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Somalia: MSF helps address protracted humanitarian crisis in Baidoa

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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

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Zulum commissions remodelled ‘2nd chance school’ for vulnerable girls

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Zulum commissions remodelled ‘2nd chance school’ for vulnerable girls

.Disburses N1bn to SMEs in 5 LGAs

By: Our Reporter

Borno State Governor, Professor Babagana Umara Zulum, on Thursday commissioned a fully remodelled “Second Chance School” for vulnerable girls and women in Biu Local Government Area.

The newly inaugurated facility is part of a strategic initiative designed to offer adult women, including those who missed formal education or dropped out of school due to prevailing challenges, a pathway to self-reliance. 

The school’s curriculum is tailored towards providing comprehensive skills’ acquisition, critical digital knowledge and basic literacy, and numeracy training.

With the Biu centre now operational, Zulum’s administration has established three such schools across the state, with existing centres already operational in Maiduguri and Bama.

Meanwhile, Governor Zulum has disbursed N1 billion to small and medium-scale enterprises (SMEs) across five local government areas in southern Borno.

The targeted LGAs include Biu, Hawul, Shani, Bayo and Kwaya-Kusar, with the funds intended to support entrepreneurs and enhance business sustainability.

Zulum explained that the direct injection of capital into the SME sector is essential for driving grassroots development and fostering self-reliance in the post-insurgency recovery phase.

In a related development aimed at tackling youth restiveness and promoting social stability, Governor Zulum has ordered immediate employment of 200 young individuals from the Biu Local Government Area. 

After the inauguration, Zulum visited Biu Specialist Hospital where he announced the immediate and automatic employment of a number of dedicated volunteer health workers who have served tirelessly.

He also inspected the 100-unit teachers’ housing estate under construction in Biu town. The estate is part of the Borno State Government’s motivational strategy to attract and retain qualified teaching professionals in public schools.

Governor Zulum has also directed immediate commencement of rehabilitation work on the Borno State Hotel Annexe in Biu.

Zulum commissions remodelled ‘2nd chance school’ for vulnerable girls

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Environment Minister Calls for Inter-Agency Collaboration to Address Environmental Challenges

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Environment Minister Calls for Inter-Agency Collaboration to Address Environmental Challenges

By: Michael Mike

The Minister of Environment, Balarabe Abbas Lawal, has urged enhanced inter-agency collaboration to tackle environmental challenges across Nigeria.

The call was made during a meeting with the Director-General of the National Hydro-Electric Power Producing Areas Development Commission (N-HYPPADEC), Abubakar Sadiq, and his team at the Ministry’s Abuja office.

Highlighting potential areas of cooperation, Lawal emphasized the importance of climate-resilient water supply and sanitation (WASH) programs aimed at ensuring year-round access to safe, reliable, and clean water in communities affected by dam operations. He noted that such collaboration would not only improve access to safe drinking water but also reduce the prevalence of water-borne diseases in these areas.

On energy initiatives, the Minister discussed the distribution of clean cooking stoves to households in hydro-basin communities, stressing that this would significantly reduce household energy poverty, deforestation, and emissions through the adoption of energy-efficient cooking technologies.

Other proposed collaboration areas between the Ministry and N-HYPPADEC include erosion and flood management, ecosystem restoration, climate-resilient afforestation programs, youth and community engagement, job creation, and public awareness campaigns.

In his remarks, Abubakar Sadiq described N-HYPPADEC as a strategic partner of the Federal Ministry of Environment, outlining the commission’s impactful interventions across water supply, sanitation, housing, youth empowerment, water transport safety, and institutional strengthening. He also commended the Ministry for its prompt response to flood-prone areas, erosion challenges, and pollution management.

N-HYPPADEC maintains offices in Lokoja, Birnin Kebbi, Ilorin, Lafia, Jos, Gombe, Jalingo, Makurdi, Kaduna, with its headquarters in Minna, Niger State.

Environment Minister Calls for Inter-Agency Collaboration to Address Environmental Challenges

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Health Worker Exodus Deepens as Policy Brief Warns of Systemic Risk to Nigeria’s Healthcare Sector

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Health Worker Exodus Deepens as Policy Brief Warns of Systemic Risk to Nigeria’s Healthcare Sector

By: Michael Mike

A new policy brief has warned that unless urgent welfare-focused reforms are implemented, the country risks a deepening crisis that could undermine access to quality healthcare nationwide.

Nigeria’s healthcare system is facing mounting pressure as the steady departure of doctors and nurses continues to erode service capacity, raising concerns about long-term system viability.

According to the policy analysis authored by health policy expert Dr Emmanuel Ejimonu, of the Athena Centre for Policy and Leadership, more than 42,000 nurses left Nigeria between 2021 and early 2024, while thousands of Nigerian-trained doctors have registered to practise abroad, particularly in the United Kingdom. The trend shows no sign of slowing, as survey data cited in the report indicate that nearly three-quarters of medical and nursing students intend to seek employment overseas, with about one in three expressing no plans to return.

The report attributed the exodus largely to domestic welfare and governance challenges rather than professional ambition. Health workers interviewed consistently pointed to low and irregular salaries, unsafe and overstretched working environments, limited opportunities for funded specialist training and weak social protection systems. These challenges, the brief notes, have made emigration a rational choice in the face of institutional uncertainty, especially as global demand for health professionals continues to rise.

Although the Federal Government introduced a National Policy on Health Workforce Migration in 2023 to promote ethical recruitment and retention, the brief argues that its impact has been limited. Implementation gaps, inadequate funding and uneven execution at state and facility levels have prevented the policy from delivering meaningful improvements in working conditions.

The consequences of sustained health worker losses are already visible. Teaching hospitals are reportedly struggling to maintain specialist training and mentorship programmes, while recurring strikes highlight growing mistrust between health workers and government authorities. Economically, the country is losing returns on public investments in training, even as staff shortages compromise care delivery in both urban and rural facilities. Remaining workers also face rising burnout, further fuelling migration intentions.

Drawing on international experiences from countries such as Ghana, Kenya, the Philippines and Cuba, the policy brief stresses that health worker migration cannot be completely stopped. Instead, it recommends managing mobility through welfare-based retention strategies and credible governance structures.

Central to the recommendations is a proposed Welfare-First Retention Package, which prioritises guaranteed and timely payment of salaries, improved workplace safety, funded career progression, fair bonding arrangements and strengthened social protection. The package also calls for disciplined use of bilateral agreements and ethical recruitment frameworks to protect Nigeria’s investment in health worker training.

The brief estimates that, if properly funded and implemented, the proposed measures could reduce short-term health worker attrition by up to one-third within two years, while significantly improving retention over a five-year period.

The report stated that reversing the health workforce crisis will require treating welfare reform as a core economic and governance priority, backed by political will, fiscal discipline and strong institutional coordination. Without such action, the report warns, Nigeria risks the gradual hollowing out of its healthcare system, with far-reaching consequences for public health and national development.

Health Worker Exodus Deepens as Policy Brief Warns of Systemic Risk to Nigeria’s Healthcare Sector

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