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MSF, Borno Health Ministry: One Out of Every Four Children in Shinkafi, Zurmi Malnourished

Michael Olugbode in Abuja

One out of every four children under the age of five is malnourished in the Shinkafi and Zurmi areas of Zamfara State, M茅decins Sans Fronti猫res (MSF) and the Ministry of Health have said.

A statement on Thursday by MSF otherwise called Doctors Without Borders, said according to a mass screening conducted in June by M茅decins Sans Fronti猫res (MSF) and the Ministry of Health, of the 97,149 children screened in 21 different urban and rural locations, 27 percent were found to be suffering from acute malnutrition, with five percent having severe acute malnutrition.

The statement added that: 鈥淭hese concerning figures far exceed the ‘critical level’ threshold established by the World Health Organisation (WHO) regarding malnutrition prevalence.

鈥淢SF urges health authorities, international organisations, and donors to immediately intensify their efforts to tackle the escalating malnutrition crisis in Zamfara State, as well as whole of Northwest Nigeria – a region not yet included in the United Nations Humanitarian Response Plan.

鈥淭he mass screening held in June in the Shinkafi and Zurmi areas further revealed that about 22 per cent of children screened are moderately malnourished.

鈥淐urrently, the nutritional supplies essential to treat such children, also known as ready-to-use therapeutic food (RUTF), are unavailable, as UNICEF halted its supplies at the start of the year.

鈥淭his current lack of humanitarian response to treat those who are moderately malnourished in Northwest Nigeria risks the lives of these children who, without immediate care, will progress to severe acute malnutrition that threatens their survival and compromises their long-term health.鈥

Abdullahi Mohammad, an MSF representative in Nigeria, said: 鈥淭he screening results from Shinkafi and Zurmi are nothing short of alarming, revealing a catastrophic malnutrition crisis across Northwest Nigeria.鈥

He declared: 鈥淭he response to this overwhelming disaster is grossly insufficient. With malnutrition rates soaring beyond critical levels and no immediate treatment available for moderate acute malnutrition apart from at MSF facilities, we鈥檙e effectively letting more children fall into life-threatening conditions. It is crucial we ensure every child receives the medical care they desperately need.鈥

The statement said MSF currently runs four in-patient and 17 out-patient facilities in Shinkafi, Zurmi, Gummi and Talata Mafara in Zamfara 鈥 a state badly affected by malnutrition, noting that across all four in-patient facilities, MSF teams have treated over 7,000 children from January to July 2024.

鈥淭hese figures for admissions are 34 per cent higher than for the same period in 2023. In Shinkafi and Zurmi, where MSF conducted the recent malnutrition screening, the increase in admissions is 50 per cent more than the same period last year.

鈥淎t the medical facility in Gummi, admissions in July 2024 were almost double compared to the same month last year.

鈥淎longside the significant increase in malnutrition admissions, MSF teams are seeing high numbers of children with vaccine preventable diseases such as measles. In Zamfara, they have treated at least 5,700 measles cases so far this year.

鈥淚nfectious diseases like measles, malaria, and acute watery diarrhoea, severely compromise the nutritional status of children. In turn, malnutrition makes them far more susceptible to these illnesses, with a higher risk of death.鈥

鈥淲hen I first brought my son into the hospital, I didn鈥檛 know if he would survive,鈥 says Hafsat Lawal, a mother whose child is being treated for malnutrition at an MSF facility in Zamfara.

鈥淏ack at home because of the insecurity we don鈥檛 have food. The prices of food have more than doubled. If we had money, we would have bought some grains, but we cannot,鈥 she further explained.

Communities are facing high levels of violence in Zamfara and have told MSF teams that they are scared to move around the state, taking huge risks to reach functioning healthcare facilities.

It is estimated by the health authorities that as of 2023, only about 200 out of 700 healthcare centres in Zamfara are accessible, and the rest are non-functional. One of the reasons being that healthcare workers struggle to reach them.

Despite the ongoing humanitarian crisis and facing high levels of insecurity, communities in the Northwest have long been excluded from coordinated humanitarian response.

It is essential that health authorities in this area, alongside international organisations and donors, urgently scale up their response.

Immediate expansion of health facilities is needed to treat malnourished children to ensure that more hospitals can offer the type of in-patient care desperately needed to save lives.

Moreover, UNICEF, as the primary supplier of RUTF, must ensure the consistent and sufficient delivery of these essential therapeutic foods to prevent more children from falling victim to this crisis.

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