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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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Analysts question US motives in Nigeria, warn against foreign military intervention

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Analysts question US motives in Nigeria, warn against foreign military intervention

By: Zagazola Makama

Growing conversations among security analysts and policy observers in Nigeria are questioning what they describe as the United States’ “renewed interest” in Nigerian security, especially following recent international reactions to killings in parts of the North.

In recent weeks, statements by some U.S. politicians and evangelical groups have framed the attacks by armed groups in Nigeria as a “persecution of Christians”, throwing debates among local diplomats and defence experts that the narrative could be used as justification for foreign military involvement.

Several analysts who spoke to Zagazola Makama said history shows that no foreign military power deploys troops across oceans purely on humanitarian grounds.

A geopolitical researcher in Abuja, who requested anonymity because of the sensitivity of the subject, stated: “There is no such thing as military charity. Wherever the U.S. deploys troops, there is a strategic economic interest – oil, minerals, or military positioning.”

He cited examples of American involvement in Iraq, Libya, and Afghanistan, where interventions were initially framed around “rescue missions”, democracy, fighting Islamist Jihadist or counter-terrorism, but ended with prolonged military presence, destruction, or resource access.

According to him, the narrative of a “Christian genocide” could be a psychological operation to create public sympathy and legitimacy for intervention. “Once intervention is framed as saving victims, public resistance becomes weak. That is how foreign bases are negotiated.” said the sources.

Nigeria sits on an estimated 37 billion barrels of crude oil and possesses rare earth minerals, including lithium, uranium, and gold. These are increasingly vital to defence, tech, and energy industries worldwide.

Very soon Nigeria may start receiving proposal suggesting a U.S. military presence in strategic locations tied to resources. Places like Port Harcourt (oil-rich Niger Delta), Tsafe in Zamfara and Sokoto (gold and uranium belt), and Konduga in Borno (reported uranium deposits) as areas repeatedly discussed informally by foreign security actors.

It is a well known fact that the United States holds vast intelligence on all activities of bandits in the North West and ISWAP or Boko Haram terrorists in the North but has declined to share actionable data or lift restrictions on military procurement. Even after Nigeria secured financing to acquire long-range surveillance drones, the U.S. declined to approve the deployment, despite Nigeria meeting all requirements.

US has the biggest surveillance platform in West Africa, they monitor the entire Sahel and West Africa from satellites and aerial ISR platforms. They see every movement of bandits and terrorists. They know their coordinates,” the source said but when it comes to enabling Nigeria to end terrorism, the response becomes diplomatic and procedural.”

He also cited instances where U.S. legislation restricted Nigeria’s access to key military equipment, leading to the prolonged war on terrorism including the recent blocked transaction of equipment from Saudi Arabia.
Security analysts argue that the same countries expressing concern over insecurity frequently frustrate Nigeria’s attempts to strengthen its own capability.

“You cannot claim to be worried about terrorism while blocking the tools needed to fight terrorism,” the analyst said.

In recent years, African countries such as Niger, Burkina Faso, Guinea and Mali have removed U.S. and French military partnerships, accusing Western governments of interference or resource-driven agendas. Transitional leaders in some of these countries have alleged that foreign actors undermined internal political stability. While the U.S. government has repeatedly denied involvement in any such activities, African analysts maintain that Western foreign policy is often transactional.

Despite the concerns, the Nigerian government insists that any international partnerships must respect national sovereignty.

“Nigeria welcomes support, not dominance. Assistance must strengthen Nigeria’s capability, not replace it.”said top Government official.

Analysts question US motives in Nigeria, warn against foreign military intervention

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Murder of Fulani herder triggers reprisal attack, leaves three villagers dead in Anwule, Benue

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Murder of Fulani herder triggers reprisal attack, leaves three villagers dead in Anwule, Benue

By: Zagazola Makama

Three persons have been killed and one declared missing following a reprisal attack by suspected herders on Anwule community in Ohimini Local Government Area of Benue State.

The attack, which occurred on Tuesday, was triggered by the alleged murder of a Fulani herder by some suspected villagers in late August

The tragedy traces back to late August, when a young Fulani herder was reportedly assaulted and killed by some villagers who accused him of grazing cattle on their farmland. His death, security sources say, was the spark that ignited the deadly cycle.

“They attacked the cattle, and in the process, the young boy herding them was killed,” a security source told Zagazola.
“Up till now, his body has not been found. That incident changed everything.”

After the killing, tension became the village’s new normal. Security sources said the herders launched a desperate search for the boy’s body, while villagers, anxious over possible retaliation, kept night vigils around the community.

Instead of de-escalation, the situation worsened. On Monday, some villagers reportedly launched another attack on herders in a separate encounter, killing more cattle and a Fulani herder.

“That second attack was the tipping point,” another source disclosed. Once a human life was involved again, everyone knew a reprisal was almost certain.”

By Tuesday morning, the herders struck back.
Before troops from the Army Forward Operating Base, Otukpo, could respond to distress calls from villagers, the attackers invaded Anwule, shooting sporadically and torching homes. When the gunfire stopped, three villagers – Simon Nbach, Adoya Ejigai and Ejeh Loko – lay dead. One resident is still missing, and community members fear he may also have been killed.

One Simon Nbach, who was later identified as a pastor of the Flaming Fire Ministry, was among those caught in the attack.

Troops later assisted locals in recovering the bodies. The villagers who survived now live in fear; many have fled to neighbouring communities, abandoning their farmlands and homes.

In the aftermath, senior government officials, including the Special Adviser to the Governor on Security, Mr. Joseph Har, and the Chairman of Ohimini LGA, Mr. Gabriel Adole, visited the community. They appealed for calm and promised reinforced security surveillance.

“We understand the grief and fear, but peace must be maintained. Security agencies are already on the trail of the perpetrators,” Har told the community leaders.

Murder of Fulani herder triggers reprisal attack, leaves three villagers dead in Anwule, Benue

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ISWAP abducts mobile police officer travelling in commercial vehicle in Borno

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ISWAP abducts mobile police officer travelling in commercial vehicle in Borno

By: Zagazola Makama

Suspected Islamic State of West Africa Province (ISWAP) terrorists have abducted a mobile police officer travelling in a commercial vehicle along the Damasak–Maiduguri road in northern Borno.

Zagazola Makama gathered that the incident occurred on Monday at about 11:00 a.m. near Kareto, a community close to the Nigeria–Niger border, when the officer, identified as ASP Felix Lucius of the 73 Police Mobile Force (PMF), was attacked while en-route to Maiduguri.

Security sources said that the terrorists emerged from the bush, blocked the roadway and forced the passengers out of the vehicle before identifying and whisking away the officer.

Following the incident, troops of Operation HADIN KAI, launched a coordinated search-and-rescue operation to track the kidnappers and rescue the officer unhurt.

Kareto, located between Damasak and Gubio, has been a frequent flashpoint for ISWAP activities due to its strategic location and proximity to international escape corridors.

ISWAP abducts mobile police officer travelling in commercial vehicle in Borno

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