The document outlines several key nutrition issues facing the region such as high rates of malnutrition, food insecurity, and inadequate nutrition awareness. It also discusses the various organizations that are responding to these issues through programs focused on health, food security, and nutrition education. Finally, it examines the challenges faced in coordinating these efforts and how the district is working to strengthen nutrition governance and prioritize interventions through its Nutrition Action Plan.

1. FNS situation - Issues & indicators
Oloya Michael
DNFP – Nebbi DLG

2. 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 those
challenges?

3. 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

4. Regional trends in prevalence of
stunting 1995 - 2006

5. Regional trends in prevalence of
underweight 1995 - 2006

6. Regional trends in prevalence of
wasting 1995 - 2006

7. Regional prevalence of VAD among
children & women of childbearing age

8. Regional trends in prevalence of
anaemia among children under 5,
2001-2006

9. Regional trends in the prevalence of anaemia
among women of childbearing age 2001 - 2006

10. Prevalence (%) of food insecure
households (CFSVA -2009)

11. 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 …

12. 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

13. 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

14. 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

15. 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)

16. 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.

17. What are the DNCC and the district
leadership doing to respond to those
challenges?
• 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