The annual Food Security and Nutrition Assessment was organised and conducted in the districts hosting refugees. This is joint assessment led by MoH in close collaboration by UNHCR, WFP and UNICEF. Data were collected in the month of October 2017. UNHCR provided the funding to support this exercise. The 2017 is the third FSNA covering the 11 districts hosting refugees in the country. Samples were calculated from host population using the 2014 national censues reports. In each district Sub-Counties boardering the settlements were surveyed. The systematic random sampling was used to obtain the sampled households in each surveyed location. Households were selected independently and had equal chance of being selected. Sample sizes were calculated using ENA for SMART software where estimated popualtions from sub counties boardering the settlements were used. The survey teams reached about 2788 households, the total population surveyed was 9,666, including 3,262 children below 5 years were interviewed for the anthropometric and health measurements. 3404 women at reproductive age (15-49 years) were interviewed for the women module. 2788 households were interviewed for the Food Security, WASH and Mosquito net modules and retrospective mortality.
In the subsample of households selected for the survey, anaemia testing was conducted among haemoglobin concentration in children 6-59 months and women 15-49 years; the parents or guardians gave consent for the children. Hb concentration was taken from a capillary blood sample from the fingertip and recorded to the closest gram per deciliter by using the portable HemoCue machine. Anthropometric, infant, and young child feeding practices were collected from children, 0-59 months. The survey findings show that acute malnutrition, stunting and anaemia among children and women at reproductive age continue to be the nutritional problems of public health importance in the districts hosting refugees in Uganda.
The younger children up to the age of two years are the most at risk groups. They deserve special attention from the stakeholders providing public health, food-complementary feeding, nutrition and livelihood services. The prevalence of global acute malnutrition is still high and classified as “poor” according to WHO cut off points. The global acute malnutrition ranged from 5.3% in Kiryandongo to 10.8% in Arua. Other locations which had higher prevalence of GAM are Lamwo (10.1%), Kyegegwa (8.5%), Isingiro (8.2%) and Moyo (8.0%). Stunting was found high in three districts; Kyegegwa (36.3%), Hoima (34.5%), Isingiro (30.3%), where it is classified as “critical” based on the WHO cut off points. Confirmation of measles vaccination by card and recall was highest in Kamwenge district (95.1%), this was followed by; Moyo district at 93.1%, Isingiro (93.0%), Yumbe (92.9%), and Kyegegwa (91.8%). High anaemia prevalence exceeding 40% WHO cut off point’s classification was found in the districts hosting refugees.
The population mentioned that market (purchase with cash) was the main source of food acquisitions reported by households. Yumbe reported 100% of the households would purchase their food from a market with cash while in Kamwenge 99.2 percentage of the household would purchase their food with cash from a market. Own food production was the second most important food sources among households whereby 90.1% of the households in Moyo district would obtain their food through own productions.