1. A Profile of Malnutrition in Uganda: Demographics and Consequences Dr. Elizabeth Madraa (MD, MPH) Ministry of Health, Uganda

2. The National Development Plan 2010-2015 Reduce poverty from 38% to 30% Main driving strategies include: – Increased agricultural productivity and value added – Improved health and survival – Human capacity development

3. Requirements for the achieving NDP2010-2015 goals Children must be well cared for Population must attain their full potential: – Productivity – Health – Educatability

4. Malnutrition Among Children <5yrs Uganda 1995, 2001 and 2006 (WHO standards) UDHS, 2006

5. Vulnerability to Malnutrition is Higher in Some Regions UDHS, 2006

6. Micronutrient Deficiencies in Uganda, 2001 and 2006 UDHS, 2001 & 2006

7. Consequences of Malnutrition and the National Development Plan 2010-2015 Malnutrition in Uganda has effect on: – Agricultural productivity – Disease and survival – Human capacity development

8. Consequences on Agricultural Productivity and Value Addition

9. Iron Deficiency Anaemia and Agriculture in Economic Development Uganda lost US$ 38 million worth of productivity in 2009 0.6% of the GDP

10. Childhood stunting and Agriculture in Economic Development Uganda lost US$ 230 Million worth of productivity in 2009 2.5% of the GDP

11. Consequences on Disease and Survival

12. Burden of low-birth weight (LBW) on UGANDA in 2009 In 2009 over 170,000 born underweight. Cost the government and families about US$ 5.8 million for specialized health care 16,000 children died due to low birth weight Profiles UGANDA

13. Burden of Vitamin A deficiency on UGANDA in 2009 Risk of death from Vitamin A deficiency is 1.4 Profiles UGANDA

14. Malnutrition and Child Mortality in Uganda (2009 alone!!!) R.I.P 51,300 child deaths due to PEM alone! R.I.P 15,800 child deaths due to VAD 16,200 child deaths due to LBW

15. Maternal Deaths in UGANDA (2006-2016) Jorge Moreiro Profiles UGANDA 15,000 Maternal Deaths due to Anaemia!

16. Consequences on Education and Intelligence

17. UNICEF/95-0065 Shadid Iodine Deficiency and education (2009) US$8.6m worth of productivity lost 2,100 children will be born as cretins Another 59,000 will be born with severe mental retardation

18. 7y 7y 4y olds Stunted children tend to start school later, repeat classes, and less productive in adulthood Growth retardation (stunting) and education (2009) Start school later Absenteeism high Class repetition high School grade performance poor

19. Iron Deficiency Anaemia and Education UNICEF/Pirozzi Ability to learn, Concentration in school, Retention rates, School performance, Speech and hearing ability.

20. We can change the situation!!

21. $ $ There’re Benefits to the POOR and to the Nation Savings from treating ailments attributable to malnutrition Economic worth of physical & mental productivity gained

22. UNICEF/Pirozzi Ability to compete as children and adults

23. Lowered IMR and MMR among the POOR R.I.P Deaths Prevented

24. A Price Too High to Neglect!!