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Journal of Public Health and Nutrition | Volume 2
July 05-06, 2019 | Paris, France
International Conference and Exhibition on
17th World Congress on
Probiotics, Nutrition and Functional Foods
Pediatrics and Nutrition
Joint Event
&
Karamoja region in Uganda is a region highly affected by
draught, cattle rustling and food insecurity resulting to
high malnutrition rates over the past response
to the persistent and high malnutrition(GAM of > 10%) UN
agencies/NGOS have been using nutrition specific approaches
in isolation of the preventive approach. There has been very
little or limited interaction between the nutrition specific
and Nutrition sensitive programs due to the difference in
objectives and targets. As a result most of the already cured
cases from the nutrition specific program end up relapsing.
For this reason the GAM levels have remained unchanged and
sometimes even increase.
These current mode of interventions have not been designed
to address the basic (Infrastructure, Education, Access to
market), Underlying (inadequate access to food, inadequate
care for mother and child, insufficient health service and
unhealthy environment) and Immediate (inadequate dietary
intake and disease) causes of malnutrition (UNICEF 1991).
Instead malnutrition has been tagged only to the program
that are treating/managing victims of acute malnutrition.
This is reflected in the resource allocation where most of the
resourceshavebeenallocatedfortreatmentandmanagement
of malnutrition through nutrition specific interventions
with very little resources allocated to nutrition sensitive
interventions which target prevention of malnutrition.
Nevertheless, malnutrition still continuous to affect the
population despite all these interventions. Results showed
making nutrition program sensitive is a more sustainable
way and where there is a gap in a program implementation
mandate should not override. Also data review of the Food
Security and Nutrition Assessment reports (FSNA) from
2009 to 2017, indicates that Global Acute Malnutrition rates
have persistently been at serious levels (>10%) despite all
the continued interventions. Similarly, stunting rates have
plateaued above emergency levels (>40%).
In order to address the continuously high malnutrition rates
there need shift nutrition program paradigm from the current
treatment based to a more nutrition sensitive approach.
Speaker Biography
Amegovu Kiri Andrew is founder and the executive director of Andre
Foods International (AFI) a an NGO in Uganda which implements nutrition
main stream program for the UNWFP in karamoja and Rhino camp
refugees settlement in Uganda. He holds both PhD and Post doctorate in
Nutrition and Dietetics and he is an associate professor at Juba University
in South Sudan. He has vast experience in treatment of moderate acute
malnutrition in children under five years and pregnant and lactating
women. He is a Researcher and has several publications in high impact
journals in the fields of therapeutic foods, obesity, food safety and profiling
of local foods for their nutrients. He has attended several international
nutrition and food safety conferences both as speaker and chair.
e:
Amegovu Kiri Andrew
Juba University, South Sudan
Challenges and lessons learned from the implementation of Nutrition
Specific program -an NGO perspective