Insurgents have destroyed about 788 health facilities in the region. In Borno 48 health workers have been killed and over 250 injured. The state has lost up to 40% of its facilities and only a third of those left in Borno state remain functional.
Attrition rates of health workers have also played a role. Over the past two years, Borno state has lost 35% of its doctors to other states.
Insecurity in the areas occupied by the insurgents also make planning and delivering essential health interventions difficult. Resources in camps for internally displaced people have been overstretched, with humanitarian agencies providing most of the health services

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