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Chad is in the grip of a malnutrition crisis. There are estimates that some 3.4 million people lack reliable access to food, with 398,000 children across the country at risk of acute malnutrition.
For the fourth time in five years, medical teams from Médecins Sans Frontières/Doctors Without Borders (MSF) are responding in Bokoro, in the Hadjer-Lamis region of central Chad.
This is one boy's story.
Nine-month-old Abaya Adoum weighs just four kilograms. His mother died eight days before he was admitted to the intensive care ward of MSF's hospital in Bokoro, and his grandmother, Fatimé Brahim, is taking care of him.
He was seen by the MSF ambulatory treatment team in the village of Moyto, and transferred to Bokoro because of his serious condition.
Here, Abaya and his grandmother arrive at Bokoro hospital after being transferred the 65km from the ambulatory feeding centre in Moyto.
Soon after arriving at the inpatient centre of Bokoro hospital, Abaya's heart rate is measured as he is held by his grandmother.
An MSF nurse continues Abaya's examination in the inpatient feeding centre at Bokoro hospital.
MSF nurse Adeline carries Abaya from the triage room to the intensive care ward at the inpatient feeding centre in Bokoro hospital.
The two are followed by Abaya’s grandmother, Fatimé.
MSF staff treat Abaya at the intensive care ward at the inpatient therapeutic feeding centre in Bokoro hospital.
Nurse Adeline Gaugnon looks after patients, including Abaya, in the intensive care ward of MSF’s inpatient therapeutic feeding centre in Bokoro hospital, while Bétel is carrying her little brother, Hassan.
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