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More resources – not fewer – are needed to combat malnutrition in northern Nigeria

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More resources – not fewer – are needed to combat malnutrition in northern Nigeria


By Dr. Simba Tirima

MSF’s outgoing country representative in Nigeria, Dr Simba Tirima, reflects on how the disruption of aid will impact the long-term response to combating malnutrition, maternal mortality, and infectious diseases.


For the last (almost) eight years, I have had the privilege of calling Nigeria home. First as a deputy head of mission and now as the country representative, I have seen first-hand how my organization, Doctors Without Borders/Médecins Sans Frontières (MSF), has responded with compassion in the face of disease outbreaks, natural disasters, and recurring crises.

I have also seen how other organisations – both international and local – have stepped up to support authorities in tackling many of these same issues. We at MSF know we can’t fix every global medical issue by ourselves; partnerships are critical.

In many ways, MSF remains as stable as ever. Because 99 percent of our funding comes from individual donors, our decisions are dictated by patients’ needs and not political priorities. But with the dramatic draw-down of funding from the US and other rich countries, we will all feel those impacts.

Nigeria is about to enter the peak season of malnutrition, which continues to afflict more Nigerian children than when I first moved here. It’s a serious condition that is not only dangerous or deadly in the short term but can also lead to long term developmental issues; stunting can occur even from moderate malnutrition. Investing in the reduction of malnutrition isn’t just humane – it’s an investment in Nigeria’s future prosperity.


In 2024, more than 250,000 children with severe acute malnutrition (SAM) were admitted to MSF- supported outpatient facilities (Out-Patient Therapeutic Program, OTP) and 76,000 acutely malnourished children with medical complications to inpatient facilities (Stabilization Centers, SC), representing an increase of 38 percent and 53 percent respectively compared to 2023.


In many of our hospitals last year, our teams saw so many children that we had to increase bed capacity, open every emergency tent we had, put mattresses in corridors and every available space, and treat two or three children per bed. Just in the case of one hospital – Katsina Hospital, the largest of our hospitals focused on malnutrition – we struggled to support the more than 25,000 children admitted to hospital over the course of the year. During the malnutrition peak, we often admitted a child every 5 minutes at the hospital because of complications of acute malnutrition. Overall, the Katsina ITFC admissions were 35 percent higher than in 2024.

Late last year, a food insecurity and malnutrition analysis – led by the Nigerian government – projected that 33.1 million people will face high levels of acute food insecurity during the 2025 lean season (June to August) — seven million more people affected than in 2024.

As we near the lean season this year, these projections are already tracking. Many of our hospitals are already seeing higher numbers than last year. In the most northwestern state of Kebbi for example, just in the month of April we admitted 41.8 percent more patients than in April 2024. In Kano State, one MSF-supported Ministry of Health primary inpatient therapeutic feeding centre (ITFC) – Unguwa Uku Primary Health Centre – is at full capacity; we are projecting that the other one we support – ITFC at Murtala Mohamed Hospital – will also soon hit capacity. MSF-supported facilities across northern Nigeria are likely to face an influx of patients, as in many areas—such as Shinkafi and Zurmi in Zamfara State—MSF is the sole provider of inpatient care for malnourished children.


While we are making the necessary arrangements to treat these projected number of patients by expanding bed capacity, recruiting more health care workers, and starting mobile clinic activities, the cuts and changes in logistics around USAID will inevitably have an impact on the northern region, where we treat people. UNICEF, for example, receives most of its funding from USAID and is a leading distributor of life-saving ready-to-use therapeutic food (RUTF) to international, national, and local organizations. Many questions and concerns remain about how these drastic changes will disrupt the flow of food to those who need it most. As more children than ever are projected to suffer from malnutrition, we need more resources – not fewer – to ensure they survive the lean season.

There are no shortages of factors contributing to this crisis. A devastating mix of rising food prices, displacement, insecurity, climate-induced crop failures, low immunisation coverage, and a lack of drinkable water and sanitation leave more children susceptible to developing malnutrition. Sustainable strategies to mitigate these factors must continue to be developed – including by MSF. But having worked on this issue for years, I know that aid funding for food alone will not solve the problem. Without it, Nigerian children will continue to die.


For decades, the humanitarian sector has operated under the assumption that if one donor withdrew, another would step in. That assumption no longer holds. New donors and solutions are critically needed at this moment to analyze RUTF needs and treatment gaps, invest in vaccination and primary health care, and tackle malnutrition in northern Nigeria.
Make no mistake, this seismic structural collapse will produce ripple effects for generations, the scale as big as pandemics. Some of those ripples will be more obvious than others, but we will all feel the impacts in one way or another. It’s up to all of us to correct the course today.

More resources – not fewer – are needed to combat malnutrition in northern Nigeria

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DSS-led joint operation crushes ESN strongholds, kills top kingpins in Imo

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DSS-led joint operation crushes ESN strongholds, kills top kingpins in Imo

By: Zagazola Makama

A wave of coordinated security offensives in Imo State has barbecued the Eastern Security Network (ESN), the militant wing of the proscribed Indigenous People of Biafra (IPOB), with the killing of key kingpins and the dislodgement of notorious terrorist camps in forested parts of Njaba and Isu Local Government Areas.

Zagazola Makama understand that The offensive, which began on June 29, was spearheaded by the Department of State Services (DSS) in close collaboration with the Nigeria Police Force, special forces, and local tactical units.

It was launched after the arrest and detailed confessions of two ESN commanders Uchenna Opara, popularly known as Ntanta Miri, and Ozioma Ihedoro, a.k.a OZ, both natives of Umuaka community in Njaba LGA.

Acting on actionable intelligence, the joint team raided and obliterated several terrorist enclaves, including Umuele Umuaka, Ezioha, and Ugbele Umuaka, known safe havens of the separatist group.

A fierce gun battle ensued as operatives stormed the camps. Three ESN fighters were neutralised during the confrontation, while others reportedly escaped with bullet wounds. Their bodies were later recovered along the Ugbele Umuaka axis.

What followed was a methodical clearance operation targeting the B44 camp cluster, long considered one of ESN’s strategic base networks. The camps, codenamed B44 Tangle 2, 4, 5, 7, and 9, were all successfully dislodged by the joint force.

A caterpillar operator working with the team was tragically killed in the line of duty when the group came under sudden fire while approaching the B44 main camp. He was rushed to the Federal University Teaching Hospital (FUTH), Owerri, but later confirmed dead by a medical officer on duty.

Items recovered from the operation included:
One AK-47 rifle, 15 rounds of live ammunition, pump-action shotgun, two locally made IEDs, one human skull and a Biafran flag

In addition, two suspected ESN members were arrested during the combing of nearby bush paths. The duo Emeka Ogene Sabinus of Ezi Isu in Isu LGA and Nnabuike Emmanuel of Ohofia Oduma in Aninri LGA, Enugu State were said to bear tribal incisions associated with the proscribed militia.

The collapse of the B44 cluster was significant in the counterinsurgency drive in the South-East, where pockets of armed resistance have posed growing threats to residents, security personnel, and national assets.

“The terrain is difficult, but our operatives are relentless,” a senior official close to the operation said. “We are targeting leadership figures, supply chains, and safe havens.”

Meanwhile, efforts are ongoing to apprehend fleeing fighters, with mop-up operations continuing in adjoining forest belts across Orlu, Njaba, and Isu corridors.

The Imo offensive adds to a growing list of successes by joint intelligence-led operations aimed at stabilising regions grappling with armed separatist violence, kidnappings, and the weaponisation of local grievances.

DSS-led joint operation crushes ESN strongholds, kills top kingpins in Imo

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FCT police arrest three wanted kidnappers linked to killings, mass abductions

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FCT police arrest three wanted kidnappers linked to killings, mass abductions

By: Zagazola Makama

The Federal Capital Territory (FCT) Police Command has arrested three most-wanted bandits and kidnappers operating across Abuja and neighbouring parts of Kaduna State.

According to a police sources, the arrests were carried out on June 29 between 5:00 a.m. and 6:00 p.m., by operatives of the Scorpion Squad led by ACP Victor O. Godfrey, following actionable and digital reconstructive intelligence.

The sources told Zagazola Makama that the suspects were identified as: Abdulkadir Abubakar, a native of Mpape, FCT, Mohammed Tasiu Sani, of Rigina, Kaduna State, Suleiman Jibrin, 27, of Sabon-Gayan, Kaduna State.

The three suspects, all Fulani by tribe, have been on the command’s most-wanted list for
their roles in multiple kidnapping and banditry operations, particularly in Jere, Kajuru, the FCT and its environs.

During interrogation, the suspects confessed to abducting victims and moving them to detention camps in Kachia and Rigina forests in Kaduna State. Some victims, they admitted, were held for months, while others were killed at will.

The sources revealed that one of the suspects, Abdulkadir Abubakar, provided disturbing details of internal executions within the gang, in which some members were killed by their own leaders over mistrust and betrayal.

An operational motorcycle, popularly referred to by locals as the “Boko Haram Motorcycle,” was recovered during the raid. The suspects are currently assisting operatives in ongoing efforts to recover arms and ammunition, and to track down other gang members still at large.

FCT police arrest three wanted kidnappers linked to killings, mass abductions

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Young farm labourer shot dead while fleeing Amotekun in Osun

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Young farm labourer shot dead while fleeing Amotekun in Osun

By: Zagazola Makama

A 20-year-old farm labourer identified as Solomon (surname yet unknown) has been found dead with gunshot wounds after he was allegedly shot by a member of the Western Nigeria Security Network, also known as Amotekun, along the Ilesa/Iperindo Road in Osun State.

The incident, which occurred on June 29, followed the reported confrontation between a local security operative and a group of five farm labourers on their way to a farmland.

According to Temidayo Olowookere, the employer of the deceased, the labourers were accosted around 11:00 a.m. by an Amotekun operative, one Ajayi Ibukun, who accused them of extorting money from passersby. Two members of the group were apprehended, while the remaining three fled into the bush.

Olowookere said the detained workers were later released to him in the afternoon. However, later in the evening, when two of the three fleeing labourers returned, Solomon remained missing.

A search party was immediately organised. His body was discovered in the bush with gunshot wounds on his back, raising suspicions that he may have been shot during the initial confrontation.

His remains were evacuated to Wesley Guild Hospital, Ilesa, where he was confirmed dead and deposited at the morgue for autopsy.

Police say efforts are currently underway to trace and apprehend the security operative allegedly involved in the shooting, while the community continues to call for justice.

Young farm labourer shot dead while fleeing Amotekun in Osun

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