Nutrition coordination A Link Nutrition Causal Analysis (Link NCA) CALL TO ACTION committee (DNCC), six (6) Sub counties and was conducted to establish the various causal THE REPUBLIC OF One Town council trained on multi sectoral pathways for malnutrition in Omoro district. NUTRITION CHALLENGES/ GAPS CALL FOR ACTION RESPONSIBLE nutrition implementation for improved nutrition The information generated from this study is GOVERNANCE AREA OFFICE outcomes. important in designing context specific nutrition OMORO DISTRICT LOCAL GOVERNMENT Coordination and Weak coordination mechanisms of multi- Regularly Assess the functionality of DNFP, interventions in the district and formulate partnerships: sectoral nutrition activities at district and Nutrition Coordination Committees at all Administration ADVOCACY BRIEF ON STRENGTHENING NUTRITION GOVERNANCE FOR MULTI-SECTORAL RESPONSE The district conducted quarterly DNCC meetings customized action plans. sub-county levels. levels. Orient DNCC/SNCC members on and support supervision activities aimed at their roles and responsibilities strengthening the accountability framework for A Stakeholder Mapping and Capacity Multisectoral nutrition actions implemented in Assessment exercise was also conducted to Low attendance of DNCC members and Partner mapping list should be updated to DNFP, CAO Omoro district. examine institutional arrangements and capacity stakeholders in the multi-sectoral nutrition know who is doing what and where. activities (DNCC support supervision and to plan, budget and manage the multi-sector Timely Mobilization of DNCC members for nutrition programs in Omoro district. quarterly meetings) Systems capacity building (functional, meetings and joint support supervision. institutional and Human capacities) The Omoro DNCC has been trained on nutrition Systems capacity Lack of clarity on nutrition sensitive Orientation of nontraditional departments DNFP, Omoro district local government was supported governance and supported to use reporting Building (functional, programming for the nontraditional on nutrition sensitive approaches/actions to CAO, to build the capacity of the coordination templates and monitoring tools previously institutional and departments (Community Based Services, ensure their implementation in the district SAS Human capacities) Education, Production) at district, subcounty subcounty, division and municipality level. structures at district level and respective lower developed as part of the Standard Operating levels. local governments to plan, budget, implement, Procedures for nutrition governance. The and monitor multisectoral nutrition actions. reporting templates and monitoring tools are 15 staff members of the District Nutrition currently in use by the district for program Delays in processing of funds from IPs to Orientation of the DNCC on the INFMIS CFO conduct nutrition activities. system Coordination Committee (DNCC) were trained to implementation. develop their DNAPs while 105 staff from 7 sub- Policy development, Limited awareness on available policies, Support the wide dissemination of sectoral DNFP, CAO counties and one Town council were supported The DNCC, SNCC and TNCC conducts monthly implementation and guidelines that support Multisectoral and departmental policies and guidelines. to develop their SNAPs and TNAPs respectively. monitoring and supervision visits and quarterly legal framework nutrition action. meetings to assess progress of program DNCC/SNCCs to develop nutrition action plans implementation. Omoro DNAP not well aligned to the District should align the DNAP 2020-25 with District Planner (DNAPs/SNAPs 2020-2025) and advocate for District Development Plans 2020-2025 the Omoro DDP III (2020-2025) approval by district/sub county councils. Financial and resource mobilization No existence of nutrition governance Having a Nutrition governance file filled with DNFP PROFILE LAMWO A costed Multi-Sectoral Nutrition Annual resource materials for reference all relevant nutrition governance reference KOBOKO documents for-example SOPs and TORs. YUMBE POPULATION 190,534 Policy development, implementation and Workplan (FY 2019/20) was developed and Omoro District is located in Northern Uganda, legal framework approved through the office of the Chief Information Limited ability of District to implement Provide training and mentorship District Planner, Acholi sub-region and is bordered by District 5.3 The District Nutrition Coordination Committee Administrative Officer (CAO) to ensure management recommendations made by various studies opportunities to the nutrition focal person DHO to the north, to the east, Oyam (monitoring, carried out in the district. and district planner to make better use of Av.household size implementation of Nutrition actions in the District to the south and District to the of Omoro district developed a District Nutrition evaluation, nutrition data in programing. KITGUM Action Plan (DNAP) aligned to the Uganda district. surveillance and MARACHA west. The town of Palenga, where theADJUMANI district Nutrition Action Plan 2. The DNAP was also research) Inadequate capacity of DNCC to report on Mentoring and couching of DNFP and DNFP, CAO headquarters are located is about 24 kilometres, Infants Orphans <1 year <18 years approved by the District Council. Seven (7) sub counties and one town council nutrition governance activities DNCC members on use of nutrition by road, south of Gulu, the largest city in the all had their Nutrition Action plans approved by governance reporting tools in the SOPs Acholi sub-region. 8,193 15,319 All seven (7) sub counties and one town council their respective councils. Activities from their Communication (for Negative cultural beliefs and practices that Community wide sensitization and CBO, DHO The District headquarters is 374 km by road from Children Women of reproductive developed Subcounty Nutrition Action Plans and workplan are being implemented in the district. Nutrition behavior affect positive nutrition behavior in the dialogues on positive behavioral change on AMURU KampalaARUA the largest city and capital of Uganda under 5 years PADERage 15-49 years Town council Nutrition Action Plans respectively change and communities nutrition. through Gulu – Moroto Road. Administratively, 33,725 aligned to the Omoro District Nutrition Action practice) 38,488 AGAGO Communication for nutrition social behavior Identifying and use of Nutrition Omoro District is composed of 7 Lower Local plan. champions for positive behavior change change and Advocacy Governments (6 Sub-counties and 1 Town ChildrenGULU communication. Pregnant women Council). There are 29 Parishes and 150 villages. below 18 years A total of 99 PDCs, FAL Instructors and expected Information management (monitoring, Advocacy (for Low funding for multi-sectoral nutrition Resource mobilization for funding of DNFP, CFO, The Total population is 190,534 (NPHC, 2014). 104,984 Community Development officer were trained planning, budgeting activities in the district. un-funded priority nutrition activities in Administration 9,527 evaluation, surveillance and research) on Key Family Care Practices as change agents and resource the annual work plans from nutrition Adolescents Source: Uganda National for nutrition to enhance their ability to implement mobilization) stakeholders A baseline food security and nutrition 6 SUB-COUNTIES 29 PARISHESNWOYA 10-24 years Population and Housing and supervise Multisectoral nutrition actions at ZOMBO assessment was conducted in Omoro, key 1 TOWN COUNCIL 150 VILLAGES 66,306 Census 2014 OTUKE findings of which have been used to inform sub county/ Town Council level. Nutrition actions not integrated into the Support the integration of actions into the Planner, DNFP DDP process. DDP that are costed and budgeted. NEBBI nutrition programming. The study will be OYAM conducted bi-annually to assess progress on FAL Instructors were trained on Key Family Care KOLE key nutrition indicators for evidence-based Practices as change agents for nutrition through programming. integration of nutrition messages in their This publication was produced with the financial support of the European Union. Its contents are the sole responsibility of UNICEF curriculum and do not necessarily reflect the views of the European Union. DEVELOPMENT INITIATIVE FOR NORTHERN UGANDA EUROPEAN UNION NUTRITION GOVERNANCE ACTIVITIES SUPPORTED IN THE DISTRICT Coordination and Partnerships NUTRITION, WASH AND HEALTH STATUS OF THE DISTRICT Stakeholder mapping Omoro District Local Government has 14 stakeholders either overseeing or implementing Nutrition specific and sensitive interventions as well as and creating an enabling environment for Nutrition implementation within the district. In total, four stakeholders are for Nutrition specific, three for Nutrition sensitive, two partners for governance and five supporting all the interventions. NUTRITION STATUS FSNA baseline (2019) Desired situation (2025) HEALTH INDICATORS FSNA baseline (2019) Desired situation (2025) Common childhood illnesses in Omoro district include; OMORO DISTRICT MAP SHOWING DISTRIBUTION OF NUTRITION Acute 21% 14% SPECIFIC, NUTRITION SENSITIVE AND GOVERNANCE INTERVENTIONS of households of households Nutrition sensitive Governance Respiratory are food insecure have food stocks 68% 24% 49% Malaria 4% Diarrhea 3% Infections Koro 14 Odek Ongako Lalogi STAKEHOLDERS overseeing / Lakwana LOW BIRTH WEIGHT implementing 6% interventions IMMUNISATION (DPT3) VIT A SUPPLEMENTATION (12-23mo) Bobi STUNTING 10% 96% 61%

23% ANAEMIA IN WOMEN 70% 80% 29% 36% Nutrition specific All interventions <=14 interventions 15 - 19 interventions >=20 interventions 20% 35% 12% DEWORMING (12-23 mo) INTERVENTIONS TARGET GROUP OMORO Source: Uganda and West Nile and consolidated results WASTING ANAEMIA IN CHILDREN 61% Scale up coverage of optimal breastfeeding practices Pregnant and lactating women, 0% for 8 districts of Karamoja Final Report. September 2019. Adolescents girls 10-19 years 4% 65% 100% Makerere University School of Public Health Promote infant and young child feeding practices Mothers / Caregivers 25% 4% 25% Promote optimal nutrition among pregnant women Children with special needs 0-11 months 0% & lactating mothers Promote appropriate adoloscent nutrition Adolescents (Boys & Girls) 0% INFANT AND YOUNG CHILD FEEDING PRACTICES FSNA baseline (2019) Desired situation (2025) NUTRITION GOVERNANCE Scale up and sustain effective coverage of Vitamin A Children 6-59 months, Postpartum women 100% supplementation to children 6-59 months Min. acceptable diet Min. diet diversity (6-23mo) Min. meal frequency Iron and Folic Acid supplementation to pregnant women Pregnant women (15-59 months) 75% WHAT IS NUTRITION GOVERNANCE AND WHY IS IT IMPORTANT? Outpatient management of severe acute malnutrition Children 0-59 months, Pregnant women (15-49) 25% 2% 5% 22% without medial complication Good nutrition governance entails making adequate policy decisions in a timely manner, committing the necessary 40% Inpatient management of severe acute malnutrition with Children 0-59 months, Pregnant women 0% financial and organizational resources to their effective implementation, i.e. ensuring that benefits reach most of the medial complication population, preferably the most vulnerable. It also entails a sustained political commitment to ensure that nutrition Management of acute malnutrition (MAM) Children 0-59 months 25% programs and policies can withstand threats and constraints from changes in district leadership, political and Continued breast feeding (2yr) Exclusive breast feeding Breast feeding within first 1 hour Provide deworming tablets for children (1-14Yrs) Children 12-59 months 50% socioeconomic upheavals (Solon 2007). 35% 58% 46% Deworming for pregnant women Pregnant women (15-4 years) 100% Intermittent preventive treatment of malaria (IPT3??) for Pregnant women (15-49 years) 50% 80% 80% 80% NUTRITION GOVERNANCE FRAMEWORK pregnant women Scale up and sustain effective coverage of ORS-Zinc for Children 0-59 months 50% PILLARS OF GOVERNANCE diarrhea WASH STATUS FSNA baseline (2019) Desired situation (2025) Scale up and sustain effective coverage of Pregnant and Lactating women, Children 50% Intersectoral Cooperation Long lasting for insecticide treated nets (LLINs) Treatment of malaria All 50% Sustain universal coverage of available routine Children 0-59 months, Pregnant women 25% Policy Technical Frame immunization services Capacity Sustainable Funding Nutrition Works Outcomes Provide comprehensive EMCT services Pregnant and lactating women 5-49Yrs with HIV 50% Monitoring Provide ARV medication to HIV +Ve All HIV +Ve including pregnant and lactating women 50%

Stakeholders Vertical Partnership Building 15-49Yrs with HIV Frame work Information Financial and Communication Management Coordination Coordination and LATRINE COVERAGE SAFE WATER ACCESS Policy and legal System Capacity 0%

Resource Mobilization Diet therapy into routine disease management Children 12-59 months with special needs

Advocacy 83% 72% Prevention and Management of diet-related NCDs Women of reproductive age 15-49Yrs 25% (Nutrition Behavior Change. Advocacy) 80% 87% Source: Nutrition Stakeholder Mapping for Uganda Report. 2019