30 october 2014 office of the prime minister uganda nutrition action plan (unap) nutrition...
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Office of the Prime Minister Uganda Nutrition Action Plan (UNAP)
Nutrition Coordination Secretariat
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COORDINATING THE IMPLEMENTATION OF THE UNAP:
PROGRESSPresented to the 6th Africa Day for Food and Nutrition Security
29th October 2015Speke Resort, Munyonyo, Uganda
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OVERVIEWOF NUTRITION
IN UGANDA:THE PROBLEM
Despite continued efforts, unacceptably high malnutrition rates in Uganda • 33% of CU5 are stunted• 5% of CU5 are wasted• 14% of CU5 are underweight
Nutrition has a crucial impact on health, education and development. Yet, negative consequences of malnutrition are not fully recognized in terms of :
• Deaths• Disabilities • Poor school performance• Loss of economic productivity
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Distribution of Stunting, Wasting and Underweight in under-fives (UDHS 2011)
%
Stunting 33.4%; Underweight 16%; & Wasting 5%
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Stunting: Children under age 5 (percent)
Note: Vulnerability varies from region to region
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Though the proportion of stunting has declined markedly since 2000, one out of three Children under 5 is stunted
6
Source: UDHS 1995, 2000, 2006, 2011; UNICEF UK official website
A stunted child:• Has suffered over a long period from
insufficient nutrient intake and frequent infections
• Is shorter, with little chance to catch up • Has a weaker immune system, and is
more vulnerable to disease• May have cognitive development
hampered - irreversibly
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Since 1995, insufficient progress has been made in reducing acute malnutrition (wasting)
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Source: UDHS 1995, 2000, 2006, 2011
A wasted child:• is excessively thin• has experienced significant food
shortages and/or diseases or infections in the short term
• has a higher risk of death if under 5 years of age
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The prevalence of underweight has declined steadily since 2005, and met the MDG target in 2011
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An underweight child may be stunted, wasted, or both
Source: UDHS 1995, 2000, 2006, 2011
MDG target 12.5%
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Food Security:
Even where food is produced abundantly, quantities available to families can be insufficient.Pockets of “food insecure” households thus exist in “food secure” regions.
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Nutrition: A human rights issue AND a development issue
Uganda Nutrition Action Plan (UNAP) launched in November 20111 by H.E. President Museveni.
UNAP serves as Uganda’s strategy for scaling up nutrition.
Office of the Prime Minister coordinates UNAP implementation, bringing together multiple sectors and partners.
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UNAP: Key Facts
• UNAP targets the “First 1000 days” of life, a window of opportunity to address stunting and break the inter-generational cycle of undernutrition
• In addition to Government Sectors/Line Ministries; UNAP brings together Development Partners, Civil Society Organisations, the Private Sector and Academia
Goal: UNAP aims to reduce malnutrition levels among women of reproductive age, infants and young children
Focus: Through expanded national efforts & increased public resources, UNAP promotes the scale-up proven interventions to improve infant & maternal nutrition outcomes
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Nutrition in Uganda’s National Policy Framework
Nutrition is high priority of government
Uganda’s Second National Development Plan (NDP-II) aims for reduction of Stunting from current 33 % to 22 % by 2020
National Nutrition Policy is currently being put into place – will serve as overarching policy framework to guide nutrition programming towards the achievement of the NDP-II and National Vision targets
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UNAP: SUN Framework in Uganda
Offers a strategic framework for multi-sectoral platforms and networks, under the stewardship of government
SUN Platforms bring together 8 Sectors, UN agencies, Development Partners, Civil Society, Private Sector, and Academia
SUN coordination principles promoted within Sectors and at Local Government level
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UNAP: Leveraging Resources – Building Partnerships
All partners must be rallied towards: a common Results Framework, Action Plans with clear milestones; Indicators to measure progress
In order to make visible strides in stemming malnutrition, nutrition actions must be highly coordinated
Partnerships must be formed and managed properly
Coordination body must have convening power
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UNAP Coordination: Generating and sustaining momentum and commitmentImplementation of government programmes in
Uganda occurs at district level
Coordination structures have been established; now require strengthened capacity to plan effectively, to coordinate multi-sectoral budgets, and to manage partnerships
Purpose: to sustain momentum for scaling up nutrition, and commitment to achieving goals, both at the national and sub-national levels
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UNAP: Key achievements for coordination and governance
Coordination structures in place; SUN country platforms active
Key sector plans costedLGs (Districts) and Sectors orientedNutrition planning and budgeting
guidelines developedNutrition Advocacy and Communication
Strategy developed and launchedNutrition M&E Framework establishedNutrition Stakeholders and Action
mapped – in some districts
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UNAP: Key achievements for coordination and governance
Nutrition informs Uganda’s NDPII agenda, in line with Uganda Vision 2040
Bi-monthly SUN teleconferences, UNAP Coordination meetings, SUN Annual self-assessment held
Development Partners forum activeConcept note to develop School Feeding policy
finalizedDevelopment of Sector Specific guidelines and
tools for nutrition e.g. Agric. Ext. Workers, CDOsStudies, Research, Food and Nutrition
Assessments conducted
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UNAP: Key achievements for UNAP implementationMoGLSD is reviewing community
development tools, Functional Adult Literacy materials, to integrate Nutrition.
District marathons held, Parliamentary Forum is being established
Nutrition Service provision improved: Ante-natal care; Sanitation and hygiene; Breastfeeding promotion; Malaria and other disease control; support to complementary feeding and others
Formative research on introduction of complementary food, and micronutrient products
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UNAP: Key achievements for UNAP Implementation
Project on whole value chains of major food security crops in the country/ region - maize, cassava, beans, rice and coffee implemented
Grain storage facilities developed in several parts of the country
Bio-fortificationAppropriate storage facilities/technologies
tested at household levelStaff in 38 districts trained in operationalization
of Mobile Plant Clinics.Routine surveillance and follow-up strike action
carried out on pests and disease epidemics Irrigation schemes rehabilitated
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UNAP: Key achievements for UNAP Implementation
National food and nutrition information system being set up (includes early warning systems -community, district up to national level)
Multi-Sectoral Food and Nutrition Security Improvement Project initiated, aimed at maximizing nutrition outcomes for vulnerable groups and schools
Strong Civil Society network established; promoting nutrition
First National Nutrition Forum held in 2013
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UNAP: Key achievements for UNAP Implementation
Community-level sensitization and capacity- building in nutrition held
Studies conducted by academic partners, contributing to body of knowledge on nutrition
Nutrition Initiative to develop and scale-up the delivery of nutrition messages through agriculture and health mobile phone platforms is being established
Others…
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Going forward…. Our Vision for the Future
…..Stressing that “Food Security” does not necessarily translate into “Nutrition Security”
….. Influencing pro-nutrition Knowledge, Attitudes, and Practices at household level
….Strengthening nutrition planning and programming at all levels
…..Building capacity for effective nutrition programming at all levels
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Going Forward…. Cont’d
…..Strengthening community-based approaches, to bring about positive changes on the nutrition landscape
…..Emphasizing experience-sharing and learning from other SUN countries
……Strengthening social mobilization and advocacy, targeting youth – especially young girls –future mothers, and parents – potential change agents!
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SUN…….Going forward …. Cont’d… Strengthening government leadership, transparency and strategic partnerships in line with SUN principles
… Expanding reporting and collection of evidence to track progress, identifying lessons learnt and disseminating findings
….Initiating and strengthening dialogue on financing/resourcing of nutrition
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…Going forward
Supporting nutrition governance especially at Local Government level - through improved Coordination, Implementation of District Nutrition Action Plans, M&E, & Reporting
Targeting the First 1000 Days and Youth; Addressing Gender issues; Empowering households to adopt pro-nutrition practices
Promoting Food Security, Access to Food, and Optimal Nutrition at household level
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…and finally….
Increasing Productivity & Resilience in communities; Creating opportunities for income generation
Ensuring an enabling Policy Framework
Strengthening Partnerships and Networks
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Thank you !