Global Nutrition

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Uganda’s progress on reducing stunting has been slow, and it has been assessed ‘off-course’ in the 2015 Global Nutrition Report. You have been asked to undertake an analysis of the possible reasons for this inadequate progress and propose some potential solutions.
a) List the key challenges and factors you consider may be impacting progress at the macro level
At the macrolevel social, economic, and political factors can have a long-term influence on maternal and childhood undernutrition. As per 2015 UNICEF country profiles, the poverty rates have not reduced significantly since 2009 while the GDP per capita made slow progress. Then, the mean prevalence of stunting is the highest in the lowest wealth quintile, ranging from 40 to 50 % in the
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b) What methodologies or processes would you propose to the Government to assess and analyse constraints to implementation of nutrition interventions?

To better understand the challenges and the constraints for the implementation of nutrition interventions, a rights based, equity focused situation analysis for nutrition and its determinants is required to develop a theory of change to inform policy development and to improve programme design. This type on analysis can be conducted at national and sub national levels, involving a wide range of stakeholders and using systematic and methodological approach including :
- Assessment of nutrition status of the population
- Analysis of the causes of stunting and others forms of undernutrition
- Analysis of institutional, human, budget resources and of all the actors working in nutrition
- Analysis coordination mechanism including government, civil society, UN agencies and
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c) What policy options and operational approaches would you suggest to address these challenges?

A sustainable and significant sustainable reduction of stunting and anaemia will only be possible if the main underlying and basic determinants of maternal and child undernutrition are addressed simultaneously as part of a multispectral approach combining both high impact nutrition specific interventions and nutrition sensitive interventions. That implies the creation of enabling socio cultural, political and economical environment, build on government commitment, strengthen leadership and governance for improved nutrition.

Then strong support should be provided to scale up evidence based nutrition specific interventions and nutrition sensitive programming. To do so, human, institutional and organizational capacities should be developed to implement context specific interventions. The role of community is critical and community based approach that empowers community and increase their skills and knowledge to address their own nutrition
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