Cape Times

Horrors of starving children in Nigeria

- OWN CORRESPOND­ENT

THE wave of violence, including kidnapping­s for ransom and frequent confrontat­ions between various armed groups and Nigerian forces in the Katsina State, has contribute­d to high levels of malnutriti­on.

This is according to the global medical rescue organisati­on, Doctors Without Borders (MSF), which said the conflict made it difficult to respond to the crisis.

They have now launched a new programme in collaborat­ion with the Nigerian ministry of health to treat malnourish­ed children.

They will run a 62-bed inpatient therapeuti­c treatment centre (ITFC) in Katsina City, as well as five ambulatory (outpatient) therapeuti­c treatment centres (ATFCs): one in Katsina City and four in Jibia local government area, close to the border with Niger.

Dr Guyguy Manangama, MSF’s deputy emergency cell manager said: “Agricultur­al activities are impacted, travel is more difficult, and the cost of food therefore increases.

“The population is also facing an economic crisis driven by several factors, including the consequenc­es of the Covid-19 pandemic. The provision of health care is increasing­ly complicate­d: medical staff can be targets for kidnapping, and they fear attacks on medical centres.

“The insecurity means that we cannot travel to all the areas where we would like to offer care.”

Malnutriti­on is endemic in northern Nigeria, with the season usually ending around October.

“The fact that we are not yet seeing the number of admissions drop in our centres leads us both to worry about how severe the situation is now, and how it will develop if the response is not stepped up,” said Manangama.

“Insecurity is a real issue in the area, but more must be done by internatio­nal organisati­ons to help the Nigerian authoritie­s deal with this worrying situation.”

The organisati­on has admitted 4 513 malnourish­ed children, 78% of whom were suffering from severe acute malnutriti­on, since the beginning of the activities in Jibia in August.

These numbers were “strikingly high” given that these centres were only working two days a week due to security concerns, said the organisati­on.

About 1 784 severely malnourish­ed children were admitted to the ATFC and 324 to the ITFC in Katsina city from the beginning of activities on September 20 to the last week of October.

“In the summer we carried out a nutritiona­l survey in Katsina that revealed alarmingly high levels of malnutriti­on. According to this survey, the prevalence of global acute malnutriti­on was 26.1%, and severe acute malnutriti­on was 7.4%,” said Manangama.

“We also found that there were few

options for parents in the area to access malnutriti­on care, the effect of which we see across the border in Niger: around 60% of the children admitted to our nutrition programme in

Madarounfa district are from Nigeria.”

Elsewhere in north-west Nigeria, MSF said they were also running nutritiona­l activities in Zamfara state, with three ITFCs in Anka, Shinkafi, and

Zurmi local government areas, and 12 ATFCs spread throughout the state.

To support MSF’s work: SMS “JOIN” to 42110 to donate R30 once-off; visit https://www.msf.org.za/donate

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 ?? | MSF ?? MSF nutritiona­l activities in Katsina State, north-west Nigeria, where the organisati­on responded to an acute situation of malnutriti­on in the context of increasing violence between various armed groups and the Nigerian state.
| MSF MSF nutritiona­l activities in Katsina State, north-west Nigeria, where the organisati­on responded to an acute situation of malnutriti­on in the context of increasing violence between various armed groups and the Nigerian state.
 ?? | MSF ?? LEFT: SALIH Muhammad Auwal is a medical doctor and the Covid-19 focal clinician at Shinkafi hospital, Zamfara state, north-west Nigeria. RIGHT: A doctor treats a child in Shinkafi General Hospital, Zamfara state, Nigeria.
| MSF LEFT: SALIH Muhammad Auwal is a medical doctor and the Covid-19 focal clinician at Shinkafi hospital, Zamfara state, north-west Nigeria. RIGHT: A doctor treats a child in Shinkafi General Hospital, Zamfara state, Nigeria.

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