Photo by Mahfuzul Hasan Bhuiyan
Life for people living in the Jalekhali village of the Sathkira District in Bangladesh has not been the same since Cyclone Aila made landfull in 2009. In this coastal village, not only did people suffer in the aftermath of the cyclone, but health effects still linger from salinity intrusion into their ponds and other bodies of water. In addition to an increase incidence of water borne diseases among women and children, the increased intake of salt has resulted in increased prevalence of high blood pressure among pregnant women. The issue not only affects Jalekhali but is prevalent across coastal towns and villages in Bangladesh. In many of these villages the ground well water is also contaminated with arsenic leaving the people with acute shortage of safe drinking water.
The biggest daily struggle for 28 year old mother of two Sima Begum, is feeding her young children and keeping them healthy. Nutrition is a key challenge not only for Sima, living in a slum in Narayanganj, but for women across Bangladesh and South Asia. In fact, wasting and stunting are among the most stubborn health challenges facing the children of this region.
For the last 15 months, Sima has started receiving nutritional advice as well as a small cash transfer to help raise healthy children. Through a pilot cash-transfer program supported by the Rapid Social Response Multi-Donor Trust Fund (MDTF), her 10 year old son Faisal, is eligible for a Tk 800 ($10) school stipend and her daughter Shakal, 5, for a Tk 800 income transfer. Sima uses the stipends to feed Shakal a healthier diet and to pay for Faisal’s tuition, school books and uniform.
In order to receive these stipends Sima has to ensure that Faisal goes to school and that Shakal is brought every month to the community center near her house at New Zimkhana, where her growth can be monitored. The growth monitoring is simple: