Public Health

Malnutrition Prevention

With the region around Nebobongo, Democratic Republic of Congo (DRC) suffering from extreme poverty, some level of malnutrition can be expected. However, when we were alerted in December, 2015 that the hospital was seeing an increasing number of children admitted with extreme malnutrition resulting in death, the severity of the situation became clear. With the death of 99% of the region’s livestock through an epidemic several years back and the shrinking value of money due to political instability, this issue became very troubling to hospital staff. They felt helpless to do anything about it since they lacked financial resources to mount a meaningful intervention without jeopardizing core hospital functions.

In January of 2016, we sent a doctor and a few nurses from Nebobongo Hospital to a Christian hospital 300 miles away that is backed by Samaritan’s Purse. Here, the Nebobongo staff observed and replicated the successful malnutrition program already in place there. With your support, this new team opened the Center for Education and Nutrition at Nebobongo Hospital in February of 2016. Currently, our malnutrition treatment and prevention program at Nebobongo Hospital includes both inpatient and outpatient components and operates in three villages in the area.

"The Democratic Republic of the Congo (DRC) is facing one of the world's largest hunger crises globally. DRC is home to the highest number of food-insecure people worldwide at 26.4 million people – a quarter of the population...
Food insecurity has worsened: hunger and conflict fuel one another, and political instability and climate-related shocks have compounded humanitarian needs. This volatile context drove food costs out of reach, particularly with the backdrop of global disruptions to supply chains arising from the war in Ukraine.” - World Food Programme

Hospital ward for acutely malnourished (starving) children:
Children that are diagnosed as acutely malnourished are admitted to the hospital for a three-week stay. During this time, the kids are fed a high-nutrient diet consisting heavily of peanut butter and soy flour with other vegetables. The family also receives counseling from staff, including from the hospital chaplain, on proper nutrition and issues that are keeping the family from having food. The main goal is to educate families to prevent this situation from occurring again.

Outpatient program for chronically malnourished (nutrient deficient) children:
Children that are chronically malnourished attend a weekly program where they receive a high-nutrient meal. The program starts out each day with devotion and prayer time and then an educational component with nutrition training. Each family is sent home with soy flour to use throughout the week. This should prevent the kids from becoming acutely malnourished and equip the parents to understand how to properly feed their families when they are discharged from the program.

An important secondary impact of this program is the flow of program funds into the local economy. As of June 2017, all the funds sent to Nebobongo remain in the local economy now that a milling machine supplied by E4 Project has been installed. This machine allows for corn, soybeans and peanuts for the program to be bought from impoverished farmers nearby and processed into flour on-site at the hospital.

Malnutrition Program

“I thank God for this program which supports our children, through which we parents benefit from the Word of God which removes from us ignorance and doubt. At first my wife and I didn't have the courage to bring our sick children to this program. Listening to the pastor's message, I made the decision to bring my children each time because they all belong to us. I will no longer let my wife take care of the children alone.”

Father of a child in the malnutrition prevention program, Congo

Our Malnutrition Program

AREAS OF WORK

What We Do

Public Health

At E4 Project, public health encompasses not only the physical well-being of individuals but also the spiritual, social, and emotional aspects of an individual’s health. In the countries where we serve, examples of various public health initiatives include providing access to clean water, malnutrition prevention, and medical care.

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Community Development

Our development approach to poverty alleviation seeks to address important community issues through a Biblical, holistic, and participatory process. This process involves working closely with community members to identify their strengths and assets, as well as the challenges they face, and to develop solutions tailored to their specific needs and contexts.

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Training

We believe one of the best ways to help communities with poverty alleviation is through training and offering scholarships. We do this through the training of trainers, as we have done through CHE Training in both Gabon and the Democratic Republic of Congo, through educational scholarships, and sewing training for widows and needy women.

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