Hamdi Hasan Ali is 18 month old girl. A second child in a family consists of four members, a Father, mother and her sister, fadumo. Her family lived in Goobay

Near Baidoa, lower Shebelle Somalia.  The family daily income was mainly dependent onLivestock rearing like goats and sheep’s. After prolong drought, all of their livestock were killed by the drought. Life becomes difficult then Majority of the people living in the area got displaced in search of better living conditions for their families. “After the livestock was wiped out by the severe drought and lack of rainfall for a long period of time, as time goes, family living conditions have worsened and life become unbearable without the sole of the  livelihood said by the mother. 

After long time of struggle, Hamdi’s father divorced her mother (safiyo). After father parted ways, the family living conditions worsen then the mother decided to move in the IDP camp located at Kahda district, Mogadishu with her two daughters. Hamdi experience some health complication with various conditions like fever, diarrhoea, poor appetite and wasting. Hamdi’s mother decided to take her  to  Banadir Hospital and she became better  after 5 days in SC then the doctors discharged Hamdi back to their home  but informed the mother to take her daughter  to the nearest MCH for health follow up. 

The mother report   Hamdi to Budul mobile clinic center for daily health check-up until her conditions are contained.   The child was brought at our screening waiting areas after screeners careful triaged and assessed anthropometric measurements, like weight, height, MUAC and Z-score the screeners advised the mother that her daughter needs OTP Admission for further history, examination and treatment. OTP nurse made the diagnosis after rescreening the child, checking the results of her appetite test, performing a thorough physical examination, asking the mother of the child about her medical history, immunization records, and dietary intake. Hamdi was finally identified as having severe acute malnutrition (marasmus).

Her MUAC was 9.5 cm, and decided that she would be admitted to the Nutrition Program (OTP) on the date and day of admission. She has given regular OTP treatments like amoxicillin. She also get RUTF with key massages on each visit. The mother attended one-on-one counselling and group promotion counselling and she gained many important messages like feeding practice, diet diversity and hygiene. During follow up visits Hamdi was brought to the mobile clinic centre every week for a follow up with her progress and regress and the nurse regularly provided history and health information and prescribed RUTF according to her weight. The nurse also routinely provided hygiene and nutrition education, and the mother routinely participated in communication and behavior change sessions like those for promoting infant and young child feeding.

After 12 weeks of continuous follow up visit in the nutrition program, Hamdi’s nutrition status significantly improved. After completed of all routine medications and RUTF, on 4^th July 2023, Hamdi recovered from SAM and was discharged from the OTP program, since YouthLink mobile health donot provide TSFP service the child was transferred to Nearest Health center TSFP program for further treatment of moderate acute malnutrition (MAM) until her fully recover.

Below is Summery of Hamd’s anthropometric measurements and systematic treatment provided pre-intervention and post-intervention.