Clutching their hungry babies, a group of mothers mix a semolina dish under the guidance of a teacher, an attempt to curb malnutrition which affects nearly one in two children in Pakistan's south.
Despite Sindh province being home to the mega port city of Karachi, the financial centre of the country that sprawls along the Arabian coastline, children in rural areas just a few hours away face stark levels of wasting and stunting.
In the arid village of Sujawal, lethargic children with prominent bones wilt in the searing heat as social workers educate mothers on nutrient-rich ingredients and dispel myths around food.
"Before, we only gave our children potatoes because they were always available at home," said Shahnaz, 25, who has radically changed the diet of her six children, weak and fre