Since the implementation of the mVisa program, refugees overwhelmingly believe malnutrition rates are as high as they have ever been in Gihembe, that the same illnesses abound, but that there is less excrement – or watery diarrhea – visible in the residential quarters.

Their rationale: when there is less food to eat, there is less food to excrete. Refugees are constantly left pondering how to improve themselves, their lives, their health and futures.