Malnutrition

By Muhammad Abubakar Tahir

Across many communities in northern Nigeria, malnutrition remains a quiet but devastating reality. In rural homes and crowded settlements alike, countless children grow up without the essential nutrients required for healthy development.

The signs are often visible, including stunted growth, frequent illness, low energy levels, and poor cognitive development—but the deeper consequences are far more profound. Malnutrition weakens family foundations, strains healthcare systems, and ultimately undermines society’s long-term development.

Jigawa State is not immune to this silent crisis. Despite various public health interventions over the years, malnutrition continues to affect children and vulnerable populations across the state. Poverty, food insecurity, low dietary diversity, and limited public awareness about proper nutrition all contribute to the persistence of the problem.

At this critical moment, one practical and impactful step the Jigawa State Government can take is to urgently recruit and deploy professional nutritionists across the state’s healthcare system.

Nutrition is the cornerstone of human development. A balanced diet supports healthy physical growth, strengthens the immune system, enhances brain development, and improves overall well-being.

When nutrition is inadequate, the consequences can be severe and long-lasting. Conditions such as stunting, wasting, undernutrition, and micronutrient deficiencies continue to affect many children and women in Jigawa State, undermining not only their health but also the social and economic future of the state.

Health experts emphasise that the first 1,000 days of a child’s life—from conception to the age of two are the most critical for physical and cognitive development. Poor nutrition during this period can lead to irreversible damage, including impaired learning ability, weakened immunity, and increased vulnerability to disease throughout life. Ensuring proper nutrition during this early stage, therefore, requires professional guidance and sustained community engagement.

Unfortunately, Jigawa State is currently facing a growing shortage of professional nutritionists within its healthcare system. Many nutrition officers who previously served in hospitals and public health facilities have recently retired, leaving a significant gap that remains unfilled. As a result, several health facilities now operate without functional nutrition units, while in others, the departments have become largely inactive due to the absence of trained personnel.

This situation is both concerning and avoidable. Across Nigeria, universities and colleges continue to graduate qualified nutritionists every year. Yet many of these professionals remain unemployed or underutilised due to limited opportunities within the public health sector. Jigawa State, therefore, has an opportunity to strengthen its healthcare delivery system by recruiting these young professionals and deploying them to general hospitals, primary healthcare centres, and community health programmes.

Professional nutritionists play a critical role in disease prevention and health promotion. They guide families on proper dietary practices, support maternal and child nutrition, and educate communities on healthy eating habits using locally available foods. Their interventions can significantly reduce cases of malnutrition, improve patient recovery, and enhance the overall health profile of the population.

Beyond hospitals, nutritionists also play an essential role in schools. With the expansion of school feeding programmes in Nigeria, ensuring the nutritional quality of meals provided to pupils has become increasingly important. Qualified nutritionists can design balanced meal plans, monitor food preparation standards, and ensure that these programmes genuinely contribute to children’s physical and cognitive development.

Community-based nutrition education is another area where these professionals are urgently needed. Through outreach programmes, health campaigns, and grassroots engagement, nutritionists can educate rural families on the importance of balanced diets, food safety, proper infant feeding practices, and hygiene.

Crucially, they can also demonstrate how affordable, locally available foods—such as grains, legumes, vegetables, and animal products—can be combined to meet nutritional needs.

Given Jigawa State’s predominantly agrarian economy, nutritionists can also collaborate with agricultural extension services to promote nutrition-sensitive agriculture. Encouraging households to cultivate diverse crops, improve food storage, and adopt better food preparation practices can significantly improve household nutrition and reduce dependency on expensive food items.

Meanwhile, a couple of visits to several hospitals across Jigawa State reveal a worrying reality. Many facilities operate without nutrition officers, leaving nurses and other health workers to manage cases that require specialised dietary expertise. In some institutions, nutrition departments have virtually ceased to function due to staff shortages. This weakens the health system’s ability to effectively address malnutrition and diet-related illnesses.

Equally concerning is the situation in higher institutions offering nutrition and dietetics programmes, where departments sometimes struggle with limited staffing and resources to train future professionals. Strengthening the nutrition workforce will therefore require both recruitment into the healthcare system and sustained support for training institutions.

It is important to acknowledge that the Jigawa State Government has made commendable progress in improving healthcare infrastructure and expanding primary healthcare services across the state. Investments in health facilities, maternal healthcare programmes, and immunisation services have improved health outcomes in many communities.

However, strengthening the nutrition workforce must become an essential component of these broader health reforms. Without trained professionals to address nutrition-related challenges, efforts to combat maternal and child mortality, infectious diseases, and poor health outcomes will remain incomplete.

Recruiting and deploying professional nutritionists is not merely a staffing decision—it is a strategic investment in public health, human capital development, and the long-term prosperity of Jigawa State. A healthier and well-nourished population is more productive, better educated, and more capable of contributing meaningfully to economic and social development.

Jigawa State, therefore, stands at an important crossroads. By prioritising the employment of nutritionists in hospitals, primary healthcare centres, schools, and community health programmes, the government can take a decisive step toward reducing malnutrition and improving the well-being of its citizens.

The fight against malnutrition requires commitment, expertise, and timely action. The time to act is now.

Muhammad Abubakar Tahir, a concerned citizen, writes from Hadejia, Jigawa State.

By Onumoh Abdulwaheed 

Northern Nigeria is facing an increasingly severe malnutrition crisis, with recent data revealing a stark escalation in cases. UNICEF reports that Nigeria has the second-highest burden of stunted children globally, with a 32% prevalence rate among children under five. An estimated 2 million children suffer from severe acute malnutrition (SAM), yet only 20% receive treatment.

According to Médecins Sans Frontières (MSF), the situation has worsened dramatically in 2024. Dr. Sanjana Tirima reports alarming increases across northern Nigeria. In Maiduguri, northeast Nigeria, MSF’s inpatient therapeutic feeding centre admitted 1,250 severely malnourished children with complications in April 2024, double the figure from April 2023. The centre has had to expand to 350 beds, far exceeding its initial 200-bed capacity.

Similar trends are seen elsewhere. In Bauchi state, MSF’s facility at Kafin Madaki Hospital saw a 188% increase in the first quarter of 2024 compared to 2023 in the admissions of severely malnourished children. Northwestern states like Zamfara, Kano, and Sokoto have reported increases in admissions to inpatient centres ranging from 20% to 100%.

Dr Christos Christou, MSF’s International President, previously highlighted the multiple challenges facing northern Nigeria, including “overwhelming levels of malnutrition, frequent outbreaks of vaccine-preventable diseases, lack of medical facilities and personnel, and continuous insecurity.” The crisis is further exacerbated by widespread flooding, which has devastated farmlands and displaced millions.

Despite the escalating crisis, the humanitarian response remains inadequate. In May, the United Nations and Nigerian authorities issued an urgent appeal for US$306.4 million to address nutrition needs in Borno, Adamawa, and Yobe states. However, MSF notes this is insufficient as it doesn’t cover other affected parts of northern Nigeria.

Dr Tirima emphasises the situation’s urgency: “Everyone needs to step in to save lives and allow the children of northern Nigeria to grow free from malnutrition and its disastrous long-term, if not fatal, consequences.” She calls for immediate action to diagnose and treat malnourished children and engage in sustained, long-term initiatives to address the root causes of the crisis.

MSF and other organisations stress the need for a comprehensive and urgent response as the situation worsens. “We can’t keep repeating these catastrophic scenarios year after year,” Dr. Tirima warns. “What will it take to make everyone take notice and act?” The crisis in northern Nigeria remains a critical humanitarian concern requiring immediate and sustained attention from national and international stakeholders.

Onumoh Abdulwaheed wrote via onumohabdulwaheed@gmail.com.

By Uzair Adam

Vice President Kashim Shettima has officially launched the federal government’s new nutrition initiative, aimed at addressing malnutrition and food insecurity across Nigeria.

The programme, named the “Nutrition 774 Initiative,” is set to improve nutritional outcomes in all 774 local government areas of the country.

Shettima emphasized the government’s commitment to ensuring that every household in Nigeria has access to nutritious food, beyond just availability in stores and warehouses.

He noted that the initiative aims to eradicate malnutrition through a community-based approach that empowers local actors, such as health workers and community leaders, to take charge of nutritional improvements in their areas.

At a roundtable meeting with development partners, Shettima called for their collaboration to make the programme a success. He explained that addressing malnutrition requires collective efforts from all stakeholders, including the government and development organizations.

The initiative also focuses on training local health professionals to better equip them in handling malnutrition at the grassroots level. Despite recent floods and global inflation affecting food security, Shettima highlighted the need for innovative solutions that directly tackle these challenges.

Coordinating Minister of Health & Social Welfare, Prof. Muhammad Pate, described the initiative as crucial in addressing malnutrition, particularly among vulnerable populations.

He stressed the importance of a multi-sectoral approach, integrating efforts from agriculture, health, water, sanitation, and social protection sectors to ensure the success of the programme.

By Lawal Dahiru Mamman 

Malnutrition, generally, is when humans or any other living organisms get little or insufficient food nutrients, resulting in health problems. Nigeria is one of the 12 world countries recently declared as the epicentre of the global nutrition crisis. 

The other 11, mostly African countries, include Burkina Faso, Chad, Ethiopia, Kenya, Mali, Niger, Somalia, South Sudan, Sudan, Afghanistan, and Yemen.

COVID-19, war in Ukraine and conflicts in some of these countries are factors that have exacerbated the situation. Barely seven years ago, the number of under-nourished people in sub-Saharan Africa rose from 181 million in 2010 to almost 222 million in 2016. This figure increased to 264.2 million according to a study titled, “Malnutrition: An underlying health condition faced in sub-Saharan Africa: Challenges and recommendations,” published in a medical journal, Annals of Medicine and Surgery, in October 2022.

Recently, Anne Patterson, the Director, United States Agency for International Development (USAID) Mission, at the Trade Fair for Ready-to-Use Therapeutic Foods and Other Life-Saving Nutrition Commodities in Abuja, disclosed that Nigeria is ranked as the country with the second-highest malnutrition rate in the world.

This is according to the recent Food Consumption and Micronutrients Survey, she said.

In reality, Africa, with its abundant water body, aquatic life and favourable climate (which supports the growth of various food crops, including fruits and vegetables), has all that is necessary to produce the macro and micronutrients required to nourish the body for optimal growth and health.

For Nigeria, in particular, which has agriculture written all over its national symbol (as the green on our National Flag signifies agriculture, and the black shield on the coat of arms symbolises fertile soil), the country should not be mal- or undernourished, even ranking second globally.

There are also about 200 species of fish, thanks to the large water body nature has blessed our country with. This, along with other aquatic lives, can be harnessed for healthy foods. There are livestock of various types, giving quality nutrients, too.

A lot is invested by the government in building more resilient health systems medical technologies, training of medical practitioners, and treating illnesses. It is time the same energy and resources are invested in nutrition.

For example, during this year’s World Malaria Day, Nigeria still routinely spent an estimated sum of N2.04 trillion on malaria annually.

Breaking this figure further, the Chairman of the Pharmaceutical Society of Nigeria (PSN) said, “The estimated cost for an individual to treat uncomplicated malaria in Nigeria ranges from approximately N700 to N3000, depending on the type of treatment, and the healthcare facility visited.

“While treating complicated malaria could be significantly higher, ranging from N20,000 to N60,000, or more”. 

On the cost to the Nigerian government, the consultant pharmacist said: “This cost includes expenditures on healthcare facilities, medication, and personnel.”

Tackling the menace of investing heavily in treating illnesses and sicknesses affecting citizens would be to invest in its prevention. And that entails boosting the masses’ nutritional health by ensuring the availability of good and nutritious meals. 

This will help in fortifying the immune system of Nigerians and combating all forms of malnutrition troubling citizens, especially Nigerian children from less privileged backgrounds. 

Being a nation that also engages in massive agricultural cultivation of food and tearing of assorted livestock, the last thing citizens should have as a companion is hunger. Therefore, the federal government and other concerned authorities should worry about the global survey that ranked us as one of the world nations battling with the malnutrition crisis. It is a sad commentary.

Lawal Dahiru Mamman writes from Abuja and can be reached via dahirulawal90@gmail.com.