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STORY: HAITI / MALNUTRITION
TRT: 3.31
SOURCE: MINUSTAH
RESTRICTIONS: NONE
LANGUAGE: CREOLE / FRENCH / NATS
DATELINE: 18-27 NOVEMBER 2011, PORT AU PRINCE, KIKUA ZONE, HAITI
1. Wide shot, landscape Kikua zone
2. Med shot, UNICEF shelter
3. Close up, baby in the hand of its mother
4. Med shot, nutritional training for women
5. SOUNDBITE (Creole) Anne-Rose Saint Preux, Responsable Nutrition Program, FONDEFH:
“We are teaching the breastfeeding mothers to conserve the milk and the time how long it can be conserved in the fridge. If they need to go out, they should do first the breastfeeding before leaving. Afterwards they should leave a quantity of milk which is enough. Then the problem is solved. One can do exclusive breastfeeding even if you spend the whole day at the market.”
6. Various shots, women in breastfeeding training with FONDEFH
7. Various shots, vaccination
8. Med shot, Wilson Jean in balance
9. Various shots, nurse measuring Wilson Jean’s mal nutrition level
10. Close up, medicines for children
11. Med shot, nurse counselling Wilson Jean’s grandmother
12. Wide shot, Wilson Jean’s Grandmother going out the FONDEFH clinic
13. SOUNDBITE (Creole) Pauline Saint Rilis, Wilson Jean’s Grandmother:
“When I came at the beginning, he couldn’t walk nor talk. His development was very slow. Now, thanks to god, while consulting the doctors, I am going to find the solution. He was extremely weak, now he is slowly getting better.”
14. Wide shot, Chrismon Sonson and her children walking towards their tin hut
15. Med shot, Chrismon Sonson and her children entering tin hut
16. SOUNDBITE (Creole) Chrismon Sonson, Mother of Stevenson :
“I was advised to prepare for him mashed peas and corn, also leek soup and sugar water. Now, the redness of his hair disappeared, he eats and drinks with appetite.”
17. Wide shot, FONDEFH clinic
18. Wide shot, women waiting in the FONDEFH clinic
19. Med shot, mal nourished child in the balance
20. SOUNDBITE (French) Eddy Daniel Felix, UNICEF Nutrition Officer:
“It is said that severe acute malnutrition is directly or indirectly responsible for the mortality of around 30 to 35 percent. Because as soon as you have acute severe malnutrition, your immune system does not answer any more in the same way. It is really important to put an end to severe acute malnutrition, to say stop to malnutrition. ”
21. Med shot, FONDEFH Community Clinic
22. Med shot, FONDEFH Nutrition Unit
23. Various shots, mal nourished child
24. SOUNDBITE (Creole) Anne Rose Saint Preux, Nutrition Program, FONDEFH:
“We are trying to explain to the parents the need to bring their children to the USN. Whatever we try to explain that seven days are not an eternity, they will not remain much longer. But they are facing a lot of problems: seven days without going to the market for their activities, they have anything to eat, they have to find something to leave to the other children remaining at the house. While they are here, we have to try to convince them that they stay at the hospital.”
25. Various shots, child sleeping in FONDEFH Clinic
26. SOUNDBITE (Creole), Nadia SENTER, Mother of Chery
”The parents shouldn’t get discouraged; they will be delighted once the child has recovered. Often, the children come in a very bad state, a little bit later they are already getting in a good shape.”
27. Med shot, Chery playing in her crib
In the mountains of Kenscoff, a remote area three hours outside of Port au Prince, there are no social services for the 15,000 people who live here, resulting in a higher death rate for children than in other parts of Haiti.
According to UNICEF, 8 percent of the children in Haiti suffer from acute malnutrition.
In September UNICEF and its Haitian NGO (non governmental organization) partner “Fondation pour le developpement et l’encadrement de la famille Haitienne” (FONDEFH) created a health service which assists around 30 pregnant and breastfeeding mothers daily.
After walking miles to arrive here, mothers get advice and tips for healthy nutrition for their babies.
They are guided to breastfeed their babies for six months and are also given tips on preparing healthy meals that won’t cost them too much money. The program takes into consideration the fact that the majority of the mothers are merchants who spend the day working outside of the house.
SOUNDBITE (Creole) Anne-Rose Saint Preux, Responsable Nutrition Program, FONDEFH:
“We are teaching the breastfeeding mothers to conserve the milk and the time how long it can be conserved in the fridge. If they need to go out, they should do first the breastfeeding before leaving. Afterwards they should leave a quantity of milk which is enough. Then the problem is solved. One can do exclusive breastfeeding even if you spend the whole day at the market.”
They also offer free vaccination for the babies. Here at the Therapeutic Ambulatory Program (PTA) children are being treated for malnutrition.
The screening test shows that this boy is in the yellow category which means he is recovering from malnutrition. Since his first visit in September, his condition improved much.
Initially children receive sugar water and an Antibiotic, and during the subsequent visits they receive deworming therapy and a ration of plumpy nut, a paste that helps them gain weight. At the end of the treatment children also receive Vitamin A.
SOUNDBITE (Creole) Pauline Saint Rilis, Wilson Jean’s Grandmother:
“When I came at the beginning, he couldn’t walk nor talk. His development was very slow. Now, thanks to god, while consulting the doctors, I am going to find the solution. He was extremely weak, now he is slowly getting better.”
With better meals and Plumpy nut therapy, Stevenson has gained weight.
SOUNDBITE (Creole) Chrismon Sonson, Mother of Stevenson:
“I was advised to prepare for him mashed peas and corn, also leek soup and sugar water. Now, the redness of his hair disappeared, he eats and drinks with appetite.”
There are 288 ambulatory clinics in Haiti that provide this program and on average children remain from eight days to two weeks in the program.
Approximately 45 children per day are treated for acute malnutrition here and 53 percent of the deaths of the under five are directly or indirectly linked with malnutrition.
SOUNDBITE (French), Eddy Daniel Felix, UNICEF Nutrition Officer:
“It is said that severe acute malnutrition is directly or indirectly responsible for the mortality of around 30 to 35 percent. Because as soon as you have acute severe malnutrition, your immune system does not answer any more in the same way. It is really important to put an end to severe acute malnutrition, to say stop to malnutrition. ”
Children with medical complications are transferred to hospitals where after medical examinations and a blood tests they also receive rich nutritional milk.
Nine-month-old Bilandia is a new arrival. She has signs of high fever and diarrhea.
Anne Rose Saint Preux from the nutrition program says that for some parents it is often difficult to come in earlier or to even remain during a period of time at the hospital.
SOUNDBITE (Creole) Anne Rose Saint Preux, Nutrition Program, FONDEFH:
“We are trying to explain to the parents the need to bring their children to the USN. Whatever we try to explain that seven days are not an eternity, they will not remain much longer. But they are facing a lot of problems: seven days without going to the market for their activities, they have anything to eat, they have to find something to leave to the other children remaining at the house. While they are here, we have to try to convince them that they stay at the hospital.”
But for those parents who can afford to stay at the hospital the result was very positive.
Chery Moise arrived seven days ago, his body weakened by typhoid. He was very thin from malnutrition.
SOUNDBITE (Creole), Nadia Senter, Mother of Chery:
“The parents shouldn’t get discouraged. They will be delighted once the child has recovered. Often, the children come in a very bad state, a little bit later they are already getting in a good shape.”
