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“Malnutrition is not just a short-term emergency — it’s a lifelong struggle for many children.”

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“Malnutrition is not just a short-term emergency — it’s a lifelong struggle for many children.”

By: Abdulkareem Yakubu

As the malnutrition crisis in Nigeria deepens, MSF tackles both immediate needs and long-term consequences

Survivors of childhood malnutrition often experience physical and cognitive delays that can lead to irreversible and lasting damage long into adulthood. Doctors Without Borders/Médecins Sans Frontières (MSF) is warning of the devastating long-term consequences of malnutrition as the international medical humanitarian organization records a surge in cases in northern Nigeria.

At an MSF-supported inpatient therapeutic feeding centre in Maiyama General Hospital in Kebbi State, two-year-old Ummul Khairun Mohammed is receiving treatment for severe acute malnutrition. Due to developmental delays caused by the condition, she is still unable to walk.

The little girl is one of thousands of under five-year-old children currently receiving care from MSF teams across northern Nigeria during the annual peak malnutrition season.

For several days – sometimes up to several weeks – these children receive treatment aimed at stabilising them, addressing medical complications, and promoting rapid weight gain.

While most children recover, many will suffer long-term consequences.

“Malnutrition is not just a short-term emergency — it is a lifelong struggle for many children,” says Dr. Jamila Shuaibu Bello, an MSF doctor in the northern state of Kano. “It affects brain development. Malnutrition weakens the immune system, making children more susceptible to communicable diseases. It is also linked to chronic conditions like diabetes and hypertension.”

Childhood malnutrition effects last a lifetime

Even a few weeks of experiencing severe malnourishment can severely disrupt a child’s motor development. Affected children may miss key milestones such as crawling by 8–10 months or walking by 18 months. Chronic malnutrition often results in stunting — a condition that impairs mental development, school performance, and cognitive abilities. In girls, stunting can also lead to obstetric complications later in life due to smaller pelvis size.

If these issues are not addressed early, the damage can be irreversible. To respond to long-term effects of malnutrition, MSF is pioneering two new approaches.

Restoring movement: Pediatric physiotherapy

With the support of the MSF Foundation, which creates new medical tools for the most neglected patients where MSF operates, our teams recently launched pediatric physiotherapy programs in the northwestern states of Kano and Katsina. These sessions include guided exercises, play-based therapy, and training for caregivers to continue therapy at home. Each intervention is tailored to the child’s developmental stage and condition, helping rebuild strength, coordination, and confidence.

While still in their pilot stage, the two projects are already showing promising results in helping children regain motor functions and achieve developmental milestones.

13-month-old Usman Aliyu was treated for malnutrition at Unguwa Uku hospital in Kano before participating in physiotherapy sessions. “Before Usman fell ill, he could crawl and stand. But he lost those abilities due to the sickness,” says Usman’s mother Aisha Aliyu. “In the physiotherapy sessions, he was taught to stand again and is now taking steps towards walking.”

An MSF physiotherapist in Kano, Fatima Abdulmajid says, “When I first arrived, I was shocked by the severity of motor delays, but seeing the children’s progress week after week through motor stimulation makes me proud of the work we are doing.”

Mental health support for children and caregivers

Malnutrition also affects mental health. Children are more likely to develop anxiety and depression, while caregivers often feel helpless and overwhelmed as they watch their child grow weak and unresponsive.

To address this, MSF provides psychosocial support as part of its malnutrition projects in several states — including Zamfara, Bauchi, Sokoto, Borno, Kebbi, Kano, and Katsina. Services include play therapy, counselling, and caregiver education to help families manage emotional and behavioural challenges.

“It’s one thing to treat the child medically, and it’s another to assess which areas of development have been emotionally affected,” explains Kauna Hope Bako, MSF’s mental health supervisor in Bauchi. “Mental health support helps manage the child’s overall well-being. We stimulate the child emotionally and engage all these areas that have been compromised due to malnutrition.”

The integration of physiotherapy and mental health support into malnutrition treatment marks a critical step toward holistic care that goes beyond just survival to support a child’s quality of life.

Public health emergency

Malnutrition is a public health emergency in Nigeria. According to UNICEF, an estimated three million children are currently suffering from severe acute malnutrition (SAM) in the country — up from 2.6 million in 2024. Of these, 1.65 million are in six conflict-affected northern states – areas that MSF operates in.

MSF has been raising the alarm about the worsening malnutrition situation in northern Nigeria since 2022. In 2024 alone, more than 250,000 children with severe acute malnutrition were admitted to MSF- supported outpatient facilities and 76,000 acutely malnourished children with medical complications to inpatient facilities, representing an increase of 38 percent and 53 percent respectively compared to 2023.

This year, anticipating an even earlier start of the peak season that typically runs from June through September, MSF increased in-patient bed capacity, scaled up out-patient therapeutic feeding centres and hired more staff. The organization also boosted health promotion activities in several communities that include education on how to prevent, detect and treat malnutrition, and the need to take children for medical treatment early.

From January to May 2025, MSF admitted 24,784 severely malnourished children in inpatient therapeutic feeding centres, and 107,461 children in outpatient therapeutic feeding centres in northern Nigeria, an increase of 13 percent compared to the same period in 2024

The persistent malnutrition crisis in northern Nigeria stems from a variety of factors such as inflation, food insecurity, insufficient healthcare infrastructure, ongoing security issues, and disease outbreaks worsened by low vaccine coverage. The situation is further exacerbated by funding shortages for the already inadequate nutrition response.

To address such a complex issue, a holistic approach is needed from all local and international actors involved — not only to treat malnourished children in the short term, but also to tackle the long-term consequences of malnutrition.

“Malnutrition is not just a short-term emergency — it’s a lifelong struggle for many children.”

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RHI Flow With Confidence program Launched across Nigeria

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RHI Flow With Confidence program Launched across Nigeria

“Don’t Allow Shame or Stigma Affect Your Confidence” – Senator Oluremi Tinubu to School Girls at the Launch of Flow With Confidence Program in Maiduguri, Borno State

By: Our Reporter

The Flow With Confidence program, a vital menstrual health intervention, is designed to empower schoolgirls with knowledge, build confidence, and promote improved menstrual hygiene. The initiative targets 370,000 beneficiaries, mostly from rural communities who struggle to access hygienic care while in school.

Launched simultaneously in seven states – Borno, Ekiti, Enugu, Gombe, Imo, Kebbi, and Lagos – by the First Lady of Nigeria, Senator Oluremi Tinubu, the program provides each beneficiary with a one-year supply of disposable sanitary pads.

At the official launch in Maiduguri, the First Lady was represented by the Wife of the Vice President, Hajiya Nana Shettima. She stressed that it is unacceptable for young girls to face significant challenges during their menstrual cycle, often forcing them to miss school days because they cannot afford sanitary pads.

Senator Oluremi Tinubu noted that many girls resort to unhygienic alternatives, hence the introduction of Flow With Confidence as a safe, hygienic option to enhance reproductive wellbeing. Each state under the initiative will have 10,000 beneficiaries.

Encouraging the girls, the First Lady urged them not to allow shame or stigma to affect their confidence but to boldly pursue their dreams as future leaders of the nation. She further called on corporate organizations and well-meaning individuals to support the program, while charging traditional, religious, and community leaders to ensure transparent distribution in their localities.

Borno State Governor, Professor Babagana Umara Zulum, represented by the Deputy Governor, Alhaji Umar Usman Kadafur, expressed the government’s profound appreciation to President Bola Ahmed Tinubu, whose leadership continues to rekindle hope and restore dignity to countless families by prioritizing economic empowerment as a driver of national development.

The Governor also commended the First Lady for addressing an often-neglected aspect of girls’ and women’s dignity and reproductive health.

Similarly, the Borno State RHI Coordinator and Wife of the Governor, Dr. Falmata Umara Zulum, lauded the First Lady’s commitment to caring for the most vulnerable in society through her numerous interventions under the Renewed Hope Initiative (RHI), complementing the efforts of President Bola Ahmed Tinubu.

Meanwhile, the First Lady also handed over assorted food items to the Borno State RHI Coordinator, Dr. Falmata Babagana Zulum, for onward distribution to vulnerable groups and persons with disabilities. This places Borno among the beneficiaries of the monthly RHI Food Outreach Scheme, flagged off in March 2024 with support from two leading industrialists.

RHI Flow With Confidence program Launched across Nigeria

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Fagbemi Calls for Appellate Mechanism in ECOWAS Court

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Fagbemi Calls for Appellate Mechanism in ECOWAS Court

…Insists Absence of Appellate Court at Regional Level Undermines Access to Justice

By: Michael Mike

The Attorney General of the Federation and Minister of Justice, Prince Lateef Fagbemi has called for the establishment of an appellate mechanism within the ECOWAS Court of Justice, stating that the absence of such mechanism continued to undermine access to justice in the region.

Speaking at the opening ceremony of the 2025/2026 legal year of ECOWAS Court, Fagbemi said while the finality of judgments is crucial, fairness also demands that decisions be open to review in order to correct possible errors of law or procedure.

Fagbemi while noting that the absence of appellate court at the regional level is a letdown, said: “It is concerning that there is currently inadequate room for appeal against the judgments of the ECOWAS Court. While finality is important, justice must also be seen to be fair and revisable,” insisting that: “The absence of a separate appellate mechanism limits access to justice. As we expand the Court’s reach, we must also ensure that its decisions are subject to the same standards of review and accountability that underpin robust judicial systems.”

He urged the Court to draw lessons from other regional judicial institutions such as the European Court of Human Rights, the East African Court of Justice and the Inter-American Court of Human Rights, which, according to him, offer valuable models of transparency, judicial independence and procedural innovation.

He however restated Nigeria’s support for the ECOWAS Court as host country, describing it as central to regional integration, human rights enforcement and stability. “Nigeria remains steadfast in its support for the ECOWAS Court of Justice… I pledge to continue advocating for legal reforms that align domestic laws with regional obligations while respecting our constitutional order and national interests,” Fagbemi added.

Also speaking, the President of Cabo Verde, José Neves, said community justice remains vital for Africa’s credibility in global affairs. He stressed that strengthening institutions such as the ECOWAS Court was essential for peace, democracy and integration on the continent.

He said: “In a continent still marked by border disputes and recurring tensions, the existence of an independent and respected community tribunal is a civilisational triumph that we must preserve and enhance,” Neves said. He noted that access to the Court by individual citizens was one of the most significant gains of regional integration, as it brings justice closer to the people.

Neves also called for reforms within African sub-regional bodies to make them more effective in addressing contemporary challenges such as insecurity, institutional fragility, migration and climate change.

In his address, the President of the ECOWAS Court, Justice Ricardo Goncalves, disclosed that the Court handled 34 new cases in the past year, including matters relating to civil and political rights, economic freedoms, and disputes between member states.

He also revealed that the Court held 79 judicial sessions and issued 54 rulings, many of which reaffirmed key principles such as the justiciability of socio-economic rights and the supremacy of community law over conflicting national legislation. According to him, 112 cases are currently pending before the Court.

Fagbemi Calls for Appellate Mechanism in ECOWAS Court

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Trans-Border Security: Zulum travels to Niger Republic Community

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Trans-Border Security: Zulum travels to Niger Republic Community

By: Michael Mike

Borno State Governor, Prof. Babagana Zulum on Wednesday, undertook a working visit to Diffa Region of Niger Republic on Wednesday.

The visit, which included a high-level security and economic delegation, focused on strengthening the existing collaboration between Nigerian and Nigerien forces in the ongoing fight against insurgency, particularly around the shores of Lake Chad.

Diffa is a community 17 km from Damasak town in northern Borno where thousands of Nigerians displaced by Boko Haram insurgency are currently taking refuge.

Zulum was received by the Governor of Diffa, Brigadier General Mahamaduo Ibrahim Bagadoma, and other senior officials. The leaders held closed-door meetings centered on joint patrols, intelligence sharing, and sustaining the recent gains that have pushed insurgents out of many of their former strongholds.

Zulum outlined plan to leverage the improved security situation to facilitate the return of thousands of displaced farmers to the vast and fertile agricultural lands around Dutchi town within the Lake Chad basin.

Part of the Governor’s entourage are Engr Bukar Talba, a member of the House of Representatives, Speaker, Borno State House of Assembly, Abdulkarim Lawan, and otheir senior government officials.
[10/2, 6:35 PM] Mike Olugbode: Maiduguri: For Over a Month, MSF Responds to High Numbers of Children Suffering from Malnutrition.

Since late August and early September, Doctors Without Borders/Médecins Sans Frontières (MSF) teams have scaled up their medical response in Maiduguri, northeast Nigeria, following a sharp rise in malnutrition cases that overwhelmed MSF-supported facilities. Although admissions have slightly decreased now, the number of children receiving treatment remains very high.

“A month ago, we witnessed a worrying increase in admissions, compounded by a surge in measles cases,” said MSF Project Coordinator Daniela Batista. “Our isolation units for measles patients were quickly filled, and even the additional space we opened reached capacity. Now, those units remain around 70 percent full.”

Since 8 September, MSF’s Inpatient Therapeutic Feeding Centre (ITFC) at Nilefa Kiji Hospital (NKH) has nearly doubled its bed capacity to accommodate the influx of malnourished children. By the third week of September, the emergency facility was recording an average of more than 85 new admissions daily.
In a context of reduced global humanitarian funding, some organizations in Maiduguri reduced their support for – or even left – nutritional outpatient nutrition programmes, causing a significant drop in access for first line care fir malnourished children.
 
At MSF’s extension facility in Shuwari, teams treated 3,265 children for malnutrition and referred 1,521 others for continued care between August and early September, when the upsurge began. More than 625 malnourished children have also been treated for measles — a disease which can contribute to malnutrition and whose complications can result from malnutrition.
 
The situation is further exacerbated by shortages of essential supplies. Therapeutic milk — critical for treating severe acute malnutrition — is in short supply, while access to ready-to-use therapeutic food (RUTF) remains a chronic concern. Some partner ITFCs have indicated they can only accept referrals if MSF provides additional medical supplies such as antibiotics, admission kits, and therapeutic milk.
MSF teams also reported regular admissions of patients from Zabarmari — a community they are currently unable to access due to security and logistical challenges. MSF is engaging with the Borno State Ministry of Health to assess and potentially support the local Primary Health Centre (PHC) to ensure residents can access care.

Borno State continues to face the effects of a decade-long insurgency, with recent reports of violence in areas surrounding Maiduguri.

This surge in Maiduguri mirrors an alarming trend seen in all MSF nutrition facilities across Kebbi, Sokoto, Kano, Katsina, and Bauchi in recent months. According to UN estimates, 2.5 million children across northeast Nigeria are at risk of acute malnutrition.

MSF called on health authorities and humanitarian organizations to urgently address the shortages in medical supplies and staffing, and to strengthen community-level health systems to prevent further deterioration.

Trans-Border Security: Zulum travels to Niger Republic Community

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