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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Children suffering from malnutrition often become irritable, withdrawn, and unresponsive.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
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Borno: Kwaya Kusar stakeholders seek investment in grains processing
Borno: Kwaya Kusar stakeholders seek investment in grains processing
Farmers and some stakeholders in Kwaya Kusar community have urged governments at all levels and industrialists to establish grain processing factories in their community.
They stated that having such facilities would help prevent post-harvest losses, create jobs, stabilise food prices and create wealth for the state and country.
They made the call in separate interviews with our Correspondent in Kwaya Kusar town of Borno State on Monday.
They said processing maize, wheat and local grains into staple foods like flour, semolina, and livestock feeds would further strengthen national food security while transforming the agricultural value chain.
Alhaji Abdullahi Gidado, the Secretary of Kwaya Kusar Grains Market said that the area has enough grains to feed any industry established in the area.
Gidado said that grains from the market were taken to other parts of the country on a weekly basis throughout the year.
He said that over 15, 000 bags leave the market weekly during dry season while over 40, 000 bags were being taken out of the market weekly immediately after harvest.
He said that with such a factory, more youths would be employed while farmers would get better value for their efforts.
“We want the government and other industrialists to take advantage of our strength in grain cultivation to set up mini factories to process our grains into staple foods.
“The more we take these grains out without processing it, the more we lose; from post harvest losses to rains spoiling our grains during the rainy season.
“We take over 30 to 40 trucks of assorted grains from this market weekly and each truck carries 400 bags; after harvest, the number reaches over 100 trucks weekly,” he said.
Also, Malam Hassan Musa, the Chairman of All Farmers Association of Nigeria, AFAN, Kwaya Kusar Local Government corroborated Gidado’s call to establish mini flour milling factories to reduce post-harvest losses.
Musa said farmers within the five local government areas of Biu, Kwaya Kusar, Hawul, Bayo and Shani all in Borno South have the capacity to produce grains that would feed any factories.
“Today, we (farmers) no longer get good returns on investment because we take out our produce raw to feed industries in other parts of the country.
“If we cultivate and process the grains here, the prices of these staple foods will drop and post harvest losses will greatly reduce,” he said.
For Malam Yusuf Abu, a grain dealer at the market said that over 7,000 jobs have been created because of the market as youths engage in grading, loading, transportation and many other areas.
Abu said “we will gain more if we process and take finished products out than taking our raw grains to feed flour mill industries elsewhere.
Borno: Kwaya Kusar stakeholders seek investment in grains processing
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Nigeria Deploys Nationwide Platform to Track Violence Against Women Cases
Nigeria Deploys Nationwide Platform to Track Violence Against Women Cases
…New system to provide visibility on investigations, prosecutions, conviction
By: Michael Mike
Nigeria has deployed a new nationwide reporting platform designed to track cases of violence against women from the point of reporting through investigation, prosecution and conviction, in a move aimed at strengthening accountability and access to justice for survivors.
The platform, developed by the Federal Ministry of Justice with support from the EU Support to End Sexual and Gender-Based Violence (ESGBV) Programme in Nigeria and implemented by the International Institute for Democracy and Electoral Assistance (International IDEA), is expected to address persistent gaps in case documentation, data coordination and justice-sector monitoring.
The initiative was unveiled on Monday in Abuja during the Deployment and Operationalisation of the Violence Against Women (VAW) Reporting Platform and National Validation and Capacity-Building Workshop on the VAW Reporting System.
The organisers described the platform as Nigeria’s first standardised justice-sector VAW reporting system, designed to consolidate information on cases from different states into a central database.
Speaking at the event, GBV Policy and Strategy Development Specialist, ESGBV Programme, International IDEA, Melissa Omene, said the initiative was developed to address one of the major weaknesses in Nigeria’s response to violence against women — the fragmentation of data and inadequate tracking of cases after they are reported.
“Reporting violence is only the beginning of a survivor’s journey. What happens after reporting matters just as much as the reporting itself,” Omene said.
She disclosed that an assessment involving 112 respondents from 32 institutions across the Federal Capital Territory, Benue, Kaduna and Oyo states identified gaps in data coordination, investigations, evidence management and justice-sector monitoring.
Omene said the National GBV Dashboard recorded 4,449 GBV cases in the first half of 2023, taking the nationwide number recorded since the dashboard was launched in 2020 to more than 19,000.
The figures, she said, highlighted the need for a stronger system capable of following cases beyond the initial reporting stage.
Also speaking, the Head of the Sexual and Gender-Based Violence Unit at the Federal Ministry of Justice, Yewande Gbola-Awopetu, said the success of the new platform would depend significantly on the accuracy and consistency of information supplied by designated desk officers.
“Every field you complete, every case status you update, and every follow-up you log becomes part of the evidence base,” she said.
Gbola-Awopetu disclosed that the National Human Rights Commission had recorded more than 33,000 SGBV cases between January and May, while the National Agency for the Prohibition of Trafficking in Persons (NAPTIP) documented more than 3,000 cases of violence against women in the FCT.
She said the figures reinforced the need for improved documentation and tracking of cases to determine what happens after victims report violations.
The National Consultant for the VAW Reporting System at International IDEA, Agharinma Ehiedu, said the platform would bring together information previously scattered across state-level systems into a single national database.
According to him, justice institutions would be able to access national data without having to contact individual states separately.
“You can know how many offenders you have, how many cases have been convicted, and those that are pending trial across the country,” Ehiedu said.
He added that the platform would also enable members of the public to report violations, with cases subsequently routed to relevant state desk officers.
He described the system as providing “full visibility of what is happening” to violence-against-women cases across the country.
Violence against women remains a major human rights, public health and justice challenge in Nigeria. It includes physical, sexual and psychological violence, domestic violence, harmful practices, trafficking and other forms of abuse.
One of the longstanding difficulties in addressing the problem has been the absence of a consistently integrated system for documenting cases and tracking their progression through Nigeria’s multiple justice and response institutions.
Cases can pass through the police, health facilities, social welfare structures, human rights institutions, prosecutors and courts, while information is often held separately by each institution. This can make it difficult to establish how many reported cases resulted in investigation, prosecution or conviction.
The problem is compounded by under-reporting. Survivors may choose not to report incidents because of stigma, fear of retaliation, economic dependence, lack of confidence in institutions or concerns about the consequences of pursuing cases.
Nigeria has also established legal and institutional mechanisms aimed at addressing gender-based violence. The Violence Against Persons (Prohibition) Act (VAPP) 2015 criminalises a range of harmful acts, including physical, sexual and psychological violence, while providing protections and remedies for victims and survivors. Its implementation, however, depends substantially on effective enforcement and, in states where necessary, domestication.
The country’s response also involves institutions including the Federal Ministry of Justice, Nigeria Police Force, National Human Rights Commission, NAPTIP, health and social welfare agencies, state ministries and civil society organisations.
The new VAW reporting platform is therefore expected to complement these existing structures by providing a mechanism for capturing and following cases across the justice chain.
Beyond statistics, the system could allow authorities to identify bottlenecks — including cases delayed at investigation or prosecution stages — and improve evidence-based planning and accountability.
For survivors, the ultimate test will be whether reported cases receive timely attention and whether perpetrators are brought to justice.
The ESGBV Programme and International IDEA said the deployment was intended to move Nigeria’s response beyond simply recording incidents towards ensuring that cases remain visible until appropriate justice outcomes are achieved.
The initiative also comes as Nigeria prepares for continued efforts to strengthen its institutional response to sexual and gender-based violence, with stakeholders stressing that better data is essential for effective policy, resource allocation and accountability.
Nigeria Deploys Nationwide Platform to Track Violence Against Women Cases
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Several Killed, 45 Fulani Shelters Destroyed, Crops Razed In Targeted attack by suspected Mwaghavul miltia in Plateau Community
Several Killed, 45 Fulani Shelters Destroyed, Crops Razed In Targeted attack by suspected Mwaghavul miltia in Plateau Community
By Zagazola Makama
Troops of Operation Enduring peace have intensified security operations in Jwak Maitumbi community of Mangu Local Government Area of Plateau State following the killing of several fulani residents and destruction of about 45 Fulani residential shelters and large quantities of crops by suspected Mwaghavul militia.
The incident was reported at about 7:45 a.m. on Sunday, August 16, 2026, prompting troops of Sector 8, Operation Enduring Peace, deployed at Sabon Gari to move to the affected community.
A military security source told Zagazola Makama that upon arrival, the troops discovered that about 45 Fulani accommodation structures had been destroyed, while valuables belonging to the residents were allegedly looted by the assailants.
In the early hours of the attack, several residents were gunned down by the attackers before slaughtering them. The attack immediately triggered mass displacement with women and children and elderly ran for safety.
The assailants also reportedly entered farms belonging to Fulani residents and used cutlasses to destroy a large quantity of crops.
Following the incident, troops summoned the Galadima and youth leader of Jwak Maitumbi community, directing the community leadership to assist security agencies in identifying and producing those responsible for the attack.
The development is particularly sensitive because the conflict in parts of Plateau has frequently been characterised by tit-for-tat attacks, in which an attack on one community is followed by retaliation against another community, often resulting in further deaths, destruction of property and displacement.
The destruction of the shelters and crops could therefore become a trigger for revenge if affected residents or their associates believe that the perpetrators have not been identified or brought to justice. Failure to establish accountability could deepen perceptions of impunity and increase the temptation for affected communities to seek their own form of justice.
Plateau has experienced several episodes of this nature, with targeted attacks and reprisals often spreading beyond the location where the initial incident occurred. The danger is that the latest incident could similarly be interpreted through the lens of previous attacks rather than as an isolated criminal act.
The intervention was aimed at ensuring accountability and preventing possible reprisal attacks capable of escalating tensions between communities in the area.
Troops have continued to dominate the general area while engaging community and traditional leaders as part of efforts to de-escalate tensions, prevent retaliatory violence and restore calm.
Several Killed, 45 Fulani Shelters Destroyed, Crops Razed In Targeted attack by suspected Mwaghavul miltia in Plateau Community
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