Derrick from Uganda raised $375 for malnutrition treatment and formula.

100%

$375 raised, $0 to go

$375

raised

to go

Derrick's story
Derrick's update

July 5, 2016

Two year-old Derrick is currently living with malnutrition. His symptoms include oedema, fever, diarrhea, and skin lesions. His doctors also noted that he is struggling with walking.

Derrick lives with his mother, Jackilin, in a village about 50km from the Bwindi Community Hospital in Uganda. The community nurse found Derrick suffering and recommended his mother bring him there. Jackilin’s husband left two years ago and she has not heard from him since or received any help. She works as a farm laborer to support her son, and makes small amounts of extra money weaving mats.

While Derrick is being treated for malnutrition, Jackilin will also receive nutritional counseling and learn how to use local foods to make the nutritious foods that Derrick needs to grow. This comprehensive treatment and education costs $375.

When he is feeling well, Derrick enjoys playing with dolls and his favorite food is millet porridge. Jackilin enjoys playing with him and loves to see him laugh. She hopes he will have good health and get an education.

Two year-old Derrick is currently living with malnutrition. His symptoms include oedema, fever, diarrhea, and skin lesions. His doctors also...

Photo of Derrick post-operation

August 30, 2016

Derrick received malnutrition treatment and formula.

Derrick still has some oedema, but he is eating peanut butter-based “plumpyNut” nutritional food well and will be going home with a supply to continue his recovery. He is beginning to smile and play again which makes his mother smile with joy. While in the hospital, she attended nutrition classes so she will be able to make nutritious local food for Derrick.

“I am so grateful for the help,” his mother shared. “It has been difficult to care for Derrick on my own, but now I feel I have more knowledge.”

Derrick still has some oedema, but he is eating peanut butter-based "plumpyNut" nutritional food well and will be going home with a supply t...

July 5, 2016
PROFILE SUBMITTED
Derrick was submitted by Sheila Hosner at The Kellermann Foundation.
July 5, 2016
TREATMENT OCCURRED
Derrick 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.
August 1, 2016
PROFILE PUBLISHED
Derrick's profile was published to start raising funds.
August 8, 2016
FULLY FUNDED
Derrick's treatment was fully funded.
August 30, 2016
TREATMENT UPDATE
We received an update on Derrick. Read the update.

Funded by 12 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.

Linn is a 29-year-old man from Burma. He lives with his siblings and works at a store with his younger brother. In his leisure time, Linn enjoys expanding his knowledge through internet-based learning. Linn has been experiencing persistent back and chest pain, affecting his ability to perform daily tasks. After an ultrasound and x-ray, doctors diagnosed him with large renal stones and recommended the need for surgery. For the doctors to formulate an appropriate treatment plan, they want Linn to undergo a CT scan, a procedure in which X-ray images taken from several angles are combined to produce cross-sectional images of the body. Our medical partner, Burma Children's Medical Fund (BCMF), requests $469 to cover the cost of Linn's CT scan and care, scheduled for March 4th. Lin said, "I am grateful for the opportunity to receive support from BCMF. Without their assistance and the generosity of donors, I would be unable to afford the necessary treatment."

Mavin is a seven-year-old first grader. His family currently lives in Tbong Khmum province, where both of his parents work in the rubber industry. He also has a two-year-old younger brother. At school, Mavin enjoys studying Khmer subjects, painting, and playing with toy cars. He wants to become a soldier when he grows up. About four years ago, Mavin had a severe ear infection. This infection caused the tympanic membrane, or the ear drum, in both ears to perforate. His mother took him to the local pediatric hospital, and they suggested Mavin needed a specialty surgeon. He has trouble communicating with others, is embarrassed about the ear discharge, and often misses school. Mavin's family has now traveled to our medical partner's care center to receive treatment. On January 4th, he will undergo a myringoplasty procedure in both ears. During this procedure, surgeons will close the perforations. Our medical partner, Children's Surgical Centre, is requesting $914 to fund this procedure. This covers medications, supplies, and inpatient care. Mavin's mother said: "I hope my son gets better and has no more infections, and will do well in school."

Sandi is a young monk from Burma. He lives alongside his fellow novices and monks in a monastery. As a novice, Sandi does not have a personal income, but his family support him and the monastery provides him with food and shelter. In his free time, Sandi enjoys listening to the Dhamma. In February 2022, Sandi began experiencing blurred vision in both eyes. A CT scan revealed a cystic lesion in his brain, indicating a fluid-filled tumor, craniopharyngioma. Sandi experiences significant blurred vision in both eyes, occasional headaches and dizziness, and pain at the nape of his neck. Due to his poor vision, he cannot read books and cannot walk without assistance. Sandi sought treatment through our medical partner, Burma Children Medical Fund. He is now scheduled to undergo mass removal surgery on January 10th. Our partner is requesting $1,500 to cover the total cost of his procedure and care. Sandi said, "I want to express my gratitude to BCMF and donors for helping me. I would love to request continued assistance throughout my entire treatment. My desire is to fully recover my vision. Once I recover, I aspire to dedicate myself to studying and trying to become a monk."

Derrick's Timeline

Funded by 12 donors

Treatment

Meet another patient you can support

100% of your donation funds life-changing surgery.