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

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
News
Zulum to Resettle 5,000 Displaced Persons in Bama

Zulum to Resettle 5,000 Displaced Persons in Bama
… Borno State Governor Announces Resettlement of 5,000 Displaced Persons Ahead of Farming Season
By: Our Reporter
Borno State Governor, Professor Babagana Umara Zulum, has revealed plans to resettle 5,000 displaced persons from five communities before the end of the rainy season to enable them to engage in farming activities.
The communities include Goniri, Bula Kuriye, Mayanti, Abbaram, and Darajamal.

Governor Zulum disclosed this during a courtesy visit to the Shehu of Bama, Dr. Umar ibn Kyari Umar ElKanemi, at his palace in Bama on Friday.
The governor stated that the construction of 1,000 transitional shelters has commenced in each of the communities, with Darajamal’s already completed.
“We are committed to resettling all displaced persons living in IDP camps back to their communities. Construction of transitional shelters has started in Mayanti, Goniri, Bula Kuriye, and Abbaram, while that of Darajamal has been completed. I have also directed the digging of trenches to fortify the communities,” Governor Zulum said.

He emphasised the importance of farming, stating, “Our target is to ensure that they participate in this cropping season. Farming is our greatest treasure. I will interface with the Commanding Officer and leaders of Civilian JTF to strategise on how best to further protect these areas.”
Additionally, Governor Zulum informed the Shehu of Bama that security measures have been strengthened in Nguro Soye, a community on the outskirts of Bama town, to ensure safe farming activities.
“While returning from Gwoza, I stopped at the military formation in Banki Junction, where we discussed intensifying security in Nguro Soye and surrounding areas. I have provided the necessary logistics to the military and Civilian JTF and pledged six months’ allowances for volunteers patrolling the area,” he announced.
In response, the Shehu of Bama commended Governor Zulum for his purposeful leadership and commitment to the security and welfare of the people.
“I will like to appreciate the governor for resettling the people of Darajamal and for ongoing efforts to return more displaced persons to their homes. We are grateful, Your Excellency,” the Shehu said.
He also appealed for additional support to members of the Civilian JTF to safeguard farmers and farmlands during the rainy season.
Zulum to Resettle 5,000 Displaced Persons in Bama
News
Congo Seeks Nigeria’s Backing For Diplomat To Lead UNESCO

Congo Seeks Nigeria’s Backing For Diplomat To Lead UNESCO
** As VP Shettima receives PM Makosso, hails country’s leadership in Great Lakes region
By: Our Reporter
Vice President Kashim Shettima has affirmed Nigeria’s commitment to strengthening diplomatic ties with the Republic of Congo, acknowledging the leadership of President Denis Sassou-Nguesso in promoting regional peace and stability, especially across Africa’s Great Lakes region.
He also said that Nigeria will consider Congo’s request for support in its bid to lead the United Nations Educational, Scientific and Cultural Organisation (UNESCO).

Speaking on Friday while receiving the Prime Minister of the Republic of Congo, Anatole Collinet Makosso, at the Presidential Villa, Abuja, VP Shettima lauded the leadership of the Congolese President and reaffirmed Nigeria’s commitment to strengthening bilateral ties.
“President Denis Sassou-Nguesso is one of the greatest stabilisers on the African continent. He is well-respected and has the experience and exposure to provide leadership to a turbulent region. Your country is a beacon of hope and stability in the region,” he said.
Senator Shettima, who received the Congolese delegation on behalf of President Bola Ahmed Tinubu, said the issues raised by the visiting Prime Minister, particularly the request for Nigeria’s endorsement of Firmin Edouard Matoko for the post of UNESCO Director-General, would be conveyed to the President.
“Be rest assured that all the issues raised, especially over your candidature for the Director-Generalship of UNESCO, will be conveyed to the President. And I am hopeful that he is going to endorse your candidacy, fundamentally because what binds us together supersedes whatever divides us. Wherever we go, we are essentially one people,” he said.

Earlier, the Congolese Prime Minister, who delivered a special message from President Sassou-Nguesso to President Tinubu, called for deepened relations between both countries and sought Nigeria’s support for Matoko, a long-serving UNESCO official with over three decades of experience.
“We have a candidate for the post of Director-General of UNESCO, Firmin Edouard Matoko, a seasoned diplomat and former senior official of the organisation with over three decades of experience,” Makosso said.
He explained that Matoko joined UNESCO in 1990 and served in several strategic roles, including Director of multiple regional offices, Director of the Africa Department, and ultimately as Assistant Director-General for Priority Africa and External Relations.
Makosso noted that Congo’s interest in Matoko’s candidacy was not merely national but based on competence.
“We are seeking Nigeria’s support for his candidature not because he is a Congolese, but because he is well qualified for the position, especially at this time that UNESCO needs a very experienced person,” he said.
The Prime Minister also thanked the Nigerian government and people for their humanitarian support to Congolese children who benefited from the Rochas Foundation, noting that some of the children, many of whom were orphans, have graduated, while others remain in school.
“We also want to thank the good people of Nigeria for taking care of some young children from Congo, some of them orphans who were offered free education by the Rochas Foundation. Some of them just graduated, while some are still in school. We are very grateful for that,” Makosso said.
He commended President Tinubu’s leadership at ECOWAS, the African Union, and the United Nations, just as he expressed sympathy with Nigerians over the death of former President Muhammadu Buhari.
Congo Seeks Nigeria’s Backing For Diplomat To Lead UNESCO
News
Again: Zulum nominated for African Governors Award

Again: Zulum nominated for African Governors Award
By: Our Reporter
Borno State Governor Babagana Umara Zulum was nominated to receive the African Governors’ Excellence Award for 2025.
Mr Idahosa revealed that the prestigious event will celebrate visionary leadership, exceptional governance, and impactful development initiatives by governors across Africa. He said the award recognises commitment to sustainable socio-economic transformation in their respective regions and states.
Zulum will receive the award alongside other African Governors in Paris at the event on August 19. The vice-chairman of the selection committee, Idahosa Osamahze, stated in a news brief.
It can be recalled that Zulum received the Forbes Magazine African Leadership Award in New York, United States of America, in 2024.
Idahosa emphasised that the award is to promote excellence in public service, encourage innovation in governance, and foster best practices in leadership for Africa’s socio-economic advancement.
According to him, Sheriff Oborevwori, Uba Sani, Hope Uzodimma of Imo, and Abdullahi Sule have been nominated for the award.
He said the nominated governors from Egypt are Abdel Amara, Kafr El Sheikh; Amr Hanafi, Gamal Nour El-Din, and Khaled Fouda.
Mr Idahosa added that Hillary Barchok, George Natembeya, Mohamed Adan Khalif, and Jeremiah Lomorukai were picked from Kenya.
He also said, “These governors exemplify what leadership with vision, integrity, and purpose can achieve. Their work is changing lives, fostering prosperity, and inspiring a new generation of public servants across Africa.”
According to Mr Idahosa, the Paris ceremony is expected to attract high-profile dignitaries, development partners, diplomats, and stakeholders from across Africa and Europe.
He also noted that there shall be keynote addresses from global policy leaders, panel discussions on sub-national governance innovation, and networking sessions to foster intergovernmental collaboration.
End
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