Medical/Health Care

Nigeria: Standard Operating Procedures (SOP), 7 November 2019

Background

The ten-year long conflict in northeast Nigeria has caused a large-scale humanitarian crisis across the worst-affected states of Borno, Adamawa, and Yobe with 7.1 million people in need of humanitarian assistance in 2019.

An estimated 1.8 million people are internally displaced across the three states in the northeast; livelihoods have been lost, commercial markets and trade have been disrupted, host community resources are depleting, and large areas of Borno State remain inaccessible for humanitarian actors due to the volatile security situation.

Since late 2015, access to the affected populations in the conflict areas has gradually improved, enabling humanitarian organisations responding to the crisis to scale-up their operations, primarily to internally displaced persons (IDP) camps, host communities in Maiduguri, and the headquarters of many Local Government Areas (LGAs).

Logistics Gaps and Bottlenecks

Insecurity, poor/damaged infrastructure, and increased humanitarian activity have placed significant demands on logistics capacities in the three affected states, with Borno State being the most heavily impacted. Movement of humanitarian assistance into key operational areas remains limited, access for humanitarian staff is restricted, and some areas remain completely inaccessible due to active hostilities. Given the prevailing security conditions, most of the existing (or proposed) humanitarian activities are supported by the Nigerian Armed Forces (NAF) providing security.

In much of the accessible areas of the northeast, humanitarian actors report no serious issues accessing necessary logistics services (such as storage or transport) through the commercial sector. However, in Borno State the scale of humanitarian assistance continues to strain the logistics resources available(i.e. transport assets contracted out of Maiduguri can be of poor quality, trucks are prone to breakdown, and/or have a limited capacity to move on waterlogged roads).

The road network in the northeast is generally favourable for long haul trucking to state capitals, with last mile delivery being made along primary or secondary roads linked to the majority of locations hosting affected populations. However, 4×4 or 6×6 trucks are suggested for harder to reach areas with poor road conditions. During the rainy season, from July to September, the use of all-terrain vehicles to reach some communities may be required. During previous rainy seasons there have been flood warnings in several Nigerian states, which necessitates the regular and careful monitoring of road conditions.

Source: World Food Programme