MSF nutritional care

9 & 10 October, second part of the trip in Mali with MSF this time in the North around Tombouctou, where an exploration mission is monitoring the population for serious malnutrition. The situation there didn’t turn out as dire as it is in Niger where some 30,000 kids remain under threat

Goundam camp

Goundam, this part of the city is inhabited by former displaced, who came from the North 10 or 15 years ago and never returned. The living conditions here look desperate. While the MSF team is screening children for severe malnutrition, Ann-Sophie is negotiating the urgent transfer of a baby to the feeding center.

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MSF therapeutic feeding center

CRENI room1 – Ismaël has been here a week and is quickly recovering. Children are being cared for day and night in room 1 and fed every 3 hours. Maya, the little girl lying alone on the other bed I will see again on the next day, drinking by herself.

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MSF therapeutic feeding center

CRENI room1 – Mamadou just arrived in a terrible condition, aged 3 or 4 years old weighting just 5.3 kilos he is completely dehydrated and suffers a lung infection. My daughter is almost 3 and healthy, she’s considered a small kid and weights 12 kg.
At the time I was there doctor Komlan was optimistic on Mamadou’s chances of survival. I haven’t had news since.

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MSF therapeutic feeding center

CRENI room2 – after one week or more spend in room 1 (or depending on affluence) children are moved to room 2 when they are recovering. This is one of my favorite shots, after all I had seen these mothers’ smile incarnate hope.

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MSF therapeutic feeding center

Everyday at 11 am bath for all the kids. Of course water is an important issue in such secluded regions at the entrance of the Sahara. MSF rapidly took care of bringing drinkable water in quantity. What was really striking me here was the renascence of gestures from the caring mothers for their children.

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MSF ambulatory health center

Every Monday, the CRENA opens for medical consultation of infants and food distribution to families. Here the Malian staff is waiting together with the first visitors.

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MSF ambulatory health center

The children are being weighted to check if they have gained or lost during the past week. On their first visit they will also be measured and screened with the MUAC (Mid Upper Arm Circumference) another indicator of their nutritional status.

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MSF ambulatory health center

The paracheck is a new quick test to screen fevers. Children are systematically tested for malaria the first killer of children under 5 in Africa, ahead of aids and malnutrition.

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MSF ambulatory health center

Monday visit to the infirmary.
There is very little basic medication available even through MSF.

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MSF ambulatory health center

Food distribution of plumpy’nut for infants that can be taken care of at home.
The food rations include a mixture of cereals, oil and sugar for a family of 7,
the median in Mali.

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Goundam camp malnutrition screening

Another exploration mission in the areas surrounding Goundam in search of infant malnutrition. 3 severerly malnourished infants will be found that afternoon and brought to the feeding center.

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