Since 2009, the population living in northeast Nigeria, which is currently 24.5 million people, have been directly or indirectly affected by the Boko Haram conflict. With swaths of populated land largely inaccessible until government action in late 2016, northeast Nigeria has been beset with violence, decimation of livelihoods, rampant political instability and disrupted services. More than 20,000 people have been killed and an estimated seven million need humanitarian assistance. Northeast Nigeria hosts 1.7 million internally displaced persons (IDPs) with 1.3 million residing in Borno State alone. Healthcare and water supply infrastructure were destroyed, skilled healthcare workers were displaced through migration or disability and many were killed. Health commodities/medical supplies are largely absent or in short supply, due to insecure logistics and transportation systems. The conflict has rendered WASH, health, nutrition, protection and HIV/AIDS management services inadequate to serve the current needs. Having implemented PEPFAR/USAID-funded TB/HIV/AIDS projects in Borno state before 2009, FHI 360 witnessed first-hand the havoc wreaked and recognized the critical need for lifesaving interventions to restore functioning health and other service systems.
FHI 360 has been present in all 36 states of Nigeria since 1986 and was therefore well-positioned to increase operations into newly liberated LGAs and deliver urgently needed support. This document showcases response activities in 2017, namely to:
- Examine the evolution and adaptation of FHI 360’S response in Northeast Nigeria
- Provide critical lessons learned that can be adapted to other humanitarian response contexts