CHILD HEALTH AND NUTRITION

THE CHALLENGE

• One in every 19 children is at risk of dying before their first birthday and one in every 11 children is at risk of death before or at the age of five.
• Only three out of ten children with suspected pneumonia receive antibiotics; only four out of ten children with diarrhoea receive ORS and two out of ten receive Zinc tablets
• There were an estimated 5,200 new paediatric HIV infections in 2014
• Almost 5% of babies born to HIV-positive mothers tested positive for
• HIV in August 2015.
• In 2015, an estimated 147,394 children aged between 0-14 were living with HIV
• In 2015, 6 in every 10 children aged 0-14 living with HIV and eligible were not receiving ART
• HIV prevalence among people aged 15-24 years was 3.7% in 2011, having increased from 2.9% in 2004/5.
• In 2011 only four out of ten young males and females aged 15-24 years had comprehensive knowledge about HIV prevention.
• About 2 million under-five children are stunted and 801,000 are under weight
• By 2011, the coverage of full immunization was 51.6%, almost half of children in Uganda are not fully immunized
• One in every four girls aged 15–19 has begun childbearing (is pregnant with their first child or has had a live birth).
• Two in every five women aged 20-24 years were married or in a union before 18 years of age
• Only five in ten unmarried sexually active young women aged 15-19 years reported using a method of contraception
• Only 14 percent of currently married women aged 15-19 years reported current use of any contraceptive method
• Nearly six in ten young women aged 15-24 years (58 %) had sex before age 18.

OUR INTERVENTION 1

OUR GOAL – PREVENT CHILD MORTALITY AND PROMOTE CHILDREN’S HEALTH

Objective 1: BETTER HEALTH – Increase access and availability of quality child and adolescent health services at facility, community and household level
Strategies

  1. Provide prompt, affordable, quality baby- and adolescent-friendly services and life saving commodities
  2. Promote behavioural change among children and adolescents through comprehensive sexuality education and meaningful engagement with significant adults
  3. Train health care workers and adolescent peers on provision of child and adolescent friendly health services within the national framework
  4. Promote high quality Integrated Management of Childhood Illnesses (IMCI)
  5. Strengthen demand, access to and utilization of life saving commodities
  6. Scale-up interventions to address HIV and pregnancy among adolescents

Objective 2: BETTER NUTRITION – Strengthen multi-sector interventions including community actions to address stunting and improve nutrition
Strategies

  1. Build a human resource base and enabling environment for multisectoral implementation of nutrition interventions
  2. Create awareness and develop skills to initiate and upscale community led activities against stunting and malnutrition
  3. Develop and implement food-based dietary guidelines
  4. Strengthen community support for breastfeeding
  5. Build a multi-sectoral response to malnutrition especially within the 1,000 days window of opportunity

Objective 3: BETTER CARE – Strengthen families’ capacities to better care for children
Strategies

  1. Increase household economic strengthening opportunities for families that are appropriate to their given situation and context
  2. Mobilize communities to ensure parents fully immunize children under 1 year of age
  3. Facilitate parent’s ability to get birth certificates for newborn children
  4. Support family-based home visiting to encourage responsive parent-child interactions and discourage violence and to promote early childhood development (ECD)
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