studies

Uganda
Moroto district, Karamoja region / 2016
by Action Against Hunger with the support of UNICEF and WFP (DFID)
Moroto district is one of the 7 districts in the Karamoja region of North Eastern Uganda. The district has a total area of 8,516 km2. In 2014, it had a total population of 104,539 people (UNHPC, UBOS 2014).
The major livelihood zones in Moroto district embraced by populations include Pastoral, Agro-pastoral and Agricultural. Moroto district, high rates of under-nutrition.

Moroto District has the highest prevalence of under-nutrition (wasting and stunting) in Karamoja region. Global Acute Malnutrition (GAM) and Severe Acute Malnutrition (SAM) rates among children less than five years in Moroto district were at 13.2(9.9-17.3) and 5.2(3.3-8.0) percent respectively.

This study was carried out by researcher Lysette Boucher-Castel, and supported by Blanche Mattern, Link NCA technical officer from Action Against Hunger Paris.

Summary of findings

The final workshop and rating exercise of risk factors by NCA analyst revealed a couple of risk factors with the major risk factors linked to under-nutrition among children aged (0-59 months) included:

• Inadequate infant and child feeding practices (introduction of solids, complementary feeding practices, and responsive feeding),
• High workload for mothers,
• Poor practices of initiation breastfeeding, and exclusive breastfeeding,
• Poor sanitation and hygiene practices,
• Poor health status of children under 5 (ARI and Diarrhea prevalence),
• High food access instability (5 months reported difficulties in accessing food, duration of the hunger gap,
• Poor hygiene practices in the household (food preparation and storage, solid waste management),

Other cited factors included Low purchasing power, Low maternal nutritional status during pregnancy, Early child bearing, high prevalence of teenage pregnancies, High prevalence of Fever/malaria children 0-59 months and Poor status of reproductive health (birth spacing and family planning).

Important risk factors included: low utilization of antenatal care, maternity and post-natal services, open defecation, inadequate access to milk and animal products by children and mothers, poor maternal well-being (violence and alcohol indulgence), low utilization of mosquito treated nets at household level, low empowerment among caregivers, low utilization of soap for hand washing practices and insufficient income to cover transports costs.

Recommendations

Based on findings the following actions were recommended by multi-sectoral actors to address under-nutrition in Moroto, Karamoja region;

• Alternative income local labor markets and increase skills development among pastoralists and agro-pastoralists.
• Engaging men in maternal and child health care roles and responsibilities
• Advocate and engage community leaders and volunteer service providers to promote optimal IYCF practices at community levels
• Strengthen Capacity building school health program for village health teams, women, and youth groups.
• Enact policies at all levels District, Sub County-Parish, Village levels

The next steps will involve engagement multi-actors in designing of response plans based on Link NCA findings to address under-nutrition in Moroto district.

Full report - Link NCA - Karamoja, Ouganda, 2016 Executive summary Link NCA Study Uganda Karamoja Region 2016 Key results - Link NCA - Karamoja, Uganda, 2017 (in english)