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Evans from Uganda raised $375 for malnutrition treatment.

  • $375 raised, $0 to go
to go
Fully funded
Evans's treatment was fully funded on October 15, 2016.
November 17, 2016

Evans was treated for malnutrition.

Unfortunately, the treatment was not able to work quick enough. Evans was too far along in his malnutrition to be able to turn his health around, and has since passed away.

We are committed to reporting all outcomes transparently––even the ones we wish were different. Thank you so much for your support of Evans and his family.

Unfortunately, the treatment was not able to work quick enough. Evans was too far along in his malnutrition to be able to turn his health ar...

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August 11, 2016

“I hope his treatment will help Evans be stronger and that he will learn to walk,” shares Evans’s mother.

Two months ago, Evans was starting to take his first steps. But now, at eighteen months old, he cannot stand by himself. This is because Evans has developed severe malnutrition. He is very physically weak, and often has diarrhea—a symptom that is both caused by malnutrition, and worsens his malnourishment, as it strips his body of nutrients and hydration.

If Evans does not receive treatment soon, walking will only be the first of many developmental setbacks he could face: adults who had malnutrition in childhood tend to have lower IQs and poorer school performances than their healthy counterparts, and are also likelier to someday raise malnourished children themselves.

For $375, Evans will receive the malnutrition treatment he needs. This includes micronutrients, medications, and diagnostic tests. After ten days of inpatient treatment, Evans’ health will be stabler, and he can begin the path to recovering fully.

Evans’ mother cannot pay for her son’s hospital stay on her own. She is a subsistence farmer of corn and sorghum, and sometimes picks tea as a supplement to her income. She has contributed $1 towards Evans’s treatment, which is the most she can afford.

“I thank all of the donors and ask God to protect them,” she shares.

“I hope his treatment will help Evans be stronger and that he will learn to walk,” shares Evans’s mother. Two months ago, Evans was star...

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Evans's Timeline

  • August 11, 2016

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

  • August 11, 2016

    Evans 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.

  • September 13, 2016

    Evans's profile was published to start raising funds.

  • October 15, 2016

    Evans's treatment was fully funded.

  • November 17, 2016

    We received an update on Evans. Read the update.

Funded by 4 donors

Funded by 4 donors

Ped. Malnutrition
  • Diagnosis
  • Procedure
  • 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.

Meet another patient you can support

100% of your donation funds life-changing surgery.