inside the medicines on Frontier msf pediatric facility in cim madaan local government area of Boi State a mother brings her under six-month-old child for treatment the child under go a treeage process for malnutrition and is promptly placed on emergency care for severe cases since 2002 msf in collaboration with the Boi state government has been offering free hospital and Community Care to patients under 15 years of age however this year the situation has deteriorated with a dramatic Serge in malnutrition cases msf reports that from January to June 2024 the hospital recorded over 5,000 admissions at the inpatient therapeutic feeding Center itfc and 17,000 at the ambulatory therapeutic feeding Center atfc this represents a 127% increase for itfc and a 123% increase for atfc compared to the same period last year this is an extension of the Imp patient therapeutic feeding Center itfc where malnourished patients are stabilized on the average this facility admits 25 to 40 patients daily and most times the bed capacity of this hospital is exceeded the surgeon cases is expected to continue and in response the facility is expanding by adding more tent increasing its capacity from 250 to 350 beds Bar's child is currently recovering after spending nearly a week in the hospital some children arrive with severe complications one mother is seing in distress as her baby with hypothermia is treated with a survival blanket I told my child was not going to survive when I got here surprisingly he has recovered because of the medical attention we received here msf says survival rate is above 90% at the facility though doctors note that late arrivals are a significant challenge in phase one that's where we stabilize the medical conditions the patients come with which is the complication we talk about and then that is want make sure the patient regains appetite is able to eat and of course the body body can be able to um to gain the sufficient quantity of milk is expected to get already rather to get higher calories of MEK before we move move them to um transition phase since they are they are living far from the hospital and they are really on in those areas they are poor they don't have access to health care they prefer going to see first the traditional healers and those traditional Healers they will give them concussions and the all challenge that we are having Even in our hospital will have some mothers who are still giving those concussion to these children in the hospital the state government is also responding to the situation government is working and try to put effort to establish to Food Factory in B state where to produce amid economic instability and health sector challenges msf is calling on additional Partners to join the fight against malnutrition they are campaigning for preventive measures and early detection using the mid upper arm cych conference method haer ALU channels television news