Presentation FNS Issues & Indicators - Uganda - Oloya Michael 2
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Transcript of Presentation FNS Issues & Indicators - Uganda - Oloya Michael 2
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FNS situation - Issues & indicators
Oloya MichaelDNFP – Nebbi DLG
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Outline
• What are the key nutrition issues in the region• Who is responding to these issues & how?• What challenges do they face?• How do the responses relate to the strategic
objectives of the UNAP• What are the DNCC and the district leadership
doing to respond to thosechallenges?
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Nutrition issues in the region• High rate of malnutrition • Inadequate awareness on nutrition• Non functional DNCCs• High HIV & TB prevalence• Inadequate capacity of health staff (No. & knowledge )• Nutrition not integrated in other sectors• Food insecurity • GBV• Limited district specific data• Poverty
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Regional trends in prevalence of stunting 1995 - 2006
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Regional trends in prevalence of underweight 1995 - 2006
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Regional trends in prevalence of wasting 1995 - 2006
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Regional prevalence of VAD among children & women of childbearing age
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Regional trends in prevalence of anaemia among children under 5, 2001-2006
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Regional trends in the prevalence of anaemia among women of childbearing age 2001 - 2006
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Prevalence (%) of food insecure households (CFSVA -2009)
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Who is responding to these issues & how?
• Government – MoH, MAAIF, DLG -NAADS• UN Agencies – UNICEF, WFP, UNHCR• Development partners – USAID, SNV• Local & international NGOs – ZOA, Action Aid • Others – Baylor, Community connector,
Caritas, RECO …
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How ?• Training of health workers on IYCF• IMAM implementation at HC• Provision of RUTF (Plumpy-nuts)• Provision EMTCT services • Nutrition assessment – HC/VHT/Community• ANC – Nutrition education• Supplementation Vitamin A, Iron & Folic acid
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How ? cont ….
• De-worming, malaria control & prevention• HH hygiene & sanitation campaigns• Provision of clean safe water • Campaign against GBV• School gardens & feeding• Promotion of HH food security – staples • Formulation of ordinances & bye-laws – food
security, health – sanitation & hygiene
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What challenges do they face?
• Lack/inadequate orientation on roles -DNCC• Insufficient skills & knowledge in nutrition
programming • Limited funding for nutrition interventions• Nutrition indicators are not included in the
OBT• Inadequate skills in nutrition M & E • Limited district specific data on FNS
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How do the nutrition responses relate to the strategic objectives of the UNAP
• Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition.– Training of health workers on IYCF– IMAM implementation at HC– Provision of RUTF (Plumpy-nuts)– Provision EMTCT services – Nutrition assessment – HC/VHT/Community– ANC – Nutrition education– Supplementation Vitamin A, Iron & Folic acid– De-worming, malaria control & prevention– HH hygiene & sanitation campaigns– Provision of clean safe water – Campaign against GBV
• Objective 2: Enhance consumption of diverse diets.– Promotion of HH food security – staples (NAADS & PMG)
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How do the nutrition responses relate to the strategic objectives of the UNAP
• Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
– Promotion drought resistant crops – School gardens & feeding
• Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
– Formulation of ordinances & bye-laws – food security, health – sanitation & hygiene
• Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
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What are the DNCC and the district leadership doing to respond to thosechallenges?
• Establishment of DNCC and designation a Focal Person• Preparing District Nutrition Action Plans• Partnering – NGOs, Development partners on FSN
interventions• Appreciations that malnutrition is a binding constraint to
development• Some nutrition interventions now prioritized in plans and
budgets • Enacting ordinances and bye-laws to support food and
nutrition security