Start of program: 2016


  • 196 million inhabitants
  • 367,000 children suffer from severe acute malnutrition
  • 7.1 million people in need of humanitarian aid
* Data from 2018


  • 130,822 mothers trained to screen their children for malnutrition
  • 125,918 outpatient pediatric consultations
  • 14,796 prenatal consultations
* Data from 2019

Areas of intervention

  Maternal health
 Outbreak responseResearch

Country context

In Nigeria, the continuing armed conflict has contributed significantly to the deterioration of the humanitarian situation, particularly in the northeastern part of the country. As the conflict enters its 10th year, more than 1.7 million people are internally displaced and 7.1 million people are estimated to be in need of humanitarian assistance in three of the most affected States in the northeast: Adamawa, Yobe and Borno. 

Many areas with significant needs are inaccessible to humanitarian actors due to the security situation. Health structures have been particularly affected by the armed conflict and according to the World Health Organization, less than half of the health structures are fully functional in Borno State. 

As a result, in 2019, nearly 2.7 million people faced critical food insecurity, with more than one million children suffering from malnutrition according to the Office for the Coordination of Humanitarian Affairs (OCHA).

© What Took You So Long / ALIMA

ALIMA’s Impact – Our fieldwork

ALIMA has been present in Nigeria in Borno State since June 2016. Our teams were among the first international aid workers to arrive in Monguno.

Maternal and child healthcare

ALIMA provides medical and nutritional care to displaced people in Monguno, in nine outreach centers and one hospital. ALIMA’s support includes maternal and child health, as well as emergency neonatal care in outlying areas and hospitalisation services. Finally, in Muna, on the outskirts of Maiduguri, ALIMA provides medical care for children under five, and pregnant and lactating women in a clinic that serves the many IDP camps in the region.

At the University of Maiduguri Teaching Hospital, ALIMA supports the care of children hospitalized for Severe Acute Malnutrition with complications.

In Baga, Doro and Kukawa, ALIMA provides primary and secondary health care for children under five years of age, as well as sexual and reproductive health services for pregnant and lactating women.

Training and support for health structures

In May 2017, in order to increase the skills of local health workers and better care for cases of Severe Acute Malnutrition with complications, ALIMA established a training center on the management of  children hospitalised with Severe Acute Malnutrition, in collaboration with UNICEF and the University of Maiduguri Teaching Hospital.

Health professionals from the region are regularly trained at the center and participate in 10-day training sessions, including both theoretical and practical components.

© Etinosa Yvonne / ALIMA

Outbreak Response

In January 2018, following an outbreak of Lassa fever (a life-threatening viral hemorrhagic fever), ALIMA supported the government-ed response in two of the most affected states (Owo and Irrua).

At the Federal Medical Centre in Owo, ALIMA, in collaboration with the NCDC (Nigeria Centre for Disease Control), is supporting Lassa fever case management and conducting research under the LASCOPE (Lassa fever clinical Course and Prognostic factors in an Epidemic context in Nigeria) project, in partnership with the NCDC, INSERM (French National Institute of Health and Medical Research), ALERRT (The African coaLition for Epidemic Research, Response and Training) and the University of Oxford.

More recently, during a cholera outbreak in Monguno, Muna, Baga and Askira-Uba, ALIMA set up, on an emergency basis, a cholera treatment center and cholera treatment units to provide life-saving care to patients affected by this disease. 

Focus on 2019

In 2019, ALIMA teams in Nigeria carried out 125,918 outpatient consultations for children under 5 years of age, as well as 245,597 routine vaccinations and helped 4,417 women give birth. In addition, 130,822 mothers were trained to detect acute malnutrition in their children.

COVID-19 Response

Since early April 2020, ALIMA has been supporting the Nigerian Ministry of Health in its response to the COVID-19 outbreak in parallel to its regular activities.

In Maiduguri, ALIMA supports two COVID-19 treatment centers by helping to organize the patient triage circuit and providing the equipment, products and hygiene materials necessary for proper care. A total of 135 confirmed patients were treated in the two structures in Maiduguri. In Monguno, ALIMA also set up a care center.

More than 500 health workers from these three centers have been trained in Infection Prevention and Control (IPC) practices and procedures adapted to the outbreak context, which reduce the risk of transmission of the virus.


* Cover picture © Etinosa Yvonne / ALIMA

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