FNS situation - Issues & indicators

Oloya MichaelDNFP – Nebbi DLG

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?

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

Regional trends in prevalence of stunting 1995 - 2006

Regional trends in prevalence of underweight 1995 - 2006

Regional trends in prevalence of wasting 1995 - 2006

Regional prevalence of VAD among children & women of childbearing age

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

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

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

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 …

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

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

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

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)

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.

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