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At the Centre for Treatment of Acute Malnutrition with Complications (CRENI) in the town of Amboasary Sud in the Anosy region of southeastern Madagascar, Samina Tahiaritsoa, 20, cradles her son, Lambo, 3, who still weighs less than six kilograms after 10 days at the centre. According to the UN Children's Fund (UNICEF), two out of three Malagasy live in poverty and 50 per cent of children younger than five have stunted growth due to malnutrition.