Here in Zinder my work is based at the therapeutic feeding centre (TFC), where I spend every day in the intensive care area of the malnutrition program. The MSF run TFC has recently been integrated over the last 3 months into the town’s National Hospital from a tent based structure run by MSF since 2005 and located on the other side of town. The inpatient malnutrition program consists of the ICU, “phase one” and “phase two” buildings with those patients who are mostly free of medical complications and working on nutritional rehabilitation, as well as the infant malnutrition ward targeting those patients under 6 months of age. The program has 120 beds and as it is currently peak season, is near capacity with recent expansion back into the tented area.