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Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 I Report

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Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 I Report Nakapiripirit District Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 i Report Food Security and Nutrition Assessment in Karamoja Sub-Region NAKAPIRIPIRIT DISTRICT REPORT Nakapiripirit ii Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 District Report IBFAN Uganda Nakapiripirit District Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 iii Report Acknowledgements This report is the outcome of a collaborative well, to the senior district leadership that process and would not have been possible provided initial guidance for the analysis without the contribution of many of the report. individuals: Appreciation also goes to the International WFP & UNICEF are grateful to the Baby Food Action Network (IBFAN) that Government of Uganda and the people of was responsible for the overall field data Karamoja for the support provided during collection, analysis and report writing for the entire exercise, especially during data this round of the FSNA. collection across all the Karamoja districts. Last but not least, thanks goes to colleagues Appreciation is also extended to the from WFP field offices in Karamoja and the Ministry of Health and the District Health Regional Bureau; the team of supervisors Offices of Abim, Amudat, Kaabong, Kotido, and Enumerators; community leaders and Moroto, Nakapiripirit and Napak for village health teams who worked tirelessly supporting the assessment exercise and, as to assure quality for the whole exercise. For more information related to analysis, data collection, tools and analysis software, please contact the AME Unit, World Food Programme Uganda, or IBFAN Uganda Siddharth Krishnaswamy Head, AME Unit [email protected] Cecil De Bustos Nutrition Manager, UNICEF [email protected] Edgar Wabyona Programme Officer, AME [email protected] Saul Onyango Principal Investigator [email protected] Barbara Nalubanga Co-Investigator [email protected] Gerald Onyango M&E Manager, IBFAN Uganda [email protected] For other information, please contact WFP Uganda, Country Director, Elkhidir DALOUM [email protected] UNICEF Uganda, Country Representative, Aida GIRMA [email protected] Nakapiripirit iv Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 District Report Abbreviations ADHO Assistant District Action Network Health Officer ITC In-patient Therapeutic Care ADRA Adventist Development Relief Agency IYCF Infant and Young Child Feeding CAFH Community Action for Health LC Local Council CAO Chief Administrative Officer MA Monitoring Assistant CDO Community MAD Minimum Acceptable Diet Development Officer MCHN Maternal Child Health Nutrition cIYCF Community Infant and MDD Minimum Dietary Diversity Young Child Feeding MMF Minimum Meal frequency DCDO District Community Development Officer NAADS National Agriculture Advisory Services DEO District Education Officer NUSAF Northern Uganda DEWS District Early Warning System Social Action Fund DHI District Health Inspector OTC Out-patient Therapeutic Care DLG District Local Government SAM Severe Acute Malnutrition DPMO District Production and SC Sub County Marketing Officer SCDO Subcounty Community DPT Diphtheria Development Officer FCS Food Consumption Score TA Technical Assistance GAM Global Acute Malnutrition TLU Tropical Livestock Unit HDDS Household Dietary UGX Uganda Shillings Diversity Score UNICEF United Nations HIV Human Immune Virus Children’s Fund HOF Head of Finance UNWFP United Nations World IAS International Aid Services Food Programme IBFAN International Baby Food WHO World Health Organization Nakapiripirit District Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 v Report Table of Contents Acknowledgements iii 4. Food Utilization 9 Abbreviations iv 4.1: Food Consumption Score 9 Executive Summary v1 4.2: Dietary Diversity 9 Household Demographic Complementary 1. 1 4.3: 10 & Related Factors Feeding Practices 4.4: Disease Prevalence 10 1.1: Household Demographics 1 1.2: Mothers’ Level of Education 1 4.5: Immunization 11 Vitamin A Supplementation 1.3: School Attendance 2 4.6: 11 and Deworming 2. Food Availability 3 4.7: Household Water 12 Household Sanitation 2.1: Access to Land 3 4.8: 13 and Hygiene 2.2: Livestock Ownership 3 5. Stability 14 2.3: Cropping Practices 4 2.4: Household Food Stocks 4 5.1: Main Household Shocks 14 Food and Humanitarian 5.2: Livelihood Coping Strategies 14 2.5: 4 Assistance Food Security and 6. 15 3. Access to Food 6 Nutrition Outcomes 3.1: Income Earners and Sources 6 Nutritional Status of 6.1: 15 3.2: Household Debt 6 Women and Children Dependence on 3.3: 7 6.2: Food Security Classification 16 Markets for Food 3.4: Food Expenditure Share 8 7. Recommendations 17 Attendance at Abim FSNA 8. 21 Validation Workshop Nakapiripirit vi Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 District Report Executive Summary Nakapiripirit is one of the districts in the protocols/schedules; however, Karamoja sub-region faced with chronic Child Health Card retention food insecurity coupled with high levels was found to be a problem. of malnutrition that are of public health concern. The Food Security and Nutrition Trend in Food Consumption Score assessment was conducted in June Acceptable FCS Borderline FCS Poor FCS Linear (Acceptable FCS) 2017 covering all the 8 sub-counties of Linear (Poor FCS) Lorengedwat, Nabilatuk, Lolachat, Moruita, 80% 72% 71% Kakomongole, Nakapiripirit TC, Namalu 69% 55% 59% and Loregae reaching 765 households, 896 60% children below 5 years and 721 women of child bearing age. 40% 34% 36% 39% 28% 31% 20% 24% 25% 9% 20% 10% 11% Key Findings 0% 4% 4% 2012 2013 2014 2015 2016 2017 Regular school attendance by 62% boys and 53% girls; Trend in Prevalence of Global Acute Malnutriton Most households had access 24% 20,4% to land (94%) and 92% of these, 20% 14,5% 14,6% 15,3% reported having cultivated food; 16% 13,1% 11,8% 12% 9,4% 8,3% Only (62%) of households 8% were registered under one or more Development Assistance 4% Programmes such as MCHN (56%), 0% 2010 2011 2012 2013 2014 2015 2016 2017 Food Aid (26%), School Feeding MAY/JUNE SEASON (16%) and NUSAF (15%); Almost all households (83%) had access to relatively safe Just less than half (42%) of households water sources such as boreholes, were food insecure. The adjacent figure piped water through taps, shows Food Consumption Score over the protected wells and springs; 6-year period indicating stability in the trend of the acceptable FCS. The linear Measles and DPT3 Immunization, trend [adjacent figure] depicts stabilization Vitamin A supplementation within the range of 72% and 69% over the and Deworming coverages were years. high at 98%, 98%, 85% and 82% respectively following the national Nakapiripirit District Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 vii Report Executive Summary The prevalence of Global Acute Malnutrition The high proportion of female (GAM) was 11.8% in 2017 which according headed households (42%) coupled to WHO threshold is ‘serious/high’. with low levels of formal education (25%) among mothers were among The linear trend [adjacent figure] shows a the key underlying factors to the decrease from about 20.4% in 2011 to 11.8% continued high levels of malnutrition. in 2017. The sub-counties worst affected by According to analysis, the slow pace in malnutrition (both women and children) improvement of food security and nutrition included Kakomongole Moruita, and situation in the district could be attributed Lolachat while food insecurity was mainly to: observed in Lorengedwat, Namalu and Diminished food availability Kakomongole. as only 29% of households had food stocks and just less than half (47%) had no livestock; Recommendations Low access to food as households had Agriculture: limited incomes amidst increasing food prices that had prompted high Introduction of suitable cash and crop prevalence of debt (35%) borrowed promotion, especially rice, simsim, primarily to buy food (52%); G-nuts, watermelon; diversification of crops livestock [drought resistant and short Poor Infant and Young Child Feeding maturing, disease and pets tolerant and high (IYCF) practices with only 7% of yielding and palatable]; and post-harvest children meeting the Minimum handling and value addition; Acceptable Diet coupled with high prevalence of illnesses (85%) among Climate change: children, affecting their ability to Support and build irrigation structures; effectively utilize the food consumed; Livestock: Poor water and sanitation practices with nearly 54% of households Invest more in livestock development, having no toilet facilities and especially in terms of breed development only 17% using water at the and value addition; and recommended rate of 15 litres per person per day, all of which rendered Policies: gains in nutrition fragile; and Disseminate/focus on food security By- laws and Ordinances. Nakapiripirit viii Food Security and Nutrition Assessment in Karamoja Sub-Region - July 2017 District Report Executive Summary Association between Nutrition and Household Food Security Indicators Category Indicator Wasting Stunting Underweight Gender of household head Mother’s education level Household Mother’s nutritional status by and social MUAC demographics Disability or chronic illness of household head Extremely Vulnerable Household Illness in the child Fever/malaria in the child Diarrhoea in the child Illness and health ARI/ cough in
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