Older women called "fatteners" force the young girls to consume enormous quantities of food and liquid,[11] inflicting pain on them if they do not eat and drink. One way of inflicting pain is to pinch a limb between two sticks. A six-year-old might typically be forced to drink 20 litres (4.4 imp gal; 5.3 US gal) of camel's milk, and eat two kilos of pounded millet mixed with two cups of butter, every day. Although the practice is abusive, mothers claim there is no other way to secure a good future for their children.[11][12]
"Girls as young as 5 and as old as 19 had to drink up to five gallons of fat-rich camel’s or cow’s milk daily, aiming for silvery stretch marks on their upper arms. If a girl refused or vomited, the village weight-gain specialist might squeeze her foot between sticks, pull her ear, pinch her inner thigh, bend her finger backward or force her to drink her own vomit. In extreme cases, girls die, due to a burst stomach. The practice was known as gavage, a French term for force-feeding geese to obtain foie gras."