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The Guatemalan government, working with international donors, runs a program to distribute a vitamin rich cereal blend to supplement malnourished children. But convincing villagers to use it the right way continues to be struggle.
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Domitila is nine years old.
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The U.S. government contributes about $15 million a year in aid to Guatemala, but many question its efficiency and whether it is having the right kind of impact.
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Many malnourished children in Guatemala are given flavored sugar water to fill their stomachs.
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Israel is about three years old. He is so malnourished he cannot support his own body weight.
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Israel is about three years old. He is so malnourished he cannot support his own body weight.
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Dr. Evelin Nufio at the Bethania rehabilitation clinic for severely malnourished children in Jocotan, Guatemala.
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Children come to this rehabilitation clinic in the Chiquimula region who are in danger of starvation.
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Some parents are reluctant to send their malnourished children to a rehabilitation clinic (they mother has to go along) because they say they cannot afford the time away from taking care of their families.
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The grain bins in this hut in the Chiquimula region are empty.
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Photos and text by Samuel Loewenberg

Project

Samuel Loewenberg ventures to Guatemala to survey the underlying issues of the Central American country's extreme poverty. There, income inequality equals the worst in Africa - particularly among indigenous communities. In some regions, an estimated 75 percent of the children from infants to the ages of 6 and 7 are chronically malnourished.