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Nyibol Akol, World Vision Nutirtion Monitor, weighs and measures malnourished children, and checks their arm circumference, then hands out RUTF.   Scenes from the Mayen Gumel Clinic, in Kuajok, South Sudan, where World Vision runs an outpatient therapy program. Everyone here today has severe malnutrition. They will be given Ready-to-use Therapeutic Feeding (RUTF) treatment for two months. If their condition improves they go onto targeted supplementary feeding. They’ll get RUTF there as well. If they don’t get better, they have another month of the RUTF. Sometimes the children don’t get better because they have a disease. “Then we refer them for treatment to the hospital. Maybe they are HIV positive or have TB. They go to the health center,” says Gabriel Manut, a World Vision health expert.  Today there are 78 malnourished children scheduled to be here but there are more who have come. “We only have 300 packets of RUTF left. They will only last a week,” says Gabriel Manut. “We are trying to get more.” Gabriel is from Kuajok. He’s been with World Vision for 10 years.  “This is a crisis,” he says. UNICEF is trying to get them more RUTF. “I think they will come through.” Still, Gabriel is concerned. “When we don’t have the RUTF, they are so malnourished. They cannot survive. They will die. I’m very worried all the time.” Gabriel loves these children. “As a father, as a Christian, there is no difference between these children and my own. My heart is always failing when I think of these children. They are the future of this country. All of them. How can a country survive if the children cannot?” All of the centers World Vision works in are like this, he says. World Vision works in six here in Kuajok. “Before 2014, there would be 40 children at a therapeutic feeding. The number is increasing,” he says. “From our weekly reports, we see it increasing. Immediately hunger will get bad when the rain comes. Now people can work and get food, but without roads, those people will not be able to do anything.” There is amoxicillin, deworming, and Vitamin A at the feeding as well. There is also soap. Madeleine Bilonda, the zonal manager in Kuajok says: “People are motivated by soap. The mothers bring their children because they need soap.”
Clinic: Mayen Gumel, Gogrial West County, funded in partnership with WV
Warrap State Ministry of Health
Gabriel Manut, Nutrition Coordinator (man in WV vest,
Nyibol Akol, Nutrition Monitor (woman in WV vest, white pants)

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