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World Nutrition 2018
J u n e 1 8 - 1 9 , 2 0 1 8
P a r i s , F r a n c e
Page 39
Journal of Clinical Nutrition & Dietetics
ISSN 2472-1921
W o r l d C o n g r e s s o n
Nutrition and Dietetics
K
aramoja region in Uganda is continuously affected by draught, cattle
rustling and food insecurity resulting to high malnutrition rates over the
past 40 years. In response to the persistent and high malnutrition (Global
Acute Malnutrition (GAM) of >10%) UN agencies/NGOS have focused on
nutrition specific approaches to treat malnutrition. There has been very limited
interaction between the nutrition specific and nutrition sensitive programs due
to the difference in objectives and targets. As a result, most of the already
cured cases from the nutrition specific programs end up relapsing. The result
of which is unchanged or higher GAM levels. These current mode of nutrition
interventions have not been designed to address the basic (Infrastructure,
Education, Access to market), underlying (inadequate access to food,
inadequate care for mother and child, insufficient health service and unhealthy
environment) and Immediate (inadequate dietary intake and disease)
causes of malnutrition (UNICEF 1991). This is reflected in the resource
allocation where most of the resources have been allocated for treatment
and management of malnutrition through nutrition specific interventions
with very little resources allocated to nutrition sensitive interventions which
target prevention of malnutrition. Nevertheless, malnutrition still continues to
affect the population despite all these interventions. Results showed making
nutrition program sensitive is a more sustainable way and where there is a gap
in a program implementation mandate should not override. Also data review
of the food security and nutrition assessment reports (FSNA) from 2009 to
2017, indicates that GAM rates have persistently been at serious levels (>10%)
despite all the continued interventions. Similarly, stunting rates have plateaued
above emergency levels (>40%). In order to address the continuously high
malnutrition rates there is need of shift nutrition program paradigm from the
current treatment based to a more nutrition sensitive approach
Biography
Andrew Amegovu is Founder and the Executive Director of two
NGOS Andre Foods International (AFI) and Andre Foods South
Sudan (AFSS) in Uganda and South Sudan which implements
nutrition Specific programs for the UNWFP/UNICEF. He is an
Associate Professor at University of Juba in South Sudan. He
holds both PhD and Post-doctorate in Nutrition and Dietetics.
He has vast field experience in implementation of community
based supplementary and therapeutic feeding programs. He
is a Researcher, Reviewer and has several publications in high
impact journals in the fields of therapeutic foods, obesity, food
safety and profiling of local foods for their nutrients. He has
been a Speaker and has attended several nutrition and food
safety conferences across the globe.
kiri_andrew@yahoo.comChallenges and lessons learned from the implementation of
nutrition specific program -an NGO perspective
Andrew Amegovu
1,2
and Timothy Chewere
1,2
1
University of Juba, South Sudan
2
Andre Foods International (AFI), Uganda
Andrew Amegovu et al., J Clin Nutr Diet 2018 Volume: 4
DOI: 10.4172/2472-1921-C1-002