malnutrition

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By Sharon Levy

This May I had the privilege of volunteering as a Registered Nurse for the Real Medicine Foundation’s Malnutrition Eradication program in Jhabua, India. Jhabua is located in Madhya Pradesh, one of the poorest states in the sub-continent.  60 per cent of children under the age of 5 are malnourished in Madhya Pradesh.  RMF’s program targets this age group to be assessed for severity of malnutrition, need for inpatient treatment, and family education to decrease the incidence of malnutrition.

Working with Michael Matheke- Fisher, RMF’s Regional Programs Coordinator in South Asia, Caitlin McQuiling, Director of Programs for RMF in India, and Community Nutrition Educators, (local women hired and trained by RMF) I went on several follow up home visits to see children who had been recently treated at one of RMF’s Nutrition Rehab Clinics (NRC) The NRC provides 14-21 days of medically monitored feedings of micronutrient rich food for children with severe acute malnutrition. In addition to weight gain, other ailments such as respiratory illnesses, infections, and diarrhea are treated as well. A pediatrician and a specially trained group of nurses follow each patient.   While there the family member who stays with the child, usually the mother, is given education about helpful ways to add protein and calories to the child’s food as well as clean food handling practices.

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Real Medicine India is proud to introduce its newest staff member, Jaimie Shaff, as the team’s Program Manager for Health and Nutrition. Jaimie recently completed her Master of Public Administration for International Public and Non-Profit Management and Policy Analysis at New York University.

While Jaimie is new to the RMF team, she’s not new to our programs.  For the past year Jaimie has been a part of the 4 person “Capstone” team, assigned to help RMF’s “Eradicate Malnutrition” program through NYU’s Wagner School of Public Service’s Capstone program.  Jaimie and her colleagues spent two semesters helping RMF analyze the program, providing valuable inputs for program development, including helping us finalize baseline surveys and conducting an important pre-program gap analysis.

While visiting us in Jhabua in January, Jaimie and the Capstone team conducted surveys on the healthcare access and nutrition information in many of the villages that became part of our intervention. In addition to the actual report, Jaimie and her team’s information gathering process was extremely helpful for our team on the ground for targeting our intervention and connecting our Community Nutrition Educators with local health workers. Furthermore, Jaimie and her team’s identification of gaps in systems in Jhabua helped us gain a better understanding of some of the causes of malnutrition in Madhya Pradesh.

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by Jonathan White and James Nardella

Real Medicine’s Ochieng’ Memorial Lwala Community Health Center in Kenya is a community-based health care project that is managed and supported in partnership with the Lwala Community Alliance, a U.S. based humanitarian organization.  The mission of the clinic is to meet the holistic health needs of all members of the Lwala Community, including its poorest.

Whenever possible it addresses health problems at their roots through community health interventions.  It aims to provide excellent community-based health care, not to become a tertiary care facility.  The health center is part of a larger effort to achieve holistic health and development in Lwala, including educational and economic development.

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We’d like to give thanks to Carly Shankman for holding a succesful fundraiser in San Diego for the Malnutrition Inititiative in India.  Here is the blog she’s written about the fundraiser and her upcoming volunteer trip to India with RMF

By Guest Blogger, Carly Shankman

I was introduced to the Real Medicine Foundation through Michael Matheke (RMF India Programs Coordinator) about 4 months ago.  It was at that time I decided to leave my life in San Diego and take the journey of a lifetime backpacking through India.  Even greater than my desire to travel and learn for my own personal growth, I wanted to contribute to the people and communities of India. My passion in life is to see, do, explore, meet, live, love, appreciate and experience everything I come across on my journey. I believe in contributing to the greater good of the world and leaving the world a better place than when I arrived.  RMF provided the platform for me to do this.  After reviewing the website I immediately resonated  with the malnutrition eradication program and the work they are doing with children.

I spoke with Michael and expressed my desire to volunteer on-site. After the plans were set for me to stay onsite with RMF I started to brainstorm fundraising ideas to make a monetary donation prior to my arrival.  Since I am traveling with 3 other girls to India, Bri, Kayla, and Laura, I wanted to do something we could all work on together.  We ran the idea of having a car wash at the restaurant with our GM, James Stephenson, and he was completely on board.  He even allowed us to advertise the event to all our customers that came in.

The car wash was held on Saturday, July 10th and it was a complete success! We were a little concerned because the carwash was being held on the 4th day San Diego had been really overcast and cloudy and thought it might deter people from coming.  Right after we were done setting up the sun came out and the cars started lining up. We had a steady flow of 3-4 cars at a time all day long and all our friends stopped by with cars to clean, snacks to share and the DJ kept the music jamming all day.  There were approximately 15 volunteers helping to wash cars and collect donations and nearly 50 people stopped by to support us. The event went perfectly and thanks to LJ Strip Club, Home Depot, Ace Hardware, Vons, Einstein’s Bagels, Trader Joe’s and all the amazing volunteers that came out, we raised $750 for RMF!

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By focusing on one child at a time, our Malnutrition Eradication team in Mahaya Pradesh India, has been able to move forward in spite of the staggering figures stacked against them–100% malnutrition rates and 1.2 million children at risk–and has grown from 200 patients to 100o’s to become the largest active feild presence in the country in only 9 months, reaching 500 villages and 100,000 families.

When Shukla announced her own dream to teach children from the slums of Bangalore India she was hit with a huge resistance from those around her–how was she, one woman, going to make a dent?

As if taken directly from Real Medicine’s core principles, Shukla takes the RMF approach of One Child at a Time and it is in this way that she was able to not move forward undaunted in spite of the scale against her.

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The Real Medicine Foundation (RMF) and NYU’s prestigious Capstone program have announced a partnership and three graduate students have arrived in Jhabua, Madyha Pradesh to assist with RMF’s malnutrition program.
An estimated 60 million children under the age of five are estimated to be malnourished India. The state where RMF is concentrating, Madhya Pradesh, has the country’s highest malnutrition burden, with 60% of its children under-five malnourished. Of the six million malnourished children in the state, 1.3 million of them have severe acute malnutrition (SAM) and one million have moderate acute malnutrition (MAM).
Children with MAM are able to recover with careful diet regulation and nutritional supplements, and generally do not require hospitalization. SAM presents itself in two general forms: complicated and uncomplicated. Complicated SAM entails outlying medical complications such as hypothermia and pneumonia. Both forms of SAM require a minimum stay of 14 days in a hospital.
RMF’s comprehensive approach to eradicating malnutrition focuses on the entire continuum of care from identification to treatment and prevention. The students will be conducting 14 days of field research to gather information on malnutrition knowledge, prevention activities, and treatment in government facilities throughout Jhabua and Alirajpur districts. Their research will help provide RMF with baseline analysis for new districts and with information about communities and facilities that are in need of assistance, as well as identify obstacles and problems faced by malnutrition field workers when working with local communities.
We will be taking the students to all 5 Nutritional Rehabilitation Centers in Jhabua and Alirajpur to assess the centralized treatment of SAM. In addition, the students will be going to village Anganwadi Centers, both rural and town, to interview Anganwadi workers about their needs, knowledge, and any recommendations they may have into improvements that could help children.
The RMF team here is excited to have the students, and is very much looking forward to their help and insights!
capstonephoto

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students of Bhil Academy_2The following is taken from the article, UNICEF: Poor nutrition is killing children, stunting growth on CNN.com

Hunger is stunting hundreds of millions of children in the developing world, and more than 90 percent of them live in Africa and Asia, UNICEF says.

Poor nutrition is one of the main killers of young children, the U.N. Children’s Fund says in the new report “Tracking Progress on Child and Maternal Nutrition.”

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Selling Wives to Pay Debts: Madhya Pradesh

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DSCN0083The following information was taken from the article: Desperate Farmers Sell Wives to Pay Debts in Rural India. High Noon video

In her article, Sarah Sidner describes how in India, husbands are selling their wives and parents are selling their daughters to pay off impossible debts incurred after years of drought and resulting crop failure.

Clearly, this is not simply an issue of poverty but also one of culture structure where women are seen as potential currency.

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Please watch this great video made by our friends at the World Bank. They do a great job at explaining malnutrition in India and what we can do about it. WB recently gave RMF a longer, India-specific version of this video, in Hindi, that has been edited and adapted as a tool to train field workers in nutrition. We’re using this video during our training sessions with local NGOs and self-help groups to give them an introduction on malnutrition.

One Last Dance

http://www.youtube.com/watch?v=EoWmbd-Nx6U

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Widespread malnutrition in Madhya Pradesh, India – A note from the field

15 Minutes dvdrip

Jhabua, Alirajpur, Khandwa, Khargone June 2009

The Student Prince movie Malnutrition is one of the most serious and large scale health problems facing the Indian state today:

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