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ChildFund Sri Lanka’s Community-Based Rehabilitation (CBR) project in Puttalam helps families identify, understand and better care for children with disabilities.

Umesha, now nearly four, waddles between the television and a plate of rice from which her mother feeds her. She stands in front of the television watching a group of children sing and dance. Fascinated, she stretches out one of her arms in imitation.

A year ago, Umesha could neither stand, sit, or speak. Ajitha, Umesha’s mother, worried as she watched other children her daughter`s age begin to walk and talk.

But now there are smiles and laughter as Umesha makes funny faces to entertain her mother and Anoma – a volunteer for the Community-Based Rehabilitation project that ChildFund Sri Lanka runs in Puttalam. Children with disabilities are among the most vulnerable of children since they are often hidden by their families, stigmatised by society, and largely unprotected despite existing laws and social safety nets.

Through the CBR project, ChildFund helps caregivers detect and recognise disabilities early and learn how best to manage them. ChildFund also collaborates with local authorities and civil society organisations to include children with disabilities in social services programs and the educational system. Currently, the project reaches 120 children with disabilities in Puttalam. Volunteers visit the children`s homes daily or twice a week to monitor their progress, support caregivers – which includes helping with therapeutic exercises for the children – and ensure that the children receive routine clinic check-ups.

For the first year and a half after Umesha’s birth, her parents took her to the hospital frequently. Endless trips, and hours and weeks spent in hospital beds, made no difference to Umesha’s health – and took a high toll on Ajitha and her husband, who does odd jobs for a living. Ajitha had almost given up hope, when Anoma paid her a visit to encourage Ajitha to bring her daughter to the CBR clinic.

Eighteen-year-old mother Amina`s identical twin girls are just nine months old, but they’re not doing well. “They are not developing, they are malnourished,” says the first-time mum of Radia and Fatia, who are undergoing acute malnutrition therapy at a ChildFund-supported health centre in the Fentale district of Ethiopia“ a country in the grip of its worst drought in decades.

“There`s no water and there`s a shortage of foods,” says Amina, who gave birth at seven months pregnant. Her twins have never seen rain: “Now they`re nine months old and they`re not growing because of the problems they have.”

In addition to providing support to the health centre, ChildFund also provides Famix“ a fortified soya flour, rich in much-needed protein“ to help mothers like Amina, whose children are admitted to the Severe Acute Malnutrition inpatient therapy ward, in their ability to breastfeed. f100, a nutrient-rich therapeutic formula, is also given to children in the ward four times a day.

Sada is one of the clinical nurses caring for the twins at the centre, which identifies five or six new cases of malnutrition each day. “Their weight was below normal for their age, they cried all night, they had no appetite. They had lesions on their skin,” says Sada, who feeds and provides medicine to patients, as well as advice to parents on how to care for them.