A termly measurement caught what nobody had noticed.
They measured my arm and then they came to our house the same week.Hawa, 14 — Savelugu, Ghana
Before
Hawa was thin in a way that had stopped being remarkable to anyone around her, which is how acute malnutrition usually goes unnoticed — it's gradual, and everyone adjusts. A routine mid-upper-arm measurement at the start of term came back red.
What changed
She started a course of ready-to-use therapeutic food, a fortified peanut paste that needs no water and no cooking, with weekly weigh-ins through the district health office. The course ran seven weeks and cost about fifty dollars.
Since
She reached a healthy weight-for-height and has stayed there for two years, helped by the fact that her school also serves lunch. She now helps the school committee flag households for rations, on the grounds that she knows which families are quietly struggling.
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