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CALL TO ACTION
Napak District Nutrition coordination structure,
the 7 Sub Counties (Ngoriet, Iriri, Lokopo,
Lotome, Matany, Lopeei, Lorengecora), and 3
Town Councils (Matany, Kangole, Lorengecora)
trained in multi sectoral nutrition implementation
for improved nutrition outcomes.
Supported the district to conduct quarterly
District Nutrition Coordination Committee
meetings, and, joint monitoring and support
supervision activities to LLGs aimed at
strengthening the accountability framework for
Multisectoral nutrition actions implemented in
the district.
A Multi-Sectoral Nutrition Annual Workplan
(FY 2019/20) was developed by the DNCC
and subsequently approved through the office
of the Chief Administrative Officer to guide
implementation of Nutrition actions in the
district.
Through the DINU funding, the district (Nutrition
Secretariat) received a laptop and motorbike to
enhace/ better the planning, implementation and
monitoring of multi sectoral interventions in the
district.
Systems capacity Building (functional,
institutional and Human capacities)
Capacity of the respective coordination
structures built to plan, budget, implement, and
monitor Multisectoral nutrition actions.
Members of the DNCC were trained in Nutrition
Governance as well as Nutrition Action Planning
for the five-year period in an effort to streamline
Multisectoral nutrition activities at DLG level.
Policy development, implementation and
legal framework
A Five-year Napak District Nutrition Action Plan
(DNAP) approved (2020-2025) by the District
council for operation as a district guide regarding
multi sectoral nutrition programming.
Information management (monitoring,
evaluation, surveillance and research)
A baseline Food Security and Nutrition
Assessment was conducted in Napak, key
findings of which have been used to inform
nutrition programming. The study will be
conducted annually to assess progress on key
indicators for evidence based programming.
THE REPUBLIC OF UGANDA
A Link Nutrition Causal Analysis was NUTRITION CHALLENGES/ GAPS CALL FOR ACTION RESPONSIBLE OFFICE
conducted to establish the various causal GOVERNANCE AREA
pathways for malnutrition in the district. The
information generated from this study is
important in designing context specific nutrition
Coordination and
partnerships:
Lack of updated department
operation plans
Through office of CAO, support
departments to come up with bi
annual or annual operation plans
CAO, NFP, NCC
NAPAK DISTRICT LOCAL GOVERNMENT
interventions in the districts and formulate inclusive of partner activities that ADVOCACY BRIEF ON STRENGTHENING NUTRITION GOVERNANCE FOR MULTI-SECTORAL RESPONSE
customized action plans. clearly deliberate on Multisectoral
interventions
A Stakeholder Mapping and Capacity Systems Lack of clarity on nutrition sensitive Conduct in service training on CAO, PHRO, NCC
Assessment exercise was conducted to capacity Building programming for the nontraditional nutrition sensitive programming to
examine institutional arrangements and capacity (functional, departments (Community Based critical staff from key nontraditional
to plan, budget and manage the multi-sector institutional and Services, Education, Production, departments.
Human capacities) Natural resources)
nutrition programs in the district.
Policy and legal Low capacity of DLGs to interprete Provide technical support and on CAO, NCC, MOLG
Annual briefs (Technical and Advocacy) have framework and implement the relevant legal job training to key decision makers
been developed from relevant studies conducted policy and planning frameworks on the various legal, planning
to guide the strategic coordination, planning, frameworks and how they impact
budgeting, implementation and monitoring of on nutrition.
both nutrition specific and nutrition sensitive Limited or no dissemination of Disseminate to the DLG and LLG
interventions in the district, LLGs, and the legal, policy and planning cadres with regular updates on
communities. frameworks to district and Lower current Legal, Policy and Planning
Local Government Level frameworks during covenings or
any other platform available
Financial and resource mobilization
Technical and financial support provided to Information Poor reporting mechanisms Support provision and orientation CAO, NCC, NFP
management (departments) against nutrition of key department cadres on the
the district in terms of logistics in the various (monitoring, actions at district level application and use of reporting
trainings and studies aimed at improving the evaluation, tools to foster their use for records
ability and capacity of the district to better surveillance and and analysis.
coordinate, plan, budget, implement and monitor research)
both nutrition specific and nutrition sensitive
interventions to communities.
Poor appreciation of relevant
nutrition evidence based data
generated at district and Lower
Provide technical assistance for
research and analysis to support
generation of evidence to
CAO, NCC, SAS,
NFP KOBOKO DISTRICT
YUMBE
PROFILE
MOYO
POPULATION
LAMWO
266,800
Local Government levels.
All the developed Nutrition Action Plans and better understand the linkages Napak District Local Government is located in Mid
Annual workplan were costed and funding gaps between nutrition and other non- North - Eastern Uganda. It shares boarders with 154,211 27,048
established to provide a basis for a resource traditional departments 6 districts namely: Kotido in the North, Abim and children <18 years households
mobilization plan as well as, to strategically Finance and Poor mechanisms for district Strengthen upward and downward CAO, DNCCs, SAS, Otuke in the North West, Katakwi in the West, KITGUM
facilitate efficient and effective finance planning, Resource Multisectoral coordination and accountability mechanisms by PC MARACHA ADJUMANI
Amuria in the south west, Moroto in the East and Infants Women of reproductive
monitoring and liquidation of Multisectoral mobilization) accountability towards set implementing recommendations
Nakapiripirit in the South. The district lies between <1 year age 15-49 years
deliverables
nutrition interventions. latitudes 1o53’N, 3o05’N and Longitudes 33o38’E, 9,072 53,894
Lack of budget allocations across Strengthen capacities of mandated CAO, LC5, Finance 34o56’E. It has a total area of 4,978 square
Communication for nutrition social behavior sectors to scale up high impact local government units to efficiently committee for
kilometers. By 2018 the population projection (from Children People with
Multisectoral nutrition actions. mobilise and equitably allocate and Council, HODs, NFP AMURU under 5 years disabilities >2 years
change and Advocacy utilise local revenue and resources
ARUA census profiles) was 266,800 of which 154,211
2014 PADER
are children below 18 years of age. 50,692 21,078 AGAGO
369 PDCs were trained on Key Family Care Communication Lack of social communication Provide technical support to CAO, NFP, DNCC
Practices as change agents for nutrition (for Nutrition and marketing interventions the district to build and use The district has 7 sub counties 3 town council and GULUChildren Formal education level
behaviour change implemented at DLG, LLG and Technology-Driven Platforms, such
634 VHTs were trained on Key Family Care 35 parishes. The district is endowed with 1 hospital 6-12 years of household head
and practice) community level to address the as community participatory videos,
Practices as change agents for nutrition issue of Low Dietary Diversity IEC materials, applications, and (NGO established), 6 HC III, and 7 HC IIs. Only 60,831 24.4%
social networking to empower local 43% of the Households are 5 km or more to the 15.6% Primary, O’level 5.7%, Other 3.1%
9 Community Development officer were
communities and frontline workers nearest health facility (whether public or private).
trained on Key Family Care Practices as change and to create home-grown nutrition NWOYA
ZOMBO The district also has 11 primary schools, and 29 65+ years
agents for nutrition to enhance their ability to champions that will advocate Source: Uganda National Population
ECD centres. 10,672 and Housing Census 2014
OTUKE
implement and supervise Multisectoral nutrition against malnutrition and poor
behavioural practices that lead to NEBBI
actions at sub county/ Town Council level. OYAM
malnutrition
KOLE
33 FAL Instructors were trained on Key Family
Care Practices as change agents for nutrition
This publication was produced with the financial support of the European Union. Its contents are the sole responsibility
through integration of nutrition messages in
their curriculum.
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, Napak District Local Government

NUTRITION, WASH AND HEALTH STATUS OF THE DISTRICT has 40 stakeholders either overseeing or implementing Nutrition specific and sensitive interventions as well
as and creating an enabling environment for Nutrition implementation within the district. In total, 8 (20%)
are for Nutrition specific, 25 (62.5%) are in Nutrition sensitive and 3 (8%) are for both Specific and sensitive
interventions and 4 (10%) implement all the 3(8%) including governance interventions.
NUTRITION STATUS FSNA baseline (2018) Desired situation (2025) HEALTH INDICATORS FSNA baseline (2018) Desired situation (2025)
NAPAK DISTRICT MAP SHOWING DISTRIBUTION OF NUTRITION
20% SPECIFIC, NUTRITION SENSITIVE AND GOVERNANCE INTERVENTIONS
Common childhood illnesses in Napak district include; Nutrition specific

55% of households
are food insecure 36% of households
have food stocks
29% Malaria 16% Diarrhea 36%
Acute
Respiratory
Infections

LOW BIRTH WEIGHT 8%

40 Lopei

Ngoleriet
Governance
STAKEHOLDERS Lokopo

overseeing / implementing
22.6% VIT A SUPPLEMENTATION (12-23mo) interventions Matany
IMMUNISATION (DPT3)
10% 10% Lorengecora
STUNTING 74% 69.3% Lotome
All interventions Napak TC

35.8% ANAEMIA IN WOMEN 70% 80% <=14 interventions

20% 8% 62.5% Iriri 15 - 19 interventions

36% Nutrition specific Nutrition sensitive >=20 interventions
12% & sensitive
DEWORMING (12-23 mo)
WASTING 80.3% Source: Food Security and Nutrition Assessment in 8 INTERVENTIONS TARGET GROUP NAPAK
ANAEMIA IN CHILDREN
8.6% districts of Karamoja 2018, Makerere University School Scale up coverage of optimal breast feeding practices Pregnant and lactating women,
44% 100%
of Public Health. Adolescents Girls (10-19Yrs)
4% Promote infant and young child feeding practises Mothers / caregivers 50%
25%
Promote optimal nutrition Children with special needs 0-11 months
NUTRITION GOVERNANCE Promote appropriate adolescent nutrition Adolescents (Boys & Girls)
INFANT AND YOUNG CHILD FEEDING PRACTICES FSNA baseline (2018) Desired situation (2025) Scale up and sustain effective coverag5e Vitamin A Children 6-59 months, postpartum women 100%
supplementation to children 6-59months
Min. acceptable diet Min. diet diversity (6-23mo) Min. meal frequency WHAT IS NUTRITION GOVERNANCE AND WHY IT IS IMPORTANT FOR NUTRITION OUTCOMES Iron and Folic supplementation to pregnant Pregnant women (15-49) 75%
Good nutrition governance entails making adequate policy decisions in a timely manner, committing the necessary Outpatient management of acute malnutrition without medical Children 0-59 months, Pregnant women (15-49 ) 25%
30% 9.5% 2.8% complication
financial and organizational resources to their effective implementation, i.e. ensuring that benefits reach most of the
40% population, preferably the most vulnerable. It also entails a sustained political commitment to ensure that nutrition Inpatient management of acute malnutrition with medical Children 0-59 months, Pregnant women 25%
complication
programs and policies can withstand threats and constraints from changes in district leadership, political and
Management of moderate acute malnutrition (MAM) Children 0-59 months
socioeconomic upheavals (Solon 2007).
Continued breast feeding (2yr) Exclusive breast feeding Breast feeding within first 1 hour Provide deworming tablets to children (1-14yrs) Children 12-59 months 70%
65% 97% 74.2% NUTRITION GOVERNANCE FRAMEWORK Deworming for pregnant women Pregnant women (15-49yrs) 100%
75%
Intermittent Prevention Treatment of malaria (IPT3???) for Pregnant Pregnant women (15-49yrs)
80% 80% 80% women
PILLARS OF NUTRITION GOVERNANCE
Scale up and sustain effective coverage of ORS-Zinc for diahorrea Children 0-59 months 55%
Scale up and sustain coverage of long lasting insecticide treated Pregnant & Lactating women, Children 55%
Intersectoral Cooperation
WASH STATUS nets (LLINs)

(Nutrition Behavior Change. Advocacy)

FSNA baseline (2018) Desired situation (2025)
Treatment of malaria All 75%

Resource Mobilization
Policy 50%
Technical Sustain universal coverage of available routine immunization Children 0-59 months, Pregnant women

Coordination and
Frame

Communication
Sustainable Funding Nutrition

Policy and legal

Capacity

Partnership

Financial and
services

System Capacity

Management
Frame work
Works

Information
Outcomes

Building
Promote EMCT services Pregnant & Lactating mothers 15-49years with 75%

cacy
Stakeholders Mon HIV
Vertical
Coordination Provide ARV medication to HIV+Ve All HIV +VE incld Pregnant & Lactating mothers 70%
itor

Advo
15-49years with HIV
LATRINE COVERAGE SAFE WATER ACCESS
ing

Diet therapy into routine disease therapy Children 12-59 months with special needs
60% 81% Prevention and Management of diet-related NDCs Women of reproductive age 15-49yrs 25%
80% 87% Source: Institute of Development studies (IDS), 2013 Source: Nutrition Stakeholder Mapping Report for Uganda (OPM, 2019)