` Amudat District Nutrition coordination structure, A Link Nutrition Causal Analysis was conducted CALL TO ACTION THE REPUBLIC OF UGANDA the 3 Sub Counties (Amudat, Loroo and Karita), to establish the various causal pathways for NUTRITION ISSUE ACTION RESPONSIBLE and 1 Town Council (Amudat) trained in multi malnutrition in the district. The information GOVERNANCE AREA PERSON sectoral nutrition implementation for improved generated from this study is important in Coordination and Duplication of effort among players and Support periodic stakeholder mapping CAO, DNCC, AMUDAT DISTRICT LOCAL GOVERNMENT partnerships lack of synergy for implementation of exercises (bi annually, annually) to Partners nutrition outcomes. designing context specific nutrition interventions ADVOCACY BRIEF ON STRENGTHENING NUTRITION GOVERNANCE FOR MULTI-SECTORAL RESPONSE in the districts and formulate customized action Multisectoral nutrition actions identify who is doing what, where in Supported the district to conduct quarterly the district plans. District Nutrition Coordination Committee Systems Low support provided to LLGs on Conduct regular support supervision to DNCC, CAO, meetings, and, joint monitoring and support A Stakeholder Mapping and Capacity capacity Building Multisectoral nutrition implementation the LLGs to foster adoption and build DNFP supervision activities to LLGs aimed at Assessment exercise was conducted to (functional, capacity of LLG cadres to support multi strengthening the accountability framework for examine institutional arrangements and capacity institutional and sectoral nutrition interventions. Multisectoral nutrition actions implemented in to plan, budget and manage the multi-sector Human capacities) Integrate mandatory nutrition support the district. nutrition programs in the district. supervision into the performance reviews of DLG cadres to strengthen A Multi-Sectoral Nutrition Annual Workplan Annual briefs (Technical and Advocacy) have their presence within the LLGs (FY 2019/20) was developed by the DNCC been developed from relevant studies conducted and subsequently approved through the office to guide the strategic coordination, planning, Policy and legal Limited or no dissemination of the Disseminate to the DLG and LLG CAO, DNCC, NFP of the Chief Administrative Officer to guide budgeting, implementation and monitoring of framework legal, policy and planning frameworks cadres with regular updates on current to district cadres Legal, Policy and Planning frameworks implementation of Nutrition actions in the both nutrition specific and nutrition sensitive during covenings or any other platform district. interventions in the district, LLGs, and available communities. Through the DINU funding, the district (Nutrition Information Lack of a Multisectoral district Nutrition Support the district to develop a CAO, DNCC, Secretariat) received a laptop and motorbike to management dashboard to collect, analyse and Multisectoral nutrition dashboard to DNFP Financial and resource mobilization (monitoring, disseminate district related nutrition foster the capture of evidence based enhance/ better the planning, implementation evaluation, data data to improve multi sectoral nutrition and monitoring of multi sectoral interventions in Technical and financial support provided to surveillance and programming research) the district. the district in terms of logistics in the various Poor use of relevant nutrition M&E Provide the district with technical tools to capture/ report against nutrition support and on job mentorship on the Systems capacity Building (functional, trainings and studies aimed at improving the ability and capacity of the district to better actions in the district use and effective application of the institutional and Human capacities) tools developed. coordinate, plan, budget, implement and monitor Finance and MOYO Capacity of the respective coordination both nutrition specific and nutrition sensitive Limited and inaccurate budget Provide support to initiatives aimed CAO, LC5, Finance structures built to plan, budget, implement, and Resource Information on nutrition related at enhancing revenue mobilisation by committee for KOBOKO DISTRICT PROFILE LAMWO interventions to communities. mobilization) allocation by the district Districts/ municipalities and facilitate Council, DNCC, YUMBE POPULATION 111,758 monitor Multisectoral nutrition actions. the transition of funds to facilitate NFP All the developed Nutrition Action Plans and the implementation of multi sectoral Amudat District was one of the seven Districts Members of the DNCC were trained in Nutrition Annual workplan were costed and funding gaps nutrition interventions. that were pronounced Districts by the eighth 22,576 Governance as well as Nutrition Action Planning established to provide a basis for a resource Presence of competing priorities Inclusion of priority nutrition Parliament of Uganda. The District is bordered Households for the five-year period in an effort to streamline mobilization plan as well as, to strategically within key departments where there is intervention s and targets in the in the North by Moroto District, Nakapiripirit to KITGUM Multisectoral nutrition activities at DLG level. limited space, funding, and low priority annual plans and budgets of district MARACHA ADJUMANI facilitate efficient and effective finance planning, the West, Kapchorwa to the south and Kenya to Infants Women of reproductive monitoring and liquidation of Multisectoral accorded to multi sectoral nutrition departments to ensure prioritization and <1 year age 15-49 years interventions. implementation. the East. The district has 3 sub counties, 1 town Policy development, implementation and nutrition interventions. council, 13 parishes and 123 villages. The district 5,458 22,576 legal framework Communication Lack of social communication and Provide technical support to the CAO, DNCC, NFP is endowed with 1 hospital (NGO established), 1 Communication for nutrition social behavior (for Nutrition marketing interventions implemented district to build and use Technology- Children People with A Five-year Amudat District Nutrition Action Plan behaviour change at DLG, LLG and community level Driven Platforms, such as community HC IV, 2 HC III, and 3 HC IIs. The district alsoAMURU has change and Advocacy ARUA under 5 years PADERdisabilities >2 years (DNAP) approved (2020-2025) by the District and practice) participatory videos, IEC materials, 11 primary schools, and 29 ECD centres. applications, and social networking 21,832 434 council for operation as a district guide regarding 200 PDCs and FAL Instructors were trained on AGAGO to empower local communities and multi sectoral nutrition programming. Key Family Care Practices as change agents for 3 SUB-COUNTIES 13 PARISHES frontline workers and to create home- GULUChildren Formal education level nutrition grown nutrition champions that will 1 TOWN COUNCILS 123 VILLAGES 6-12 years of household head Information management (monitoring, advocate against malnutrition. evaluation, surveillance and research) 328 VHTs were trained on Key Family Care 32,748 13.8% Practices as change agents for nutrition Increase training opportunities for 1 HOSPITAL 2 HC IIIs 8.0% Primary, O’level 3.1%, Other 2.7% A baseline Food Security and Nutrition politicians so that they can better 1 HC IV 3 HC IIs 6 Community Development officer were advocate for Multisectoral nutrition NWOYA Assessment was conducted in Amudat, key ZOMBO 60+ years trained on Key Family Care Practices as change interventions and also integrate key Source: Uganda National Population findings of which have been used to inform Multisectoral actions into the budgetary 11 PRIMARY SCHOOLS 29 ECD CENTRES OTUKE agents for nutrition to enhance their ability to 14,440 and Housing Census 2014 nutrition programming. The study will be planning process. NEBBI implement and supervise Multisectoral nutrition conducted annually to assess progress on key OYAM actions at sub county/ Town Council level. KOLE indicators for evidence based programming. This publication was produced with the financial support of the European Union. Its contents are the sole responsibility of UNICEF 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 A stakeholder and mapping exercise was conducted where it was found that, Amudat District Local Government has 39 stakeholders either overseeing or implementing Nutrition specific and sensitive interventions as well as NUTRITION, WASH AND HEALTH STATUS OF THE DISTRICT and creating an enabling environment for Nutrition implementation 4within the district. In total, 12 (31%) are for Nutrition specific, 23 (59%) are in Nutrition sensitive and 4 (10%) are for governance interventions. FSNA baseline (2018) Desired situation (2025) FSNA baseline (2018) Desired situation (2020) 31% AMUDAT DISTRICT MAP SHOWING DISTRIBUTION OF NUTRITION NUTRITION STATUS HEALTH INDICATORS SPECIFIC, NUTRITION SENSITIVE AND GOVERNANCE INTERVENTIONS Nutrition specific Common childhood illnesses in Amudat district include; Acute of households of households Respiratory are food insecure have food stocks Loroo 42% 26% 69% Malaria 3% Diarrhea 28% Infections 10% Governance 39 STAKEHOLDERS overseeing / implementing interventions LOW BIRTH WEIGHT Amudat TC 22.2% IMMUNISATION (DPT3) VIT A SUPPLEMENTATION (12-23mo) STUNTING 10% 71% 81% Amudat <=14 interventions 59% 23.8% 80% 15 - 19 interventions