Maternal Infant and Young Child Nutrition (MIYCN) Strategy and Guidelines: A Road to Sustainable Development for Uganda Namukose Samalie Bananuka Senior Nutritionist, Ministry of Health, Uganda The Second World Breast Feeding Conference 11-15 Johannesburg South Africa

Presentation outline Maternal Infant and Young Child Nutrition performance in Uganda and targets Legislation, Policies, Guidelines and Strategies in place Maternal Infant Young Child Adolescent Nutrition (MIYCAN) Roadmap Way forward

Maternal Infant and Young Child Nutrition (MIYCN) targets and performance Indicator Performance (2016) National Target (2019/2020) Global Target (2025) Prevalence of undernourished women (15-49yrs) 12% 8% Reduction of Iron Deficiency Anemia among women 23% 20% 15% Prevalence of stunting in the <5yr 33% 25% ↓ by 40% Prevalence of underweight in the <5 yrs 14% 10% Prevalence of wasting in the <5 yrs 5% 3% <5% Low birth weight Source: UDHS 2011, HSDP 2016-2020

MYCN Targets and Performance-2 Indicator Performance (2016) National Target (2019/2020) Global Target Reduction of Iron Deficiency Anemia in the < 5yrs 49% 30% Reduction of Vitamin A Deficiency in the < 5yrs 38% 20% Percentage of infants exclusively breastfed for the 1st 6 months 62% 75% ≥50% Timely Complementary foods 68% 80% Overweight in the < 5 yrs 4% 3% < 7% Source: UDHS 2011, HSDP 2016-2020

Legislation, Policies, Strategies and Guidelines related to MIYCN The 1995 Constitution of Uganda The Uganda Vision 2040 National Development Plan (2015/16-2019/20) Nutrition Policy ( Process of finalization on-going) IYCF Policy guidelines (2012) Regulations on the Marketing of IYC foods (1997) Maternal Nutrition Guidelines (2010) Uganda Nutrition Action Plan (2011-2016) Health Sector Development Plan (2015/6-2019/20) Maternal Infant Young Child & Adolescent Nutrition (MIYCAN) Road map (Finalization on-going)

Maternal, Infant, Young Child and Adolescent Nutrition Road Map 2016 –2020 December 2016

Scope of the MIYCAN Roadmap New born (0 – 28 days) Infants (children age 1 – 11 months) Young child (in the age group of 12 – 59 months) Older child (in the age group of 5 – 9 years) Adolescents ( 10-19 years) Women of child-bearing age (15 – 49 years)

Vision and Mission Vision Healthy and well-nourished adolescent girls, mothers, new-borns, and infants and young children in Uganda. Mission To provide quality, cost-effective, comprehensive and integrated nutrition services for all mothers, new-borns, infants, young children and adolescent girls in Uganda.

Goal To accelerate implementation of key interventions to promote and protect nutrition practices for improved health and survival of mothers, new-borns, infants, young children and adolescent girls.

Objectives Strengthen policy, legal and multi-sectoral institutional framework for MIYCAN service delivery. Scale-up the MIYCAN interventions at all levels in the country. Strengthen monitoring, reporting and evaluation systems for effective implementation of MIYCAN

1- Policy, legal and multi-sectoral institutional framework Improve the Enabling Policy Environment for MIYCAN policy guidelines, standards and regulatory framework (Regulations on marketing of infant and young child Foods, Maternity Protection), policy briefs, training package and job aides for health workers and community workers Strengthening the multi-sectoral institutional framework for MIYCAN MIYCAN co-ordination, review and multi-sectoral thematic working group meetings

2-Scale up the MIYCAN interventions Build Capacity of health workers and nutrition service providers and sector players on MIYCAN Strengthen, Mother Baby friendly Inititiative Strengthen advocacy and awareness creation on MIYCAN Promote food security and safety at household level Promote WASH activities for improved MIYCAN Strengthen School Health programs

3. Monitoring, Evaluation, Research & documentation Enhancement of monitoring and evaluation reporting system on MIYCAN interventions Documentation of best MIYCAN practices Research on MIYCAN interventions

Strategic linkages Ministry of Health Ministry of Agriculture, Animal Industry & Fisheries Ministry of Education& Sports Ministry of Science, Technology & Innovations Ministry of Gender, Labour & Social Development Ministry of Water and Environment

Strategic linkages cont.. Ministry of Trade, Industry and Cooperatives Ministry of Finance, Planning &Economic Development Ministry of Public Service Ministry of Local Government UN, Donors, Implementing Partners Private Sector Civil Society Research& Academia

Ministry Of Health Local Gov’t Public service Civil service UN agencies, Donors, Partners Research and academia Agric, animal industry & fisheries Civil service Education & sports Private Sector Gender & Labor Local Gov’t Public service Water and environment Trade industry and cooperatives Finance, planning and economic dev’t

Way forward Finalize the MIYCAN Roadmap, cost & launch Share the Roadmap with other countries Disseminate the Roadmap to various levels of stakeholders in-country Co-ordinate the implementation of the MIYCAN Roadmap Monitor and evaluate the implementation of MIYCAN Roadmap

Acknowledgement Ministry of Health – Health Programs Office of the Prime Minister Key Sector Ministries UN ( UNICEF, WFP) Nutrition Implementing Partners Mothers, Infants, Children and adolescent girls