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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
Boko Haram, ISWAP reconcile with Bakoura Doro faction in North-East, forge alliance

Boko Haram, ISWAP reconcile with Bakoura Doro faction in North-East, forge alliance
By: Zagazola Makama
In a major development that could reshape the security landscape in the North-East, Boko Haram and the Islamic State of the West African Province (ISWAP) have reconciled with the Bakoura Doro faction after years of bloody rivalry.
Zagazola Makama gathered that the reconciliation, according to credible intelligence marks a significant shift in the dynamics of the insurgency that has ravaged Borno and neighbouring states for over a decade.
Boko Haram, officially known as Jama’at Ahl al-Sunna li al-Da’wa wa al-Jihad (JAS), and ISWAP reportedly reached a truce with the Bakoura Doro group on Thursday, after weeks of internal negotiations aimed at consolidating their fighting strength and realigning their operational commands.
However, ISWAP leaders maintained their position of hostility toward the Abubakar Shekau faction, now under the command of Ali Ngulde, whose loyalists are entrenched in the Mandara Mountains along the Nigeria–Cameroon border.
According to field sources, ISWAP commanders used the meeting to warn their fighters against indiscriminate killings of local residents, citing the incident in Kirawa where innocent civilians were executed in error.
The group reiterated that attacks should only target government-backed militias and members of the Civilian Joint Task Force (CJTF), whom they accused of bearing arms against them.
Despite this rhetoric of restraint, both ISWAP and Boko Haram factions vowed to intensify their campaign of violence, with Boko Haram operatives under Bakoura Doro reportedly planning a renewed wave of kidnappings-for-ransom and bloodletting in vulnerable communities across Borno, Yobe, and Adamawa states.
Security analysts view this reconciliation as a troubling development that could embolden the insurgents to regroup, and coordinate large-scale attacks against both military and civilian targets.
“The reconciliation between ISWAP and Bakoura Doro’s faction effectively closes one of the key internal cracks that previously weakened the insurgency. It allows them to pool resources, fighters, and logistics, which may translate to renewed offensives, particularly in border areas and ungoverned spaces.
Meanwhile, the Nigerian military continues to sustain pressure on terrorist enclaves through coordinated land and air operations, with the goal of preventing the insurgents from re-establishing control over liberated territories.
As the insurgents’ alliance solidifies, analysts caution that Nigeria and its regional partners must strengthen intelligence sharing, border control, and community engagement to mitigate the security risks posed by this new wave of jihadist consolidation.
Boko Haram, ISWAP reconcile with Bakoura Doro faction in North-East, forge alliance
News
Troops humiliate ISWAP in Ngamdu, kill 15 terrorists in ngamdu battle

Troops humiliate ISWAP in Ngamdu, kill 15 terrorists in ngamdu battle
By: Zagazola Makama
In yet another demonstration of tactical superiority and resilience, troops of Operation Hadin Kai have repelled a coordinated attack by Islamic State West Africa Province (ISWAP) terrorists on Ngamdu in Kaga Local Government Area of Borno State, killing 15 insurgents and uncovering their mass grave.
Zagazola Makama learnt that the attack, which occurred in the early hours of Friday, was described by military sources as “one of the most daring but costly misadventures” by ISWAP fighters, who launched simultaneous assaults on troops from three different flanks.
According to reliable sources, the terrorists began the offensive from the Gonori axis around 3 a.m., apparently to divert troops’ attention from their main objective. The diversionary assault was swiftly contained by the gallant troops, forcing the attackers to retreat with casualties.
The second wave of attack, launched along the Maiduguri–Damaturu highway, involved the use of command Improvised Explosive Devices (IEDs), rocket-propelled grenades.
Despite the intensity of the assault, troops advancing from Benisheikh managed to charge through the ambush position, though one Mine-Resistant Ambush Protected (MRAP) vehicle sustained damage to its engine and tyres.
The third flank of the attack targeted Alpha Company’s defensive location near the main supply route, but despite minor infiltration into their outer perimeter, the soldiers held their ground firmly and neutralized several of the attackers in close-quarter combat.
The sources said four soldiers paid the supreme price while three were wounded in action during the encounter.
Subsequent intelligence gathered from local sources revealed that ISWAP fighters conducted a mass burial for 15 of their slain members at Bula Wura village near Wasaram, less than 24 hours after the failed operation.
“The attack was well-coordinated but the response was even more professional. The terrorists came in waves, using multiple tactics, but our men held their ground and made them pay heavily,” said one military sources.
The military has also intensified clearance operations along the Maiduguri–Damaturu highway after terrorists planted IEDs to delay reinforcements. The road was temporarily closed for demining operations to ensure the safety of commuters.
As the military continues to dominate the theatre of operations, local communities are beginning to express renewed confidence in the ongoing counter-terrorism efforts, which have seen a steady decline in insurgent activities across major highways and rural settlements in recent months.
Troops humiliate ISWAP in Ngamdu, kill 15 terrorists in ngamdu battle
News
Bandits Kill 8 Civilian Joint Task Force Members in Zamfara Community

Bandits Kill 8 Civilian Joint Task Force Members in Zamfara Community
By: Zagazola Makama
Suspected bandits have killed eight members of the Civilian Joint Task Force (CJTF) in Dan Lutu village, Tsafe Local Government Area of Zamfara State.
Sources told Zagazola Makama that the CJTF were ambushed by the bandits while responding to a distress call on the bandits attempting to unleash terror on the residents
The victims, all members of the CJTF, were said to have bravely confronted the heavily armed bandits but were overpowered during a fierce exchange of gunfire.
Sources within the local vigilante network confirmed that the remains of the victims have been recovered and preparations are underway for their burial.
Bandits Kill 8 Civilian Joint Task Force Members in Zamfara Community
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