Slideshow - Combating child malnutrition in Madagascar

  • A seven month old with severe acute malnutrition, recently discharged from an intensive care facility, visits an outpatient clinic in Antananarivo

    Guy Oliver/IRIN
    /photo/Details/201209130929020143/A-seven-month-old-with-severe-acute-malnutrition-recently-discharged-from-an-intensive-care
  • At each visit, her weight and size are checked as indicators of her nutritional health

    Guy Oliver/IRIN
    /photo/Details/201209130930330840/At-each-visit-her-weight-and-size-are-checked-as-indicators-of-her-nutritional-health
  • Her general health is also monitored. Her temperature and heart rate are taken, and signs of dehydration or anaemia are assessed

    Guy Oliver/IRIN
    /photo/Details/201209130932190585/Her-general-health-is-also-monitored-Her-temperature-and-heart-rate-are-taken-and-signs-of
  • Her upper arm circumference is measured to gauge her recovery from severe acute malnutrition. Once in the green zone, her recovery will be all but complete

    Guy Oliver/IRIN
    /photo/Details/201209130934060801/Her-upper-arm-circumference-is-measured-to-gauge-her-recovery-from-severe-acute-malnutrition-Once
  • She is brought to her weekly clinic visits by her grandmother, who receives a supply of the ready-to-use therapeutic food Plumpy'nut to speed the girl’s recovery

    Guy Oliver/IRIN
    /photo/Details/201209130939000325/She-is-brought-to-her-weekly-clinic-visits-by-her-grandmother-who-receives-a-supply-of-the
  • At a National Community Nutrition Programme (PNNC) centre in the poor neighbourhood of Ambohimanarina, a community health worker gives nutrition advice to mothers

    Guy Oliver/IRIN
    /photo/Details/201209130940290108/At-a-National-Community-Nutrition-Programme-PNNC-centre-in-the-poor-neighbourhood-of
  • The PNNC centre currently serves 354 children under five years old, 280 mothers and 10 pregnant women

    Guy Oliver/IRIN
    /photo/Details/201209130942020957/The-PNNC-centre-currently-serves-354-children-under-five-years-old-280-mothers-and-10-pregnant
  • Though Antananarivo’s surrounding highlands have a variety of foods, diets are often limited by custom and cost. As a result, chronic malnutrition is higher than some poorer provinces

    Guy Oliver/IRIN
    /photo/Details/201209130944290769/Though-Antananarivo-s-surrounding-highlands-have-a-variety-of-foods-diets-are-often-limited-by
  • To fight chronic malnutrition, the PNNC centre offers cooking lessons, helping mothers diversify their children’s diets with cheap, available foods

    Guy Oliver/IRIN
    /photo/Details/201209130946250677/To-fight-chronic-malnutrition-the-PNNC-centre-offers-cooking-lessons-helping-mothers-diversify
  • The centre closely monitors the children’s weight

    Guy Oliver/IRIN
    /photo/Details/201209130948210570/The-centre-closely-monitors-the-children-s-weight
  • It also keeps a colour-coded ledger to track children’s health. Green indicates a child is well; yellow prompts a community health agent to visit the child’s home for an evaluation

    Guy Oliver/IRIN
    /photo/Details/201209130950060995/It-also-keeps-a-colour-coded-ledger-to-track-children-s-health-Green-indicates-a-child-is-well

Combating child malnutrition in Madagascar

SEPTEMBER 2012 - More than half of Madagascar’s children under the age five years old are stunted - the irreversible effect of undernourishment during the first 1,000 days of life. Children who suffer from stunting are at greater risk of illness, impaired cognitive development and death
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