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Borno state: In the face of the COVID-19 pandemic, other diseases will not relent
After more than a decade of armed conflict, outbreaks of severe malnutrition, malaria, measles and cholera, approximately 1.5 million internally displaced people in Nigeria’s Borno state now face the spectre of COVID-19.
Many displaced people live in vastly overcrowded camps with poor water and sanitation facilities, limited supplies of hygiene essentials such as soap and water, and often no individual space at all.
Functioning health infrastructure in Borno is scarce, and the capacity to refer patients is extremely limited. With so many people already vulnerable to outbreaks of disease, essential humanitarian assistance must be maintained; water and sanitation facilities must be improved in camps for internally displaced people; and frontline health workers, on whom the population will depend, must have access to personal protective equipment.
Médecins Sans Frontières (MSF) has been working in Borno state since 2014, and during that time we have witnessed the deplorable living conditions of the internally displaced, many of whom already suffer from illnesses endemic to overcrowded settlements, such as water-borne diseases and respiratory tract infections like pneumonia, which has been identified as a significant threat when coupled with COVID-19.
Maintaining lifesaving operations
COVID-19 has had a devastating effect on healthcare systems, economies and populations worldwide and it poses a substantial threat in Borno. However, even if COVID-19 were not present in Nigeria, the need for humanitarian assistance in Borno would still be massive.
In just over a month, rainy season will commence, bringing with it a surge in cases of malaria and malnutrition. In Maiduguri, Ngala, Pulka and Gwoza, our hospitals run 24 hours a day, seven days a week, and during the rainy season they will all be full.
In 2019 alone, MSF teams treated more than 10,000 patients for malnutrition in Borno and more than 33,000 confirmed cases of malaria; over 40,000 patients were admitted to MSF’s emergency rooms.
The effect that COVID-19 will have on our patients must not be underestimated, but if the chaos caused by this pandemic is allowed to curtail humanitarian assistance, the results will be catastrophic.
We are extremely concerned about the spread of COVID-19 and the potentially disastrous impact it will have on the most vulnerable. As the virus spreads in Nigeria, our priority is to maintain our operations which save thousands of lives every year, and to protect our patients and staff.
To do this, our medical and logistical teams have reinforced infection prevention protocols, informed local communities on the best prevention measures against COVID-19, installed hand washing points in local communities, established isolation zones and adapted our triage processes.
At a time of unprecedented global demand for medical supplies, the procurement of personal protective equipment for healthcare staff poses a substantial challenge. However, it is a challenge we must face in order to protect frontline medical workers and continue treating our patients.
Clean water: a precious and limited resource
In Pulka, where MSF runs a comprehensive hospital with outreach activities, surgical capacity, maternity care, and treatment for sexual and gender-based violence, the situation is dire. Pulka is a garrison town; a population centre controlled by the Nigerian military.
It is now home to approximately 63,000 people, 78 per cent of whom have been displaced at least once since 2015. There are 27,000 people living in overcrowded camps for internally displaced people in Pulka, with limited access to basic services, including water, food and healthcare.
In both Pulka and Gwoza (a neighbouring garrison town), the transit camps for new arrivals are overcrowded; in Gwoza, the transit camp population is triple the recommended capacity; and in Pulka, communal shelters host people for months or even years when they are designed to be a temporary solution for just two weeks.
In a recent water and sanitation assessment, MSF found that the daily provision of water per person in Pulka was just 11 litres, far below the minimum humanitarian standard requirement of 20 litres required for health and hygiene. Of these 11 litres, only an average of two litres was chlorinated and safe to drink. Quantities as low as 4.5 litres per person have also been recorded in previous surveys.
In Maiduguri, the capital of Borno state, the water and sanitation is not much better. Between 1999 and 2011, MSF responded seven times to outbreaks of cholera in Maiduguri, and in 2018, more than 4,000 people were diagnosed with cholera in 18 local government areas in Borno, Adamawa and Yobe states.
“In all the settings for internally displace people where MSF has operations in Borno state, gaps in essential water and sanitation facilities exacerbate the threat posed by COVID-19,” says Siham Hajaj, MSF head of mission
“These gaps, combined with the levels of overcrowding, and endemic health issues with a lack of corresponding health infrastructure, underscore the vulnerability of the population. There is no doubt about the danger posed by COVID-19. However, one thing we know for sure is that other diseases and medical conditions will not relent. We cannot afford to let this pandemic disrupt other medical assistance – the continued provision of medical services at this time is essential and it will save lives.”
COVID-19 is not the only threat facing people in Borno state, but its presence in Nigeria highlights the extreme vulnerability of so many who have already endured the horrors of war, disease and malnutrition. For them, social distancing is an abstract luxury, and frequent hand washing diminishes a precious resource.
In the face of this pandemic, the ramifications of Borno’s fragile health infrastructure are clearer than ever. It is imperative that humanitarian assistance be maintained for this population. Failure to do so will cost lives.
… Assures Prompt Salary Payment
The Sole Administrator of Rivers State, Ibok-Ete Ibas, has announced the release of withheld local government allocations, assuring that necessary steps would be taken to ensure the prompt payment of workers’ salaries.
Ibas disclosed this on Thursday during a meeting with Heads of Local Government Administrators in Port Harcourt, describing the engagement as a crucial step towards restoring stability and progress in the state.
He lamented the economic hardship in the Niger Delta, noting that despite the region’s wealth of natural resources, many of its people continued to suffer.
“This is unacceptable,” he said, stressing the need for transformation and financial accountability.
The administrator expressed concern over the delay in salary payments across local government areas, acknowledging the struggles of affected workers.
“I feel the pain of the workers,” he stated, assuring them that the withheld allocations had been released and that his administration would ensure prompt payment of salaries.
However, he warned that financial discipline would be strictly enforced, directing all local government areas to submit their wage bills with supporting documents through the office of the Head of Service.
Ibas, a retired Vice Admiral and former Chief of Naval Staff, vowed to scrutinise public funds and take decisive action against mismanagement.
“Good governance is not just a slogan; it is a commitment to changing the negative narrative within the next six months,” he added.
He also emphasised the need for collaboration with traditional rulers and security agencies to enhance grassroots security.
“You must take the lead in ensuring security within your domains,” he charged local government administrators.
Reacting, the President of the Nigeria Union of Local Government Employees (NULGE) and Administrator of Port Harcourt Local Government Area, Clifford Paul, commended the Federal Government for appointing Ibas, attributing the decision to his leadership competence.
He urged the administrator to prioritise workers’ welfare, stating that local government workers were currently owed two months’ salaries.
“With the release of the withheld allocations, we are hopeful that workers will receive their entitlements soon,” he said.
Paul further called on stakeholders to seize the opportunity to rebuild trust and foster unity in the state.
President Bola Tinubu has sworn in Vice Admiral Ibok-ete Ibas (rtd.) as the Sole Administrator of Rivers State, following a brief meeting at the Presidential Villa on Wednesday afternoon.
Ibas’ appointment comes a day after Tinubu, in a nationwide broadcast, declared a state of emergency in Rivers State and suspended Governor Siminalayi Fubara, Deputy Governor Ngozi Odu, and all members of the Rivers State House of Assembly.
The President cited Section 305 of the 1999 Constitution as the legal basis for his action, stating that he could no longer stand by as the political crisis in the state escalated.
However, the suspension of Fubara and other elected officials has sparked widespread condemnation. Former Vice President Atiku Abubakar, Labour Party’s Peter Obi, senior lawyer Femi Falana (SAN), the Peoples Democratic Party (PDP), the Nigerian Bar Association (NBA), and several civil society groups have rejected the move, describing it as unconstitutional and undemocratic.
In contrast, the pro-Nyesom Wike faction of the Rivers State Assembly, led by Martins Amaewhule, has praised Tinubu’s decision, accusing Fubara of disregarding a Supreme Court ruling related to the state’s political crisis.
Vice Admiral Ibas, a retired naval officer, previously served as Chief of Naval Staff from 2015 to 2021 under President Muhammadu Buhari. Born in Cross River State, he attended the Nigerian Defence Academy in 1979 and went on to have a distinguished military career, rising to the highest ranks in the Navy.
He is a member of the Nigerian Institute of International Affairs (NIIA) and the Nigerian Institute of Management. In 2022, Buhari conferred upon him the national honour of Commander of the Federal Republic (CFR) in recognition of his service.
Ibas now assumes leadership of Rivers State amid a deeply divided political landscape, with tensions running high over the legality and implications of the emergency rule.
The Federation Accounts Allocation Committee (FAAC) disbursements to the federal, state, and local governments surged by 43 per cent in 2024, reflecting a major boost in government revenue inflows.
According to the latest FAAC Quarterly Review released in Abuja on Tuesday, the Nigerian Extractive Industry Transparency Initiative (NEITI) disclosed that a total of N15.26 trillion was allocated to the three tiers of government within the year under review.
NEITI’s Acting Director, Communication & Stakeholders Management, Obiageli Onuorah, described the disbursements as a historic high, noting that the allocations surpassed previous years by a remarkable margin.
Key Drivers of Revenue Growth
The report attributed the surge in FAAC disbursements to sustained fiscal reforms by the Federal Government, particularly the removal of fuel subsidies and foreign exchange rate adjustments. These policies have significantly boosted oil revenue remittances and overall government earnings.
Speaking at the official release of the report in Abuja, NEITI’s Executive Secretary, Dr Orji Ogbonnaya Orji, highlighted the impact of these reforms on national and subnational finances. He noted that the withdrawal of fuel subsidies in mid-2023 reshaped revenue distribution and affected debt repayment deductions from state allocations.
Dr Orji stated that the objective of the report was to assess the sustainability of government borrowing, the fiscal implications of resource dependence, and the economic realities confronting states benefitting from the 13% derivation revenue from oil, gas, and solid minerals.
“The analysis focused on crude oil revenue derivation states, as solid minerals continue to underperform despite their significant potential,” he added.
Breakdown of FAAC Allocations
According to the NEITI report, FAAC disbursements in 2024 were as follows:
Federal Government: N4.95 trillion
State Governments: N5.81 trillion
Local Governments: N3.77 trillion
Total FAAC Disbursement (Including Derivation Revenue): N15.26 trillion
State governments recorded the highest percentage increase in allocations, jumping by 62% from N3.58 trillion in 2023 to N5.81 trillion in 2024. Local government councils saw a 47% increase, while the federal government’s share rose by 24% from N3.99 trillion in 2023.
The report highlighted that FAAC allocations grew by 66.2% over three years, rising from N9.18 trillion in 2022 to N10.9 trillion in 2023 and N15.26 trillion in 2024, with the most significant leap occurring between 2023 and 2024.
Economic Risks and Challenges
Despite the revenue boost, NEITI cautioned that economic risks associated with fiscal reforms must be managed effectively. Key risks identified include:
Inflationary pressures
Possible rise in debt servicing costs
Fiscal uncertainty for oil-dependent states
The agency urged governments at all levels to adopt innovative measures to cushion the impact of these economic challenges.
State-by-State Allocation Analysis
Lagos received the highest FAAC allocation in 2024, with N531.1 billion, followed by:
Delta State: N450.4 billion
Rivers State: N349.9 billion
Conversely, the least allocations went to:
Nasarawa State: N108.3 billion
Ebonyi State: N110 billion
Ekiti State: N111.9 billion
The report also showed that six states—Lagos, Rivers, Bayelsa, Akwa Ibom, Delta, and Kano—each received over N200 billion, collectively accounting for 33% of total state allocations. Meanwhile, the six lowest-receiving states—Yobe, Gombe, Kwara, Ekiti, Ebonyi, and Nasarawa—received only 11.5% of total allocations.
Debt Deductions Raise Fiscal Concerns
A total of N800 billion was deducted from states’ allocations for foreign debt servicing and contractual obligations, representing 12.3% of total state allocations.
Lagos State had the highest debt deduction, with N164.7 billion, followed by:
Kaduna State: N51.2 billion
Rivers State: N38.6 billion
Bauchi State: N37.2 billion
NEITI warned that many states with high debt burdens were among the lower FAAC recipients, raising concerns about debt sustainability and overall fiscal health.
With the federal and state governments increasingly reliant on oil revenue, the report emphasized the need for economic diversification, stronger financial management, and sustainable debt practices to ensure long-term fiscal stability.
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