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Nigeria

© Benedicte Kurzen

8.7 million

people directly affected by the crisis in the North-East region.
1.98 million

of internally displaced people in the states located north-east.
5.8 millions

of people need basic healthcare services.

Médecins du Monde’s emergency response includes a range of humanitarian assistance programmes. Find out more below about our work and missions in Nigeria.

THE HUMANITARIAN SITUATION IN NIGERIA

The humanitarian crisis in Nigeria caused by armed conflicts affecting the country is creating a need to provide medical assistance in the impacted areas.

The insecurity caused by the conflicts in Nigeria

  • THE CIVILIANS ARE THE FIRST VICTIMS OF ARMED CONFLICTS

    More than 12 years have gone by since Jama’atu Ahlis Sunna (JAS), more commonly referred to as Boko Haram, started a violent conflict in the north-east of Nigeria, causing non-stop displacements, destructions of facilities and the collapses of basic social and health services. Violence increased, especially since the Islamic State in West Africa Province (ISWAP) emerged, a faction of JAS, created in 2017. In 2021, ISWAP progressively increased and launched a series of attacks against military bases, mainly along the frontier of Cameroon and the Lake Tchad in Borno State.

     

    NGOs remain the target of violence with 36 NGO workers killed, injured or kidnapped since 2020. The shrinking of the humanitarian space limits NGOs’ access to already inaccessible towns and Local Government Areas (LGAs) in Borno State, in order to reach and deliver any type of assistance or support to the people there.

     

    The more accessible areas are “garrison towns”, controlled by the government, where hundreds of thousands of people are displaced and concentrated. Road access from the main city is very limited and unsafe, which makes their displacements very risky.

  • CAMPS TO ESCAPE FROM INSECURITY

    Recent plans to shut down camps by force in Maiduguri, the main city in Borno State by the governor of the state, have led to the re-displacements of 200,000 internally displaced people (IDP) and 70,000 refugees to inaccessible areas or unsafe camps. Displaced people who are forced to go home cannot have their basic needs met, which have them face major risks in terms of health protection.

  • A MAJOR HUMANITARIAN CRISIS

    Violence and attacks against civilians, at time of high vulnerability, has led to massive displacement and major humanitarian crisis in Nigeria. The Borno State located north-east of the country, has 1.5 million displaced people – of which 52% of women and 65% of children – and the resources of hosting communities are severely strained.

     

    Displaced populations, with a majority living in overpopulated camps, oftentimes have lost all livelihoods and find themselves in total destitution, with very little hope to go back home. The conflict has also impacted the extent and the quality of humanitarian response: 800,000 people are now unreachable by humanitarian players due to insecurity and cannot receive any support.

  • 8.7 million

    de personnes sont dans le besoin dans le nord-est du Nigeria, soit 13 % de plus qu’en 2020, dont 58 % d’enfants, 19 % d’hommes et 23 % de femmes.
  • 36,000 people

    have been killed and 1.98 million are displaced due to the insurrection and violence caused by the conflict.
  • 5,8 million

    Of people suffer from critical physical and mental issues due to traumas and violence they went through and need basic healthcare.
8.7 million

de personnes sont dans le besoin dans le nord-est du Nigeria, soit 13 % de plus qu’en 2020, dont 58 % d’enfants, 19 % d’hommes et 23 % de femmes.
36,000 people

have been killed and 1.98 million are displaced due to the insurrection and violence caused by the conflict.
5,8 million

Of people suffer from critical physical and mental issues due to traumas and violence they went through and need basic healthcare.

The situation in Borno State remains alarming.

Most functioning establishments are still lacking qualified healthcare staff, have not enough supply and medical equipment, or are located in areas increasingly difficult to access. This situation makes access to primary healthcare difficult for displaced people or hosting communities. Living conditions are difficult, the lack of drinking water and poor hygiene conditions in camps increase the risks of epidemics such as cholera, measles and meningitis. These epidemics are an additional burden on a already weak health system.

According to the Cadre Harmonisé report of October 2021, Nigeria is also facing acute food insecurity.

Nearly 13 million people (8% of the population assessed) are in a state of critical high acute food insecurity (level 3 and 4) and need urgent care. The figures forecasted for August 2022 could reach 18 million (11%).

  • 1.5 million

    of people in need of protection services.
  • Only 58 %

    Of national health facilities are fully functional; the rest has been damaged or destroyed.
1.5 million

of people in need of protection services.
Only 58 %

Of national health facilities are fully functional; the rest has been damaged or destroyed.

© Benedicte Kurzen

WHAT WE DO TO RESPOND TO THE HUMANITARIAN EMERGENCY IN NIGERIA

To deal with the alarming situation caused by conflicts and inequalities of access to healthcare, Médecins du Monde launched a humanitarian mission in Nigeria with the main goal of providing medical assistance to local populations.

  • PROVIDING MEDICAL ASSISTANCE TO IMPROVE ACCESS TO HEALTHCARE

    In the context of our humanitarian mission in Nigeria, Médecins du Monde has been operating north-east of the country since 2016 to improve access to care for vulnerable populations, whether displaced or hosting. Five clinics were set up to respond to the humanitarian crisis caused by the conflict in the camps of Maiduguri and Damboa.

     

    Our teams deliver integrated primary healthcare services, comprehensive and free and pre- and post-natal consultations. They provide routine vaccines, nutritional care, and offer medical and psychological support to survivors of gender-based violence, psychosocial support, and individual mental health consultations as well as health education sessions.

     

    In 2021, Médecins du Monde successfully set up a free helpline providing an alternative entry point for gender-based survivors. With this telephone line, survivors can report incidents and ask for the medical support they need in a confidential manner.

     

    In addition, Médecins du Monde supports two clinics of the Nigerian Ministry of Health on the outskirts of Damboa, in the Borno State, an area particularly dangerous, through trainings and supplying medicine. This is one way we provide medical assistance in Nigeria, an area very few humanitarian players can access.

     

    In December 2020, Médecins du Monde led an exploratory mission in North-West Nigeria in the state of Zamfara, where several thousand people were displaced due to insecurity.

  • DEPLOYING NORTH-WEST OF NIGERIA

    In December 2021, Médecins du Monde led to a second exploratory mission in the north-west of Nigeria, in the state of Zamfara to meet the needs and provide assistance to several thousands of displaced people and children suffering from an alarming rate of malnutrition.

     

    The objective is to support in 2022 the Ministry of Health in the district of Bukkuyum by strengthening the capacity of 3 health centres regarding nutrition and infant health.

  • SUMMARY

    In 2021 in the context of our humanitarian mission in Nigeria, we:

    • provided 154,942 curative consultations,
    • provided 39,124 pre-natal consultations,
    • tested 50,357 children aged under 5 for malnutrition,
    • provided 70,227 mental health and psychosocial consultations (individual and group sessions),
    • and provided assistance to 864 survivors (44 men and 820 women) of gender-based violence.
  • 290,894

    Beneficiaries in 2021.

  • 4,347,814 €

    Budget in 2021.

290,894

Beneficiaries in 2021.

4,347,814 €

Budget in 2021.

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