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    • News
    • Produced in Partnership: Building Back Health

    Cleft and nutrition: The double burden for Kenyan mothers

    Children born with cleft lips or palates are especially vulnerable to malnutrition because the condition makes breastfeeding difficult.

    By Sara Jerving // 07 July 2021
    A mother with her child, who was born with a cleft lip and palate, in Kenya. Click the image to read the full visual story.

    Women in Kenya are often irrationally blamed and ostracized by their families when a child is born with a cleft lip or palate — a split in the upper lip or roof of the mouth.

    This traumatizing and isolating time is often compounded by difficulties with breastfeeding: The cleft condition can obstruct the formation of the suction needed around the nipple to extract milk from the mother’s breast.

    Nutrition-related factors contribute to almost half of all deaths of children under 5 globally. The problem is heightened for children with clefts. Because of this, babies with clefts need heightened nutritional support in order to ensure they are healthy and able to safely undergo the surgery to fix their cleft.

    Keep reading: Join Devex on the ground for a visit to a nutrition clinic in western Kenya where mothers are counseled on how to feed children born with clefts.

    Visit the Building Back Health series for more coverage on how we can build back health systems that are more effective, equitable, and preventive. You can join the conversation using the hashtag #BuildingBackBetter.

    • Global Health
    • Social/Inclusive Development
    • Smile Train
    • Kenya
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).

    About the author

    • Sara Jerving

      Sara Jervingsarajerving

      Sara Jerving is a Senior Reporter at Devex, where she covers global health. Her work has appeared in The New York Times, the Los Angeles Times, The Wall Street Journal, VICE News, and Bloomberg News among others. Sara holds a master's degree from Columbia University Graduate School of Journalism where she was a Lorana Sullivan fellow. She was a finalist for One World Media's Digital Media Award in 2021; a finalist for the Livingston Award for Young Journalists in 2018; and she was part of a VICE News Tonight on HBO team that received an Emmy nomination in 2018. She received the Philip Greer Memorial Award from Columbia University Graduate School of Journalism in 2014.

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