Mackilin from Uganda raised $375 to treat acute malnutrition.

100%

$375 raised, $0 to go

$375

raised

to go

Mackilin's story
Mackilin's update

January 1, 2016

Meet Mackilin, a nine-month-old girl from Uganda. “Mackilin was found abandoned crying in the bush and rescued by a local family,” says our medical partner, The Kellermann Foundation (KF).

Mackilin has acute malnutrition, which is causing her to have lethargy and diarrhea. She also has an increased susceptibility to infections.

KF tells us, “Mackilin’s adoptive father is a soldier and her adoptive mother is a border guard at the border of Uganda and the Congo.” KF continues, “they have a large family of their own and are unable to pay for the hospitalization of Mackilin.”

Malnutrition is treated with hospitalization to administer therapeutic foods to rehabilitate the body as well as antibiotics to fight off infections.

For $375, Mackilin will be hospitalized for ten days to receive the necessary medication to bring her back to good health.

Mackilin’s mother tells us, “we believe Mackilin is a gift from God and thank you very much for helping her.”

Meet Mackilin, a nine-month-old girl from Uganda. “Mackilin was found abandoned crying in the bush and rescued by a local family,” says our ...

March 4, 2016

Mackilin sadly and unexpectedly passed away while receiving care.

We are deeply saddened to report that during her hospitalization, Mackilin passed away. Her doctor at the Kellermann Foundation explains that her passing was likely due to a combination of factors, namely due to weakness from malnutrition.

We are committed to transparently reporting all treatment outcomes, even the ones we wish were different. We thank you so much for supporting Mackilin, and allowing her access to the care she needed.

We are deeply saddened to report that during her hospitalization, Mackilin passed away. Her doctor at the Kellermann Foundation explains tha...

January 1, 2016
PROFILE SUBMITTED
Mackilin was submitted by Sheila Hosner at The Kellermann Foundation.
January 1, 2016
TREATMENT OCCURRED
Mackilin 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.
January 10, 2016
PROFILE PUBLISHED
Mackilin's profile was published to start raising funds.
January 14, 2016
FULLY FUNDED
Mackilin's treatment was fully funded.
March 4, 2016
TREATMENT UPDATE
We received an update on Mackilin. Read the update.

Funded by 11 donors

Treatment

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.

Umaru is a small-scale farmer from Uganda. He farms on his small piece of land, mainly growing food crops for home consumption and selling the surplus to generate income for his family. Umaru came in presenting with an umbilical swelling, which he has had for close to 6 months. The pain and swelling progressed over time, affecting his movement and ability to perform daily activities. Umaru was diagnosed with an umbilical hernia and the doctors recommended for him to have surgery to remove the mass. Umaru traveled to our medical partner's care center to receive treatment. On March 5th, surgeons will remove the mass. Now, Umaru needs help to raise $188 to fund this procedure. Umaru says, "With support, I hope to undergo my surgery, expect to get better, and continue farming in good health to sustain my family."

Joseanne is an eight-month-old infant that lives with her parents and four older siblings in Bolivia. Joseanne's father is a day-laborer and her mother is a homemaker. As a young baby, Joseanne struggled to breathe and gain weight. When she was taken to hospital, doctors soon diagnosed her with multiple heart defects; a hole between the two upper chambers, a hole between the two lower chambers, and a hole between two major blood vessels. In addition, Joseanne was diagnosed with Down syndrome, a condition in which a person has an extra chromosome, causing developmental and intellectual delays. Our medical partner, International Cardiac Alliance, is helping Joseanne receive treatment. On March 20th, she will undergo a congenital cardiac surgery so that blood can flow normally through her heart and body. Now, Joseanne's family needs help to fund this $1,500 procedure. Joseanne's mother says: "Our family has been very worried about our daughter's health, and we are hopeful that after this surgery she can finally gain strength!"

Hoy is a 64-year-old rice farmer from Cambodia. He shares his home in Kampong Thom province with his wife, daughter, son-in-law, and their 7-year-old grandson. As a united family, they oversee and cultivate rice, the proceeds of which are sold at the local market to acquire essential provisions. Hoy shares a special bond with his grandson as they find joy in evening walks together. In November 2023, he suffered an unfortunate motorbike accident, falling onto the concrete on his left side, fracturing his forearm. He could not afford care at the local clinic and visited a Khmer Traditional Healer for a bamboo splint. After one month, he was still in great pain, and after an X-ray, discovered that he still had a non-union fracture in his arm. Fortunately, surgeons at our medical partner, Children's Surgical Centre, can help. On February 2nd, Hoy will undergo a fracture repair procedure, which will cost $483. This procedure will align his fractured bone into place for optimal healing so that he can work again. Hoy said: "I hope that after my operation, I will have no more pain and my arm will heal."

Mackilin's Timeline

Funded by 11 donors

Treatment

Meet another patient you can support

100% of your donation funds life-changing surgery.