Tackling Maternal and Childhood Malnutrition in Cote d’Ivoire

By BGR Staff

The following article is based on the final report for the first year of a three-year project being implemented by Helen Keller International (HKI), a long-time BGR partner. The project, which is being funded in its entirety by BGR, aims to improve nutrition for pregnant women, infants, and children in the Korhogo District of Cote d’Ivoire. Cote d’Ivoire is among the poorest countries in the world, ranking 172nd out of 188 countries on the UNDP Human Development Index. Estimated child mortality under five years is 195 per 1,000 live births and life expectancy is just 54 years. Malnutrition, including vitamin and micro-nutrient deficiencies, is a major contributing factor to the high rate of infant mortality. Chronic malnutrition affects about 33% of children under five. Together, HKI and BGR are doing something to address this problem.

With the support of Buddhist Global Relief, Helen Keller International has launched this project to tackle malnutrition in the Korhogo Health District, located in the Poro Region in the northern part of the country, where child malnutrition is most pronounced. The overall goal of the program is to reduce the incidence of malnutrition among women of childbearing age, expectant and breast-feeding mothers, and children during their first 1,000 days of life. This enables newborns to reach a healthy start in life, decreasing the incidence of stunting and improving children’s cognitive development.

The program utilizes the Essential Nutrition Actions (ENA) framework, a package of proven, achievable interventions focused on expectant mothers and their newborn children during the first 1,000 days. Drawing on this framework, HKI is promoting optimal nutrition practices using all available platforms to reach mothers at the right time with the right message. The program promotes women’s nutrition, breastfeeding, complementary feeding, feeding the sick child, vitamin A and iodine supplementation, and the integrated control of anemia.

The project aims to train an average of five health workers at each of 77 clinics in the Korhogo Health District over a three-year period, for an estimated total of 385 health workers. HKI expects to provide approximately 77,000 expectant and nursing mothers and their children with nutrition education and services. It intends to increase the use of recommended ENA interventions—such as iron, zinc, oral rehydration salts, deworming tablets, and malaria prophylaxis—in every clinic involved in the project.

In September 2016, HKI contracted Mrs. Salimata Coulibaly to serve as master trainer in nutrition practices in the Korhogo Health District. Salimata benefited from special “train-the-trainer” sessions organized by HKI to build her capacity to reinforce health workers’ understanding of the ENA framework during a regional workshop organized for nutrition experts from French-speaking Africa.

Subsequently, Salimata trained 181 health workers in charge of nutrition at 76 health centers in Korhogo on the Essential Nutrition and Hygiene Actions during four training sessions organized at the Regional Hospital Center of Korhogo. The following topics were covered during the course: (1) nutrition of expectant and breastfeeding mothers; (2) exclusive breastfeeding for the first six months of a newborn’s life; (3) appropriate complementary feeding and continuation of breastfeeding for the first two years of a child’s life; (4) feeding the sick and malnourished child; (5) vitamin A, iron, iodine and zinc deficiency; and (6) essential actions in hygiene.

Over 34,000 expectant and breastfeeding mothers and their children benefited from nutrition coaching and cooking demonstrations. In addition, three-day coaching sessions were organized on a site-by-site basis in 32 health centers in Korhogo District in order to improve the community-based nutrition services provided. Two days were devoted to training the health workers, and one day of the training provided the health workers with an opportunity to practice their nutrition counseling skills with community members.

The project has so far been very successful. As a result of project activities, health workers are better equipped and aware of nutritional advice to provide to expectant and breastfeeding mothers, and are better prepared to provide community trainings on improved nutrition practices.

Here are a few testimonies HKI collected from health workers in the Korhogo Health District:

“The training has enabled us to start providing nutrition education, screenings for malnutrition, and treatment of moderate malnutrition cases. In the past, we were not providing those services. Following the training, we tasked a nurse from our center to implement Essential Nutrition Actions. We set up a weighing calendar for children. The women who attend our newly established cooking demonstrations are very satisfied and continue bringing their children to be weighed and measured at our center.” Dr. Traore, Lead Doctor, PMI Clinic, Korhogo

 “The training was very helpful. Since we received the training, our center has started providing regular cooking demonstrations and nutrition counseling sessions to expectant and breastfeeding mothers. However, we hope to be able to better treat moderately malnourished children with the support of our partner HKI through the supply of improved porridges.” Mr. Adingra, Monitoring and Evaluation Director, Social Center 2, Korhogo.

 “From the day I received the awareness training, I understood that the number of meals and the quality of food I eat plays a very important role in the health of the mother and her child. We don’t necessarily need a lot of money to eat well. Also, now I pay attention to what I eat.” Mrs. Cisse, expectant mother.

“After the awareness session in the center, I understood that because of my misunderstanding of the nutritional composition of food, I lost my first child who I did not breastfeed because I thought my own milk wasn’t good. I didn’t have enough money to buy milk powder in the pharmacy, and so I gave my child cow’s milk and porridge I bought in the market. Now I understand that for the sake of this child, I must eat well myself in order to produce milk, and I learned how to make porridge that is good for my baby.” Ouattara Karidja, breastfeeding mother.

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BGR Provides Emergency Grants to the World Food Program USA

By BGR Staff

 This past week Buddhist Global Relief provided emergency grants totaling $12,000 to the World Food Program USA for three projects–in Yemen, South Sudan, and among the Rohingya refugees from Myanmar living in Bangladesh. The contribution is to be divided evenly among them, with $4,000 going to each project. While this is just a tiny fraction of the aid needed, given the dire conditions all of these peoples are facing, every little bit–as an expression of compassion and concern–will be welcome

Yemen

In Yemen two and a half years of violence and conflict have pushed two-thirds of the population to the brink of famine. Limited access to ports has hindered the ability of the World Food Programme to deliver aid and at present some 17 million people across the country do not know where their next meal is coming from. What’s worse, the collapse of government services and a shortage of potable water has led to a cholera epidemic. Despite the obstacles, WFP implements general food assistance in 19 of Yemen’s 22 districts, including some of Yemen’s most hard-to-reach areas. The program’s targeting strategy assists the districts with the highest levels of food insecurity and global acute malnutrition rates. To ensure that the programs are thoroughly monitored, WFP contracts third-party monitoring companies to conduct on-site distribution monitoring and post-distribution monitoring. 60 Minutes aired a segment on Yemen in November that featured WFP’s intervention there. The clip can be viewed here.

South Sudan

A second grant will go to South Sudan, where continued conflict is driving the country towards famine and leaving an estimated 6 million people with acute levels of hunger. Because of the ongoing fighting and the breakdown of virtually all infrastructure, WFP has turned to airdrops to deliver aid. Airdrops are generally more expensive and more time-consuming than ground level delivery, but they become necessary when there are no alternatives to providing life-saving food.

The Rohingya Refugees from Myanmar

A third grant will go assist the Rohingya refugees from Myanmar, who have sought safety in neighboring Bangladesh. At present approximately 650,000 refugees have fled their homes in Myanmar and crossed into Bangladesh; more than 80% of them need food assistance. WFP has been rapidly expanding its emergency nutrition programs there to stave off malnutrition in young children and pregnant and breastfeeding mothers. Its funding shortfall for aid is currently at about $32 million.

Silke Buhr, a communications officer with the World Food Programme (WFP), describes the situation in the refugee camps thus: “The squalor of the camps around Cox’s Bazar is hard to imagine, the nervous energy, the pressing masses of people, the mud and the grit and the smell. Surely every form of human tragedy can be found here.”

Poverty Is Both a Political and a Moral Choice

By Ven. Bhikkhu Bodhi

The UN Rapporteur on Extreme Poverty reports that “the American Dream is rapidly becoming the American Illusion.” Isn’t it time to wake up, discard both dreams and illusions, and act on the basis of the truth?

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A woman walks through the streets of Manhattan with her belongings on December 14, 2017 in New York City. According to the U.S. Department of Housing and Urban Development, New York City’s homeless population expanded by about 4 percent in 2017 as the number of homeless people nationwide grew to about 553,000.

The U.S. views itself as the exceptional nation, the beacon of freedom and justice for the world. In the popular imagination, it is the land of plenty where everyone can thrive, the land of opportunity where anybody who works hard enough can realize the dreams of their heart. But is this really so or just a comforting illusion?

For two weeks this past autumn, Professor Philip Alston, the UN Special Rapporteur on Extreme Poverty and Human Rights, sought to find out, traveling over the U.S. to assess the state of extreme poverty in this country and its impact on human rights. His travels brought him to California, Alabama, Georgia, West Virginia, and Washington, D.C., as well as Puerto Rico. His report, published in mid-December by the Office of the UN’s High Commissioner of Human Rights, pulls the curtains on the illusions this country cherishes about itself and reveals the startling truth about where we stand and where we are headed. Although the extent of poverty and income inequality in the U.S. has been documented several times in the past, it is still telling that the UN Rapporteur on Extreme Poverty would undertake such an investigation in America, of all places, and expose the U.S. as an outlier among the economically advanced countries.
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My Visit to Kenya’s Grow Biointensive Agriculture Center

By Daniel Blake

Woman trainee with her son

“Poverty starts with the stomach.” These words, spoken to me by Samuel Ndiritu, the co-founder and director of Grow Biointensive Agriculture Center of Kenya (GBIACK), encapsulate the truth of BGR’s core mission. This past November, I was fortunate enough to make a remarkable visit to GBIACK, where I was hosted for an afternoon by Samuel and his wife and GBIACK co-founder, Peris Ndiritu. Their work is quietly transforming local agricultural practices in Kenya and beyond, one farmer and one acre at a time.

Built in 2009, GBIACK is situated about 50 kilometers east of Nairobi in the small but bustling village of Thika. Sitting upon the 1.5 acre farm is a dormitory for trainees, a front office, a seed bank, a kitchen and dining hall, a sewing classroom fully equipped with machines, a library, and a charming gift shop where crafts made by residents are sold to the public. The center serves as a model for the kinds of Grow Biointensive (GB) techniques that Samuel and Peris (with support from BGR through our partner, Ecology Action in California) hope to impart to program participants. The potential of the GB system to help local farmers lies in its being a “closed loop” system, where farmers preserve and bank the seeds yielded by crops, while carefully cultivating healthy compost to treat the soil. In this way farmers can become self-sufficient and can subsist without purchasing products such as genetically modified seeds or chemical fertilizers.
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The World Reverses Progress on Global Hunger

By Charles W. Elliott

The newest U.N. Food and Agriculture Organization (“FAO”) Annual Report on food security sends a “clear warning signal” of a troubling trend that reverses a long period of progress combating world hunger.

After A Prolonged Decline, World Hunger and Food Insecurity Worsen

FAO 2017 Food Security Report Cover

The 132-page data-rich report, The State of Food Security And Nutrition In The World 2017: Building Resilience For Peace And Food Security [1] notes that for the first time in many years the number of chronically malnourished people across the globe—as well as those suffering from acute hunger—has increased from the prior year, reversing a prolonged historic decline in world hunger. The number of undernourished people jumped from 777 million in 2015 to 815 million in 2016. Every continent except Europe and North America has suffered an increase in prevalence of malnutrition. The report identifies a variety of causes for this reversal and highlights the interrelationships between global hunger, armed conflict, and climate change.

Emerging from the data is a stark picture of 44,000,000 more people now suffering from severe food insecurity than there were just two years ago. In fact, nearly one in ten people around the world, about 689 million people, now suffers from severe food insecurity. (see Report, Table 2). The people of Africa suffer the highest levels of severe food insecurity—27.4 percent of the population, four times that of any other continent.
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BGR Solidarity Walk in Nagpur, India

By Ven. Ayya Yeshe

On Saturday, October 21, the Bodhicitta Foundation and members of our girls’ home walked in solidarity with our wonderful partners, Buddhist Global Relief, and all the wonderful people who contribute to our work of lifting women and children out of poverty.

Many of the girls in our girls’ home have come from villages where they had to walk for many kilometres, missing school to carry water, take care of livestock, and watch over siblings. Now the girls walk to end poverty, they walk for girls’ empowerment, they ride to school, to a new life.

Often as we move through life, we don’t know where we are going, in what direction we are moving. The annual Walk to Feed the Hungry offers us a chance to reflect where we are going, how we are manifesting the truth of our sacred bond and inter-connectedness with the earth and all beings.

For us at Bodhicitta Foundation, the support of the wonderful people at BGR means we can walk in the direction of hope and dignity, of empowerment, equality, love, compassion, and human  rights. We thank you for walking this journey with us for so many years now!

Bonded as I am with each of the hundreds of children and women we help, I can really see the hope and gratitude in their eyes, for your gift is the gift of life. These children shine like stars on earth, as they can now reach for their dreams because of you.

Ven. Ayya Yeshe, an Australian bhikkhuni (Buddhist nun), is the founder and spiritual leader of the Bodhicitta Foundation.

BGR Donates to Help Puerto Rico and Rohingya Refugees

By BGR Staff

This past week the BGR Board voted to approve emergency grants of $5,000 each to two organizations working with people in distress: to Oxfam America, which is hard at work in Puerto Rico, filling in where the U.S. government effort has been slow and inadequate; and to the World Food Programme, which has been providing urgently needed food aid to the Rohingya refugees who have fled violence in their native Myanmar and taken refuge in neighboring Bangladesh. The statements that follow have been adopted from reports by the two organizations.

From Oxfam America, on the situation in Puerto Rico

Since Hurricane Maria devastated Puerto Rico, millions of its residents, who are U.S. citizens, have been struggling to survive without food, clean water, or electricity. Although they have the resources, the U.S. government’s emergency response has been slow and inadequate. For this reason, Oxfam America has stepped in to make sure the island’s 3.4 million residents receive immediate aid.

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More than half of the island is without clean water. The threat of deadly waterborne diseases hangs heavily over rural communities. Millions of residents are currently without electricity due to a downed electrical grid. Food and fuel are in desperately short supply. The elderly and the sick are at grave risk as hospitals run out of fuel to keep generators running. Families need help.

It’s rare that Oxfam America engages in disaster relief efforts in places where the government has the capacity to respond appropriately. But this case is different. Unwilling to wait on the U.S. government’s slow and inadequate response when people are in desperate need, Oxfam has been doing everything it can to support local organizations to meet Puerto Ricans’ most urgent needs right now. Oxfam will also be supporting the people of Puerto Rico to advocate in Congress for more resources to rebuild the island and fortify it to meet future disasters more effectively.

From the World Food Programme, on the Rohingya refugees

The Executive Director of the United Nations World Food Programme (WFP), David Beasley, affirmed WFP’s commitment to supporting people fleeing violence in Myanmar as he met refugee families and saw WFP relief activities in the new settlements in the Cox’s Bazaar area of Bangladesh.

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Beasley said: “I have heard heartbreaking stories today, speaking to people who ran for their lives and saw loved ones killed before their eyes. These horrors must stop. Many of these people were receiving WFP food assistance in Myanmar. Now, they will receive WFP food assistance in Bangladesh, until they are able to return home safely.”

WFP started distributing food as soon as the influx began, and has scaled up operations to reach almost half a million refugees in the past month with life-saving assistance. WFP has distributed rice to some 460,000 refugees, and has also been providing high-energy biscuits to more than 200,000 people as a one-off emergency measure when they arrive in the settlements and at border crossing points.

As the situation stabilizes, WFP plans to transition to more sophisticated programs, especially with a view to supporting the nutritional needs of women and children and developing electronic voucher programs that integrate with markets.

The food for new arrivals comes in addition to assistance that WFP provides through e-vouchers to 34,000 registered refugees living in official camps. Another 72,500 undocumented refugees living in makeshift camps, who arrived after the last outbreak of violence in October 2016, before the present influx, receive rice and nutrition support.