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Hunger and Shame A Book Review Hunger and Shame is the compelling truth about African poverty and how outside powers has shaped child malnutrition in Tanzania It is about the trend of suffering and deaths of malnourished children in a region where there is a dramatic variance among rich coffee farmers and the poor Mary Howard shows how crucial it is to step into patrilineal Chagga society and put aside WesternEuropean ideals The reality and tragic outcome of child malnutrition and shame are identified she proves that to understand kwashiorkor is to understand the Chagga Testimonies from researchers prospering coffee farmers and members of the Christian faith serving as illustration of how closely related hunger and shame truly are The author has exhibited through her diary an emotional picture of the lives of hungry families the death of young children and harsh realities of a rule-bound culture Observations from two time periods bring readers closer to issues at hand by way of anecdotes and pictures Having spent years in this Tanzanian community Howard may be considered an authority on the subjects of child malnutrition and Chagga society Her efforts began in agriculture and then expanded to helping individuals in a nutrition clinic where she integrated her own life into their culture Her intentions were to discover causes of child malnutrition and hunger aid in intervention and education strategies and to support her argument that the interaction between external forces and customary practices gives way to hunger and shame Howard took a very subjective and personal approach to writing this book about a society based on patrilineage and gender roles In efforts to help the hungry she employed qualitative and quantitative methods most information came from participant observation key informants and semi-structured interviews Statistical data was used in reference to childbirth and death rates Her understanding of hunger and shame came from her experiences on her cooperative farm and her work in nutrition
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