Nurse Practitioner Shannon Fernando on Why Hunger Is a Permission Problem, Not a Scarcity Problem

Shannon Fernando went to Turkana, Kenya to treat hunger with medicine. A woman named Mary helped her understand that she had been asking the wrong question.
At TEDxBeverlyGrove 2026, under the theme “Reimagining the Possible,” Fernando, a family nurse practitioner and the founder of the global nonprofit Alabaster International, told the story of how a medical camp in one of Kenya’s driest regions became the beginning of a very different kind of work.
In 2019, Fernando brought a medical camp to Turkana, offering medications, immunizations, and vitamins. She and her team began noticing something beyond the children they had come to treat. Adults, too, showed signs of exhaustion and dehydration that no vitamin could fix.
When Fernando asked Mary, a local women’s group leader, how the camp was going, Mary’s answer reframed everything.
They were grateful, Mary told her, but they did not need medicine.
They needed food.
That moment, Fernando told the TEDxBeverlyGrove audience, exposed something about her own work. She and her organization had been doing what they were trained to do, not necessarily what the community was actually living.
“Hunger isn’t a scarcity problem,” Fernando said. “It’s a permission problem.”
She had come to realize that aid decisions are often made from far away, by outsiders deciding what help should look like without first asking what a community is already doing to survive. So she began asking a different question. Not what can we bring, but what is already here.
That question led Fernando to Ethiopia, and to a crop called Enset. Grown predominantly by women and long dismissed outside its traditional context as a subsistence food, Enset has sustained Ethiopian farmers through drought for generations.
Fernando spent nearly two years working with Ethiopian officials to bring Enset across the border into Kenya for the first time in the crop’s history, a process built on earning institutional trust rather than assuming it. But institutional permission was not enough. Fernando and her team then had to earn something else: the trust of the farmers themselves, many of whom were understandably skeptical of yet another outside solution being introduced to their communities.
That trust did not come from explanation alone. It came from proximity, time, and relationship, culminating in women farmers in the Letoire region becoming Kenya’s first-ever Enset Ambassadors.
Fernando’s talk also challenged the metrics her own field relies on to measure success. Meals served, hectares planted, and tons of food aid delivered, she argued, are often easier to count than they are to interpret. What matters, she said, is whether households are actually nourished long term, and whether solutions can eventually operate without the very organizations that started them.
She closed her talk by returning to where it began: a farmer’s description of Enset as a member of the family, not simply a resource to be scaled.
Fernando is the founder and CEO of Alabaster International, working in Kenya, South Sudan, Ethiopia, and Sri Lanka to advance healthcare access, women’s entrepreneurship, and food security for indigenous women and their families. Her work has been recognized with the Humanitarian Award from the 15th Annual Taste Awards, features in NPR, the Los Angeles Times, and Spectrum News, and a 2024 Commitment-Maker distinction from the Clinton Global Initiative. Alabaster International has also joined the U.S. State Department’s Vision for Adapted Crops and Soils Champion Program and was named a 2025 Food Planet Prize Longlist nominee.
Shannon Fernando’s talk will be released online in the coming months as part of the TEDxBeverlyGrove 2026 speaker series.

Shannon Fernando, MSN-FNP-C, is a family nurse practitioner and global nonprofit leader advancing healthcare access, women's entrepreneurship, and food security for indigenous women and their families in East Africa and South Asia. She is the Founder and CEO of Alabaster International and works directly in remote regions of Kenya, South Sudan, Ethiopia, and Sri Lanka to elevate local voices and advance equity and justice for marginalized women.
Her work has been recognized with the Humanitarian Award from the 15th Annual Taste Awards, Los Angeles Times nominations, and features in NPR, LA Times, and Spectrum News. Named a 2024 Commitment-Maker by the Clinton Global Initiative, Fernando leads Alabaster's initiatives to combat hunger in East Africa. Alabaster has also joined the U.S. State Department's Vision for Adapted Crops and Soils (VACS) Champion Program, was named a 2025 Food Planet Prize Longlist nominee, and was selected as an F5 Tech for Good winner.
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