Ward round on our Nutrition Unit. The next patient is called in and I recognize the young face of the mother and the baby on her arm.

Okello* is back and he is not doing well. He has difficulties in breathing – severe pneumonia is diagnosed.

Some months ago we tested Okello and his mother for HIV …

Ward round on our Nutrition Unit. The next patient is called in and I recognize the young face of the mother and the baby on her arm.

Okello* is back and he is not doing well. He has difficulties in breathing – severe pneumonia is diagnosed.

Some months ago we tested Okello and his mother for HIV. Unfortunately both of them were positive. We were able to start them on ARVs before referring them to a Health Unit near their home. Okello and his mother live about 80km from Lira – too far to come to Lira on a regular basis. But when Okello falls gravely sick “Mama Okello” takes the long and tedious journey to our Health Unit.

Looking at Okello I am concerned as once again we have had to admit him for therapeutic feeds. Okello is malnourished. Asking his mother about what she feeds him, she tells me that Okello’s father left her as soon as she was pregnant so she is all alone and finds it difficult to provide for the two of them. “Okello cannot eat the food I eat.”

Thanks to help from friends and donors we are able to provide food for Okello and his mother during their stay at the health Unit. We can also pay for Okello’s treatment.

* Names changed

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