In the world’s largest refugee settlement in Cox’s Bazar, Bangladesh, the crisis impacting the Rohingya children is double-edged: widespread hunger and deep psychological trauma. The good news is that proven, scalable solutions range from community-run nutrition services to play-based mental health support. With sustained funding, addressing hunger and trauma among Rohingya children is not a slogan; it’s an achievable goal.

Keeping Children Alive With Integrated Nutrition Services

UNICEF and its partners operate Integrated Nutrition Facilities within the camps. There, children below the age of 5 are routinely weighed and measured, screened with MUAC colour tapes and put on treatment plans. In 2021, these facilities treated 6,923 children suffering from severe acute malnutrition.

The organization exceeded its annual target, providing ready-to-use therapeutic food, deworming treatments and follow-up care. It also offered counseling for parents on breastfeeding and complementary feeding, reaching 14,000 pregnant and lactating mothers with infant and young child feeding support. Indeed, these cost-effective, life-saving services are making a real difference.

Restoring Food Rations and Protecting Nutrition Budgets

When rations are cut, hunger spikes quickly. New International Rescue Committee (IRC) data reveal that between 2022 and 2023, the number of Rohingya refugees without adequate food jumped from 44% to 70%. Nearly half of young children displayed physical signs of malnutrition and fewer than one in six children ate three meals daily.

Restoring rations to prior levels and ensuring predictable funding would immediately blunt wasting and protect child development, whilst addressing hunger and trauma among Rohingya children.

Healing in Crisis

A large randomized controlled trial tested BRAC’s Home-Based Humanitarian Play Lab (HPL), which offered weekly peer-led sessions for Rohingya mothers and children under 2. The program significantly improved mothers’ mental well-being. It enhanced children’s developmental outcomes through simple, low-cost activities led by trained Rohingya “Mother Volunteers.” In settings where specialist care is scarce, HPL provides a practical, scalable way to deliver psychosocial support.

Similarly, BRAC’s broader Humanitarian Play Lab approach is home-based for ages 0–3 and centre-based for ages 3–5. It creates safe, culturally rooted spaces where trained Rohingya Play Leaders guide activities. These activities build language, problem-solving skills and resilience. Furthermore, evaluations in Cox’s Bazar show gains in children’s development and improvements in maternal mental health. The model is now being adapted to other countries, offering the kind of community-powered intervention donors can scale.

Furthermore, child-friendly spaces run with UNICEF support give children predictable routines to play, learn and feel safe. This is critical in protecting them from toxic stress. These hubs are also entry points for early learning, protection, nutrition and health services referrals.

Nutrition + Mental Health = Better Outcomes

None of these solutions works in isolation. In December 2021, UNICEF Bangladesh reported that one-third of Rohingya children under 5 were stunted due to poor diets and repeated illness. Combining nutrition services with caregiver counseling and play-based psychosocial support multiplies impact, helping children recover physically while stimulating their brains for long-term learning and well-being. Trained Rohingya community members are already delivering this integrated package.

– Arabella D’Aniello

Arabella is based in Toronto, Canada and focuses on Good News and Technology for The Borgen Project.

Photo: Flickr