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Odai has three siblings, including a twin brother. “It is very likely that his brother is also malnourished,” Dr. Sharhan said. “Underweight and stunting is so common in Yemen, it is not identified as a problem. This boy was taken to hospital because of vomiting and diarrhoea, not because he was thin.” Breastfeeding key to health Improving child feeding practices is an integral part of UNICEF-supported nutrition interventions across Yemen. Perhaps the most important message that UNICEF seeks to communicate is that newborn children should be exclusively breastfed for the first 6 months. In the room next to Odai’s, Fathia sat beside her 11-month-old twins Abdul and Amat. They weighed only 3.1 kg each when they arrived a week ago. They were fed only water and sugar for the first three days after they were born – a practice common in Yemen, where many believe that the mother’s first milk is not good. Fathia later combined breastfeeding with bottle feeding. But in Yemen, poor water quality and deficient hygiene can make bottle feeding harmful. For the last 2-3 months, the twins have had bouts of diarrhoea. They were diagnosed with severe malnutrition complicated by acute respiratory illness. Fathia and her husband, a street vendor, have spent 70,000 rials (US$ 330) in other hospitals. “It has really destroyed our family economy 更多：https://www.bmcx.com/ ,” she said. ‘Now I know I have to breastfeed’ Amira and Aziz told a similar story. “I breastfed Rahf for the first two months, then I stopped,” Amira said. As a farmer, she had to quickly resume work in the fields. Rahf, now 4 months old, was bottle-fed by family members, and her health began deteriorating a month ago. Last year, Amira lost another child, a 4-month-old boy. “He died from this same condition… Now I know I have to breastfeed,” she said, but, “I’m not sure if I can do it. I have to work.”