Annex 2: Matrix of Food and Nutrition Strategies Showing Stakeholder Roles and Responsibilities.
Issue One: How to address the food and nutrition needs of the child in the womb and during the first two years of the child’s life after birth?
Strategic interventions and actions
1. Educate pregnant and lactating women on the components of a balanced diet
2. Provide education about the kinds of foods that can increase the intake and absorption of vitamins and minerals.
3. Prevent low birth weight through prenatal food and micronutrient supplementation.
4. Improve child growth by encouraging exclusive breast-feeding for the first six months of life
5. Address micronutrient deficiencies -anaemia (iron), iodine, and vitamin A
6. Advocate against early pregnancies
7. Prevent diseases and reduce parasite loads that reduce the body’s ability to absorb and retain nutrients consumed.
8. Enable mothers to continue breast-feeding during the early post-partum period and encourage provision of facilities for infant care at workplaces
9. Ensure that employers and employees in both public and private sectors comply with maternity leave laws.
10. Regulate marketing of breast milk substitutes and iodised salt.
11. Promote the use of local produce in manufacturing appropriate weaning foods.
12. Provide effective therapeutic feeding for sick and malnourished children.13. Increase coverage of safe water sources and proper sanitation.14. Increase coverage of and accessibility to family planning services.
Issue Two: How to address the food and nutrition needs of pre-school children (3 to 5 years of age)?
1 Educate lactating women on importance of regular child growth monitoring, maintaining a sanitary and healthy environment, and control of infant and childhood illnesses, in particular.
2 Advocate for optimum child spacing and increase coverage of and accessibility to family planning services.
3 Promote the use of local produce for appropriate weaning foods.
4 Increase coverage of safe water sources and proper sanitation.
Issue Three: How to address the food and nutrition needs of school-going children (6 to 12 years of age)?
1 Advocate reducing distances children have to walk from home to school.
2 Advocate for establishing school children feeding fund.
3 Advocate for reviewing training institutions’ curricula to improve food and nutrition education components.
4 Encourage establishment of demonstration farms and school gardens.
Issue Four: How to address the food and nutrition needs of internally displaced persons, refugees, and others affected by conflict?
1 Advocate for establishing emergency food fund.
2 Strengthen Early Warning System for disaster preparedness. MAAIF MWLE, LGs, MOH, donors Medium
3 Advocate for ensuring safety of donated food.
4 Advocate for special care and nutrition education programmes for children & mothers in conflict situations.
5 Advocate for formal social safety net programmes.
Issue Five: How to address the food and nutrition needs of HIV/AIDS sufferers?
1 Take census to establish numbers and location.
2 Create a fund to support agencies and institutions caring for vulnerable groups.
3 Support Agencies and Institutions providing comprehensive care for people living with HIV/AIDS.
4 Initiate food accessibility and nutritional programmes for HIV/AIDS infected people.
Issue Six: How to address the food and nutrition needs of asset-less widows and widowers, orphans, female and childheaded households, adolescent mothers, victims of domestic abuse, elderly and people with disabilities?
1 Advocacy and monitoring to ensure access by members of these vulnerable groups to food, health care, and the other components needed to ensure their nutrition security.
Issue Seven: How to address the food and nutrition needs of the poor?
1 Advocacy and monitoring to ensure that matters relating to the food and nutrition security of the poor are adequately addressed by designated ministries and agencies.
2 Promote appropriate agricultural technologies and crops that provide significant nutritional advantages.
3 Expand local and external food markets by assisting private sector improve food storage, marketing and distribution.
4 Develop pro-poor system for collecting, collating, and disseminating information on food marketing and distribution.
Issue Eight: How to address the emerging problems of obesity and diet-related non-communicable diseases?
1 Monitor trends in diet–related disorders and promote healthy diets and lifestyle choices.
2 Implement both supply-side and demand-side policies to slow increases in obesity.
Issue Nine: How to address the problem of cross-sectoral coordination in implementing the Food and Nutrition Strategy?
1 Set up national food & nutrition coordinating body to ensure sectors implement their respective components of UFNP.
2 Set up the institutional and legal framework for the national coordinating body.
3 Establish incentive mechanisms to induce sector technical staff to meet their respective food and nutrition responsibilities.
4 Establish a food and nutrition surveillance and monitoring system.
5 Set up advocacy fund for food and nutrition policy implementation.
6 Set up food and nutrition advocacy and oversight focal points in sector ministries, local government.
7 Build capacity of institutions at central and local governments responsible for food and nutrition.
Issue Ten: How to address human-rights concerns in implementing the Food and Nutrition Strategy?
1 Provide institutional seat on the UFNC to Uganda Human Rights Commission.
2 Establish, strengthen and build capacity of human rights institutions. Guarantee independence of NGOs that advocate for and promote human rights.
3 Advocate investments in education & empowerment needs of nutritionally vulnerable.
4 Advocate for social safety nets to help nutritionally vulnerable.