We propose a multi-sectoral project to find durable solutions to Anemia and an integrated approach comprising of agriculture, food security and livelihoods, hygiene & sanitation and health and nutrition education (including social behavioral change communication) interventions.
The problem we aim to solve
Anemia is a condition characterized by low level of hemoglobin in blood and is evidenced by fewer number of red blood cells. It has harmful effects on the health and the economic security of nations. Children that suffer anemia experience irreversible cognitive developmental. Maternal anemia increases the risk of pre-term delivery and low birth weight. In Uganda, the prevalence of anemia among pregnant women stands at 34.3%. The key reason for tackling anemia is because it can be prevented by simple interventions to yield a huge impact.
The desirable strategy is to equip individuals to be capable of detecting, preventing and managing anemia through;
- Enabling own production
- Enabling access to basic needs (improve income)
- Giving knowledge and build skill on nutrition and WASH
The proposed project seeks to empower individuals to take complete charge of their health through health prevention. This aid is not looking at directly handing out resources but rather to build sustainable household health based operations.
The objective is to improve household nutrition through economic empowerment. The project will promote a nutrition-sensitive agriculture and considers agro-ecology as the best approach.
The project will support farmers to organize themselves to ensure their competitiveness into the local market. The optimization of farming system will lead to sustainable increase in food production and productivity and consequently will have a positive impact on beneficiaries’ income.
One of the key areas of education will be food preparation. The beneficiaries will be taught how to make Ekitoobero for children. Ekitoobero is prepared with an emphasis of including all the food groups in one dish called kitoobero. It is often referred to as ‘triple mix’ because it contains foods from three sources; a carbohydrate, animal and plant protein.
Two legumes mixed up will give an equivalent of a first class protein. Since the households can produce these on their own, we shall have a meal comprising of a carbohydrate and 2 legumes. This diversity of foods boosts iron intake.
The innovativeness of our approach
The integration of a multi sectored program is quite innovative. Every form of malnutrition is cross-cutting ranging from health, education, environment, agriculture, protection. This project will be well placed to interact will several sectors such that a client can receive wholesome support. There will be clearly demarcated pathways of referral say from the nutrition component, to a livelihood project.
Two legumes one carbohydrate. This innovation enables families to consume balanced diets with minimum financial in-put.
Technologies and Methods
A Care Group consists of community-based volunteers who regularly meet with project staff for training, supervision and support. Each leader is responsible for regularly visiting 10 to 15 of their neighbors, sharing what they have learned and facilitating behavior change at the household level with their peers. They create a multiplying effect to reach a 100% of the targeted beneficiaries with interpersonal communication.
- Developing educative content for the care groups
- Integration in the available healthcare system.
- Collaboration with local governments
- Fostering male involvement in all community activities
- Ministry of Health – for technical guidance
- National Agricultural and Advisory Research Organization – for provision of iron rich seeds, facilitating agronomic trainings
- IBFAN- facilitating nutrition specific trainings
- Makerere University- School of Public Health- support in research studies
- Metajua- support in the profiling of beneficiaries using dynamic software
- UNICEF- for nutrition supplies, coordination of nutrition activities
- Any implementing partners in area of operation – coordination to avoid duplication of any intervention and use of minimum resources to attain a large impact.
Voting ends on June 24, 2018, 11:59 pm (CEST).
Namutebi Maria Reginah