uganda nutrition quarterly bulletin

1

UGANDA NUTRITION QUARTERLY BULLETINTHE REPUBLIC OF UGANDA

MINISTRY OF HEALTH

Volume 1 | Issue 2 | June 2020

2

Highlights …………………………………..................… 3

Nutrition Reporting (Completeness) …...............……. 4

Nutrition Reporting (Timeliness) ……................……... 9

Assessment of Nutrition Status …..................……….. 11

SAM and MAM admissions …………..................……. 14

Performance Outcomes for IntegratedManagement of Acute Malnutrition .............................. 16

IFA and Vitamin A supplementation ............................. 23

Poor Birth Outcomes ................................................... 25

In this issue

2

3

Welcome to the 2nd Issue of the Nutrition Quarterly Bulletin! This issue focuses on the 2nd quarter (April to June 2020) of the fiscal year (FY) 2020/21. The rationale of preparing the Nutrition Quarterly Bulletin is to show performance on key nutrition indicators on the following aspects; reporting, Severe acute malnutrition (SAM) and Moderate acute malnutrition (MAM) admissions, SAM and

Dear Stakeholders

Key Highlights

MAM nutrition outcome indicators (cure, death, defaulter and nonresponse rate), Iron folate, vitamin A supplementation and deworming among others. This analysis is intended to help the Ministry of Health and all stakeholders appreciate performance of nutrition service delivery in the country to facilitate approaches for improvement towards achieving better outcomes as well as advocacy.

Number and proportion of children identified with SAM and admitted into treatment during quarter 1 and 2 (Jan-June 2020)

SAM admissions : 19,825Estimated SAM burden: 219,731

MAM admissions : 84,974Estimated National MAM burden: 456,365

Achievement : 3,632,820Number of children, 6-9 months of age in Uganda : 6,500,930

Achievement : 1,802,004Number of children, 12-59 months of age in Uganda : 5,752,140

Number and proportion of children identified with MAM and admitted into Supplimentary Feeding Program (SFP) during quarter 1 and 2 (Jan-June 2020)

Number and proportion of children aged 6-59 months who received vitamin A supplements (1st and 2nd dose) Jan – June 2020

Number and proportion of children aged 12-59 months who received deworming tablets (Jan-June 2020)

9%

55.9%

19%

31.3%

3

4

99 96 99 96 100

93 96 94 95

84

93 98 98 96 100

85

79 80

86 85

77 76 73

89

79

53

91 89

76

90

0

20

40

60

80

100

120

Ank

ole

Bus

oga

Teso

Bug

isu

Lang

o

Nor

th C

entr

al

Ach

oli

Kam

pala

Toor

o

Sout

h C

entr

al

Buk

edi

Kar

amoj

a

Kig

ezi

Bun

yoro

Wes

t nile

% R

epor

ting

rate

REPORTING RATE FOR OPD 105 MONTHLY REPORT AND IPD 108 MONTHLY REPORT FOR Q1 AND Q2-ALL REGIONS

• Overall, the average national reporting rate for the 105 Outpatient Monthly Report (where Vitamin A supplementation, SAM outcomes, LBW, IFA and Deworming interventions are reported) increased from 94.2% in Q1 to 97% in Q2 .

• Similarly, IPD 108 reporting rate where SAM outcomes for ITC are reported increased from 80.3% in Q1 to 86.1% in Q2.

• Although reporting performance on key nutrition data elements has improved, IPD reporting rate still remains low.

• Average reporting rate across all regions for IPD 108 monthly report is lower than for OPD 105 report.• Bukedi is the worst performing district in both Q1 and Q2 in terms of IPD monthly reporting.• Lango and West Nile are the best performing regions in OPD monthly reporting in quarter one whereas

Bugisu, Tooro, Kigezi and tooro are the best.

National Nutrition Reporting Performance (*): Completeness1 in Q1 - FY 2020/21

0

20

40

60

80

100

120

% R

epor

ting

rate

98 99 99 100

99 97 99

91

100

89

97 99 100

98 100

84

89 93 90

84 84

78 78

95

87

62

95 93

79

95

Ank

ole

Bus

oga

Teso

Bug

isu

Lang

o

Nor

th C

entr

al

Ach

oli

Kam

pala

Toor

o

Sout

h C

entr

al

Buk

edi

Kar

amoj

a

Kig

ezi

Bun

yoro

Wes

t nile

Regions per quarter

Q1 2020

Q2 2020

Regions per quarter

OPD 105 monthly Reporting rates

IPD 108 monthly reporting rate

Target

KEY

4

*Reporting Performance refers to the completeness and timeliness of the reports submitted by various districts to the national DHIS2 system.

• Completeness refers to the percentage of reports registered as complete based on the number expected for the case of completeness.

• Timeliness refers to the quality of submitting reports within the set national standard date of submission i.e. not later than 15th of every month.

5

100

90.9

68.8

96.4

91.4 100

98.6

100

100

100

98.2

100

96.4

94 100

100

87.5 60

73.8

76.9

93

91.7

85.4

93.7

71.1

100

79.2

100 49

.2

94.4

020406080

100120

Isin

giro

Dis

tric

t

Kita

gwen

da D

istr

ict

Kye

gegw

a D

istr

ict

Kam

wen

ge D

istr

ict

Lam

wo

Dis

tric

t

Adj

uman

i Dis

tric

t

Kob

oko

Dis

tric

t

Aru

a D

istr

ict

Yum

be D

istr

ict

Moy

o D

istr

ict

Mad

i-Oko

llo D

istr

ict

Obo

ngi D

istr

ict

Hoi

ma

Dis

tric

t

Kiry

ando

ngo

Dis

tric

t

Kik

uube

Dis

tric

t

% R

epor

ting

rate

REPORTING RATE FOR OPD 105 MONTHLY REPORT AND IPD 108 MONTHLY REPORT FOR Q1 AND Q2-HUMANITARIAN CONTEXT

• Generally, OPD reporting rate is higher than IPD reporting rate.• All humanitarian districts achieved the target OPD monthly reporting rate for both Q1 and Q2 apart

from Kyegegwa district in Q1.• Generally, there was increase in both OPD and IPD monthly reporting rate in almost all the refugee

hosting districts for instance kyegewa having the highest increase from 68% to 91.5% for OPD monthly report and 40% increment in Q2 for IPD monthly reporting.

• In terms of OPD reporting rate Kyegegwa was the worst performing district in Q1 and Q2 while for IPD monthly reporting Kiryandongo was the worst performing district in Q1 and Q2.

Humanitarian Context Nutrition Reporting Performance (*): Completeness Of Reports

99.5

97 95.8

100

98.9

100

100

99.5

100

100

100

100

97.3

94.9 100

97.7

95.8

100

88.1

87.2

100

94.4

78.9

100

100

100

100

100

46

88.9

Isin

giro

Dis

tric

t

Kita

gwen

da D

istr

ict

Kye

gegw

a D

istr

ict

Kam

wen

ge D

istr

ict

Lam

wo

Dis

tric

t

Adj

uman

i Dis

tric

t

Kob

oko

Dis

tric

t

Aru

a D

istr

ict

Yum

be D

istr

ict

Moy

o D

istr

ict

Mad

i-Oko

llo D

istr

ict

Obo

ngi D

istr

ict

Hoi

ma

Dis

tric

t

Kiry

ando

ngo

Dis

tric

t

Kik

uube

Dis

tric

t020406080

100120

% R

epor

ting

rate

Districts per quarter

Q1 2020

Q2 2020


OPD Monthly Reporting rate

IPD Monthly Reporting rate

Target

KEY




6

• Generally Reporting performance in terms of completeness is relatively good.• All hospitals submitted their OPD and IPD monthly reports apart from Gulu which did not submit the

IPD monthly report in April and June.• There was improvement in OPD monthly reporting rate in Q2 compared to Q1.(in Q1 one RRH did not

submit the report compared to none in Q2).• In terms of IPD monthly reporting there was a decline in Q2 with Gulu RRH not submitting a monthly

report twice compared to only 1 month in Q1.• Note: Gulu regional referral didn’t submit IPD reports in both Q1 and Q2, more strategic efforts are

needed for support.

Regional Referral Hospital Nutrition Reporting Performance: Completeness (*) Q2 - FY 2020/21

Masaka RRH

Hoima RRH

Lira RRH

Mbarara RRH

Mubende RRH

Soroti RRH

CUF (Naguru) RRH

Fort Portal RRH

Jinja RRH

Kabale RRH

Gulu RRH

Arua RRH

Mbale RRH

Moroto RRH

OPD Monthly Report Reporting rate

Data

Period Apr 2020 Apr 2020May 2020 May 2020June 2020 June 2020

IPD Monthly Report Reporting rate

SubmittedKEY 1 Did not report




7

0

20

40

60

80

100

120

100

99K

aabo

ng

100

100

Kar

enga

100

100

Abi

m

100

98M

orot

o

9510

0A

mud

at

100

100

Nab

ilatu

k

100

100

Nak

apiri

pirit

8899

Kot

ido

98 100

Nap

ak

% R

epor

ting

rate

KARAMOJA NUTRITION REPORTING PERFORMANCE-OPD AND IPD MONTHLY REPORTING RATE FOR Q1 AND Q2

• There was an improvement in the average nutrition performance for Karamoja in terms of completeness for both Outpatient and IPD Monthly reports in Q2 compared to Q1 (OPD monthly reporting rate improved from 97.5 in Q1 to 99.3 in Q2 whilst IPD monthly reporting rate improved from 90.8% to 96.6%).

• However, in Q2 there was a decline in OPD reporting rate of 13%, 22%, 9% and 6% for Abim, Moroto, Amudat and Kotido respectively.

• Moroto was the worst performing district in terms of IPD reporting rate in Q2.

Karamoja Region Nutrition Reporting Performance: Completeness (*) Q2 - FY 2020/21

0

20

40

60

80

100

120

% R

epor

ting

rate

100

100

Kaa

bong

100

100

Kar

enga

8710

0A

bim

78 82M

orot

o

8691

Am

udat

100

100

Nab

ilatu

k

100

100

Nak

apiri

pirit

8296

Kot

ido

100

100

Nap

ak


Q1 2020

Q2 2020


OPD Monthly Reporting rate

IPD Monthly Reporting rate

Target 80

KEY




8

100

90.9

68.8

96.4

91.4 10

0

98.6

100

100

100

98.2

100

96.4

94 100

100

87.5

60 73.8

76.9

93

91.7

85.4 93

.7

71.1

100

79.2

100

49.2

94.4

0

20

40

60

80

100

120

Isin

giro

Kita

gwen

da

Kyeg

egw

a

Kam

wen

ge

Lam

wo

Adju

man

i

Kobo

ko

Arua

Yum

be

Moy

o

Mad

i-Oko

llo

Obo

ngi

Hoi

ma

Kiry

ando

ngo

Kiku

ube

99.5

97 95.8 100

98.9

100

100

99.5

100

100

100

100

97.3

94.9 100

97.7

95.8 10

0

88.1

87.2 10

0

94.4

78.9

100

100

100

100

100

46

88.9

0

20

40

60

80

100

120

Isin

giro

Kita

gwen

da

Kyeg

egw

a

Kam

wen

ge

Lam

wo

Adju

man

i

Kobo

ko

Arua

Yum

be

Moy

o

Mad

i-Oko

llo

Obo

ngi

Hoi

ma

Kiry

ando

ngo

Kiku

ube

REPORTING RATE FOR OPD 105 MONTHLY REPORT AND IPD 108 MONTHLY REPORT FOR Q1 AND Q2-ALL REGIONS

• Generally OPD monthly reporting rate in terms of completeness is good across all refugee hosting districts.

• There was an improvement in nutrition performance reporting in terms of OPD and IPD monthly reporting in Q2 compared to Q1.

• Kiryandongo is the wort performing district in terms of IPD monthly reporting rate (for all 3 months it had less than 60%).

Humanitarian Context/Refugee Hosting Districts (Nationals) Nutrition Reporting Performance: Completeness Q2 - FY 2020/21

Regions per quarter

Q1 2020

Q2 2020

Regions per quarter

OPD Monthly Reporting Rates

IPD Monthly Reporting Rate

TargetKEY

9

“Reporting performance on timeliness is still low in across all regions. More strategic efforts are required for improvement”.

• Generally, there was an improvement in OPD monthly reporting rate on time (timeliness) in Q2 (76%) compared to Q1 (54%).

• Average reporting rate on time for both IPD and OPD in quarter 1 across all regions is less than target( 80%) apart from Kigezi and West Nile region.

• Kampala is the worst performing region in terms of timely reporting for both IPD and OPD for both Q1 and Q2.

• Kigezi and West Nile are the best performing regions for Q1and Q2 respectively.

National Nutrition Reporting Performance: Timeliness for Q2 - FY 2020/21

60.3

54.6

80.4

56

62.2

37.2

20.4

48.8

88.9

69.4

42.9

63.9

54.9 58

.9 62.3

50

36.4

74.2

47.6

38.1

28.5

15.2

40.2

80

45.2

33.8 41

.5

53 50.6

41.4

0

20

40

60

80

100

120

Bug

isu

Ach

oli

Wes

t Nile

Bun

yoro

Buk

edi

Bus

oga

Kam

pala

Kar

amoj

a

Kig

ezi

Lang

o

Nor

th C

entr

al

Teso

Sout

h C

entr

al

Toor

o

Ank

ole

% R

epor

ting

rate

REPORTING RATE ON TIME FOR OPD 105 AND IPD MONTHLY REPORT ACROSS ALL REGIONS IN Q1 AND Q2

0

20

40

60

80

100

120

% R

epor

ting

rate

91.2

78.3

95.8

85.3 89

80.9

33.8

93.2 98

.2

82.1

65.1

87.1

68.1

86

77.5

78.7

60.6

88.1

62.2

55.8

68

49.6

79.9 88

.5

64.8

53.4

78.5

67.9 71

.5

62.3

Bug

isu

Ach

oli

Wes

t Nile

Bun

yoro

Buk

edi

Bus

oga

Kam

pala

Kar

amoj

a

Kig

ezi

Lang

o

Nor

th C

entr

al

Teso

Sout

h C

entr

al

Toor

o

Ank

ole

Regions per quarter

Q1 2020

Q2 2020

Regions per quarter

OPD 105 reporting rate on time

IPD 108 reporting rate on time

Target

KEY

10

• Generally, IPD and OPD monthly reporting rate in terms of timeliness is relatively fair.• There was an improvement in timeliness reporting for both OPD and IPD monthly report in Q2

compared to Q1.• The best performing RRHs in both IPD and OPD reporting rate in terms of timeliness include Hoima,

Masaka, Kabale and Mbale• The worst performing RRH in terms of timely submission of OPD reports in Q2 include Lira, Jinja and

Soroti while in terms of IPD monthly report it is Arua, Gulu and Naguru.

Regional Referral Hospital (RRH) Nutrition Reporting Performance: Timeliness Q2 - FY 2020/21`

Submitted report on timeKEY 2 Did not report

on time

Hoima RRH

Arua RRH

Gulu RRH

Fort Portal RRH

Masaka RRH

Mbarara RRH

Kabale RRH

Lira RRH

Moroto RRH

Jinja RRH

Mbale RRH

Mubende RRH

Soroti RRH

CUF (Naguru) RRH

OPD 105 Monthly Reporting rate on time

Data

Organisation unit / Period Apr 2020 Apr 2020May 2020 May 2020June 2020 June 2020

IPD 108 Monthly Reporting rate on time

11

66.7

55.6

47.6 57

.9

15.4

61.1

53.8

7.6

78.4

59.3

55.6

46.7

40.7

4.8

66.7

33.3

7.4

76.2

0

20

40

60

80

100

120

Kaab

ong

Kare

nga

Abim

Mor

oto

Amud

at

Nab

ilatu

k

Nak

apiri

pirit

Ko�d

o

Nap

ak

emit no etar gnitropeR

%

KARAMOJA NUTRITION PERFORMANCE - TIMELINESS (OPD 105 AND IPD 108 MONTHLY REPORTING RATE ON TIME)

• Generally there was an improvement in timely submission of the OPD and IPD monthly reports in Q2 compared to Q1.

• The average OPD monthly reporting rate on timeliness for Karamoja increased by 25% in Q2 ( 48.8% in Q1 to 93.2% in Q2).

• In Q1 all the districts in Karamoja did not meet the target (80%) for both timely reporting for OPD and IPD monthly reports.

• The average IPD monthly reporting rate on time for Karamoja improved by 39.7% (40.2% in Q1 to 79.9% in Q2). Although there was an improvement in IPD reporting rate on time it is still low.

• In Q2 worst performing district was Nabilatuk for OPD monthly report and Amudat for IPD monthly report on time.

• The best performing district in Q2 was Karenga ie all the health facilities in this district submitted both the IPD and OPD monthly report on time.

Karamoja Nutrition Reporting Performance: Timeliness for OPD Q1 and Q2 - FY 2020/21

Kaab

ong

Kare

nga

Abim

Mor

oto

Amud

at

Nab

ilatu

k

Nak

apiri

pirit

Ko�d

o

Nap

ak

0

20

40

60

80

100

120


%

96.3 100

95.2

89.5

82.1

77.8

100

89.4 10

0

70.4

100

93.3

74.1

57.1

100

77.8 81.5

95.2


Q1 2020

Q2 2020


OPD reporting rate on time

IPD reporting rate

Target

KEY

12

98 98.7

100

84.8

95.5

86.4

100

92 92.4

84.5 88

.2 91

100

83.8

36.5

0

20

40

60

80

100

120

Obo

ngi

Adju

man

i

Kobo

ko

Arua

Kam

wen

ge

Kita

gwen

da

Yum

be

Kiku

ube

Moy

o

Isin

giro

Lam

wo

Hoi

ma

Mad

i-Oko

llo

Kiry

ando

ngo

Kyeg

egw

a


%

NUTRITION PERFORMANCE ON TIMELY REPORTING FOR OPD AND IPD MONTHLY REPORTS IN Q1 AND Q2

• Generally, there was an improvement in both OPD and IPD monthly reporting rates on time for all refugee hosting districts in Q2 compared to Q1 apart from Kyegegwa district.

• However, nutrition performance on timely reporting is still low in refugee hosting districts.• Six refugee hosting districts did not meet the target for timely reporting for both Q1 and Q2 (Adjumani,

Arua, Kikuube, Moyo, Kiryandongo and kyegegwa.• Kyegegwa was the worst performing district in terms of timely reporting for both OPD and IPD monthly

reports for Q1 and Q2.

Refugee hosting districts Nutrition Reporting Performance: Timeliness for OPD and IPD in Q2 - FY 2020/21

0

20

40

60

80

100

120

Obo

ngi

Adju

man

i

Kobo

ko

Arua

Kam

wen

ge

Kita

gwen

da

Yum

be

Kiku

ube

Moy

o

Isin

giro

Lam

wo

Hoi

ma

Mad

i-Oko

llo

Kiry

ando

ngo

Kyeg

egw

a


%

95.8

77.2

94.4

73.2 83

.3

95.8 10

0

66.7 71

.1

88.5

82.1

100

97.2

44.4

23.3

Districts

OPD reporting rate on time

IPD reporting rate on time

Districts

Q1 2020

Q2 2020

Target

KEY

13

31%

48%41%34%

41%3%

14%

33%75% 41%

62%

0

100000

200000

300000

400000

500000

600000

Anko

le

Buso

ga

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Toor

o

Wes

t Nile

Sout

h C

entra

l

Buke

di

Kara

moj

a

Kige

zi

Buny

oro

NUMBER AND PROPORTION OF CHILDREN <10 YEARS ASSESSED FOR NUTRITION STATUS IN OPD IN Q1 AND Q2

• Generally, the percentage number of children assessed for nutrition status in OPD during Q2 is low (< 70%) apart from Karamoja region.

• There was a decline in number of children <10 years assessed for nutrition status in OPD across all regions apart from Karamoja region.

• Kampala is the worst performing region in terms of assessing nutrition status for children in both Q1 and Q2.

• Many regions had data entry issues in Q2 (Bunyoro, West Nile and Tooro ) i.e children assessed for nutrition status were more than those attending OPD.

Number of Children <10 Years Assessed for Nutrition Status in OPD in Q1 and Q2 for FY 2020/2021

68%

34%

41%42%28%

12%36%

2%

6%

34%90%35%

Anko

le

Buso

ga

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Toor

o

Wes

t Nile

Sout

h C

entra

l

Buke

di

Kara

moj

a

Kige

zi

Buny

oro

0

100000

200000

300000

400000

500000

600000

Regions per quarter

Q1 2020

Q2 2020

Regions per quarter

OPD attendance (<10years)

Children <10 assessed for nutrition status

KEY

14

Number and Proportion of Children Identified with Severe Acute Malnutrition (SAM) and Admitted for Treatment in Q1 and Q2 - National

46%79% 61% 23%

48%

53%

80%60%

34% 87%

64%

84% 71%

0

2000

4000

6000

8000

10000

12000

14000

16000

Anko

le

Buso

ga

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Toor

o

Wes

t Nile

Sout

h C

entra

l

Buke

di

Kara

moj

a

Kige

zi

Buny

oro

11% 153%

NUMBER AND PROPORTION OF IDENTIFIED SAM CHILDREN WHO ARE ADMITTED FOR TREATMENT IN Q1 AND Q2 - NATIONAL

82% 106%85% 58% 61%

25%

104%97.6% 64%

66% 61.3%

45.7%

87.5%78%

Anko

le

Buso

ga

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Toor

o

Wes

t Nile

Sout

h C

entra

l

Buke

di

Kara

moj

a

Kige

zi

Buny

oro

105%0

2000

4000

6000

8000

10000

12000

14000

16000

Regions per quarter

Q1 2020

Q2 2020

Regions per quarter

Children identified with SAM

Identified SAM children admitted into treatment

** Regions whose % is shaded red had data quality issues i.e. (more admitted SAM children than admitted)

KEY

“Majority of the identified with SAM children are not admitted into treatment. More strategic efforts required for improvement.”

• Generally, there was an increase in percentage number of children identified with SAM and admitted into treatment in Q2 compared to Q1 apart from Karamoja and Acholi. Karamoja and Acholi had a decline of 23% and 18.3% respectively, in Q2 compared to Q1.

• There was a decline in number of children identified with severe acute malnutrition in Q1 compared to Q2, probably due to COVID -19 response strategies such as reduced restricted movements and no touch policy.

• In Q2, Tooro was the best performing region while Acholi was the worst performing region.• Note: In Q2 Busoga, Lango and Kampala had data quality issues, the number of identified SAM

children was less than the admitted children. Lango region has consistently had data quality issues with regard to this indicator

15

84%58%

89% 65%69%

68%50% 43% 74%

0100020003000400050006000

Nap

ak

Kaa

bong

Kar

enga

Abi

m

Mor

oto

Am

udat

Nab

ilatu

k

Nak

apiri

pirit

Kot

ido

NUMBER AND PROPORTION OF IDENTIFIED SAM CHILDREN WHO ARE ADMITTED INTO TREATMENT IN Q1 AND Q2 - KARAMOJA

• Generally, there was a decline in the proportion of the identified SAM children admitted for treatment in Q2 apart from Abim and Nabilatuk.

• Kotido had the largest number of identified SAM cases and lowest number of SAM admissions in Q2• The percentage of SAM admissions is still very low implying that many children are not being treated

for SAM.

Number and Proportion of Children Identified with SAM and Admitted for Treatment in Q1 and Q2 - National

42%67%

75% 67%

234%

237% 54% 25%

12.6%

0100020003000400050006000

Nap

ak

Kaa

bong

Kar

enga

Abi

m

Mor

oto

Am

udat

Nab

ilatu

k

Nak

apiri

pirit

Kot

ido


Q1 2020

Q2 2020


Identified SAM children

SAM children admitted into treatment

** Regions whose % is shaded red had data quality issues i.e. (more admitted SAM children than admitted)

KEY

16

0.0

20.0

40.0

60.0

80.0

100.0

120.0

15.4

5.9

Sout

h C

entra

l

25.8

4.6

Acho

li

52.6 55

.5An

kole

1.8

0.3

Bugi

su

13.9

6.3

Buke

di

49.4

45.4

Buny

oro

9.7

5.9

Buso

ga

50.0

19.2

Kam

pala

82.2

99.4

Kara

moj

a

25.6

14.0

Kige

zi

2.2 6.

0La

ngo

10.1

5.0

Nor

th C

entra

l

0.9

0.1

Teso

4.0

0.1

Toor

o

53.3

26.4

Wes

t Nile

Perc

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ge

• Generally, there was a decline in proportion of children identified with moderate acute malnutrition and admitted into supplementary feeding care (12/15) in Q2 apart from Ankole, Karamoja and Lango.

• Supplementary feeding program is only functional in Karamoja region and refugee hosting districts located in Acholi, Ankole, Bunyoro, Karamoja, Tooro and West Nile.

• Karamoja is the best performing region in terms of proportion of children identified and admitted into supplementary feeding care.

• Regions such as south central, Bugisu, Busoga, Bukedi, Kigezi, Busoga, North central and Teso probably had data entry errors because supplementary feeding program is nonfunctional in the aforementioned regions.

The Nutrition performance for management of acute malnutrition outcomes is tagged to the following indicators; cure rate, death rate, non response rate and death rate. Cure rate, non-response and death rate indicators are used to assess quality of care whereas defaulter rate is used to accessibility to services.

Proportion of Children Identified with Moderate Acute Malnutrition (MAM) and Admitted into Supplementary Feeding Care in Q1 and Q2 - National

Nutrition Outcomes for Integrated Management of Acute Malnutrition in Q2

PROPORTION OF CHILDREN WITH MODERATE ACUTE MALNUTRITION (MAM) IDENTIFIED AND ADMITTED INTO SUPPLEMENTARY FEEDING CARE (SFC) Q1 AND Q2

% MAM children identified and admitted into SFC-Q1

% MAM children identified and admitted into SFC-Q2

KEY

Regions

17

• Generally, nutrition performance in terms of management of severe acute malnutrition is poor across all regions.

• There was an increase in number of children who died from severe acute malnutrition in Q2 (526) compared to Q1 (304).

• Majority of the region did not meet the sphere standard target for cure rate (>75%) for example (10/15) regions in April, (9/15) regions in May and (9/15)regions in June did not meet the sphere standard target.

• Karamoja region had the highest number of children who died during treatment in OTC. • Teso region did not report on severe acute malnutrition outcomes for two consecutive month sin Q2

(April and May 2020)• There was in increase in the number of regions that did not meet the Sphere target for defaulter (10%)

in May (11/15) compared to April (8/15) regions.• Similar to cure rate, there was a decline in nutrition performance in terms of non response rate with 2/15

regions not meeting the sphere standard compared to 5/15 regions in June.• Generally there was a decline in nutrition performance in terms of cure rate indicator, for instance the

number of regions that met the Sphere standard target for Cure rate in April were 10/15 compare to 9/15 regions in June 2020.

Management of Severe Acute Malnutrition Performance Outcomes for Q2 - National

Period Apr-20 May-20 Jun-20

Organization unit / Data Cure Rate

(OTC)

Death Rate

(OTC)

Defaulter Rate

(OTC)

Non-Response Rate (OTC)

Cure Rate

(OTC)

Death Rate

(OTC)

Defaulter Rate

(OTC)


Cure Rate

(OTC)

Death Rate

(OTC)

Defaulter Rate

(OTC)


Ankole 56.2 (50) 2.2(2) 41.6(37) 0 86.3(63) 0 12.3(9) 1.4(1) 89.7(32) 0 6.9(32) 3.4(1)

Busoga 14.3 (10) 1.4(1) 82.9(58) 1.4(1) 50(8) 0 18.8(3) 31.3(5) 39.1(23) 0 41.3(25) 19.6(9)

Teso 100(1) 0 0 0

Bugisu 0 0 0 100(5) 60(18) 3.3(1) 33.3(10) 3.3(1) 70.8(19) 0 29.2(5) 0

Lango 69.9 (49) 0 28.8(23) 1.4(1) 75(35) 0 25(12) 0 72.9(40) 0 27.1(13) 0

North Central 42.9(6) 0 57.1(8) 0 45.2(14) 3.2(1) 51.6(16) 0 68.8(11) 0 18.8(3) 12.5(2)

Acholi 52.9(166) 0.32(1) 10.5(33) 36.3(114) 66.3(106) 2.5(4) 21.9(35) 9.4(15) 56.5(70) 3.5(7) 32.9(37) 7.1(12)

Kampala 100(5) 0 0 0 65(13) 0 35(7) 0 66.7(2) 0 0 33.3((1)

Tooro 54.5(122) 1.8(4) 29.5(66) 14.3(32) 77.4(171) 1.4(3) 15.8(35) 5.4912) 90.6(244) 0.56(2) 6.7(16) 2.2(5)

West Nile 90.8(258) 0.7(2) 3.5(10) 4.9(14) 76.1(83) 1.8(2) 13.8(15) 8.3(9) 85.4(114) 0 9.8(12) 4.9(6)

South Central 73.1(38) 1.9(1) 17.3(9) 7.7(4) 75(12) 0 6.3(1) 18.8(3) 88.9(9) 11.1(1) 0 0

Bukedi 100(2) 0 0 0 100(9) 0 0 0 64.3(9) 21.4(9) 0 14.3(3)

Karamoja 47.7(389)) 21(171) 16.4(134) 14.8(121) 42.5(459) 16.1(5) 20.8(225) 20.6(223) 56.2(408) 7.1(46) 12.6(92) 24.1(169)

Kigezi 62.7(42) 1.5(1) 34.3(23) 1.5(1) 38.5(10) 7.7(2) 46.2(12) 7.7(2) 68.4(26) 2.6(1) 26.3(10) 2.6(1) Bunyoro 77.6(90) 0.86(1) 10.3(12) 11.2(13) 39.6(90) 0.44(1) 4(9) 55.9(127) 95.7(110) 0.87(1) 0 3.5(4)

Summary (poor outcomes) 10/15 1/15 8/15 3/15 8/15 1/15 11/15 4/15 9/15 2/15 6/15 5/15

*() is Number of children

Key 3

SAM outcome

Sphere standard target

Key


Key

Cure rate > 75% <75% Defaulter rate <15% >15% Death rate <10% >10% Non response rate <15% >15% All Did not report

18

Management of Severe Acute Malnutrition Performance Outcomes (OTC) for Q2 – Regional Referral Hospitals


Organisation unit / Data

Cure Rate

(OTC)

Defaulter Rate

(OTC)

Death Rate

(OTC)

Non-Response

Rate (OTC)

Cure Rate

(OTC)

Defaulter Rate

(OTC)

Death Rate

(OTC)

Non-Response

Rate (OTC)

NUT: Cure Rate

(OTC)

Defaulter Rate

(OTC)

Death Rate

(OTC)

Non-Response

Rate (OTC)

Masaka RRH

Soroti RRH

Kabale RRH 93.3(14) 0 0 6.7(1) 33.3(3) 55.6(5) 11.1(1) 0 66.7(8) 33.3(4) 0 0

Hoima RRH 83.3(5) 16.7(1) 0 100(4) 0 0 0

Jinja RRH 12.3(8) 86.2(56) 1.5(1) 60(3) 40(2) 0 0 56.7(17) 43.3(13) 0 0

Moroto RRH

Lira RRH

Fort Portal RRH 8(2) 80(20) 12(3) 0 33.3(7) 61.9(13) 4.8(1) 0

Arua RRH 88.9(16) 5.6(1) 5.6(1) 0 90(9) 10(1) 0

CUF(Naguru) RRH 50 0 0 50

Mubende RRH 22.2(2) 77.8(7) 0 0 47.1(8) 52.9(9) 0 66.7(4) 33.3(2) 0 0

Mbale RRH 0 0 0 100(5) 78.3(18) 13(3) 4.3(1) 4.3(1) 77.3(17) 22.7(5) 0 0

Gulu RRH 100(2) 0 0 0 100(4) 0 0 0 71.4(5) 0 28.6(2) 0

Mbarara RRH 6.5(2) 93.5(29) 0 0 100(2) 0 0 0 100(2) 0 0 0

Summary (poor) 5/14 7/14 1/14 1/14 4/14 4/14 2/14 None 5/14 4/14 1/14 1/14

Key 3

SAM outcome


Key


Key


“Majority of the Regional referral Hospitals are not reporting on the performance outcomes for management of severe acute malnutrition. More strategic efforts for improvement are required.”

• Generally, majority of the regional referral hospitals are not reporting on performance outcomes for the management of severe acute malnutrition for instance 5/14 regional referrals in April and May compared to 7/14 regional referral hospitals not reporting in May.

• Masaka, Lira , Soroti and Moroto Regional Referral Hospital have consistently not reported on management of severe acute malnutrition outcomes.

• Nutrition performance in terms of the indicators for management of severe acute malnutrition is relatively poor.

• There was a decline in the number of regional referral hospitals that meet the Sphere standard target in June compared to April for instance, 4/15 regional referrals met the target in April compared to only 3/14 regional referrals in June.

• There was a decline in the number of defaulters in June compared to April.

19

Management of Severe Acute Malnutrition Performance Outcomes (OTC) for Q2 – Karamoja


District Cure Rate (OTC)

Defaulter Rate (OTC)

Death Rate (OTC)


Cure Rate (OTC)


Death Rate (OTC)


Cure Rate (OTC)


Death Rate (OTC)

Response Rate (OTC)

Amudat 33.3(14) 57.1(24) 0 9.5(4) 62.5(5) 37.5(3) 0 0 100(21) 0 0 0

Abim 93.5(29) 3.2(1) 0 3.2(1) 69(29) 4.8(2) 2.4(1) 23.8(10) 56(14) 12(3) 0 32(8)

Kaabong 64.7(99) 16.3(25) 0 19(29) 61(100) 17.7(29) 0 21.3(35) 54.9(130) 11.8(28) 0 33.3(79)

Karenga 13.6(29) 1.4(3) 78.9(168) 6.1(13) 62(44) 16.9(12) 1.4(1) 19.7(14) 63.8(37) 19(11) 1.7(1) 15.5(9)

Kotido 49.5 15.9 0 34.6 39.5 42 0 18.5 60.8 18.3 1.3 19.6

Moroto 48.9(23) 29.8(14) 2.1(1) 19.1(9) 57.9(33) 12.3(7) 1.8(1) 28.1(16) 53.1(26) 14.3(7) 2(1) 30.6(15)

Nabilatuk 61.5(40) 21.5(14) 0 16.9(11) 55.2(48) 20.7(18) 0 24.1(18) 59.5(21) 18.9(22) 21.6(7)

Nakapiripirit 68.1(62) 17.6(16) 2.2(2) 12.1(11) 39.6(14) 9(10) 1.8(2) 49.5(55) 41.7(35) 0 50(42) 8.3(7)

Napak 60.(40) 30.3(20) 0 9.1(6) 58.3(28) 16.7(8) 0 25(12) 58.8(30) 15.7(8) 0 25.5(13)

Summary(Poor outcomes) 8/9 7/9 1/ 9 3/9 All 6/9 None 8/9 1/9 5/9 1/9 7/9

Key 3

SAM outcome


Key


Key


“Karamoja region has poor performance indicators yet it has the highest number of admissions for severe acute malnutrition. More strategic efforts are needed for improvement.”

• Generally nutrition performance in terms of management of severe acute malnutrition in out patient therapeutic care (OTC) in Karamoja is poor.

• All the districts in Karamoja did not meet the sphere standard target for the cure rate indicator in May 2020. In April and June only one district met the Sphere standard target for cure rate indicator.

• There was an improvement in defaulter rate in June compared to April with four districts meeting the target for defaulter rate in June and two districts meeting the sphere target in April.

• Karenga had the highest death rate and number(168) of children who died in OTC. There is need to conduct data quality checks for this indicator to confirm what is being cited in the DHSI2.

• Amudat is the best performing district in terms of cure rate and non-response indicator.• Abim is the best districts in terms of providing quality access to services since it met the sphere target

for the defaulter rate indicator for all the 3 months in Q2.

20

• Generally, nutrition performance in terms of outcomes for management severe acute malnutrition (OTC) is relatively fair.

• There was an improvement in the number of districts meeting the target for cure rate indicator in June(13/15) compared to April (10/15).

• All the Humanitarian districts met the target for death rate (<10%) for the all the three months in Q2. • There was a slight decline in number districts that met the target for defaulter rate in June (11/15)

compared to April (10/15).• There was an improvement in non-response rate in June compared to April with only (1/15) districts

compared to (4/15 ) In April not meeting the Sphere standard target for non response rate (<15%)• Kitagwenda did not report on outcomes for management of severe acute malnutrition (OTC) for all the

months in Q2 while Yumbe and Obongi did not report for one month.

Management of Severe Acute Malnutrition Performance Outcomes for Q2 – Humanitarian Context


Organisation unit / Data Cure Rate

(OTC)

Defaulter Rate

(OTC)

Death Rate

(OTC)


Cure Rate

(OTC)

Defaulter Rate

(OTC)

Death Rate

(OTC)


Cure Rate

(OTC)

Defaulter Rate

(OTC)

Death Rate

(OTC)


Adjumani 72.2(13) 0 0 27.8(5) 60(12) 15(3) 5(1) 20(4) 76.9(20) 7.7(2) 0 15.4(4)

Koboko 77.8(14) 22.2(4) 0 0 42.9(3) 57.1(4)

61.5(8) 38.5(5) 0 0

Arua 85.3(58) 7.4(5) 1.5(1) 5.9(4) 88.4(38) 4.7(2) 2.3(1) 4.7(2) 89.3(33) 7.1(2) 0 3.6(1)

Yumbe 78.6(22) 0 3.6(1) 17.9(5) 70(21) 20(6) 0 10(3) 91.7(33) 8.3(3) 0 0

Moyo 100(7) 0 0 100(1) 0 0 0

Madi-Okollo 99.3(142) 0.7(1) 100(2) 90.9(10) 9.1(1)

Obongi 100(4) 0 100(6) 0 0 0

Kitagwenda

Kyegegwa 59.1(55) 6.5(6) 34.4(32) 88.4(107) 11.6(14) 95.1(145) 2.9(3) 2(3) Kamwenge 86.8(46) 13.2(7) 0 0 60(18) 10(3) 0 30(9) 80.5(33) 14.6(6) 0 4.9(2)

Hoima 83.3(5) 16.7(1) 100(6) 0 0 0 100(4) 0 0 0

Kiryandongo 75(12) 12.5(2) 12.5(2) 100(9) 96.2(25) 3.8(1)

Kikuube 77.7(73) 9.6(9) 1.1(1) 11.7(11) 35.5(72) 2(4) 0 62.6(127) 95.2(59) 4.8(3)

Isingiro 91.3(42) 4.3(2) 4.3(0) 0 85.5(59) 13(9) 0 1.4(1) 83.3(20) 12.5(3) 4(1)

Lamwo District 49.3(134) 10.3(28) 40.4(110) 80(92) 13(15) 0 7(8) 62.3(33) 24.5(13) 1.9(1) 11.3(6)

Summary 3/15 2/15 None 3/15 5/15 3/15 None 5/15 2/15 3/15 None 1/15

Key 3

SAM outcome


Key


Key


21

• Nutrition performance in terms of management of moderate acute malnutrition is relatively poor.• The cure rate is generally poor, for instance only one district met the target for Sphere standards for

cure rate in April, May and June.• There was a slight improvement in the number of facilities attaining the sphere standard target for

defaulter rate from April to June.• Karenga and Kotido had very high number of deaths (more than 300) in SFC for period of April. There

is need to conduct data quality checks to verify the number of deaths in SFC.• Amudat is the best performing district in in terms of nutrition recovery.

Management of Moderate Acute Malnutrition Performance Outcomes for Q2 – Karamoja


Organisation unit / Data Cure Rate (SFC)

Defaulter Rate (SFC)

Death Rate (SFC)

Non-Response Rate (SFC)

Cure Rate (SFC)


Death Rate (SFC)


Cure Rate (SFC)


Death Rate (SFC)


Kaabong 66.8(172) 15.9(36) 0.91(2) 16.4(45) 73.3(165) 12(27) 0 14.7(33) 65.8(239) 7.2(26) 0.28(1) 26.7(97)

Karenga 20.3(95) 7.7(36) 64.2(300) 7.7(36) 63.3(69) 14.7(16) 22(24) 47.8(44) 16.3(15) 35.9(33)

Abim 71.7(104) 14.5(21) 0.69(1) 13.1(19) 79.8(67) 1.2(1) 1.2(1) 17.9(15) 56.9(62) 1.8(2) 0 41.3(45)

Moroto 42.4(14) 36.4(12) 0 21.2(7) 39.5(17) 39.5(17) 0 20.9(9) 32.5(49) 5.2(9) 0 62.3(124)

Amudat 87.3(55) 12.7(8) 40.5(54) 33.6(46) 0 26(43) 79.2(19) 4.2(1) 16.7(4)

Nabilatuk 61(178) 15.4(45) 23.6(69) 59.6(367) 8.8(54) 0 31.7(195) 39.2(204) 5.9(17) 54.9(160) Nakapiripirit 55.2(133) 22(53) 0.41(1) 22.4(54) 45.3(102) 15.1(34) 0 39.6(89) 35.5(164) 18.2(84) 0 46.3(214) Kotido 7(46) 8.3(52) 80.6(504) 4(28) 62.2(130) 34.4(72) 0.96(2) 2.4(5) 56.2(186) 11(36) 0 32.9(85) Napak 50.8(32) 22.2(14) 27(17) 28.9(22) 35.5(27) 1.3(1) 34.2(31) 28.3(58) 15.2(29) 56.5(118) summary (outcomes) 8/9 5 /9 1/ 9 5/9 8/9 6/ 9 None 1/ 9 8/9 3/9 None all

Key 4

MAM outcome


Key


Key

Cure rate > 75% <75% Defaulter rate <15% >15% Death rate <3% >3% Non- response rate

<15%

>15%

All Did not report

22

• Generally, nutrition performance in terms of outcomes for management of moderate acute malnutrition in refugee hosting districts is relatively good.

• Generally, there was an improvement in all the outcome indicators apart from death rate in April compared to June.

• There was a slight decline in number of districts meeting the Sphere standard target for death rate, for instance 14/15 districts met the target in April compared to all the districts (13/15) in June 2020.

• Kyegegwa, Kamwenge , Kiryandongo and Kikuube achieved the target for all the four outcome indicators in Q2

• Adjumani was the worst performing district in terms of defaulter rate indicator in April 2020.• Obongi and Adjumani were the worst performing district in terms of death rate and non response rate

respectively.

Management of Moderate acute Malnutrition Performance Outcomes for Q2 – Humanitarian Context


District Cure Rate (SFC)


Death Rate (SFC)


Cure Rate (SFC)


Death Rate (SFC)


Cure Rate (SFC)


Death Rate (SFC)


Adjumani 29.6(48) 1.9(3) 0 68.5(111) 84.5(93) 10(11) 0 5.5(6) 36.4(51) 7.1(10) 38.6(54) 17.9(25)

Koboko 100(2) 0 0 13.3(2) 6.7(1) 0 80(12) 100(1) 0 0 0

Arua 62.3(33) 13.2(7) 0 24.5(13) 51.3(61) 44.5(53) 0 4.2(5) 86.5(64) 1.4(1) 0 12.2(9)

Yumbe 91.3(21) 0 4.3(1) 4.3(1) 80(12) 20(3) 0 0 100(140) 0 0 0

Moyo

Madi-Okollo 71.4(5) 0 0 28.6(2) 100(47) 0 0 0 100(18) 0 0 0

Obongi 3.9(6) 96.1(196) 0 0 11.5(23) 0 84(168) 4.5(9) 94.6(70) 5.4(4) 0 0

Kitagwenda

Kyegegwa 87.9(29) 12.1(4) 0 0 100(16) 0 0 0 100(50) 0 0 0

Kamwenge 90(36) 10(4) 0 0 90.9(60) 7.6(5) 0 1.5(1) 91.3(63) 4.3(3) 0 4.3(3)

Hoima

Kiryandongo 100(19) 0 0 0 97.4(37) 0 2.6(1) 88.6(31) 5.7(2) 0 5.7(2)

Kikuube 94.9(74) 5.1(4) 0 92(81) 4.5(4) 0 3.4(3) 94.9(129) 3.7(5) 0 1.5(2)

Isingiro 95.7(90) 2.1(2) 1.1(1) 1.1(1) 94.8(92) 2.1(2) 0 3.1(3) 47.2(68) 9.4(10) 39.6(10) 3.8(4)

Lamwo 82.6(38) 17.4(8) 0 0 100(53) 0 0 0 97.8(44) 0 2.2(1) 0

Summary 4 /15 2 /15 1 /15 3 /15 3/15 2/15 1/15 1 /15 2/15 None 2/15 1/15

Key 4

MAM outcome


Key


Key

Cure rate > 75% <75% Defaulter rate <15% >15% Death rate <3% >3% Non- response rate

<15%

>15%

All Did not report

23

Vitamin A supplementation coverage in Q1 and Q2 - National

“Vitamin A supplementation coverage for both Q1 and Q2 of the fiscal year 2020/2021 was less than 66% (national target). Administration of this interventions during routine service delivery has remained low yet child health day campaigns did not take place due to COVID-19 outbreak responses.”

• Vitamin A coverage is low across all regions.• Karamoja has the highest coverage for vitamin A supplementation.• Kigezi is the worst performing region in terms of vitamin A • Low vitamin A coverage in Q1 and Q2 may correspond to very low Vitamin A supplementation

administration or poor recording of this intervention during routine service delivery coverage• Bugisu region specifically Mbale seems have an erroneous data entry showing that 992,924 children

receiving vitamin A in February 2020.

28.5%

46.9%

383

33.8%32.8%

45.8%

33.1%66.8% 28.1%

48.7%

31.9%

35.6%

53.8%

58.1%

33.5%

-

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

No.

of c

hild

ren

VITAMIN A SUPPLEMENTATION COVERAGE Q1 AND Q2

Total population AchievedKEY

24

• There was a slight improvement in the overall proportion of pregnant women reported to have received iron/folic acid supplementation nationwide at ANC 1st visit in Q2 compared to Q1 for instance the proportion was 66.8% (328, 555 out of 492,015 pregnant women who visited the health facility for their 1st ANC visit in Q2; and 65% (312,562 out of 480,698).

• More pregnant women were reported to have visited the health facility for antenatal care in Q2 compared to Q1; similarly, more pregnant women were reported to have received iron/folic acid during their ANC 1st visit in Q2 compared to Q1.

• Kigezi region was the best performing region in both Q1 and Q2 in terms of proportion of pregnant women receiving Iron/folic acid during the 1st antenatal care visit. Acholi region was the worst performing region.

Iron Folate Supplementation in Q1 and Q2-National

65%

65%70% 68%

64%

66%

73%57%

63%65%

58%

69%

80%80%

61%

0100002000030000400005000060000700008000090000

100000

Buso

ga

Anko

le

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Wes

t Nile

Toor

o

Sout

h C

entra

l

Buke

di

Kige

zi

Kara

moj

a

Buny

oro

PROPORTION OF PREGNANT WOMEN RECEIVING IRON/FOLIC ACID AT 1ST ANC VISIT IN Q1 AND Q2

70%

72%106%

68%64%

65%

55% 64%

67%76%

56%

72%84%

79%

67%

0100002000030000400005000060000700008000090000

100000

Buso

ga

Anko

le

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Wes

t Nile

Toor

o

Sout

h C

entra

l

Buke

di

Kige

zi

Kara

moj

a

Buny

oro

Regions per quarter

Q1 2020

Q2 2020

Regions per quarter

ANC 1st Visit for women

Pregnant Women receiving tablets of Iron/Folic Acid at ANC 1st visit

KEY

25

• Low birth weight (LBW) new born babies who survive have a greater risk of both short term and long-term adverse health consequences. LBW is thus a key indicator of progress towards the achievement of the one of the six global nutrition targets.

• The average proportion of babies born with low birth weight at national level in Q2 was at 6.2% (19140 out of 309,208 total deliveries nationwide). There was a significant improvement in Q2 when compared with the average proportion of babies born with low birth weight for all regions in Q1, that was, 7.1% (20,628 out of 289,415 total deliveries).

• The following regions had higher proportion of babies born with low birth weight in Q2 compared to the national average proportion: Lango, Kampala, West Nile, Tooro, south central, Bunyoro and Karamoja.

• Karamoja has the highest proportion of babies born with low birth weight in Q2.

Birth Outcomes: Babies Born with Low Birth Weight (LBW)

6.0%5.2%

5.6%5.2%

6.8%

10.0%

15.0%

5.8%

6.3%7.5%

7.1%

4.4%

5.0%

8.7%

7.0%

0

5000

10000

15000

20000

25000

30000

35000

40000

Buso

ga

Anko

le

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Wes

t Nile

Toor

o

Sout

h C

entra

l

Buke

di

Kige

zi

Kara

moj

a

Buny

oro

5.9% 5.5%

5.8% 3.6% 7.8%

4.9%3.1%

6.9%

8.9%7.9%

6.3%

5.6%

6.7%

10.8%

7.3%

0

5000

10000

15000

20000

25000

30000

35000

40000

Buso

ga

Anko

le

Teso

Bugi

su

Lang

o

Nor

th C

entra

l

Acho

li

Kam

pala

Wes

t Nile

Toor

o

Sout

h C

entra

l

Buke

di

Kige

zi

Kara

moj

a

Buny

oro

PROPORTION OF BABIES BORN WITH LOW BIRTH WEIGHT ACROSS ALL REGIONS IN Q1 AND Q2

Regions per quarter

Regions per quarter

Q1 2020

Q2 2020 Total deliveries

Babies born with low birth weight (<2.5kg)

KEY

26

• Health facilities should be supported with routine coaching, mentorship and supportive supervision on HMIS data collection and reporting through the DHSI2 to address issues of poor data quality and low reporting rates due to migration to the new DHSI2 and HMIS tools.

• Low SAM and MAM coverage in both Q1 and Q2, compared with estimated annual burden, indicates the need to scale up these services in the country. SAM treatment is currently only covered by partners in selected areas (refugee hosting districts, Karamoja and Regional Referral Hospitals) while MAM treatment is only functional in Karamoja and refugee hosting districts.

• There is need for routine checks of data quality through nutrition data quality assessments followed by immediate corrective actions.

• Lango, Kampala, West Nile, Tooro, south central, Bunyoro and Karamoja had high proportion of low birth babies compared to the national average. Multi sectoral interventions including improving maternal diet needs to be scaled up to address this issue.

• For some nutrition indicators (vitamin A coverage), the denominators need to be adjusted to include the refugees.

• There is need to improve management of acute malnutrition service delivery through routine coaching, mentorship and supportive supervision on integrated management of acute malnutrition as well as mortality audits.

• There is need to intensify vitamin A supplementation and deworming through routine service delivery and door to door delivery to address the low coverages for both Vitamin A and Deworming.

• The denominators for some nutrition indicators need to be appropriately customized in DHSI2 i.e. Vitamin A, iron/folic acid to prevent manual extraction and computing of data elements for these indicators

• There is need to customize the legends or traffic lights for performance outcome indicators for management of acute malnutrition in the DHSI2 as per the SPHERE standards cutoffs.

Key Recommendations

27

Ministry of Health1. Samalie Namukose2. Laura Ahumuza3. Tim Mateeba

Samalie NamukosePrincipal Nutitionist Nutrition Division,Ministry of HealthEmail: [email protected]

Dr. George UpenythoCommissioner Health Services,Community Health Department, Ministry of HealthEmail: [email protected]

Viorica BerdagaChief of Child Survival and Development, UNICEF UgandaEmail: [email protected]

UNICEF Uganda Country Office1. Sheilla Natukunda2. Florence Turyashemererwa

Editorial Team

Contact

Data Source: National DHIS2 System, Uganda

28

UGANDA NUTRITION QUARTERLY BULLETIN

Supported by

Volume 1 | Issue 2 | June 2020

uganda nutrition quarterly bulletin

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