Projects

Mission statement

This Rapid Appraisal was commissioned by Medecins du Monde (MdM), and co-led by Dr. Norha VeraSan Juan from RREAL, and Federico Redin from Max Lock International Associates. It captures a snapshot of current conditions and decisions in relation to Internally Displaced People's (IDPs) access to healthcare in Maiduguri, Borno State, in Nigeria. Against a backdrop of ongoing conflict and rapid urban transformation, the study investigates the challenges faced by formal camp residents and those who have relocated to informal settlements, as well as the views of decision-makers and service providers.

The research will generate actionable recommendations to guide future health projects, with a particular emphasis on durable solutions and advocacy strategies for sustainable humanitarian engagement. Key research questions explore the barriers to healthcare access, the impact of forced relocations on access to water and sanitation conditions, and the effectiveness of current government policies, including the “Borno Model” for camp closures and return initiatives.

Employing a mixed-methods approach, the study integrates quantitative surveys and qualitative key informant interviews, alongside GIS mapping and structured field notes. This combination of methodologies is designed to capture a comprehensive picture of the healthcare landscape, providing insights into both the lived experiences of IDPs and the operational challenges of service delivery.

Emerging findings are already informing targeted interventions and policy adjustments aimed at improving healthcare accessibility for displaced populations in Nigeria. Recommendations were disseminated to stakeholders through a workshop and detailed reports are being produced, supporting evidence-based advocacy and more resilient health system responses in the region.