{"id":2148,"date":"2024-12-17T11:09:36","date_gmt":"2024-12-17T11:09:36","guid":{"rendered":"https:\/\/www.insidenigeria.org\/?p=2148"},"modified":"2024-12-17T12:34:02","modified_gmt":"2024-12-17T12:34:02","slug":"hassan-and-hussainas-successful-recovery-from-malnutrition","status":"publish","type":"post","link":"https:\/\/www.insidenigeria.org\/index.php\/hassan-and-hussainas-successful-recovery-from-malnutrition\/","title":{"rendered":"HASSAN AND HUSSAINA\u2019S SUCCESSFUL RECOVERY FROM MALNUTRITION"},"content":{"rendered":"\t\t
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HASSAN AND HUSSAINA\u2019S SUCCESSFUL RECOVERY FROM MALNUTRITION<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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A CRISIS RESPONSE SUCCESS STORY<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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The risk of infant mortality rises due to increased competition for essential resources like nutrition, clothing, and shelter. This risk is further heightened for women experiencing insecurity, as they often lack adequate food and shelter and face environmental hazards, leading to physical and mental health issues.<\/p>

Mrs. Zulai Mohammed, an internally displaced mother of twins from Ngala in Northeast Nigeria, exemplifies how conflict amplifies the threat of malnutrition. On March 25, 2024, around 11:00 am, she was referred by an FHI 360 Community Nutrition Mobilizer to the FHI 360 stabilization center in Ngala. Her referral was prompted by her infants being underweight, her insufficient breast milk production, and inadequate Infant and Young Child Feeding (IYCF) practices.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Hassan and Hussaina on first day of admission. Photo credit: Jonah Haruna\/FHI 360<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u201c<\/strong>Upon admission to the ward, they (twins) looked tiny to the point that they could not even grab the nipples to suck breasts. All their bones were visible and looked very weak,\u201d\u00a0said Emmanuel Sodiga,<\/em> an FHI 360 health worker.
Mrs. Zulai Mohammed, a mother of four, gave birth to the twins under poor economic and environmental conditions. It is well known that the long-term armed conflict in northern Nigeria has disrupted the livelihood, health, nutrition, education, and social protection of individuals.<\/p>

As a result, Zulai faced insufficient breast milk production and a lack of adequate knowledge about IYCF, which negatively impacted the nutritional status of her twins. This was further worsened by underlying infections in the children.<\/p>

The four weeks old twins, namely Hassan Auwalu (male) and Hussaina Auwalu (female), all presented with fever, cough, and visible signs of wasting, such as visible ribs and prominent zygomatic bones.<\/p>

\u201cLife became difficult after we were displaced some years ago\u201d, Mrs. Zulai recounted. \u201cThe situation even worsened after the delivery of these children as I needed more food, but my husband was not able to provide because he doesn\u2019t have a good job. Because of my hunger, I couldn\u2019t get enough breast milk to breastfeed my children. Hence, I used sachet powdered milk as I could not afford infant formula\u201d.<\/em> Notably, the sachet of\u00a0powdered milk is not designed for children under 12 months. However, Zulai fed her 4 weeks old babies with it. This resulted in low weight, as Hassan was 1.4 kg, while Hussaina was 1.3 kg. The mother was also assessed on proper breastfeeding practices, and it revealed that there was\u00a0poor attachment, poor position, and poor hygiene practices.<\/p>

The twins and their mother were admitted and treated according to national guidelines. To stimulate re-lactation, F100 diluted (DF100) was administered using the Supplemental Sucking Technique (SST), while oral antibiotics treated underlying infections causing fever. The mother received comprehensive care, including nutrition, hygiene education, breastfeeding guidance, and psychosocial counseling.<\/p>

By April 22, 2024, both twins had gained sufficient weight\u2014Hassan increased from 1.3 kg to 2.2 kg, and Hussaina from 1.4 kg to 2.2 kg. With successful re-lactation and improved health, they were discharged. The mother’s mental and physical health also showed significant improvement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Summary of the weight of the twins from admission at SC to discharge at 6 months from the CMAMI program<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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N<\/strong>ame<\/strong><\/p><\/td>

Admission weight<\/strong><\/p><\/td>

Discharge weight<\/strong><\/p><\/td>

Follow-up Weight<\/strong><\/p><\/td>

Weight on discharge from the\u00a0CMAMI program<\/strong><\/p><\/td><\/tr>

Hassan<\/p><\/td>

1.3<\/p><\/td>

2.2<\/p><\/td>

3.47<\/p><\/td>

5.5<\/p><\/td><\/tr>

Hussaina<\/p><\/td>

1.4<\/p><\/td>

2.2<\/p><\/td>

3.50<\/p><\/td>

5.7<\/p><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Hassan and Hussaina after 6 months. Photo credit: Jonah Haruna\/FHI 360<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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The twins were further enrolled in the Growth Monitoring Program (GMP) and the Community Management of Small and Nutritionally At-risk Infants and their Mothers (CMAMI) program. The GMP focuses on tracking children’s growth, while the CMAMI program monitors the overall nutritional and health status of infants under six months old, along with their mothers, until the children reach six months of age.
On September 18, 2024, Zulai visited the FHI 360 CMAMI service point with her twins, smiling joyfully because her children did not regress at 6 months. On examination, the twins showed no signs of malnutrition or illness. The mother was also free from any psychological issues. The weights of all the babies improved significantly: Hassan weighed 5.5kg, while Hussaina weighed 5.7kg. They were then discharged from the CMAMI program.<\/p>


Since May 2023, FHI 360\u00a0has successfully stabilized over 22,000 children impacted by malnutrition in Borno State through the USAID-funded NE-CORE Project<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

HASSAN AND HUSSAINA\u2019S SUCCESSFUL RECOVERY FROM MALNUTRITION A CRISIS RESPONSE SUCCESS STORY The risk of infant mortality rises due to increased competition for essential resources like nutrition, clothing, and shelter.…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[31,16,18],"tags":[],"class_list":["post-2148","post","type-post","status-publish","format-standard","hentry","category-fhi360","category-newsletters","category-success-stories"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/posts\/2148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/comments?post=2148"}],"version-history":[{"count":0,"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/posts\/2148\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/media?parent=2148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/categories?post=2148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.insidenigeria.org\/index.php\/wp-json\/wp\/v2\/tags?post=2148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}