The United Nations launched an appeal on Thursday for $174 million in what it called "life-saving aid" for almost 200,000 Nigerians who have fled the country due to brutal attacks by Boko Haram jihadists.
The insurgents, who are seeking to create an Islamic state in the country's predominantly Muslim north, have killed up to 15,000 people since 2009, according to the UN.
"Displaced people in north-eastern Nigeria and across borders are in a very dramatic situation," Liz Ahua, west Africa representative for the UNHCR, the organisation's refugee agency, said.
"They continue to fear for their lives, and are at this point unable to return to their homes."
Some 192,000 people have fled over Nigeria's borders into Cameroon, Chad and Niger seeking refuge from relentless violence, according to the UNHCR.
A further 1.2 million have been displaced within Nigeria as a direct result of the bloodshed, the agency said at the launch of the Nigeria Inter-Agency Regional Refugee Response Plan.
Staff and volunteers in 23 aid organisations and UN agencies say they are struggling to provide shelter, food, education and sanitation for the refugees.
Robert Piper, the UN's humanitarian coordinator for the Sahel region, said more than 7,300 civilians had been killed since the start of 2014 in the three states of the northeast, including 1,000 already this year.
"Gross violations of human rights, including sexual violence and child trafficking, are frequently reported. Education and health infrastructure has been decimated.
"The majority of victims have found makeshift shelters in schools, with their neighbours and relatives... They have lost everything -- their homes, their livelihoods, their families."
The UNHCR showed a video of refugees in Minawao camp, Cameroon, featuring a boy called Ibrahim, whose village in Nigeria's Borno state was over-run by dozens of heavily-armed Boko Haram fighters.
- Stabbed and buried alive -
The 10-year-old recounts watching in terror as the Islamists cut his father's throat before turning on him with a machete and burying him alive.
"When I heard the gunshots I was afraid and my father told me to run. When they saw us, they shot him and he fell down," says Ibrahim.
"They killed my father. I was crying, and they brought out their machetes and cut me on the head."
Assuming he was dead, the insurgents threw Ibrahim into a pit which they filled with sand. He remained buried for two days, petrified but able to breathe, before he was rescued by his 13-year-old sister.
Largely peaceful presidential elections on March 28 saw Goodluck Jonathan lose to challenger Muhammadu Buhari in Nigeria's first ever democratic transfer of power.
But security fears remain high ahead of this weekend's regional elections.
Nigeria, Chad, Niger and Cameroon last month launched an unprecedented joint campaign against Boko Haram after the militants widened their offensive with attacks in the neighbouring countries.
Chadian President Idriss Deby vowed on Wednesday to "wipe out" the organisation and called on its commander Abubakar Shekau to give himself up, warning that he knew where the militant leader was hiding.
The UN is in talks to set up a multi-national force with African Union backing to defeat Boko Haram, which is estimated to have around 20,000 fighters.
"It is clearly going to be a mission with a strong anti-terror mandate. It will have an aggressive mandate (and) rules of engagement to combat Boko Haram," Piper told reporters.
He said his office was pressing the Security Council to take "every possible precaution to minimise the impact of its operation on civilians".
He added that he was urging the council to keep the combat force separate from other activities to protect the integrity and impartiality of the humanitarian mission.