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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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West African Leaders Move to Deepen Regional Security Cooperation at Accra Conference

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West African Leaders Move to Deepen Regional Security Cooperation at Accra Conference

By: Michael Mike

Leaders from several West African countries have agreed to pursue a new, structured approach to regional cooperation aimed at tackling terrorism, cross-border crime, and deepening insecurity across the sub-region.

The commitment was reached at the end of a two-day High-Level Consultative Conference on Regional Cooperation and Security held in Accra from January 29 to 30, 2026.

The meeting was chaired by Ghana’s President, John Dramani Mahama, with Presidents Julius Maada Bio of Sierra Leone and Joseph Boakai of Liberia leading their respective delegations.

Representatives from Burkina Faso, Mali, Mauritania, Nigeria, Senegal, and Togo also participated.

Discussions at the conference focused on the worsening security situation in West Africa, which leaders described as facing an alarming rise in terrorism and violent extremism. Participants noted that the frequency of attacks and loss of civilian lives now pose a serious threat to regional stability, economic activity, and social cohesion, making coordinated action unavoidable.

The conference followed earlier technical sessions involving Ministers of Foreign Affairs, Defence, and Security, as well as intelligence chiefs from participating states. Development partners, including the African Union Commission and the United Nations Development Programme (UNDP), alongside civil society organisations, contributed to the deliberations.

Leaders agreed that existing responses to insecurity have been too fragmented and largely reactive. As a result, the conference resolved to work toward a permanent framework for cooperation that would strengthen collective responses, improve information sharing, and address the structural drivers of insecurity across borders.

A key outcome of the meeting was a renewed emphasis on a human security approach, recognising that military measures alone cannot deliver lasting peace.

The leaders pledged to prioritise governance reforms, job creation, access to education and healthcare, and community-based peacebuilding as part of national and regional security strategies.

On counterterrorism, the conference agreed to enhance intelligence and information sharing, harmonise legal frameworks to support cross-border prosecution of terrorism-related crimes, and expand deradicalisation programmes while upholding human rights standards. Measures to combat trafficking in arms, narcotics, and persons were also highlighted.

To strengthen border security, participants committed to exploring joint operational measures, including possible “hot-pursuit” arrangements through bilateral or multilateral agreements. They further agreed to develop a foundational Memorandum of Understanding (MoU) on cooperation and security within six months, with Ghana’s Minister of Foreign Affairs tasked with leading the drafting process.

The conference also addressed humanitarian and climate-related challenges, recognising climate change as a factor that intensifies conflict and displacement. Leaders agreed to integrate climate and food security into regional peace planning and to work toward a shared disaster preparedness and humanitarian response framework.

At the close of the meeting, participants agreed to institutionalise the consultative conference as a bi-annual platform and to establish a mechanism for tracking and monitoring the implementation of agreed decisions.

The conference ended with a renewed pledge by regional leaders to translate commitments into concrete actions that safeguard lives, protect livelihoods, and strengthen stability across West Africa.

Nigeria’s Minister of State for Foreign Affairs, Ambassador Bianca Odumegwu-Ojukwu led the country’s delegation to the meeting.

West African Leaders Move to Deepen Regional Security Cooperation at Accra Conference

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Troops storm bandit leader’s camp in Zamfara, neutralise 20, destroy stronghold

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Troops storm bandit leader’s camp in Zamfara, neutralise 20, destroy stronghold

By: Zagazola Makama

Troops of the 8 Division, Nigerian Army, operating under Sector 2 of Operation FANSAN YAMMA, have stormed the camp of a notorious bandit leader, Gwaska Dan Karmi, in Maru Local Government Area of Zamfara State, neutralising 20 terrorists and destroying the stronghold.

A military source told Zagazola Makama that the decisive, well-coordinated offensive followed credible intelligence that over 100 bandits had converged at the camp to plan coordinated attacks on communities and logistics movements.

According to the source, the troops, supported by the Nigerian Air Force, the Civilian Joint Task Force (CJTF) and local vigilantes, conducted week-long surveillance before moving to intercept the terrorists.

“Contact was established on Jan. 31, 2026, as the terrorists advanced. They engaged the troops in a fierce firefight and attempted a flanking manoeuvre, but this was repelled by superior firepower,” the source said.

He said 20 terrorists were neutralised in the encounter, while several others fled with gunshot wounds. Follow-up operations, the source added, were ongoing to assess further casualties and recover additional items.

The raid yielded significant recoveries, including assorted weapons and ammunition, bicycles, food supplies, medical drugs, clothing, detergents and other logistics materials.

“The Gwaska Dan Karmi camp was completely destroyed,” the source said.

He noted that troops remained highly motivated, with combat efficiency assessed as strong and unwavering.

Troops storm bandit leader’s camp in Zamfara, neutralise 20, destroy stronghold

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Army troops, police rescue abducted victim in Zamfara

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Army troops, police rescue abducted victim in Zamfara

By: Zagazola Makama

Army troops of Operation FANSAN YAMMA, in collaboration with the Zamfara State Police Command, have rescued an abducted man in Tsafe Local Government Area of the state.

Sources said that the incident occurred on Jan. 29, when armed bandits invaded the residence of Abdullahi Isah Nagari on the outskirts of Tsafe town and abducted him to an unknown destination.

According to the source, troops under Operation FANSAN YAMMA, in collaboration with the Divisional Police Officer (DPO) of Tsafe Division promptly mobilised to launch a coordinated rescue operation.

“During a thorough search of the surrounding bushes, the victim was successfully located and rescued. He was found tied to a tree with a machete cut injury on his hand,” the source said.

The sources added that the victim was immediately taken to the General Hospital, Tsafe, where he was receiving medical attention.

The source said efforts were ongoing to track down and arrest the perpetrators, while security patrols had been intensified in the area to prevent further occurrences.

Army troops, police rescue abducted victim in Zamfara

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