PB+J at Nkhoma Hospital
The problem is chronic Malnutrition. The first 1,000 days of a child’s life are crucial to their full growth and brain development. Malawi, Africa has the fifth-highest stunting rate in the world with over 47% of children under the age of five who are stunted both cognitively and physically due to chronic malnutrition. Around 4% of Malawian children are severely wasted or acutely malnourished as a result of recent rapid weight loss or failure to gain weight, which is also strongly related to mortality.
PB+J at Nkhoma Hospital was established in August 2012. The program facilitates a 900-farmer peanut co-op, has Malawian employees operating and managing the manufacturing facility distributing cartons of ready-to-use therapeutic food (RUTF) to local outlying health centers. The program also provides nutrition education to communities and individuals to equip primary caregivers with the knowledge to prevent malnutrition, which also allows for personal interactions with an opportunity to share the Gospel.
PB+J acts as a facilitator for a 900 family farming cooperative. Partnering with CNFA (Cultivating New Frontiers in Agriculture – Malawi) we have introduced a much needed cash crop for local families, including large sources of nutrients and proteins.
CNFA recognizes the relationship between increasing women’s empowerment in the agricultural sector and achieving positive outcomes in agricultural productivity, economic growth, and nutrition, particularly in light of a growing population and increased food demands.
Distribution and Sustainability
The beauty of PB+J’s model is the RUTF product is manufactured locally, helping the local economy, and then distributed to numerous health centers in the greater outlying area. All those in need are given the product at no cost.
We accomplish this through two funding sources. At the manufacturing plant we sell product to local organizations which furthers our reach. This helps offset the manufacturing expenses, but does not cover all our cost. We are forever thankful to our health center sponsors who step up to fill in the funding gap. Our goal is to always give this lifesaving product to those who need it for free.
Discipleship/Sharing the Gospel
Our Core Purpose is to reach those in need of the Gospel of Jesus Christ. To achieve this – Stanley Misi, our discipleship leader, has formed a small discipleship triad to work together doing Outreaches/Village Walks, showings of the Jesus film, while also working with local churches and area chaplains. We strive to come along side Village Chiefs creating ministries to raise up a broad net of Bible teaching believers in Malawi.
PB+J delivers thousands of sachets a month to numerous health centers. Additionally, the program provides training for health center workers in proper identification of malnourished children and effective treatment with fortified peanut butter (RUTF). Through implementation of the health center sponsorship program, RUTF is available to thousands of children
Nkhoma Mission Hospital:Thanks to our wonderful sponsor, this hospital now receives a monthly supply of 4,500 sachets to the outpatient program and the nutritional rehabilitation unit.
Diamphwe Health CenterDiamphwe is the smallest of the nine health centers. It is located south of Nkhoma Hospital nowhere near a sizeable city or town. Diamphwe has the highest percentage of children in the region suffering from severe acute malnutrition. Currently, they are turning children away because of the erratic supply of fortified peanut butter.
Nathenje Health CenterThanks to our wonderful sponsors, this health center now receives a monthly supply of 3,000 sachets to the outpatient program.
Chimbalanga Health CenterThe Chimbalanga Health Center is approximately a six hour journey by foot to Nkhoma Hospital. The supply of RUTF was very inconsistent and many children were being turned away. Thanks to a generous sponsor, we are now able to deliver 4,500 sachets a month to assist children fighting malnutrition.
Matapila Health CenterMatapila is the most remote health center. The sense of urgency is deeply rooted in the concern that last year they did not have a supply of fortified peanut butter during the critical hunger season. We want to ensure that no child goes untreated at Matapila.
Dzenza Health CenterDzenza is extremely remote and supplies of RUTF are erratic at best. Multiple children visit the center to only be turned away. Unfortunately, many deaths have occurred in the area this past year. Please consider contributing to this center and experience the joy helping these wonderful children will bring.
Mtenthela Health CenterMtenthela is a medium sized health center located off Malawi’s main road. Although they have been previously sponsored, we are seeking a new sponsor to continue the support of this health center.
Malingunde Health CenterMalingunde is about 80 km away from Nkhoma Hospital (where our program is located) and they are not able to operate their outpatient clinic because of the lack of supply of fortified peanut butter. We want to partner with the Nkhoma Hospital Children’s Ward to deliver a monthly supply of fortified peanut butter to enable them to treat children suffering from severe acute malnutrition.
Prenatal to 6 Months
Because PB+J’s fortified peanut butter is not appropriate for children under six (6) months of age, we have partnered with Nicole Van Elteren, who specializes in assisting pregnant women and infants who have fallen into malnourished states. Our goal here is to assist pregnant women so their children are born healthy and at a good weight. Additionally, providing these new mothers with product will help them produce a good milk supply so the children do not fall into a malnourished state.
- Country Director based in Malawi. 10 Years in RUTF business operations
- Responsible for Quality Assurance and Sales & Marketing of RUTF
- Chairs Food Safety Team in Malawi & Team Leader on Malawi Plant operations
- Production Manager – since January 2016
- Responsible for quality production of RUTF in line with QMS
- Supervises Production Operatives and Cleaning staff
- Discipleship / Logistics Leader
- Responsible for logistics support (MRA / Stock Clearing)
- Outreach discipleship / sharing the gospel, coordinating mission trips and outreaches as part of evangelism
- Production Assistant / Operative
- Responsible for collection, procurement, and delivery of local Ingredients and RUTF supplies
- Obtains relevant data from Health Facilities for records
- Specializes in local machinery / motor vehicle service maintenance
- Team Leader in hygiene and cleaning services
- Also works as a production operative
- Responsible for cleaning utensils and equipment in sanitary zone
- Production Operative
- Currently in RUTF Filling Machine room operations
- Production Operative
- Has Grade 3 Mechanic/Technical background
- Current Team Leader on operation of RUTF filling machine
- Plant Cleaner – outside sanitary zone
- Responsible for uniform cleaning, surrounding gardening and administrative duties and change room.
- Accounts Clerk for the Malawi operations
- Responsible for management of budget, accounts receivable, and bank reconciliation
- Also responsible for payments to suppliers and receipt of inflows from clients
- Production Operative
- Previous part-time volunteer for World Vision
- Support cleaning and Mixing of Ingredients in production
- Production Assistant / Plant Messenger
- Responsible for ground labor, plant cleaning & gardening