Breast milk is considered as a blessing for all kids. It helps to develop the brain and immune system of the body to enable protection against germs. But since childhood, Arafat was deprived of this blessing. Arafat’s family consists of 10 members who live in Camp 4, Kutupalong. The earning members of the family are Arafat’s father Kamal Hossain and his grandfather; but sometimes it becomes difficult for them to find works and earn enough for their family. When Arafat was in his mother’s womb, his mother was suffering from anemia due to nutrient deficiencies and lack of care. His mother’s health condition deteriorated further after the delivery. As a result, she was unable to breastfeed exclusively to Arafat. Besides that, she did not know how to feed the baby in proper way. They started feeding Arafat the powder milk which they received as ration that caused sickness of Arafat throughout the year. Tareq, a community volunteer of the SARPV OTP at Camp 4 found Arafat during screening in community as SAM and advised his mother to go to the OTP center immediately. At the OTP, during full screening, his weight was found 3.9 kg, height was 56.9 inches, MUAC was 9.6 and the Weight for height Z-score was less that -3SD. After full screening, he was admitted in the OTP. Arafat was suggested and given SKMOX and RUTF. OTP counselor continued the counseling during the whole treatment period and helped Arafat’s mother to breastfeed him but unfortunately she was unable to breastfeed. After continuous follow up and care, Arafat’s MUAC was increased to 11.8 and WFH Z-score was improved. His weight was increased to 6.3 kg. After 86 days of treatment & observation, he was discharged. His mother was very happy and took him-to TSFP for further treatment.
