Health Care in Part of Zamfara in Jeopardy as MSF Vacate with Resumption of Hostilities

By: Michael Mike

Médecins sans Frontières (MSF) also known as Doctors Without Borders has vacated part of Zamfara State due to renewed armed confrontation in the state.

The institution in a statement on Friday said continuous heavy fighting has been taking place in Zurmi town since 10 December, with some of the confrontations occurring dangerously close to a hospital supported by Médecins sans Frontières (MSF).

It decried that these armed clashes have provoked the displacement of thousands of people in need of security, shelter and access to basic services, but insisted that humanitarian support is needed to help those in dire need of assistance.

The statement revealed that faced with important security risks, MSF medical teams on the ground had to evacuate part of its staff and are unable to function optimally, having to suspend the provision of healthcare to communities outside of the town, noting that in this context, the team is concerned about patients in need of medical treatment as they are unable to reach the hospital in a safe manner.

MSF deputy field coordinator in Zurmi, Adjide Hermann, was quoted in the statement to have said: “Some of the patients refuse to leave the hospital out of fear” while explaining that “we had no choice but to reduce part of our team, and the staffs who are still working at the hospital are afraid of what is going to happen next”.

MSF country representative, Dr. Simba Tirima, expressed deep concern, stating that: “This situation is untenable; we urgently appeal to the parties involved in the conflict to cease their hostilities to protect the population. This is also crucial to safeguard the medical mission and to maintain the safety of patients and medical staff”.

The statement said while the hostilities continue, sick and wounded patients are those facing greatest humanitarian and health needs as they struggle to access healthcare. The December spike in extreme violence, including killings and kidnappings, comes within a wider context of insecurity in Zamfara state, noting that the ongoing level of insecurity has forced the displacement of thousands of people. In Zurmi, most of these people are forced to live in unsanitary conditions, in two unofficial camps and schools serving as temporary shelters.

According to the statement with violent clashes taking place a few meters from the hospital compound on the 11 December, MSF was no longer able to guarantee the safety of patients or staff.

Herman said: “There was intense crossfire, we saw cars set on fire. Our team had to seek shelter in the hospital for a long time,” adding that only two days later, a second attack obliged the team to sleep in the security room inside the hospital.

Dr. Tirima added that: “Our teams are committed to provide medical support to Nigerian population in Zamfara state, we will do our best to maintain the operations, but we wish to see improvements in the security situation to be able to provide the appropriate medical care.”

In recent years, northwest Nigeria has been hit by an unprecedented wave of kidnappings, killings, displacements, and disruption of socio-economic activities due to the rise of armed bandits in the region.

In 2023, in collaboration with the Ministry of Health, MSF teams carried out 448 surgical interventions, provided 700 emergency consultations and assisted 5,674 deliveries in the General hospital in Zurmi. MSF also implements activities in the Shinkafi general hospital, and in Talata Mafara and Gummi with pediatric units and malnutrition centers.

Health Care in Part of Zamfara in Jeopardy as MSF Vacate with Resumption of Hostilities