Janet Awino (39), a Community Health Volunteer, measures the arm of Lilian Auma's (25) 15 month old son Derek Otieno in Highridge village. Lilian has four children, all boys. Derek is the youngest. When first diagnosed, he had a MUAC (mid-upper arm circumference) of 7.5cm. Now his MUAC is at 12cm but Lilian is currently suffering from malaria and typhoid.