Presence Country
Special Report

Nutrition situation in Borno and Yobe states is extreme in several locations

August 2016

IPC 2.0 Acute Food Insecurity Phase

1: Minimal
2: Stressed
3: Crisis
4: Emergency
5: Famine
Concentration of displaced people
Would likely be at least one phase worse without current or programmed humanitarian assistance
FEWS NET classification is IPC-compatible. IPC-compatible analysis follows key IPC protocols but does not necessarily reflect the consensus of national food security partners.

IPC 2.0 Acute Food Insecurity Phase

1: Minimal
2: Stressed
3+: Crisis or higher
Would likely be at least one phase worse without
current or programmed humanitarian assistance
FEWS NET classification is IPC-compatible. IPC-compatible analysis follows key IPC protocols but does not necessarily reflect the consensus of national food security partners.
FEWS NET Remote Monitoring countries use a colored outline to represent the highest IPC classification in areas of concern.

IPC 2.0 Acute Food Insecurity Phase

Presence countries:
1: Minimal
2: Stressed
3: Crisis
4: Emergency
5: Famine
Concentration of displaced people
Remote monitoring
countries:
1: Minimal
2: Stressed
3+: Crisis or higher
Would likely be at least one phase worse without
current or programmed humanitarian assistance
FEWS NET Remote Monitoring countries use a colored outline to represent the highest IPC classification in areas of concern.
Partners: 
ACF
UNICEF

The Boko Haram conflict and its associated impacts on freedom of movement, livelihoods, markets, and humanitarian access have resulted in a severe food security and nutrition emergency in parts of Borno and Yobe States. The most recent rapid SMART surveys and mass MUAC screenings conducted in newly accessible localities of Bama, Banki, Monguno, and Dikwa in Borno State and Gujba and Gulani in Yobe State indicate levels of global acute malnutrition (GAM, MUAC<125mm) ranging from 20 to nearly 60 percent. This level of acute malnutrition reflects an “Extreme Critical” situation according to the IPC for Acute Malnutrition and is associated with a significantly increased risk of child mortality. Conditions may be even worse in areas that remain inaccessible. The situation remains Serious to Critical in the more accessible areas of Kaga, Konduga, Maiduguri Metropolitan Center (MMC), and Jere LGAs in Borno State as well as Jakusko LGA in Yobe State where GAM levels range from 8 to 20 percent.    

Rapid MUAC screenings of IDPs in Banki Town, conducted by Medicins Sans Frontiers (MSF) in July and August 2016, revealed GAM levels of 27.2 and then 51.8 percent. In Bama, the proportion of children identified as malnourished during mass MUAC screenings by UNICEF and MSF increased from 39.1 percent April to 51.9 percent in June. While these screenings are not representative, they indicate an extremely severe, and possibly deteriorating, situation. These poor nutrition outcomes are largely fueled by persistent insecurity which has limited population movement and humanitarian access. Data from mass MUAC screening completed by UNICEF and MSF along with a representative rapid SMART survey conducted by ACF in MMC and Jere LGAs, where IDPs are accessing more humanitarian support, indicates a more stable, and potentially downward trend, of GAM levels between April and June. 

Mass MUAC screenings are conducted on a weekly basis in IDP camp health centers supported by UNICEF.  Between May and August 2016 these screenings revealed a very high percentage of malnourished children in majority of the camps including a significant number of cases of severe acute malnutrition. Children with severe acute malnutrition are at a significantly increased risk of death. MUAC screening-based GAM and SAM levels have surpassed 15 percent in 17 of the 25 camps which are monitored. While health screening data is also not statistically representative it provides further evidence of extremely poor nutrition outcomes in northeast Nigeria.

About FEWS NET

The Famine Early Warning Systems Network is a leading provider of early warning and analysis on food insecurity. Created by USAID in 1985 to help decision-makers plan for humanitarian crises, FEWS NET provides evidence-based analysis on some 34 countries. Implementing team members include NASA, NOAA, USDA, and USGS, along with Chemonics International Inc. and Kimetrica. Read more about our work.