Hunger and Shame" is a passionate account of child malnutrition in a relatively wealthy populace, the Chagga in Mt. Kilimanjaro, Tanzania. Views of family members, health workers and government officials provide insights into the complex of ideas, institutions and human fallibility that sustain the shame of malnutrition in the mountains. 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. Their discussions challenge the reader to ask fundamental questions concerning ethics, the politics of poverty and shame and social relations.