1. 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

2. 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

3. 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

4. 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

5. Legislation, Policies, Strategies and Guidelines related to MIYCN
The 1995 Constitution of Uganda
The Uganda Vision 2040
National Development Plan (2015/ /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 ( )
Health Sector Development Plan (2015/6-2019/20)
Maternal Infant Young Child & Adolescent Nutrition (MIYCAN) Road map (Finalization on-going)

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

8. 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 ( years)
Women of child-bearing age (15 – 49 years)

9. 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.

10. 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.

11. 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

12. 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

13. 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

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

15. 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

16. 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

17. 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

18. 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

19. 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