New data shows extremely critical levels of malnutrition in parts of northwest Nigeria

The survey was conducted on 2,066 children of three local government areas (LGA) of Katsina State, in collaboration with Epicentre (MSF’s epidemiology arm) and the Katsina State Ministry of Health. It shows that in some areas, levels of global acute malnutrition have doubled since last year, when the situation was already considered dire. Aid in this region has never been enough to meet the needs and is now decreasing even further. MSF draws attention to the immediate additional support needed to avoid a deadlier catastrophe in 2025.

The survey was done in July in the LGAs of Katsina, Jibia and Mashi shows a major nutritional crisis underway with over 30 per cent of children suffering from global acute malnutrition (GAM) in some areas and severe acute malnutrition (SAM) rates — the most dangerous form of malnutrition — between 6.8 per cent and 14.4 per cent. People in these areas are at the extremely critical level of malnutrition according to the integrated food security phase classification for acute malnutrition. MSF has continued to see an increase in malnutrition admissions since the survey was conducted.

This survey has been carried out yearly since 2022 at the same period in the same areas and with the same methodology to estimate the prevalence of acute malnutrition in children aged six months to almost five years of age, the GAM levels in the first survey were 22 per cent. Nutritional status of children six to 59 months was assessed using a combination of three methodologies: mid-upper arm circumference (MUAC), bilateral pitting oedema, and weight-for-height z-score (WHZ).

“These survey results are, quite frankly, terrifying. We have seen figures rising steadily for the past couple of years and now we are moving from critical to extremely critical levels. In one area of the state, Mashi LGA, we found 14% of children we surveyed were severely malnourished, prevalence this high is catastrophic. We really need to see more, not less action from organisations, otherwise we are going to see children dying in record numbers,” says Dr, Raphael Kananga, MSF Medical Coordinator

As a result of this situation, MSF, which runs four therapeutic treatment centers for malnourished children in Katsina state, has provided care to more children this year, in more severe states of malnutrition, of which more had to be hospitalised. In total, our medical teams have attended more than 100,000 malnourished children from January until now, which represents a 20 per cent increase compared to the same period last year. Admissions for hospitalisation have increased by more than 50 per cent compared to 2022 and 2023, and more than 800 children could not be saved due to too severe conditions and died in our facilities in Katsina state between January and September 2024.

The projections of a further deterioration in food insecurity for the near future are also very worrying. Inflation is currently very high in Nigeria, the devaluation of the local currency is continuing, agricultural yields have strongly decreased again this year. The cost of living is increasing, insecurity remains a concern in several parts of the region, and climate events are expected to continue – impacting livestock and crops. All of these factors mean that if no additional support is set in place, MSF fears a deadlier catastrophe in 2025. However, despite the huge increases in prevalence of global acute malnutrition, for example by over 75 per cent in Jibia LGA, one area surveyed, Katsina state, along with the rest of the northwest region is still not included in the UN’s humanitarian response plan for Nigeria.

Earlier this year, MSF conducted a mass screening in several areas of Zamfara state and found 27 per cent of children suffering from global acute malnutrition. This is a trend we are seeing across all our nutrition facilities in northern Nigeria. Overall, MSF medical teams responding in seven states spanning northern Nigeria have treated 294,000 children for malnutrition between January – September this year. This is 43 per cent higher than the number of children treated in that same period in 2023

Despite this, global funding cuts are reducing organisations’ ability to respond and treat children with malnutrition. Insufficient amounts of therapeutic food globally have been a challenge over the last year and are still worsening. In some areas, such as Zamfara, there have only been limited supplies available since March. UNICEF has recently launched a global appeal with fears that nearly two million children across 12 countries are at risk of death due to these shortages.

“We have consistently raised the alarm about the escalating malnutrition crisis in northern Nigeria, and the findings of recent surveys confirm our worst fears—conditions have not improved; they have significantly deteriorated. This year, our teams across locations such as Kebbi, Zamfara, Katsina, and Maiduguri have been overwhelmed by an unprecedented number of malnourished children requiring urgent care. We have utilised every available resource, from overflow tents to spare mattresses, to manage the influx of patients arriving at our hospitals. Without meaningful and immediate action, I fear the situation could worsen dramatically in the coming year. We recognise the Federal Ministry of Health and Social Welfare's recent and ongoing efforts towards tackling malnutrition. If all stakeholders increase funding and ensure a reliable supply of therapeutic food, there is hope that we can save the lives of many children next year.” Dr Simba Tirima, Country Representative for MSF in Nigeria

MSF runs nutrition projects in seven states in Nigeria: Borno, Bauchi, Katsina, Kano, Sokoto, Zamfara and Kebbi. This involves 10 inpatient facilities including those in Maiduguri, and in Katsina city and over 30 outpatient feeding centres across these states to treat children with moderate and severe malnutrition who do not need to be admitted to hospital.