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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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Troops Repel Terrorist Infiltration in Kanama, Neutralise Four Insurgents

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Troops Repel Terrorist Infiltration in Kanama, Neutralise Four Insurgents

By: Zagazola Makama

Troops of Operation HADIN KAI have repelled a Boko Haram/ISWAP terrorist infiltration into Kanama town, neutralising four insurgents during a swift response operation in Borno State.

Security sources said the incident occurred at about 6:00 p.m. on April 22 when troops of 159 Battalion, deployed in Kanama, responded to sounds of gunfire within the town.

On arrival, the troops reportedly discovered that terrorists had infiltrated parts of the community.

The troops immediately made contact and engaged the attackers with disciplined fire, forcing them to retreat in disarray.

Subsequent exploitation of the general area led to the neutralisation of four terrorists.

One member of the Civilian Joint Task Force (CJTF) sustained injuries during the encounter and has been evacuated for medical attention.

No military equipment was lost during the operation.

Items recovered from the terrorists include two torchlight mobile phones and the sum of ₦21,000.

Security sources said the general situation across the theatre remains calm but unpredictable, while troops’ morale and fighting efficiency remain high.

Troops Repel Terrorist Infiltration in Kanama, Neutralise Four Insurgents

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Dramatic Testimony Rocks Nwaukoni Terrorism Trial In Asaba — Doctor Confirms Gunshot Wounds In Palace Attack Case

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Dramatic Testimony Rocks Nwaukoni Terrorism Trial In Asaba — Doctor Confirms Gunshot Wounds In Palace Attack Case

The high-profile terrorism trial in Charge No. FHC/ASB/18C/2024 took a dramatic and gripping turn this week at the Federal High Court, Asaba, as explosive evidence and powerful witness testimonies continue to unfold against Mike Nwaukoni (aka “Supu”) and his alleged accomplices.

Standing trial alongside him are prominent figures including Barrister Francis Okolie, Secretary of the Ogwashi-Uku Development Association (ODA), and Mazi Elue Adigwe, the association’s Secretary-General, among others accused in connection with the violent October 12, 2023 attack on the Palace of the Obi of Ogwashi-Uku.

🔴 Doctor’s Testimony Leaves Court in Silence

In what court observers have described as one of the most chilling moments of the trial so far, Dr. Ezeike Ugochukwu Godwin took the witness stand and delivered a clinical yet deeply emotional account of the injuries sustained by a vigilante operative assigned to protect the Palace.

The doctor confirmed that the victim suffered multiple gunshot wounds, including injuries to the head and upper limbs, describing in precise medical terms the severity of the trauma.

According to his testimony, the victim was brought into the emergency unit in a state of intense pain and critical distress, alongside several others wounded during the attack.

Dr. Ezeike further told the court that the patient was referred from the Divisional Police Headquarters in Ogwashi-Uku, reinforcing the official chain of response following the violent incident.

🔴 Police Investigator Details Chaos and Destruction

A day earlier, on April 21, 2026, the court heard from Inspector Ijeoma Ovat, the initial Investigating Police Officer (IPO), who painted a harrowing picture of the aftermath of the attack.

She testified about the widespread chaos, multiple casualties, and destruction that followed the invasion of the Palace during the controversial Ineh Festival. Crucially, she tendered photographic evidence showing heavily damaged police and vigilante vehicles, corroborating claims of a coordinated and violent assault.
Sources within the prosecution confirm that the damage to the vehicles was extensive and consistent with armed aggression.

🔴 Witnesses Tie Defendants to Armed

AssaultEarlier testimonies in the trial have reportedly identified the defendants as active participants, alleging they were armed with guns and other dangerous weapons during the attack. Witnesses have also pointed to Mike Nwaukoni as a central figure who allegedly instigated and coordinated the operation.

🔴 Passport Request Sparks Legal Firestorm

In a fresh development that has further intensified proceedings, lead prosecutors in the case including CSP Samuel Mallum Esq and A.I Aminu Esq from the Police Legal Directorate in Abuja have strongly opposed an application by Nwaukoni’s legal team seeking the temporary release of his international passport for overseas travel.

According to sources, the prosecution argued that granting such a request poses a serious flight risk, warning that the defendant could attempt to evade justice, seek asylum, or acquire foreign citizenship.

The prosecution also suggested that the move may be a deliberate tactic to delay the trial, particularly as significant portions of the case have already been established.

The matter has been adjourned for further consideration, with hearings expected to resume in late May, continuing into early June 2026.

🔴 Calm Returns to Ogwashi-Uku Amid Trial

Meanwhile, community sources in Ogwashi-Uku report a notable return of peace and stability since the commencement of the trial. Residents have expressed hope that the judicial process will be seen through to a swift and just conclusion, bringing lasting closure to one of the most serious security incidents in the Kingdom’s recent history.

Dramatic Testimony Rocks Nwaukoni Terrorism Trial In Asaba — Doctor Confirms Gunshot Wounds In Palace Attack Case

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Troops Intercept Suspected Terrorist Logistics Supplier, Seize PMS in Borno

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Troops Intercept Suspected Terrorist Logistics Supplier, Seize PMS in Borno

By: Zagazola Makama

Troops of Operation HADIN KAI have arrested a suspected ISWAP/JAS logistics supplier and intercepted a large quantity of Premium Motor Spirit (PMS) concealed in a tricycle in Borno State.

Security sources said the suspect was apprehended at about 9:10 a.m. on April 21 by troops of 159 Battalion at a checkpoint within Sector 2 Area of Responsibility.

The suspect was reportedly conveying PMS concealed in 15 sacks, disguised with bags of sachet water in an attempt to evade detection.

Preliminary investigations indicated that the consignment was being transported to Kanama town and neighbouring communities around Dikwa and Bultuwa, areas believed to be within terrorist influence.

Items recovered from the suspect include a mobile phone and the sum of ₦34,950.

The sources said the suspect and recovered exhibits are in military custody for further investigation and necessary action.

They added that the interception forms part of ongoing operations aimed at disrupting terrorist logistics networks and denying them access to critical supplies across the North-East theatre.

Troops Intercept Suspected Terrorist Logistics Supplier, Seize PMS in Borno

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