Nigeria’s presidency says aid agencies overstating northeast hunger

girl eats meal in front of New Prison camp in Nigeria

ABUJA (Reuters) – Nigeria said on Monday that aid agencies, including the United Nations, were exaggerating the levels of hunger in the strife-torn northeast to get more funding from international donors.

In the last few months, Boko Haram insurgents, who have killed 15,000 people and displaced two million since 2009, have been driven back from an area the size of Belgium, revealing thousands of people that aid agencies say are near starvation.

President Muhammadu Buhari’s spokesman said “hyperbolic claims” were being made by, among others, U.N. agencies about the region, where the United Nations says some 75,000 children are at risk of starving to death in the next few months.

“We are concerned about the blatant attempts to whip up a nonexistent fear of mass starvation by some aid agencies, a type of hype that does not provide solution to the situation on the ground but more to do with calculations for operations financing locally and abroad,” an emailed statement from Garba Shehu said.

“In a recent instance, one arm of the United Nations screamed that 100,000 people will die due to starvation next year. A different group says a million will die,” he said.

On Friday, the U.N. said it had doubled its humanitarian funding appeal for northeast Nigeria to $1 billion to reach nearly 7 million people it said needed life-saving help.

The U.N. Office for the Coordination of Humanitarian Affairs (OCHA) has worked out an aid plan “in close cooperation with the government”, its deputy humanitarian coordinator Peter Lundberg said on Monday.

“The reality is that if we don’t receive the funding we require many thousands of people will die,” he said.

Shehu said government agencies were distributing food, deploying medical teams and providing education for children in camps for people who had fled their homes, noting that they would continue to work closely with international aid agencies.

Nigeria has Africa’s largest economy but is grappling with its first recession in 25 years as oil prices fall. Buhari’s administration has been criticized in the media for its handling of the economy and needing aid despite its oil wealth.

(Reporting by Felix Onuah; Writing by Alexis Akwagyiram; Editing by Louise Ireland)

Boko Haram attacks destroy farm communities, bring famine risk

Nigerian Women and Children waiting at a nutrition clinic

By Alexis Akwagyiram

MAIDUGURI, Nigeria (Reuters) – Fati Adamu has not seen three of her six children nor her husband since Boko Haram militants attacked her hometown in northeast Nigeria in an hail of bullets.

Two years on, she is among thousands of refugees at the Bakassi camp in Maiduguri, the city worst hit by a seven-year-old insurgency that has forced more than two million people to flee their homes.

The United Nations says 400,000 children are now at risk from a famine in the northeastern states of Borno, Adamawa and Yobe – 75,000 of whom could die from hunger within the next few months.

A push against the jihadists by the Nigerian army and soldiers from neighboring countries has enabled troops to enter remote parts of the northeast in the last few months, revealing tens of thousands on the brink of starvation and countless families torn apart.

“I don’t know if they are dead or alive,” Adamu, 35, said of her missing relatives.

There is a renewed threat of Boko Haram attacks. The start of the dry season has seen a surge in suicide bombings, some of which have targeted camps, including one at Bakassi in October which killed five people.

The World Food Programme said it provides food aid to 450,000 people in Borno and Yobe. Some 200,000 of them receive 17,000 naira each month to buy food, soon to rise to 23,000.

At least 15 camps, mostly on the outskirts of Maiduguru, the Borno state capital, are home to thousands of people unable to return home and surviving on food rations.

At one known as New Prison, women and children visibly outnumber men, many of whom were killed by Boko Haram or are missing.

One man — 45-year-old Bukaralhaji Bukar, who has eight children from his two wives — said the food he buys with the monthly stipend finishes within two weeks.

“We are suffering. It is not enough,” said Bukar, who begs on the street to make money.

In the center of Maiduguri, life seems to be returning to normal. Food markets are bustling but soldiers in pick-ups clutching rifles are reminders of the need for vigilance.

MALNOURISHED CHILDREN

In a ward in Molai district near the Bakassi camp, the air is filled with the sound of crying babies and the gurgle of those who lack the energy to cry. Some, whose skin clings tightly to their bones, are silent – too weary to even raise their heads.

“Many of them are malnourished, which is already bad enough, but they also develop things like malaria which further worsens their illnesses because they can’t eat and start vomiting,” said Dr Iasac Bot, who works at the unit overseen by the charity Save the Children.

Children have conditions ranging from diarrhea and pneumonia to bacterial infections and skin infections.

Hauwa Malu, 20, fled with her husband and their two-week-old daughter, Miriam, from her village in Jere after Boko Haram militants burned the farming community to the ground and took their cattle.

Miriam, now aged 10 months, has suffered from fevers, a persistent cough and is malnourished. Her mother said they have been left without a home or livelihood.

Tim Vaessen of the Food and Agriculture Organization said a failure to restore their ability to farm would in the long term mean displaced people would depend on expensive food aid.

“They would remain in these camps, they would become easy targets for other armed groups and they might have to migrate again – even up to Europe,” he said.

(Reporting by Alexis Akwagyiram, Editing by Angus MacSwan)

Haitians are suffering! Help is arriving but it is not enough!

Prenille Nord, 42, poses for a photograph with his children Darline and Kervins among the debris of their destroyed house after Hurricane Matthew hit Jeremie, Haiti,

By Kami Klein

Over the past decade, Haitians have suffered more natural calamity than any people in the world. On January 12th, 2010 the Haitian people were devastated by a deadly 7.2 earthquake killing over 220,000, injuring 300,000 and leaving 1.5 million people homeless.  Following this tragedy, Haitians were cruelly struck with a cholera epidemic which killed another 3,597 people and sickened over 340,000 people.   

With a lot of hard work, farm lands were beginning to produce, banana crops had recovered, livestock was healthy and growing and while there was still a long way to go, the Haitian people kept on with their struggle to survive. Then, on October 4th, 2016, Hurricane Matthew arrived, and Haiti was slammed with 145 mph winds and torrential rains.  When it was over, almost a thousand people had lost their lives,  90% of the homes were heavily damaged or destroyed, entire communities gone, 80% of all crops blown away leaving farm lands looking like landfills filled with trash and debris, and leaving 1.4 million people in desperate need of emergency aid.  

According to a recent article in Washington Post, Matthew has left 800,000 Haitians in desperate need of food. Along the roads, starving children beg for something to eat. Homeless families sleep under trees. Emergency help is arriving, but there is not enough of it. The United Nations has raised just a third of the $120 million needed to cope with the emergency. Storm-hit areas have reported around 3,500 suspected cholera cases.

A boy drinks water as he receives treatment for cholera at the Immaculate Conception Hospital in Les Cayes, Haiti,

A boy drinks water as he receives treatment for cholera at the Immaculate Conception Hospital in Les Cayes, Haiti, November 8, 2016. REUTERS/Andres Martinez Casares

Haiti Country Director Hervil Cherubin, “Loss of crops, livestock, and housing will cause a real disaster in the coming months. People will not have food to eat or the ability to create income as there are no crops to sell. This will create a huge problem in rural Haiti if something is not done to help the agriculture in the next three months.”

The damage in Haiti is monumental, causing unrelenting hunger, no shelter, and no safe drinking water. Those that have gone to Haiti to offer assistance are begging for our help.

Morningside’s amazing friend, Gary Heavin, has been there on the ground and in the air, delivering food and supplies to places so devastated that it is impossible to get there by road! There are no overwhelming offers of support from the world and the media has basically gone silent. Recently, Pastor Jim Skyped with Gary on The Jim Bakker Show and he had this to say on the conditions he has seen with his own eyes:  

Jim, I have been here 12 days now.  And, it looks like Hiroshima.  I am calling this a hidden holocaust because no one knows about it.  There are 1.4 million people that are under tremendous stress right now and almost no help!  I am here with three of my aircrafts. We are flying in, food, water, and doctors. In two of the cities, my aircraft was the only evacuation for people that have been injured in this hurricane.  We have been flying men, women and children with severe injuries to get medical help. My aircraft is the only source of food for 4,000 people that are stranded on a mountaintop. Jim & Lori, thank you for the food that you sent!  That was the first food that 4,000 starving people received. We are the only source of food for these people!”

Gary Heavin is a man who tells it like it is. The desperation of the Haitian people has filled his heart. It is from your generosity that we were able to send with him Food Buckets, Extreme Water Bottles and Flashlights! But it is up to all of us, as God’s people, to do MORE!  Deuteronomy 15:11 “For the poor will never cease to be in the land; therefore I command you, saying, ‘You shall freely open your hand to your brother, to your needy and poor in your land.’

Liface Luc, 66, poses for a photograph in his destroyed house after Hurricane Matthew hit Jeremie, Haiti, October 15, 2016. "I don't need to say nothing, my house explains everything. It's completely flat. I lost everything; my crops, my animals, so I have nothing left. It's like my two hands had been cut. What can I say? I'm at death's door," said Luc.

Liface Luc, 66, poses for a photograph in his destroyed house after Hurricane Matthew hit Jeremie, Haiti, October 15, 2016. “I don’t need to say nothing, my house explains everything. It’s completely flat. I lost everything; my crops, my animals, so I have nothing left. It’s like my two hands had been cut. What can I say? I’m at death’s door,” said Luc. REUTERS/Carlos Garcia Rawlins

Because we have these connections in Haiti, we know that our food is reaching those that desperately need it!  If you would like to help please click here and visit our Help for Haiti page.  

We have so many blessings!  Please keep the aid workers and people of Haiti in your prayers!  

A picture and its story: Severe malnutrition in Yemen

Malnourished woman with her relative at Yemeni hospital

By Abduljabbar Zeyad

HODAIDA, Yemen (Reuters) – The emaciated frame of 18-year-old Saida Ahmad Baghili lies on a hospital bed in the red sea port city of Hodaida, her suffering stark evidence of the malnutrition spread by Yemen’s 19-month civil war.

Baghili arrived at the Al Thawra hospital on Saturday. She is bed-ridden and unable to eat, surviving on a diet of juice, milk and tea, medical staff and a relative said.

“The problem is malnutrition due to (her) financial situation and the current (war) situation at this time,” Asma Al Bhaiji, a nurse at the hospital, told Reuters on Tuesday.

The 18-year-old is one of more than 14 million people, over half of Yemen’s population, who are short of food, with much of the country on the brink of famine, according to the United Nations.

Her picture is a reminder of the humanitarian crisis in the Arabian Peninsula’s poorest country where at least 10,000 people have been killed in fighting between Saudi-led Arab coalition and the Iran-allied Houthi movement.

Baghili is from the small village of Shajn, about 100 km (60 miles) southwest of the city of Hodaida, and used to work with sheep before developing signs of malnutrition five years ago, according to her aunt, Saida Ali Baghili.

“She was fine. She was in good health. There was nothing wrong with her. And then she got sick,” Ali Baghili told Reuters.

“She has been sick for five years. She can’t eat. She says her throat hurts.”

After the war began, Baghili’s condition deteriorated with her family lacking the money for treatment.

She lost more weight and in the last two months developed diarrhoea.

“Her father couldn’t (afford to) send her anywhere (for treatment) but some charitable people helped out,” Ali Baghili said, without elaborating who the donors were.

(Writing by Patrick Johnston in LONDON Editing by Alison Williams)

Far from Aleppo, Syria army advance brings despair to besieged Damascus suburb

residents fleeing an air strike in Damascus, Syria

By Ellen Francis

BEIRUT (Reuters) – Dozens of children line up for bread on the side of a road in Eastern Ghouta, a rebel-held area near Damascus. In scenes described by a witness, their belongings are piled up on the gravel — blankets, old mattresses, sandbags stuffed with clothes — until the families can figure out their next destination.

They are some of the thousands of people who have fled their homes in recent months, as government forces have steadily encroached on the biggest rebel stronghold near Syria’s capital.

Since a ceasefire collapsed last month, international attention has been focused on a major attack by President Bashar al-Assad’s government forces and his allies on the northern city of Aleppo.

But hundreds of miles south, the government’s gradual, less-publicized advance around Damascus may be of equal importance to course of a war in its sixth year, and is also causing hardship for civilians under siege.

Government troops, backed by Russian air power and Iranian-backed militias, have been snuffing out pockets of rebellion near the capital, notably taking the suburb Daraya after forcing surrender on besieged rebels.

The densely-populated rural area east of Damascus known as the Eastern Ghouta has been besieged since 2013 and is much larger and harder to conquer than Daraya.

Government advances are forcing people to flee deeper into its increasingly overcrowded towns, and the loss of farmland is piling pressure on scarce food supplies.

Several hundred thousand people are believed to be trapped inside the besieged area, similar in scale to the 250,000 civilians under siege in Aleppo.

“People were on top of each other in the trucks and cars,” said Maamoun Abu Yasser, 29, recalling how people fled the al-Marj area where he lived earlier this year, as the army captured swathes of farmland.

Abu Yasser said he and a few friends tried to hold out for as long as possible, but the air strikes became unbearable.

“The town was almost empty. I was scared that if we got bombed, there would be nobody to help us,” he told Reuters by phone. “We couldn’t sleep much at night. We were afraid we’d fall into the regime’s hands. It would probably be better to die in the bombardment.”

SEEKING SHELTER

Since the start of the year, Syrian government forces and their allies, including Lebanese Hezbollah fighters, have moved into Eastern Ghouta from the south, the southwest, and the east, helped by infighting among rebel groups that control the area.

The advances have forced more than 25,000 people to seek shelter in central towns away from approaching frontlines, residents said. Some have set up makeshift homes in the skeletons of unfinished or damaged buildings, aid workers said. Others live in shops and warehouses, or haphazardly erected tents.

The army has made its most significant gains in the area in recent months, according to the Syrian Observatory for Human Rights, which monitors the war. Rebels are still putting up resistance, “but the regime and Hezbollah’s continuous advances are a big indicator that they’ve decided to press on till the end”, Observatory Director Rami Abdulrahman said.

Eastern Ghouta was targeted with poison gas in 2013, nearly leading to U.S. air strikes to bring down Assad, who denied blame. President Barack Obama called off military action after Russia brokered an agreement for Assad to give up chemical arms.

The district has regularly been pounded by government air strikes. Insurgents have meanwhile used it as a base to shell Damascus.

Staples such as bread and medicine are unavailable or prohibitively expensive, several residents said.

Once self-sufficient farmers who were forced to abandon their land have become dependent on food from local charities, which Syrian aid workers say are often funded by organizations in Gulf states that support the opposition to Assad.

“Many families ate from their own land … and they made a living from it,” Abu Yasser said. “They were traders … and now they have to stand in line to get one meal.”

The sprawling agricultural area was historically a main food source for much of the capital’s eastern countryside. The territory taken by the army in the past six months was full of crops, until fierce battles and air strikes set it ablaze, aid worker Osama Abu Zaid told Reuters from the area.

“Now, compared to the sectors we lost, there are few planted fields left,” he said.

Opponents of Assad accuse his government and its Russian allies of relentlessly bombing Eastern Ghouta before ground troops swept in. The Syrian government and Russia say they only target militants.

“It’s the scorched earth policy. People were hysterical,” Abu Zaid said. “Even if you dug a hole in the ground and sat in it, the chances of surviving would be very, very slim.”

Residents have protested over the internecine war among the rebel groups which they blame for the army’s gains. Hundreds of people were killed in fighting between the Jaish al-Islam and Failaq al-Rahman factions.

Abu Zaid said the government had been failing for more than a year to capture southern parts of the Ghouta, until the internal fighting allowed for a quick advance.

NOT ENOUGH FOOD AND SHELTER

The waves of displacement mean schools and homes are full in central towns and cities still held by rebels.

“There was a big shock, a huge mass of people migrating at the same time, without any warning, without any capacity to take them in,” Malik Shami, an aid worker, said.

“Residents are already unable to get food at such high prices,” he said. International aid is insufficient and severely restricted by the Syrian government. “So they rely on local groups… but we can only do basic things, to keep us on our feet,” he said. “There will be a big crisis in the winter.”

A United Nations report said around 10 aid trucks had entered towns in the area this year.

Amid ongoing battles, the army has escalated its bombing of Eastern Ghouta, and dozens have been killed this month, the Observatory reported. It said the army advanced in the northeast of the area, edging closer to the city of Douma.

“The bombing and the fires, it’s like in the movies,” Shami said. “At night, there’s intense panic.”

Residents believe the government aims to force them into an eventual surrender through siege and bombardment, the tactic used in Daraya, where a local agreement guaranteed fighters safe passage to other rebel-held parts of the country.

“There are many theories” about what could come next, said Mahmoud al-Sheikh, a health worker. “But in general, there’s a lot of mystery about the future, a fear of the unknown.”

(Additional reporting by Tom Miles in Geneva; editing by Tom Perry and Peter Graff)

Hunger ‘deadlier than violence’ in Boko Haram-hit northeast Nigeria

Writings describing Boko Haram are seen on the wall along a street in Bama, in Borno, Nigeria

By Kieran Guilbert

DAKAR (Thomson Reuters Foundation) – Living conditions for people uprooted by Boko Haram violence and seeking refuge in camps and towns across northeast Nigeria are more deadly than the conflict between the Islamist militants and the army, Medecins Sans Frontieres (MSF) said on Wednesday.

Hunger and malnutrition is widespread among the displaced in Borno State, not just in remote, previously inaccessible areas, but also in the capital Maiduguri, the medical aid group said.

Coordination of relief efforts must be drastically improved and food aid urgently delivered to people in need across Borno, where the humanitarian situation is reaching “catastrophic levels”, said MSF emergency program manager Natalie Roberts.

“It is shocking to see so many people malnourished in Maiduguri, not just in isolated and hard-to-reach areas,” Roberts told the Thomson Reuters Foundation by phone.

“Aid actors have access, and there has been no Boko Haram presence for the last few years, but people are starving to death inside Maiduguri. Millions are in a nutrition crisis.”

MSF said it had recently gained access to Ngala and Gambaru, towns previously cut off from aid, where tens of thousands of people have little or nothing to eat and at least one in 10 children are suffering from life-threatening malnutrition.

Yet the medical charity said it was most concerned about the situation in Maiduguri, where malnutrition rates in some parts of the city are as high as those seen in conflict-hit areas.

Boko Haram violence has left more than 65,000 people living in famine in the northeast, with one million others at risk, and more than half of children under five are malnourished in some areas of Borno, several aid groups said last week.

Many women in aid camps in the northeast are resorting to selling sex in exchange for food and money with which to feed their families, medical charity International Medical Corps and Nigerian research group NOI Polls said this week.

Roberts said the aid response across Borno was insufficient and uncoordinated, leaving many people without any assistance.

“Civilians are not receiving aid, and find themselves trapped between Boko Haram and the military’s operations.”

The Islamist militant group has killed about 15,000 people and displaced more than 2 million in Nigeria in a seven-year insurgency aimed at creating a state adhering to Islamic laws.

A military offensive has driven Boko Haram from much of the territory it held in northern Nigeria, but the militants have continued to carry out suicide bombings and raids in northeast Nigeria and neighboring Cameroon, Niger and Chad.

(Reporting by Kieran Guilbert, Editing by Katie Nguyen. Please credit the Thomson Reuters Foundation, the charitable arm of Thomson Reuters, that covers humanitarian news, women’s rights, trafficking, corruption and climate change. Visit news.trust.org)

Economic downturn, Islamist attacks cause hunger to spread in Nigeria

By Stephanie Nebehay

GENEVA (Reuters) – Nigeria’s economic slowdown, compounded by Boko Haram attacks, could mean 5.5 million people needing food aid in the volatile northeast by next month, double the current number, the United Nations warned on Friday.

As government troops advance against the militants, the somewhat better access for aid workers under military escort to Borno and Yobe states has exposed “catastrophic levels” of suffering and a “vast regional crisis”, according to the U.N. refugee agency UNHCR.

Inflation and soaring food prices come at a time when people have little left from the last harvest, the U.N.’s World Food Programme (WFP) said.

“Because of Nigeria’s economic downturn, the number of hungry people could double in the northeastern states that are already so heavily afflicted by the conflict,” WFP spokeswoman Bettina Luescher told a news briefing.

“Our experts are warning it could go as high as 5.5 million people by next month,” she said. “The drop in oil prices and sharp rise in the cost of imported staples has compounded the years of violence that these poor people had to suffer.”

WFP has delivered food to 170,000 people in northeastern Nigeria, but hopes to reach 700,000 by year-end, Luescher said. It is also providing aid to 400,000 people in the three other Lake Chad Basin countries – Cameroon, Chad and Niger.

Nigerian Oil Minister Emmanuel Ibe Kachikwu said on Thursday that the OPEC country’s crude output had fallen to 1.56 million barrels per day (bpd) as persistent militant attacks have taken out around 700,000 bpd.

Medecins Sans Frontieres (MSF) said in late July that severely malnourished children are dying in large numbers in northeast Nigeria, the former stronghold of Boko Haram militants where food supplies are close to running out. The aid agency warned of “pockets of what is close to a famine”.

UNHCR spokesman Adrian Edwards said on Friday the situation remains dangerous and volatile, following an attack on an aid convoy last month. “There have been frequent ‘hit and run’ incidents by militants, including suicide bombings, attacks on civilians, torching of homes, and thefts of livestock.”

Armored vehicles and military escorts are urgently needed to provide protection for aid workers, he said.

“We have seen adults so exhausted they are unable to move, and children with swollen faces and hollow eyes and other clear indications of acute malnutrition,” Edwards said.

(Editing by Mark Heinrich)

Venezuelan women seek sterilizations as crisis sours child-rearing

Lisibeht Martinez (L), 30, who was sterilized one year ago, sits next to her children while they play in a bathtub in the backyard of their house

By Alexandra Ulmer

CARACAS (Reuters) – Venezuela’s food shortages, inflation and crumbling medical sector have become such a source of anguish that a growing number of young women are reluctantly opting for sterilizations rather than face the hardship of pregnancy and child-rearing.

Traditional contraceptives like condoms or birth control pills have virtually vanished from store shelves, pushing women toward the hard-to-reverse surgery.

“Having a child now means making him suffer,” said Milagros Martinez, waiting on a park bench on a recent morning ahead of her sterilization at a nearby Caracas municipal health center.

The 28-year-old butcher from the poor outskirts of Caracas decided on the operation after having an unplanned second child because she could not find birth control pills.

Her daily life revolves around finding food: she gets up in the middle of the night to stand in long lines outside supermarkets, sometimes with no choice but to bring along her baby son, who has been sunburnt during hours-long waits.

“I’m a little scared about being sterilized but I prefer that to having more children,” said Martinez, who with dozens of other women took a bus from the slums at 4 a.m. to attend a special “sterilization day” in this wealthy area of Caracas.

While no recent national statistics on sterilizations are available, doctors and health workers say demand for the procedure is growing.

For a Wider Image photo essay, see http://reut.rs/2atW2ZL

The local health program for women in Miranda state, which includes parts of Caracas, offers 40 spots during these “sterilization days” but as recently as last year did not usually fill them.

Now all the slots are scooped up and some 500 women are on the waiting list, according to program director Deliana Torres.

“Before, the conditions for this program were that the women be low-income and have at least four kids. Now we have women with one or two kids who want to be tied up,” she said.

Health workers at a national family planning organization and at three government hospitals in the states of Falcon, Tachira and Merida echoed her view that demand for sterilizations had grown in recent months.

The trend highlights how the oil-rich nation’s brutal recession is forcing people to make difficult choices.

Venezuela is a largely Roman Catholic country where Church doctrine rejects all forms of contraception and abortion is banned unless a woman’s life is at risk. The Archbishop of Merida, Baltazar Porras, told Reuters an increase in sterilizations would be a “barbarity.”

But Venezuela’s crisis has triggered almost daily riots for food and slammed a shrinking middle class as well as the poor who were once a bastion of support for late leftist leader Hugo Chavez’s self-styled “beautiful revolution.”

Pregnant women are particularly affected as they struggle to find adequate food and supplements, give birth in crowded and under-equipped hospitals, and have to spend hours in lines for scarce diapers, baby food and medicines.

The government ministries for health, women and information did not respond to requests for comment.

‘I WANTED FIVE KIDS’

Sterilizations are usually straightforward procedures that involve closing or blocking a woman’s fallopian tubes, known as tubal ligation.

“I heard about these free sterilization days on the radio. Immediately I showered, dressed, and went out (to find out about them),” said Rosmary Teran, 32, who had her second child two months ago and also came to the health center from a poor neighborhood before dawn.

Some health workers fear the economic meltdown is putting pressure on women to make a choice they may come to regret if the crisis eases.

“Sometimes we hear: ‘My husband told me to get sterilized because another child now wouldn’t be practical’,” said social worker Ania Rodriguez at family planning group PLAFAM in central Caracas.

Rodriguez says she meets with up to five women a day seeking sterilizations, up from one or two per week about a year ago. When women seem unsure or pressured into sterilizations, Rodriguez tries to steer them toward contraceptives like intra-uterine devices, which are somewhat more available and affordable than birth control pills or condoms.

When they have them, pharmacies sell a pack of three condoms for around 600 bolivars, only 60 U.S. cents at the black market rate but a big expense for those who earn the minimum wage of some 33,000 bolivars per month. On the Caracas re-sale market, those same condoms fetch around 2,000 bolivars.

Venezuela’s elite can afford those prices but the ailing middle class and poor are increasingly stuck.

“I couldn’t find the (contraceptive) injections, the pill, nothing. It’s very expensive on the black market, and now you can’t even find stuff there anymore,” said Yecsenis Ginez, 31, who has one son and decided to get sterilized.

“I thought I would have up to five kids, I had loads of names in mind. But it would be crazy to fall pregnant now.”

Still, some women have had to wait for months to be sterilized because there are limited spots at state-led hospitals and private clinics can charge about 12 times the monthly minimum wage. And some health centers are unable to provide sterilizations at all due to a lack of equipment or specialists.

DISARRAY

Amid what now feels like a distant oil boom, Chavez built thousands of Cuban-staffed health centers in poor neighborhoods and also launched popular maternity-health programs during his 1999-2013 rule.

But with Venezuela’s state-led economic model decaying and oil prices depressed, hospitals have deteriorated sharply under his successor Nicolas Maduro.

Medicine shortages hover around 85 percent, according to a leading pharmaceutical association. Equipment ranging from surgical gloves to incubators is scarce, and many underpaid doctors have left the public sector or emigrated.

The government still says it has one of the world’s best health systems and accuses detractors of waging a smear campaign. It has stopped releasing timely health data, though.

The World Health Organization says Venezuela’s neo-natal mortality rate was 8.9 per 1,000 live births last year, above the Americas region’s average of 7.7. It says Venezuela’s maternal mortality rate was 95 per 100,000 live births in 2015, one of the worst rates in Latin America and up from 90 in 2000.

The nation of 30 million people has one of Latin America’s highest rates of teenage pregnancies and large numbers of single-parent households, U.N. data shows.

As they waited to be called into the operating room for their sterilizations, women in blue scrubs and hairnets wistfully recalled happier times in once-booming Venezuela.

“Before, when you got pregnant, everyone was happy,” said mother-of-two Yessy Ascanio, 38, as she sat on a bed in a side room. “Now when a woman says ‘I’m pregnant’, everyone scolds you. It makes me sad for young women.”

As some of her peers nervously looked out at patients being wheeled out after their sterilization, Ascanio advised: “If you get scared, just remember those food lines.”

(Additional reporting by Mircely Guanipa in Punto Fijo, Anggy Polanco in San Cristobal, and Sarah Dagher and Daniel Kai in Caracas; Editing by Andrew Cawthorne, Stuart Grudgings and Kieran Murray)

Venezuela denies zoo animals starving, says one happy family

starving lion at Venezuelan zoo

CARACAS (Reuters) – Venezuela’s government denied on Monday that zoo animals were dying of starvation amid a national food shortage, saying they were being lovingly treated “like family.”

Minister for Ecosocialism and Water Ernesto Paiva toured Caricuao zoo in Caracas, where a union leader last week said 50 animals including Vietnamese pigs, tapirs, rabbits and birds had starved to death in the last six months.

“The animals are very dear, treated as if they were family, in fact they all have names,” said Paiva, adding that they were being seen by nutritionists to ensure they had an adequate diet.

The official said widespread media reports of deplorable conditions for zoo animals in the recession-hit OPEC nation were part of a campaign of “lies” against the socialist government of President Nicolas Maduro.

A union leader for employees of state parks agency Inparques, which oversees zoos, and sources at various facilities have said animals are suffering across the country, with lions being fed mangoes instead of meat and bears receiving less than half of their required intake.

Despite the minister’s assurances that the Caricuao animals were healthy and adequately fed, state prosecutors are investigating the deaths of “various species of wildlife” there.

(Reporting by Daniel Kai; Writing by Girish Gupta; Editing by Andrew Cawthorne and Sandra Maler)

Venezuelan schoolchildren express hunger in drawings

A drawing made during a lesson at a school shows what a student ate during the course of a day in Caracas, Venezuela July 14, 2016. The student wrote, "Ate corn cake with cheese for breakfast; had spaghetti with egg for lunch and a cookie for dinner." The student said that pizza was their favourite dish.

By Daniel Kai

CARACAS (Reuters) – When children at a Catholic-run school in a poor neighborhood of Venezuela’s Caracas capital began fainting from hunger, teachers asked them to draw or describe their most recent meals and what they expected to eat next.

The responses were shocking.

Some of the 478 kindergarten and primary students had gone without breakfast and were skipping other meals. Others expected to eat only bread, yucca or “arepa,” a form of cornmeal flatbread that is a local staple.

The drawings and texts at the Padre Jose Maria Velaz school in western Caracas are another symptom of the oil-rich South American nation’s deep economic crisis and its effects on nutrition and eating habits.

Due to the faltering socialist economy and the plunge in global oil prices, Venezuela has been in recession since early 2014. It suffers from the world’s highest inflation and is experiencing shortages of basic goods, from milk to medicines.

Huge lines at shops and pharmacies are now the norm, and hungry residents are quickly stripping the nation’s lush mango, coconut and papaya trees.

Depicting their latest meals, some students at Padre Jose Maria Velaz drew just mangoes and plantains. One said he had eaten rice and beans for breakfast, lunch and dinner.

Another said he had no breakfast. “We are waiting for food.

“I have pasta and ham for lunch,” he added. “I’m hungry.”

School director Maria Hidalgo said one in four children there were eating inadequately, and some teachers had also fainted from hunger.

“It’s dramatic, what we are going through,” Hidalgo said. “What kind of Venezuela are we going to have in 10 years?”

Critics say Venezuela’s crisis is the fault of economic policies under President Nicolas Maduro and his predecessor, Hugo Chavez. But the government says it is the victim of an “economic war” led by opposition politicians, businessmen and the United States.

Alexis Marin, who runs the food program for state schools, said children were receiving proper supplies.

“With all the economic war, they couldn’t destroy the school food program,” he told state TV.

The children at Padre Jose Maria Velaz at least had a happy reprieve: Nearby private textile company Telares de Palo Grande and local charity Mi Convive recently organized a party around a healthy meat soup for all to mark the end of the school year.

(Editing by Lisa Von Ahn)