Meet another patient

Watsi logo blueWatsi

Success! Ndinabo from Uganda raised $316 to fund malnutrition treatment.

Ndinabo
100%
  • $316 raised, $0 to go
$316
raised
$0
to go
Fully funded
Ndinabo's treatment was fully funded on December 28, 2016.

Photo of Ndinabo post-operation

January 25, 2017

Ndinabo received successful malnutrition treatment.

Ndinabo was in the hospital for ten days to be treated for his severe malnutrition. He received therapeutic foods, and his parents received nutritional counseling. Most of his symptoms were gone by the time he was discharged, and he was feeling much better. Now the family is back home in their village in the mountains of southwest Uganda.

“Thank you for helping our child and our family. Ndinabo will be able to go back to nursery school when the new term starts. Having help with his hospital bills helps us pay his school fees,” says Gad, Ndinabo’s father.

Ndinabo was in the hospital for ten days to be treated for his severe malnutrition. He received therapeutic foods, and his parents received ...

Read more
November 5, 2016

Four-year-old Ndinabo likes to wrestle and play with the other children in his community. He is the fourth child in his family, and he attends a local school.

Ndinabo has malnutrition, accompanied by fever and diarrhea. He was unable to return to school when it began in September. He was referred to our medical partner’s hospital, Bwindi Community Hospital, by community health workers. He and his father walked for four hours through the hills of Bwindi to seek care. Without treatment, he risked poor growth and development. Fortunately, Ndinabo began malnutrition treatment on November 5.

Ndinabo’s father, Gad, picks tea in the community. His mother, Allen, is a farm laborer. They contributed $4 to their son’s care, but they need help to fund his $316 treatment.

“I wish to thank the people that are donating to his care,” says Ndinabo’s father. “May God bless you. I want him to go back to school when he has fully recovered.”

Four-year-old Ndinabo likes to wrestle and play with the other children in his community. He is the fourth child in his family, and he atten...

Read more

Ndinabo's Timeline

  • November 5, 2016
    PROFILE SUBMITTED

    Ndinabo was submitted by Barnabas Oyesiga, Communications Officer at The Kellermann Foundation.

  • November 5, 2016
    TREATMENT OCCURRED

    Ndinabo received treatment at Bwindi Community Hospital in Uganda. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • December 6, 2016
    PROFILE PUBLISHED

    Ndinabo's profile was published to start raising funds.

  • December 28, 2016
    FULLY FUNDED

    Ndinabo's treatment was fully funded.

  • January 25, 2017
    TREATMENT UPDATE

    Ndinabo's treatment was successful. Read the update.

Funded by 9 donors

Funded by 9 donors

Treatment
Ped. Malnutrition
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $316 for Ndinabo's treatment
Hospital Fees
$134
Medical Staff
$0
Medication
$15
Supplies
$135
Labs
$27
Other
$5
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

At our medical partner's care center, Bwindi Community Hospital, two types of malnutrition are treated on an in-patient basis: moderate acute malnutrition and severe acute malnutrition. Moderate acute malnutrition (MAM) is also called “wasting” and is characterized by low weight-for-height indicators or by low mid-upper arm circumference (MUAC) indicators. Severe acute malnutrition (SAM) is the most dangerous type of malnutrition. It is caused by extreme deprivation of vital nutrients and becomes life-threatening because of its alterations of important functions of the body. SAM can manifest in two ways: severe wasting and oedema. Severe wasting is caused by extreme nutrient and calorie deficiency. Its symptoms include a massive loss of body fat and muscle tissue. This results in “baggy pants syndrome," in which the skin is loose while the body is extremely thin. Malnutrition of this type is also called marasmus. Oedema is caused primarily by the deficiency of protein in the diet. The body's extremities become extremely swollen. The oedema then progresses to the face and other areas of the body. Other symptoms include skin lesions, an enlarged liver, and changes in hair color. Malnutrition of this type is also called kwashiorkor. Kwashiorkor is the most common type of malnutrition treated at Bwindi Community Hospital.

​What is the impact on patients’ lives of living with these conditions?

If not treated, moderate acute malnutrition can quickly progress to severe acute malnutrition. Chronic malnutrition can cause long-term growth and development issues, such as stunting and reduced cognitive capacity. Untreated, severe acute malnutrition can result in death.

What cultural or regional factors affect the treatment of these conditions?

There are many underlying causes of acute malnutrition in sub-Saharan Africa, including poverty, family size, lack of nutritional knowledge, mental health issues in caregivers, disease, war, social problems, and lack of clean water. Treatment is necessary to prevent malnutrition from becoming chronic and having a long-term impact on a child's development.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

Bwindi Community Hospital has a robust program for the treatment and prevention of malnutrition. Combining multifaceted community education, the assessment of nutritional status of children, and treatment of acute malnutrition, its goal is to prevent all forms of malnutrition. Hospital in-patient treatment, supported by Watsi, is reserved for the most acute cases. Every three months, the hospital’s Community Health Nursing Team (CHT) works with Village Health Teams (VHTs) to assess the nutritional status of all of the approximate 10,000 under-five children in its catchment area. Milder cases of malnutrition, which are the majority, are referred to district health centers for management. Early case-finding and treatment prevents progression to life-threatening, expensive, and complicated malnutrition. In addition, the CHT and VHTs conduct health education classes for the community. Subjects covered include family planning, sanitation and hygiene, maternal health, and prevention of illness. All of these issues are related to malnutrition. Once admitted to the hospital, a child is given a series of milk formulas. These formulas are calibrated to carefully increase nutrient and protein intake. After the formula phase, the child transitions to “Ready to Use Therapeutic Food” (RUTF). At Bwindi Community Hospital, the RUTF is a peanut butter-based food called plumpyNut™. It is nutrient-rich and packed with a high concentration of protein and energy. Supplements, such as Vitamin A and folic acid, are given. Antibiotics are given, if needed, to treat concurrent infections. After transitioning to the RUTF, the child is given an appetite test. If he or she eats well, the child is discharged and returns home with a supply of plumpyNut™ to supplement local foods. While the child is in the hospital, his or her caregiver receives health and nutritional education, including cooking classes, to help prevent recurrence of malnutrition. Food from a demonstration nutritional garden is used in the cooking classes and provided free to patients. When discharged, the child is referred to a local health facility and community nurse for follow-up. The child continues receiving treatment and supplemental food until his or her goal weight is reached.

What is the impact of this treatment on the patient’s life?

If the correct treatment is started promptly, a patient’s life can be saved. Any long-term impacts, such as stunting or cognitive development issues, can be mitigated or prevented. The child’s development is put back on track.

What potential side effects or risks come with this treatment?

There are no side effects or risks with this treatment.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

Care for malnutrition without severe complications is available in district health centers, which is where most children are treated. When complications arise, adequate treatment is only available in hospitals. Patients are usually referred to the hospital by a community health team. They generally travel from 20 to 50 kilometers away and arrive by either walking or traveling on a hired motorcycle.

What are the alternatives to this treatment?

There are no alternative medications to treat acute, complicated malnutrition. Alternative hospitals are more than two-hour drive away.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Letina

Letina is a bright sixteen-year-old student. He's from a large family with ten children with Letina being one of the oldest. At school, Letina's best subjects are math, Swahili, and social studies. He is a hard-working student and helps look after his father's cattle when he is not studying. About three years ago, Letina's legs began curving as he grew. At first, it was a slight curve but has worsened over the years. As a result, Letina has had to stop his studies in search of treatment for his legs. Due to the family's limited income, they could not previously seek treatment for their son. Letina visited our medical partner, African Mission Healthcare (AMH), where he was diagnosed with bilateral valgus, a condition in which the bone joint is angled outward away from the body's midline. This condition is typically caused by an excessive accumulation of fluoride in the bones, which often stems from contaminated drinking water. As a result, walking is painful and near impossible. Letina shared he is now unable to walk a long distance and feels pain when he does walk. On October 26th, Letina will undergo corrective surgery. Treatment should help restore Letina's mobility, allow him to participate in various activities, and significantly decrease his risk of future complications. AMH is requesting $880 to help fund Letina's surgery. Letina shared, "Walking has become very hard for me due to pain and how deformed my legs are. My friends have been making fun of me at school."

72% funded

72%funded
$640raised
$240to go

Meet another patient you can support

100% of your donation funds life-changing surgery.

Letina

Letina is a bright sixteen-year-old student. He's from a large family with ten children with Letina being one of the oldest. At school, Letina's best subjects are math, Swahili, and social studies. He is a hard-working student and helps look after his father's cattle when he is not studying. About three years ago, Letina's legs began curving as he grew. At first, it was a slight curve but has worsened over the years. As a result, Letina has had to stop his studies in search of treatment for his legs. Due to the family's limited income, they could not previously seek treatment for their son. Letina visited our medical partner, African Mission Healthcare (AMH), where he was diagnosed with bilateral valgus, a condition in which the bone joint is angled outward away from the body's midline. This condition is typically caused by an excessive accumulation of fluoride in the bones, which often stems from contaminated drinking water. As a result, walking is painful and near impossible. Letina shared he is now unable to walk a long distance and feels pain when he does walk. On October 26th, Letina will undergo corrective surgery. Treatment should help restore Letina's mobility, allow him to participate in various activities, and significantly decrease his risk of future complications. AMH is requesting $880 to help fund Letina's surgery. Letina shared, "Walking has become very hard for me due to pain and how deformed my legs are. My friends have been making fun of me at school."

72% funded

72%funded
$640raised
$240to go