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Somalia: MSF helps address protracted humanitarian crisis in Baidoa
Somalia: MSF helps address protracted humanitarian crisis in Baidoa
By Abdulkareem Yakubu
“Baidoa has been a place where MSF worked for a long time. Today it is struggling with a large number of Internally Displaced Persons (IDPs). There are about 1.1 million people in Baidoa and its surroundings. Of those, nearly 740,000 are IDPs and the conditions they are struggling with are profound”, said Dr Tammam Aloudat, president of MSF in the Netherlands.
Today an estimated four million people, or one in five of the population of Somalia, face emergency food insecurity, 3.8 million people are displaced from their homes, and 1.7 million children under five are acutely malnourished. The protracted humanitarian crisis behind these shocking figures is a result of ongoing conflict, climate-related disasters such as floods and droughts, recurrent outbreaks of infectious diseases and high levels of poverty.
In 2023, Somalia’s second city, Baidoa, suffered extreme climatic conditions, including the worst drought in 40 years and floods related to El-Niño – a climate phenomenon associated with extreme weather events. Baidoa large numbers of displaced people – around 740,000 of the city’s one million inhabitants have been displaced from elsewhere in the country – and continues to receive new arrivals, with more than 27,049 displaced people arriving in Baidoa already this year. This has put a massive strain on the city’s already limited resources, particularly on water and sanitation services. As the rainy season approaches, the risks increase of outbreaks of waterborne diseases, including cholera outbreaks.
When they fall sick or need medical care, many displaced people in Baidoa struggle to reach a health facility. “My sister was having labour pains but I could not take her to hospital to get medical care,” says a 23-year-old woman living in a camp in Baidoa. “Our biggest challenges are travelling on roads made impassable by flooding and insecurity as well as the high cost of transport. We need better access to hospital through ambulance services and good roads.”
Maternal and infant mortality rates in Somalia are among the highest in the world, largely due to people’s limited access to medical care, exacerbated by droughts, floods and heightened conflict. Displaced women and children living in camps are particularly at risk. With only two hospitals in Baidoa catering to the growing number of displaced people, there is an urgent need to strengthen primary health services to enable pregnant women to access essential care, reduce late referrals and encourage women to give birth in medical facilities rather than in potentially unsafe conditions in their homes or shelters.
MSF has been supporting Bay regional hospital in Baidoa since May 2018 to address the healthcare needs of women and children, reduce infant and paediatric mortality, and prepare for potential disease outbreaks. MSF teams provide a range of medical services to mothers and children in the hospital as well as through community-based clinics and through vaccination campaigns targeting pregnant women and newborn babies.
“We are making our services more efficient by building semi-permanent structures in seven outreach locations, where we are providing basic antenatal care, treatment for diarrhoea, respiratory tract infections and malaria, health promotion activities and referrals,” says MSF head of programmes Dr Pitchou Kayembe.
It is not only in Baidoa that health services are struggling. The humanitarian crisis and the rising numbers of displaced people are putting pressure countrywide on healthcare providers, including aid organisations. As well as increased patient numbers and growing costs, the provision of medical and humanitarian aid has been disrupted by insecurity.
“We urge all humanitarian organisations in Baidoa to work in a coordinated manner to address the unmet needs of displaced people in terms of food, shelter, clean water and access to healthcare, and to invest more in strengthening capacity to respond ahead of the upcoming rainy season,” adds Dr Kayembe.
According to UN-OCHA, 6.9 million people in Somalia need humanitarian assistance in 2024, including 5.2 million targeted for aid. The humanitarian response plan necessitates $1.6 billion in funding, currently experiencing a funding gap of $1.4 billion. The few humanitarian organisations in Southwest state of Somalia that are addressing the needs of displaced people lack funding and require better coordination to optimise the available resources.
Despite cuts in humanitarian funding observed in Somalia, MSF remains committed to continuing its work in Somalia, with a focus on Southwest state, which has just one referral hospital and two general hospitals for the entire region.
“We are seeing lots of media coverage about emergencies like Gaza, Sudan and Ukraine, all of which are catastrophic and require humanitarian assistance and attention, but that must not come at the cost of less visible emergencies or continued protracted crises such as that in Somalia,” concluded the President of MSF- Netherlands, Dr Tammam Aloudat.
ENDS
Médecins Sans Frontières/Doctors Without Borders (MSF) is an international medical humanitarian organisation dedicated to providing medical assistance to populations in distress, including victims of natural and manmade disasters and armed conflict. For more than four decades, MSF has helped address the humanitarian and health needs of Somali communities. In 2023, MSF teams worked in Hargeisa, Sool, Galkacyo North, Galkacyo South, Baidoa and Dhobley, treating more than 2,000 children for malnutrition, 15,635 patients for acute watery diarrhoea and providing 204,531 outpatient consultations. Currently, MSF teams are actively engaged in responding to health needs in Galkacyo North, Galkacyo South and Baidoa.
Abdulkareem Yakubu, is the Field Communication Officer at MSF and could be reached on:
Email: comms-officer@somalia.msf.org
Phone: +254 702 069 958

Somalia: MSF helps address protracted humanitarian crisis in Baidoa
News
Nigeria: MSF/Borno Govt. Vaccinates 350,000 Children Against Diphtheria in Maiduguri
Nigeria: MSF/Borno Govt. Vaccinates 350,000 Children Against Diphtheria in Maiduguri
By: Our Reporter
The humanitarian medical organization Médecins Sans Frontières (MSF) and the Borno State Ministry of Health have successfully completed a vaccination campaign against diphtheria targeting children up to 14 years old in Maiduguri Metropolitan Council (MMC), Borno State, northeast Nigeria.
The campaign began with a first round from 9 to 15 February 2026, which reached 490,000 children, far exceeding the initial target of 387,000. A second round was conducted from 9 to 15 April 2026, targeting 360,000 children reached during the first round to strengthen immunity. Despite the high number of children reached, limited vaccine availability constrained the scale of response.
Nigeria is grappling with one of its most severe diphtheria epidemics in history, with the National Centre for Disease Control (NCDC) reporting 65,759 suspected cases and 2,229 deaths as of 22 March 2026 since May 2022 and officially declaring an outbreak in 2023. In Borno State, one of the most affected areas, MSF has treated more than 7,400 suspected cases since 2023, with 4,200 treated in the past year alone. Furthermore, MSF is treating thousands of people suspected or confirmed to have diphtheria across the country, in close collaboration with state Ministries of Health, and currently supports activities in Bauchi, Borno, Kano, and Sokoto states.
Diphtheria is an acute infectious disease that spreads primarily through respiratory droplets or contact with infected wounds. Symptoms include a sore throat, fever, swollen lymph nodes, and a thick grey membrane in the throat that can obstruct breathing. In severe cases, the bacterial toxin can damage the heart, nerves, and kidneys, potentially leading to complications such as paralysis. For unvaccinated persons without proper treatment, diphtheria can be fatal in around 30% of cases, with young children at higher risk of dying.
MSF supported the Borno State Ministry of Health to run the vaccination campaign, providing comprehensive logistical support including vaccine storage, transportation, and remuneration for vaccination teams; health promotion and awareness activities; and program supervision. The Ministry of Health provided the vaccines used in the campaign. This collaborative effort ensured high coverage, with communities responding enthusiastically to outreach efforts across both rounds.
“This vaccination will help to significantly boost immunity levels of children below 14 years old in Maiduguri, the area responsible for most of the diphtheria cases we saw in our treatment center. This proactive step is essential to controlling and preventing the disease,” said MSF emergency coordinator for the project, Nao Muramoto.
In addition, MSF supported the diphtheria treatment unit (DTU) at Maiduguri Teaching and Training Hospital in collaboration with the Ministry of Health. The DTU saw a surge in suspected cases during the campaign, reflecting heightened awareness and improved referrals by community health workers during the vaccination efforts.
“Sustained routine immunization against diphtheria, improved access in volatile areas, and tackling vaccine hesitancy remain essential to prevent future surges of vaccine-preventable diseases like diphtheria. “Access to more vaccines is needed, as efforts to reach the children of Borno State should remain a priority to avoid further contaminations, to cut the transmissions, and to save lives,” concludes Nao Muramoto.
Beyond its support to diphtheria treatment and vaccination, MSF also supports the Comprehensive Emergency Obstetric and Newborn Care (CEmONC) in Maiduguri, a 60-bed referral maternity and obstetric emergencies hospital with an intensive care unit (ICU) and neonatal ICU, and the Shuwari Primary Healthcare Centre and the Nilefa Kiji nutrition hospital, where our teams treat children under five suffering from severe and moderate acute malnutrition with medical complications.
Nigeria: MSF/Borno Govt. Vaccinates 350,000 Children Against Diphtheria in Maiduguri
News
Fiscal Storm: ActionAid Slams ₦34trn Revenue Deductions, Calls for Transparency
Fiscal Storm: ActionAid Slams ₦34trn Revenue Deductions, Calls for Transparency
By: Michael Mike
ActionAid Nigeria has called for an urgent forensic audit of Nigeria’s revenue management system following revelations that more than ₦34 trillion was deducted from federal earnings before allocation to the three tiers of government.
The organisation said the scale of the deductions—accounting for over 40 per cent of federal revenue in recent years—points to systemic weaknesses in public financial management and poses a serious threat to fiscal stability and development financing.
In a statement issued on Thursday, ActionAid said findings by the World Bank confirmed that a significant portion of government income is being absorbed through pre-distribution charges, including cost-of-collection frameworks and agency remittances, with limited transparency on their composition and utilisation.
“These findings reinforce long-standing concerns about Nigeria’s widening fiscal constraints and rising debt burden,” the group said. “The persistence of large-scale revenue leakages represents both a governance failure and a missed opportunity to strengthen fiscal stability.”
According to the organisation, the deductions—estimated at more than ₦34 trillion—have continued to rise alongside government revenues, leaving federal, state, and local governments with significantly reduced resources to fund public services.
ActionAid warned that the trend is worsening Nigeria’s reliance on borrowing, citing projections by the International Monetary Fund that the country’s debt-to-GDP ratio could climb to 33.1 per cent by 2027.
“The widening gap between gross revenue and distributable income is constraining development financing and increasing dependence on debt,” the statement added.
The group expressed particular concern over what it described as “opaque and fragmented” revenue channels, noting that substantial portions of national income pass through multiple layers before reaching the Federation Account.
It said the lack of public disclosure around these deductions—including their justification, structure, and end-use—raises critical accountability questions.
“There is limited transparency on how these funds are managed,” the organisation stated. “This opacity weakens fiscal oversight and undermines public trust in governance.”
ActionAid also pointed to broader implications for national development, warning that reduced public revenue is limiting government capacity to invest in essential sectors such as healthcare, education, security, and social protection.
The Country Director of ActionAid Nigeria, Andrew Mamedu, said the consequences are already being felt by millions of Nigerians.
“For citizens grappling with rising inflation, declining purchasing power, and economic hardship, the continued reduction in available public resources means fewer investments in essential services,” he said.
He added that weakening fiscal capacity is also exacerbating insecurity, as economic pressures fuel crime, displacement, and social instability.
“At a time when livelihoods are becoming more fragile, the erosion of public revenue further limits the government’s ability to respond effectively to these challenges,” Mamedu said.
The organisation further criticised the lack of transparency surrounding major public expenditures, citing concerns over projects such as the Nigeria Revenue Service building, where cost details and procurement processes have not been publicly disclosed.
“Citizens have a right to know how public funds are utilised,” the group said, stressing that accountability must extend beyond revenue collection to expenditure.
ActionAid warned that without urgent reforms, Nigeria risks entrenching a system where public resources are consistently depleted before they can deliver meaningful impact.
“The continued expansion of unchecked deductions poses a direct threat to equitable development, fiscal stability, and public trust,” it said.
To address the issue, the organisation called on the Federal Government to undertake a comprehensive and transparent review of all revenue deduction frameworks, with a view to ensuring accountability and efficiency.
It also demanded the immediate publication of detailed breakdowns of all deductions, strengthened independent oversight of revenue-generating agencies, and reforms to eliminate systemic leakages.
In addition, ActionAid urged the National Assembly to intensify its oversight role through public hearings and scrutiny of deduction structures, while calling on state governments, civil society, and the media to increase pressure for transparency.
“An independent forensic audit of all deduction mechanisms is critical to restoring public confidence,” the organisation said.
ActionAid added that Nigeria’s development trajectory depends not only on revenue generation but on how effectively public resources are managed and deployed.
“This is not just a fiscal issue; it is a matter of justice,” Mamedu said. “Every naira that fails to reach essential services denies Nigerians access to healthcare, education, and dignity.”
Fiscal Storm: ActionAid Slams ₦34trn Revenue Deductions, Calls for Transparency
News
Troops rescue two kidnapped victims in Benue
Troops rescue two kidnapped victims in Benue
By: Zagazola Makama
Troops of Sector 1 under Operation Whirl Stroke (OPWS) have rescued two kidnapped victims in Ukum Local Government Area of Benue State.
Security sources said the incident occurred at about 3:50 a.m. on April 15 when troops deployed at Kyado responded to a distress call on kidnapping activities in the area.
According to the sources, the troops swiftly moved to the scene, prompting the kidnappers to abandon their victims and flee.
The sources added that the troops successfully rescued the two victims and reunited them with their families.
Security operations have been intensified in the area to track down the fleeing suspects and prevent further incidents.
Troops rescue two kidnapped victims in Benue
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