On the same day, troops in Barkin Ladi recovered suspected rustled cattle reportedly taken by the Birom armed militia, while in Riyom, another Fulani youth was allegedly killed in an isolated attack. Each of these incidents is not just an entry in a security log. They are links in a chain, each one strengthening the justification for the next.
The Plateau conflict has increasingly been framed through singular lenses, often ethnic or religious. While these dimensions exist, they do not fully capture the complexity of what is happening on the ground. What emerges from security reports and field accounts is a cycle of reciprocal violence involving armed elements across communities. Fulani herders have been attacked and killed. Berom farmers and miners have also been targeted in deadly reprisals.
Yet, public discourse often pointing fongers only one side of the suffering.
This selective framing creates a dangerous distortion. It fuels anger, deepens divisions, and makes reconciliation even more difficult. More importantly, it prevents a clear understanding of the crisis one that is essential for any meaningful solution.
As observed by Simon Kolawole, the conflict has become a cycle of “attacks and counter-attacks, reprisals and counter-reprisals.”
In such an environment, violence becomes normalized. Communities begin to see retaliation not as a crime, but as justice.
Without accountability, peace remains elusive,”he said in his latest article, titled The Killing fields in plateau State.
In Plateau State, the search for peace has become a long, uncertain journey with no immediate destination in sight. Despite sustained military deployments and repeated calls for calm, deadly attacks continue to rage across communities, reinforcing a grim reality: this is a conflict deeply rooted in cycles of violence, mistrust, and silence.
For many residents, the first instinct after every attack is to look toward the government, Security forces and President Bola Ahmed Tinubu. Questions are asked why were the troops not there? Why was the intelligence not acted upon? Why are communities left exposed?
These concerns are valid. The primary responsibility of any government is the protection of lives and property. Yet, beneath these criticisms lies a difficult truth that is often left unspoken. In many cases, the same communities that demand protection are unwilling to confront the problem from within.
Across flashpoints in Riyom, Barkin Ladi, Bokkos, and Mangu, patterns have consistent which suggest that perpetrators of violence are not faceless outsiders operating in isolation. They are often known by name, by face, by affiliation. But they are rarely exposed. Instead, a culture of silence prevails. Fear, loyalty, and sometimes complicity prevent communities from identifying or handing over those responsible for attacks.
This silence creates a protective shield around perpetrators, allowing them to strike repeatedly without consequences. The result is a dangerous cycle: attacks occur, blame is assigned externally, and the real actors remain embedded within the communities.
There have been instances where youth leaders publicly blamed Fulani groups for atrocities even in cases where the victims themselves were Fulani. Such claims stretch logic and risk undermining credibility. The argument that a group would attack itself, rustle or poison its own livestock, and transport it into rival territory solely to assign blame raises fundamental questions.
While misinformation is a powerful tool in conflict, it cannot fully explain away patterns that are repeatedly documented by security agencies. These narratives, rather than promoting justice, deepen mistrust and inflame passions, making reconciliation more difficult.
This cycle has blurred the lines between victim and aggressor. Communities that mourn their dead today may be accused of launching attacks tomorrow. In such an environment, truth becomes contested, and justice becomes subjective. A herder is killed, reprisal follows.
Miners are attacked, revenge is planned.
Cattle are rustled, retaliation is inevitable. Each incident becomes both consequence and justification.
Intelligence gathering, the backbone of effective security operations depends heavily on local input. When communities withhold information, protect suspects, or distort facts, security agencies are left to operate in the dark.
This creates gaps that perpetrators exploit.
Blaming the government alone, without acknowledging this dynamic, presents an incomplete picture of the crisis.
Security forces have remained active, responding to distress calls, conducting patrols, and attempting to stabilize volatile areas. Yet, their presence has not been enough to stop the killings. The reality is that no amount of military deployment can fully secure a population that is unwilling to cooperate.
One of the most dangerous drivers of the conflict is impunity. For decades, perpetrators of violence in Plateau have rarely been brought to justice. Killings are recorded, condemned, and eventually forgotten until the next incident occurs.
Community, religious and youths leaders, who should serve as stabilizing forces, are increasingly unable to control armed youth groups. Such interventions are rare and often overshadowed by more powerful forces of anger and revenge. In many cases the leaders are the once directly fueling the crises and encouraging the youths to take up arms to carry out reprisals attacks.
The nature of the Plateau conflict makes it resistant to purely military solutions. This is not a conventional war with clear battle lines. It is a fragmented conflict driven by local grievances, economic competition, and historical mistrust.
Calls for heavy-handed interventions, including suggestions of foreign military involvement, fail to recognize this reality. Force alone cannot resolve a conflict that is rooted in social and communal dynamics.
If Plateau is to break free from this cycle, the first step must be honesty. The violence must be acknowledged for what it is a series of interconnected attacks involving multiple actors, not a one-sided campaign. Only then can meaningful solutions emerge.
This is not just a story of victims and aggressors. It is a story of a society caught in a loop of vengeance, where yesterday’s victim can become today’s perpetrator. Until the truth is confronted in its entirety without bias, without omission peace will remain elusive.
The government must move beyond reactive security measures and take decisive steps to address the root causes of the conflict. This includes ensuring accountability, strengthening intelligence capabilities, and facilitating genuine dialogue among communities.Equally important is the role of local leaders. They must rise above partisan interests and work actively to restrain their followers, promote peace, and reject all forms of violence regardless of who commits them.
Zagazola Makama is a Counter Insurgency Expert and Security Analyst in the Lake Chad Region
Why truth, not narratives, will end the killings in Plateau’s endless cycle of bloodshed
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