Much as the nutrition situation for children and women in Uganda has is not so much deteriorated significantly, there are cases of acute malnutrition and severe acute malnutrition. The persistent food insecurity in some parts of the country is an important contributor to the high levels of malnutrition among women and children. Poor feeding practices and high morbidity are also important factors, lack of access to clean water, sanitation facilities and basic health services follow suit.
PROFA Uganda Nutrition Programme targets over 10,000 people with nutrition assistance and services. With the aim to reduce suffering, morbidity and mortality related to malnutrition among vulnerable populations in Uganda, the PROFA Nutrition Programme will increase equitable access and utilization of quality preventative nutrition specific service delivery for children, adolescents and women in prioritized locations. PROFA Nutrition Programme activities will also focus on increasing equitable access and utilization of quality lifesaving nutrition services for early detection and treatment of acute malnutrition while enhancing coordination and joint programming with other PROFA sectors (Health, WASH, FSL, Education and Protection) for nutrition-sensitive interventions. To ensure quality of PROFA Uganda Nutrition Programme, the sector will also strengthen the nutrition information system for evidence-based nutrition response.
To this end, PROFA Uganda Nutrition Programme will prioritize life-saving treatment services targeting under-5 children, pregnant and lactating women, and chronically ill persons as the most vulnerable groups to acute malnutrition due to their increased biological and physiological needs. Prevention activities that address the immediate and underlying causes of malnutrition will be enhanced. The response will expand on nutrition-specific interventions, as well as reinforce integration and linkages with other clusters to address the key drivers of malnutrition: food insecurity, sub-optional childcare and feeding practices, morbidity, and lack of safe water and sanitation. PROFA’s Nutrition Programme will also prioritize areas where a high prevalence of acute malnutrition, HIV/AIDs, conflict and internal displacement coexist. The nutrition response will consist of a package of treatment and prevention services delivered through the health facility/nutrition site and community platforms, as per Uganda nutrition national guidelines.
PROFA Nutrition Programme will continue to enhance multispectral collaboration already in place with other clusters to ensure an integrated approach that aims to improve access to nutrition, food, water, sanitation, hygiene, health and protection services. Imparting efforts towards a people-centred approach to mainstream, Gender and Age considerations into nutrition programming will be conducted while programme responsiveness to evolving and varied needs of the affected population will be improved. Firstly, Gender will feature more prominently within the roles of the programme staff for enhanced accountability in the response. Secondly, PROFA nutrition plan will strengthen local capacity, including the Ministry of Health staff at District and County levels, project staff and community nutrition volunteers. Thirdly, PROFA Nutrition Programme will strengthen community participation in periodic situation assessments, response planning and monitoring. Protection risks for nutrition programs beneficiaries in Uganda are extremely high. Gender mainstreaming will therefore be enhanced by PROFA through consultation with women on site selection, increased efforts on recruitment of female staff at nutrition sites to ensure gender parity, increased understanding and staff capacity on gender issues and GBV referral pathways.