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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Children suffering from malnutrition often become irritable, withdrawn, and unresponsive.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
Athena Graduates 13 Pioneer Fellows, Publishes Essays on Nigerian Unity
Athena Graduates 13 Pioneer Fellows, Publishes Essays on Nigerian Unity
By: Michael Mike
The Athena Centre for Policy and Leadership has graduated 13 pioneer fellows of its Junior Fellowship Programme, with a call on young Nigerians to take up leadership responsibilities and help build institutions capable of delivering good governance and national development.
The six-month programme, implemented in partnership with Anchoria Group, brought together young Nigerians from the six geopolitical zones, 11 states, 11 universities and 11 academic disciplines to deepen their understanding of public policy, governance, institutional development and leadership.
The graduation ceremony in Abuja also witnessed the unveiling of a collection of 13 civic essays written by the fellows, titled Though Tribe and Tongue May Differ: Young Nigerians on Belonging, Equal Citizenship and the Work of Nation-Building.
The publication, produced by Athena Press, is the first volume in an annual series, The Republic We Are Building, designed to encourage young Nigerians to examine the country’s founding ideals against the realities of governance and citizenship.
Speaking at the event, Founder and Chancellor of the Centre, Osita Chidoka, said the fellowship was established on the conviction that building strong institutions required deliberate investment in the people who would eventually lead them.
“We cannot continue to demand better institutions without deliberately investing in the people who will lead them. Institutions do not build themselves. People build them,” he said.
Chidoka said the programme deliberately brought together young Nigerians from different geographical, educational and professional backgrounds to foster mutual understanding and develop their capacity to work across the country’s differences.
“We brought together young Nigerians who might otherwise never have met, from different regions, universities, disciplines and experiences, and asked them to learn, argue and grow as one cohort.
“If we are serious about building the Republic we all dream of, learning to live, think and work across our differences has to become a habit,” he said.
He said the fellows were exposed to intensive learning, mentorship and practical engagements with experienced professionals, including BudgIT’s Seun Onigbinde, Dr Sam Amadi and Dr Dakuku Peterside.
The programme featured six months of virtual learning and mentorship, during which participants received monthly stipends, followed by a one-week residential session. Each graduate also received an HP laptop to support continued research and writing.
Anchoria Group part-funded the initiative, which combined public policy, governance, research and leadership training with financial literacy, investment and practical economic decision-making.
Chidoka said the fellows’ essays were inspired by the line in Nigeria’s National Anthem, “Though tribe and tongue may differ, in brotherhood we stand”, and explored questions of belonging, equal citizenship, identity and nation-building.
He described the National Anthem, the National Pledge and Chapter II of the Constitution as embodying what he called “the promise of the Republic”.
“They describe the Nigeria we say we want: a country founded on justice, equality, dignity, unity and opportunity.
“Every generation inherits that promise, and every generation must convert the promise into performance through the institutions it builds, the standards it enforces and the everyday experience of the citizen,” he said.
According to him, subsequent cohorts of the fellowship will use the annual publication to assess how effectively the country is translating these national ideals into tangible outcomes for its citizens.
The fellows also benefited from engagements with prominent figures in public policy and national development, including Patrick Okigbo, Founding Partner of Nextier, who discussed the promise of Nigeria and the experiences of young Nigerians within the country.
Representatives of Nextier attended the graduation and interacted with the fellows on career opportunities in policy and advisory services.
The fellows were also received by the Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, who shared his experiences of international training, returning to Nigeria and contributing to national development.
One of the fellows was subsequently invited to participate in the forthcoming Ministerial Conference on Antimicrobial Resistance.
In his valedictory address, the Overall Best Fellow, Ezekiel Adebisi, said the programme had equipped participants with the analytical skills, intellectual discipline and sense of responsibility required to contribute meaningfully to national development.
He said the fellows arrived as young professionals seeking answers but were leaving with a deeper appreciation of the complexity of governance and the responsibilities associated with knowledge.
Adebisi urged them to approach public institutions with courage, integrity and a commitment to evidence-based decision-making.
He cautioned against equating access to political power with the ability to drive meaningful institutional reforms.
“We came to learn how institutions shape nations. We leave committed to shaping institutions that serve nations,” he said.
The graduating fellows are Augustina Enuwa Abakpa, Rashida Bafashi Abubakar, Yahaya Abubakar, Ezekiel Adebisi, Afodun Muhammad Saheed, Adaobi Ayogu, Kosisochukwu Praise Bosah, Enegbuma Angelica Onagiekhuwemhe, Haruna Hassan Suleiman, Mohammed Baba Kale, Daniel Nnamani, Eunice Olasunkanmi and Shedrack Owen.
Chidoka urged the graduates to measure their success not merely by the knowledge acquired during the fellowship but by their contributions to the institutions and communities they would serve.
“The value of this Fellowship will be measured over years: in the institutions you serve, the decisions you influence and the people you, in turn, help to develop.
“Today, we celebrate what you have learnt. Tomorrow, Nigeria will judge what you do with it,” he said.
He announced that the Junior Fellows Programme would continue with new cohorts, sustaining the Centre’s effort to develop a new generation of Nigerians committed to responsible leadership and institution-building.
Athena Graduates 13 Pioneer Fellows, Publishes Essays on Nigerian Unity
News
Tijjani Muhammed’s promotion to Lithuania’s top division excites Mailantarki Care FC
Tijjani Muhammed’s promotion to Lithuania’s top division excites Mailantarki Care FC
The management and entire family of Mailantarki Care FC proudly extend heartfelt congratulations to our former star forward, Tijjani Muhammed, on helping FK Babrungas clinch the 2026 I Lyga title and secure a historic promotion to Lithuania’s elite top-tier division, the TOPLYGA.
Mr Adamu Usman Ahmed, the
General Secretary of
Mailantarki Care FC conveyed the management’s message in a press statement issued to newsmen on Saturday.
Tijjani Muhammed’s remarkable journey from sharpening his craft at Mailantarki Care FC to making a decisive, high-impact presence on the European stage is a testament to his exceptional talent, discipline, and relentless work ethic.
Playing a pivotal role in guiding FK Babrungas to the summit of Lithuanian football marks a monumental milestone in his professional career and stands as a shining example for young talents across Nigeria.
Commenting on the milestone, the club leadership led by its President Hon Khamisu Ahmed Mailantarki noted that Tijjani’s success reflects the core vision of Mailantarki Care FC of developing world-class players equipped to compete and excel at the highest levels of global football.
“We celebrate this well-deserved achievement with Tijjani. His hunger for success and dedication continue to make us immensely proud. We wish him even greater milestones, stellar performances, and countless goals as he prepares to take on the challenge of the TOPLYGA next season,” the statement read.
Tijjani Muhammed earned his pathway into European football following a scintillating, star-making performance with Mailantarki Care FC, the champions of the 2024 Dana Cup in Denmark, where he clinched both the highest goal scorer award and the tournament’s Most Valuable Player (MVP) honor.
Mailantarki Care FC remains steadfast in its mission to discover, nurture, and project homegrown talent onto the international stage, living up to its mantra.
Tijjani Muhammed’s promotion to Lithuania’s top division excites Mailantarki Care FC
News
Zulum Orders Suspension of Dikwa Council Secretary, Directors Found Absent on Duty
Zulum Orders Suspension of Dikwa Council Secretary, Directors Found Absent on Duty
…Halts Work on Nurses’ Quarters
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has directed the immediate suspension of the secretary and some directors of Dikwa Local Government Council over alleged neglect of duty.
The Governor issued the directives on Friday during a working visit to Dikwa, where he found several senior council officials absent from their duty posts.

He directed the affected officials to hand over to their respective assistants immediately.
However, the Director of Primary Healthcare and the Education Secretary were exempted from suspension because both were on duty at the time of the visit.

“Residents depend on the local government for essential services. Senior officials must report for duty and carry out their responsibilities.
Those who neglect their duties will face disciplinary action,” Zulum said.
The governor directed the Borno State Local Government Service Commission to compile a list of the affected officials and begin the administrative process of filling the posts to ensure that council services continue.

…Zulum halts work on nurses’ quarters
Governor Babagana Zulum also ordered the halting of construction at the nurses’ quarters after raising concerns about the quality of work.
During the visit, Zulum inspected ongoing projects at Dikwa General Hospital, the nurses’ quarters and a mega primary school.
Visibly dissatisfied with the standard of construction at the nurses’ quarters, he ordered work to stop immediately pending the engagement of another contractor.

“Public funds must deliver buildings that are safe, durable and fit for use. Every contractor must meet the approved specifications. Those who fail to do so will be held accountable in accordance with the law,” Zulum stated.
Governor Zulum warned that contractors who fail to meet contractual specifications and approved standards would face immediate sanctions.
Zulum Orders Suspension of Dikwa Council Secretary, Directors Found Absent on Duty
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