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Jhonny
was an unexpected arrival. His mother was not pleased to find herself
pregnant again at age 37. But she took things in stride and bore a
healthy son on October 20, 2002. Until he was six months old, Jhonny
showed normal growth and behavior. However, once he began being fed
with solids, his growth slowed and his motor skills became increasingly
less responsive.
Due to their economic situation, the family’s
main (and in many cases only) food source was potatoes grown in
their fields. Added to the lack of nutrition was a lack of hygienic
cleanliness. The family had no sanitary services or clean water
source. Jhonny began to have recurring stomach illnesses leaving
him dehydrated and weak. When he wasn’t sleeping, he was crying
– a thin weak cry that made his parents wonder if it wouldn’t
be better for him to not wake up. His three older siblings began
finding the situation intolerable. It was no secret in Pata Rodeo
that things were not looking good for Jhonny.
Blass Villca, the Community Health Representative
in the area heard about Jhonny. He conferred with Ricarda Quiñones,
who works at the local health post, and Daniel Cáceres, the
FHI health tecnician assigned to the area. The unanimous decision
reached at this meeting – this child would not die.
A detailed analysis of Jhonny’s case
was performed. Together, the three health workers and Jhonny’s
mother, Nieves Mamani Chojllo, initiated the process of nurturing
Jhonny back to health. From the beginning of the intervention, the
FHI technician worked on a personal basis with the father and mother
regarding the importance of Jhonny’s life and the future which
awaits him. On a technical level, the health workers began follow
up on Jhonny’s vaccines, nutritional intake, and the level
of hygiene practiced in the home. Slowly, Nieves became integrated
into the woman’s group in the community where mother’s
receive education about health issues and training in basic nutrition
and sanitation. A component of the women’s group is food aid
commodities provided to pregnant women and mothers with a child
aged three or under. These commodities help provide nutrition as
well as incentive for women to participate in the meetings and to
bring their children in for vaccinations and growth monitoring.
Nieves’ active participation in the mother’s group marked
the beginning of notable progress in Jhonny’s health. It also
marked a change in the family’s attitude towards their newest
member. They were amazed at the difference in his appearance and
behavior. The family became very interested in his progress and
began concerning themselves more and more with his well-being.
“The
situation of the family while Jhonny was sick was very sad. There
was a lot of dissension among family members, no one wanted to help
out with Jhonny and his mother was often criticized. In these last
months Jhonny has become the joy of the home, everyone watches out
for him and looks after his health.” FHI Health Technician,
Daniel Cáceras
At six months, Jhonny weighed 15 pounds.
Seven months later he had gained only 2.5 pounds. When Nieve joined
the mother’s group, Jhonny’s weight began to steadily
increase. He is now almost two years old and is two feet, four inches
tall and weighs nearly 25 pounds. Jhonny’s progress is evident
at many levels.
“Jhonny
now has a stable weight. His motor skills have improved rapidly
so that they are now normal for his age as can easily be seen by
his activeness. His physical appearance has also changed. His hair
has changed in color and texture. He smiles now and his eyes reflect
life.”
FHI Regional Health Coordinator, Zulema Torres
Before Jhonny’s interventions, his mother was at a loss as
to what to do for her son. She had never experienced the degree
of illness that nearly cost Jhonny his life. But the son who seemed
so frail has become strong and healthy through her nurturing.
“Many
times it seemed like my son wanted to die. He always had diarrhea.
But then I went to the meetings for mothers in the community and
I learned things that I should cook for him and how to care for
him. I felt hopeless before. Now I know how to meet my son’s
needs.”
Jhonny’s mother, Nieves Mamani Chojllo
FHI Bolivia currently works with 487 women and 493 children
aged five
and younger in the Chayanta Province of the Department of Potosí
to improve health and nutrition and to improve access to
health services and clean water sources.
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