This book is a passionate account of child malnutrition among a relatively wealthy populace, the Chagga of Mount Kilimanjaro, Tanzania. Views of family members, health workers, and government officials provide insights into the complex ideas, institutions, and human fallibility that sustain malnutrition. Discussing the moral and practical dilemmas posed by the presence of malnourished children in the community, the authors explore the shame associated with child hunger in relation to social organization, colonial history, and the global economy.