malnutrition

Médecins Sans Frontières (MSF), an international humanitarian organisation, has released its 2025 activity report for Nigeria, and the findings are sobering. The medical emergency organisation, also known as Doctors Without Borders, unveiled the report during an event in Abuja, North Central Nigeria, on Wednesday, May 13, documenting the disturbing rise in malnutrition cases in the country’s northern region.

With more than 3,500 workers delivering essential healthcare services across ten states, MSF reported treating over 440,000 children for malnutrition, more than 300,000 individuals for malaria, and assisting with over 33,500 deliveries in 2025.

This surge, according to the humanitarian organisation, underscores the fragility of Nigeria’s health system and the growing vulnerability of women and children in conflict-affected regions.

The 2025 report shows that MSF recorded more than 600,000 outpatient consultations, 48,000 inpatient admissions, and treated 341,239 patients for malaria, 38,753 children for measles, 6,123 patients for diphtheria, and 985 others for meningitis across its facilities in the region.

These findings are specific to the ten Nigerian states where MSF has been operating since 1996, including Jigawa, Kano, Katsina, Kebbi, Sokoto, Zamfara, and Cross River. The organisation says it has provided a wide range of essential medical services, including paediatric and maternal health care, treating children with malnutrition, responding to disease outbreaks, caring for survivors of sexual violence, offering mental health support, and performing life‑saving surgical interventions. 

The MSF country representative, Ahmed Aldikhari, revealed that in 2025, the organisation observed a pattern consistent with that of previous years, starting in 2022. Aldikhari stated that malnutrition is one of the year’s greatest challenges, linking it to the region’s fragile conditions, which are severely affected by insecurity that has worsened food security.

“We are seeing a vicious cycle where malnutrition is both a cause and a consequence of diseases such as measles, malaria, and diphtheria, among others, which continue to affect vulnerable communities, especially when healthcare is delayed or inaccessible,” he said, suggesting that Nigeria might soon experience the peak of the malnutrition crisis. 

“That is why we are consistently working side-by-side with the ministries of health, humanitarian affairs, budget and planning at the state and federal levels, and also, with our Nigerian colleagues to ensure that efficient services are provided, but they are not enough.”

HumAngle has previously reported on the broader impact of the crisis, stressing how displacements, insecurity, and climate change, among other natural and human-induced disasters, have compounded the problem. In July 2025, MSF, in collaboration with the Katsina State government, mobilised state and non-state actors to address the escalating malnutrition crisis in the northwestern region. 

During the 2024 MSF conference in Abuja, organised in collaboration with the North West Governors’ Forum and the Katsina State Government, stakeholders emphasised that malnutrition in the northwestern region is no longer a seasonal emergency but rather a structural crisis that requires urgent mobilisation. The governors acknowledged that insecurity and climate pressures were eroding food systems, but MSF urged greater investment in therapeutic feeding centres and preventive programmes.

Northern Nigeria continues to face a critical malnutrition crisis, with Katsina particularly affected, according to MSF’s 2025 activity report. Findings reveal that since 2021, MSF has been present in the state, with the organisation’s leadership revealing that they have witnessed a sharp rise in the number of malnourished children since responding to the growing crisis in recent years.

In 2025, MSF reported treating the highest number of malnourished children in Katsina. With the support of the state Ministry of Health, the organisation focused on preventing illness and malnutrition to reduce mortality and morbidity among children suffering from acute malnutrition.

“Katsina State has faced a chronic malnutrition crisis for over a decade, driven by insecurity, climate shocks, limited primary healthcare services, and high birth rates,” the report revealed. “Throughout 2025, MSF admitted 26,445 patients for inpatient care, provided treatment to 146,301 children through its outpatient centres, and conducted 15,387 outpatient consultations for malaria.”

In response to this, MSF established a new Ambulatory Therapeutic Feeding Centre (ATFC) in Mashi and a second inpatient therapeutic feeding centre at the Turai Yar’aduwa Hospital to handle the increased patient load during peak seasons.

Beyond nutrition in Kebbi, the report states that MSF responded to multiple infectious disease surges and outbreaks by tackling the increase in meningitis cases from February to May, while supporting the Ministry of Health facilities in Jega, Gwandu, and Aliero with logistics, medical supplies, staff training, and facility rehabilitation.

Following the escalating insecurity in neighbouring Zamfara and Niger that led to mass displacement to the Danko-Wasugu areas of Kebbi State as of June, the humanitarian organisation provided basic healthcare and distributed non-food relief kits to vulnerable households.

In Zamfara alone, MSF admitted 47,164 children to inpatient therapeutic feeding centres and provided 14,167 outpatient consultations in 2024, with numbers continuing to rise in 2025. According to Aldikhari, this increase in admissions is due to multiple overlapping crises, including conflict and insecurity in the northwestern and northeastern regions, which have displaced thousands of families, cutting them off from farmlands. 

While the 2025 activity report warns that malnutrition is no longer a seasonal emergency but a permanent feature of Nigeria’s humanitarian landscape, it also highlights the fact that the sheer scale of admissions suggests the crisis is outpacing the humanitarian response. 

Famine was confirmed in two places in 2025 – areas of the Gaza Strip and Sudan – the first such dual confirmation since formal famine reporting began, according to the Global Report on Food Crises (GRFC) 2026.

The annual report, produced by a coalition of 18 humanitarian and development partners, found that acute food insecurity remained widespread in 2025.

Across 47 countries and territories experiencing food crises, 22.9 percent of their populations – or about 266 million people – experienced acute food insecurity last year, a marginal rise from 22.7 percent in 2024 but nearly double the 11.3 percent recorded in 2016.

The proportion of analysed populations facing acute hunger has now stayed above 20 percent every year since 2020. In absolute terms, the number of people affected has grown from 108 million in 2016 to 265.7 million in 2025, having peaked at 281.6 million in 2023.

The GRFC cautioned that the slightly lower headline figure compared with 2024 mainly reflects a reduction in the number of countries covered – from 53 to 47 – rather than any real decline in needs.

Famine, catastrophe and emergency

Famine – the most extreme classification under the hunger-monitoring Integrated Food Security Phase Classification (IPC) system – was confirmed in parts of the Gaza Strip and Sudan in 2025. The risk of famine remained in other areas of Gaza, Sudan and South Sudan, and those projections extended into 2026.

According to the IPC, famine is when:

• At least 20 percent of households face extreme food shortages.
• Acute malnutrition affects more than 30 percent of the population.
• The death rate due to starvation or hunger-related causes exceeds two deaths per 10,000 people per day.

Six countries and territories had populations facing “catastrophic conditions”, or Phase 5, the highest level in the IPC’s classification of food insecurity. They numbered 1.4 million people, a more-than ninefold increase since 2016.

The Gaza Strip was the worst affected, with 640,700 people facing famine conditions, equivalent to 32 percent of its population, the highest share recorded globally. Sudan followed with 637,200 people, or 1 percent of its population.

Four other countries recorded catastrophic food shortages among specific groups of people: South Sudan – 83,500 (1 percent of the population), Yemen – 41,200 (0.1 percent), Haiti – 8,400 (0.1 percent) and Mali – 2,600 (0.01 percent).

Additionally, more than 39 million people in 32 countries were in Phase 4, or emergency conditions, representing 3.8 percent of the population analysed, a marginal increase from 2024.

Conflict remains the main driver of hunger

Conflict and violence were the primary drivers of acute food insecurity in 19 countries where 147.4 million people were affected. They represented more than half of those facing acute hunger globally.

Weather extremes were the primary driver in 16 countries, affecting 87.5 million people, while economic shocks led in 12 countries, with 29.8 million people affected.

Against that backdrop, humanitarian and development financing for areas facing food crises declined in 2025, falling back to levels last seen in 2016-2017, the report said.

As for 2026, the report said that based on a partial picture as of March, severity levels remain critical in multiple contexts. It added that the escalation of conflict in the Middle East exposes food-crisis countries to direct and indirect risks of global agricultural and food market disruptions.

A generation of malnourished children

An estimated 35.5 million children were acutely malnourished in 2025 across 23 countries experiencing nutrition crises, including just under 10 million with severe acute malnutrition, the most life-threatening form.

A further 25.7 million children suffered from moderate acute malnutrition. About 9.2 million pregnant and breastfeeding women were also acutely malnourished across 21 countries with available data.

Displacement is concentrated in food-crisis countries

The number of forcibly displaced people in the 46 countries covered fell slightly in 2025 to 85.1 million.

About 62.6 million of them were internally displaced across 34 countries, and 22.5 million were refugees and asylum seekers in 44 countries.

Without a sustained push to address the structural drivers of hunger, the world’s most fragile countries will continue to bear a disproportionate share of the global hunger burden well into 2026, the report concluded.