THETHE REPUBLIC REPUBLIC OFOF UGANDA UGANDA Situation of Food Security and Nutrition in Northern Uganda 2019 DEVELOPMENT INITIATIVE FOR NORTHERN UGANDA (DINU) EUROPEAN UNION THETHE REPUBLIC REPUBLIC OFOF UGANDA UGANDA Situation of Food Security and Nutrition in Northern Uganda 2019 Uganda Bureau of Statistics Kampala, Uganda Makerere University School of Public Health Kampala, Uganda UNICEF Uganda Kampala, Uganda January 2020 DEVELOPMENT INITIATIVE FOR NORTHERN UGANDA (DINU) EUROPEAN UNION This publication is part of the evaluation for the EU-UNICEF Joint Nutrition Action under the Development Initiative for Northern Uganda (DINU) of the United Nations Children’s Fund (UNICEF). Required citation: Uganda Bureau of Statistics (UBOS), Makerere University School of Public Health (MakSPH) and UNICEF, Situation of Food Security and Nutrition Assessment in Northern Uganda 2019, Kampala, 2020. The Food Security and Nutrition Assessment in Northern Uganda 2019 (2019 FSNA) was implemented by the Makerere University School of Public Health (MakSPH) under the aegis of Uganda Bureau of Statistics (UBOS). Data collection took place from 13th May to 14th July 2019. The survey was carried out by United Nations Children’s Fund (UNICEF) and funded by the European Union (EU). Additional information about the 2019 FSNA may be obtained from the Socio-Economic Survey Section, Uganda Bureau of Statistics, Colville Street, PO Box 7186, Kampala, Uganda Additional information about the 2019 FSNA may be obtained from the UNICEF Uganda Country Office, George Street, PO Box 7047, Kampala, Uganda Cover photograph: © UNICEF/UNI194063/Ose CONTENTS FOREWORD ......................................................................................................................................vii ACKNOWLEDGEMENTS .................................................................................................................. viii ABBREVIATIONS AND ACRONYMS ..................................................................................................ix INTRODUCTION ...................................................................................................................... 1 FSNA OBJECTIVES ..............................................................................................................................2 SURVEY METHODOLOGY ...................................................................................................................2 SAMPLE DESIGN ................................................................................................................................2 QUESTIONNAIRE ................................................................................................................................3 ANTHROPOMETRY AND ANAEMIA TESTING ....................................................................................3 PRETEST ..............................................................................................................................................3 TRAINING OF FIELD STAFF .................................................................................................................3 FIELDWORK ........................................................................................................................................4 DATA PROCESSING .............................................................................................................................4 RESPONSE RATES...............................................................................................................................4 HOUSING CHARACTERISTICS AND HOUSEHOLD POPULATION ........................................... 6 HOUSEHOLD POPULATION AND COMPOSITION ..............................................................................7 HOUSEHOLD CHARACTERISTICS ......................................................................................................8 HOUSEHOLD COMPOSITION ...........................................................................................................10 EDUCATION ATTAINMENT OF HOUSEHOLD HEADS ......................................................................11 POLYGAMY AND DISABILITY AMONG HOUSEHOLD HEADS .........................................................12 SOURCES OF DRINKING WATER .....................................................................................................13 AVERAGE USE OF WATER ................................................................................................................14 SANITATION ......................................................................................................................................15 HOUSEHOLD POSSESSIONS ............................................................................................................16 WEALTH QUINTILES .........................................................................................................................18 USE OF FUEL FOR COOKING ............................................................................................................19 HAND WASHING ..............................................................................................................................20 CHARACTERISTICS OF RESPONDENTS................................................................................ 21 BACKGROUND CHARACTERISTICS OF RESPONDENTS .................................................................22 BACKGROUND CHARACTERISTICS OF CHILDREN 0-59 MONTHS OF AGE ..................................24 EDUCATIONAL ATTAINMENT OF MOTHERS AND FEMALE CAREGIVERS OF CHILDREN ..............25 WOMEN EXPOSURE TO MASS MEDIA ............................................................................................26 INTERNET USE BY WOMEN .............................................................................................................27 SITUATION OF FOOD SECURITY AND NUTRITION IN NORTHERN UGANDA 2019 iii ALCOHOL CONSUMPTION BY WOMEN ..........................................................................................29 HEALTH SEEKING BEHAVIOUR ........................................................................................................30 FOOD SECURITY ................................................................................................................... 32 HOUSEHOLD FOOD SECURITY BY CARI CONSOLE ........................................................................33 HOUSEHOLD FOOD SECURITY BY FOOD CONSUMPTION SCORE ................................................34 HOUSEHOLD FOOD SECURITY BY FOOD EXPENDITURE SHARE ...................................................35 HOUSEHOLD FOOD SECURITY BY LIVELIHOOD COPING STRATEGIES .........................................36 SITUATION OF FOOD STOCK AT HOUSEHOLD LEVEL .....................................................................37 SOURCE OF FOOD STOCK ................................................................................................................38 LIVESTOCK OWNERSHIP ..................................................................................................................39 HOUSEHOLD KITCHEN GARDEN .....................................................................................................40 HOUSEHOLD CROP PRODUCTION ..................................................................................................41 CONSTRAINTS TO AGRICULTURAL PRODUCTION ..........................................................................42 MORTALITY .......................................................................................................................... 43 MATERNAL AND CHILD HEALTH ......................................................................................... 45 ANTENATAL CARE BY SERVICE PROVIDER .....................................................................................46 NUMBER OF ANTENATAL CARE VISITS AND TIMING OF FIRST VISIT ..........................................48 COMPONENTS OF ANTENATAL CARE .............................................................................................49 CHILD HEALTH ..................................................................................................................................51 WEIGHT OF CHILD AT BIRTH ...........................................................................................................51 VACCINATION ..................................................................................................................................53 DEWORMING AND VITAMIN A SUPPLEMENTATION ......................................................................55 PREVALENCE OF SYMPTOMS OF ARI, DIARRHOEA AND FEVER ...................................................56 PREVALENCE AND TREATMENT OF DIARRHOEA ...........................................................................57 FEEDING PRACTICES DURING DIARRHOEA ....................................................................................58 PREVALENCE AND TREATMENT OF FEVER .....................................................................................60 SOURCE OF ADVICE OR TREATMENT OF FEVER ............................................................................62 EARLY CHILDHOOD DEVELOPMENT ................................................................................... 64 LEARNING MATERIALS ....................................................................................................................65 INADEQUATE CARE ..........................................................................................................................67