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Malnutrition the worst childhood enemy

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“Acute malnutrition may cause other health conditions like low blood sugar, anaemia and diarrhoea, which may cause severe dehydration, skin and visual problems because of lack nutrients,” she says.

One-and-a-half-year-old Tom cannot sit or crawl. He has to be carried or left to lie down. Tom has silky hair and his body is too small for his age.

He looks like a six-month-old. Like Tom, many children in Uganda are malnourished.

According to Hanifa Namusoke, a senior nutritionist at Mwanamugimu Nutrition Unit, Mulago Hospital, malnutrition results from an unbalanced diet, where certain nutrients are; either lacking, in excess, or are in the wrong proportions.

Dr. Elizabeth Kiboneka, the head of the Mwanamugimu Nutrition Unit, says cases of malnutrition in children under the age of five have reportedly increased in the last four years.

“The peak period is usually in the months of June, July and August, with national emergencies declared in Namutumba (2011) and Rwamwanja in Kamwenge district (2012) as a result of the Congolese refugee influx,” she says.

Kiboneka adds that a recent study done at Mulago Hospital’s assessment centre indicates that the cases of children with acute malnutrition stands at 14.5%.

According to the Uganda Demographic Health Survey (2011), 33% of children under the age of five are stunted, an indicator of chronic malnutrition.

Causes

The factors making acute malnutrition persistent in Uganda are basic, with the major ones being inadequate food and lack of food.

“Children are not getting enough food and sometimes when they do, mothers do not know what foods to give them and how to prepare the food,” Namusoke explains.

She adds that food must be cleaned and prepared appropriately so that the nutrients are retained.

Additionally, when a mother is malnourished, the chances of her giving birth to a malnourished baby are high.

Children are also susceptible to malnutrition if they are not breastfed adequately and given enough complementary feeds.

Proper nutrition should start before conception, continue during pregnancy, after birth and throughout breastfeeding alongside complementary feeding.

Namusoke says many Ugandans in rural areas lack safe drinking water, or live in poor sanitary conditions. These lead to infectious diseases like diarrhoea, which may result in severe malnutrition.

She says HIV/AIDS has also contributed to malnutrition. About 15% of children aged below five years admitted to Mwanamugimu have HIV/AIDS.

Complications

Kiboneka says malnutrition has immediate and long-term consequences. The immediate impact is death.

Malnutrition contributes about 50-60% deaths in Ugandan children below five years.

“Acute malnutrition may cause other health conditions like low blood sugar, anaemia and diarrhoea, which may cause severe dehydration, skin and visual problems because of lack nutrients,” she says.

A child may become sickly and suffer other micro-nutrient deficiency complications like lack of iron, resulting in anaemia and eventually death.

“lron is important for proper functioning of the heart and an anaemic heart may not be able to able pump blood,” Kiboneka explains.

She says stunting, which is a long-term effect of malnutrition, slows down the learning process since the child’s brain is fully developed by the age of two years.

Namusoke says children suffering from malnutrition have a compromised immune system, and are 10 times more likely to die of treatable conditions like colds or diarrhoea.

Kiboneka blames malnutrition on the high fertility rate, where mothers bear more children than they can afford to look after.

She encourages exclusive ­breastfeeding for the first six months and good nutrition thereafter where a child is given a variety of solid foods alongside breast milk.

The story was first published on April 22, 2013 

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NGO WORK

Violations against Kenya’s indigenous Ogiek condemned yet again by African Court

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Minority Rights Group welcomes today’s decision by the African Court on Human and Peoples’ Rights in the case of Ogiek people v. Government of Kenya. The decision reiterates previous findings of more than a decade of unremedied violations against the indigenous Ogiek people, centred on forced evictions from their ancestral lands in the Mau forest.

The Court showed clear impatience concerning Kenya’s failure to implement two landmark rulings in favour of the indigenous Ogiek people: in a 2017 judgment, that their human rights had been violated by Kenya’s denial of access to their land, and in a 2022 judgment, which ordered Kenya to pay nearly 160 million Kenyan shillings (about 1.3 million USD) in compensation and to restitute their ancestral lands, enabling them to enjoy the human rights that have been denied them.

Despite tireless activism from the community and the historic nature of both judgments, Kenya has not implemented any part of either decision. The community remains socioeconomically marginalized as a result of their eviction and dispossession. Evictions have continued, notably in 2023 with 700 community members made homeless and their property destroyed, and in 2020 evicting about 600, destroying their homes in the midst of the Covid-19 pandemic.

Daniel Kobei, Executive Director of the Ogiek Peoples’ Development Program stated, ‘We have been at the African Court six times to fight for our rights to live on our lands as an indigenous people – rights which our government has denied us and continues to violate, compounding our plights and marginalization, despite clear orders from the African Court for our government to remedy the violations. This is the seventh time, and we were hopeful that the Court would be more strict to the government of Kenya in ensuring that a workable roadmap be followed in implementation of the two judgments.’

Image: The Ogiek delegation outside the African Court after the delivery of the decision. 4 December 2025.

Kenya has repeatedly justified the eviction of Ogiek as necessary for conservation, although the forest has seen significant harm since evictions began. Many in the community see a connection between their eviction and Kenya’s participation in lucrative carbon credit schemes.

‘The Court’s decision underscores the importance of timely and full implementation of measures imposed on a state which has been found to be in breach of their internationally agreed obligations. Kenya must now repay its debt to the indigenous Ogiek by restituting their land and making reparations, among other remedies ordered by the Court’, said Samuel Ade Ndasi, African Union Advocacy and Litigation Officer at Minority Rights Group.

The decision states, ‘the court orders the respondent state to immediately take all necessary steps, be they legislative or administrative or otherwise, to remedy all the violations established in the judgment on merits.’ The court also reaffirmed that no state can invoke domestic laws to justifiy a breach of international obligations.

Both of the original judgments were historic precedents, breaking new ground on the issue of restitution and compensation for collective violations experienced by indigenous peoples and confirming the vital role of indigenous peoples in safeguarding ecosystems, that states must respect and protect their land rights, that lands appropriated from them in the name of conservation without free, prior and informed consent must be returned, and their right to be the ultimate decision makers about what happens on their lands. Today’s decision adds to this tally of precedents as it is the first decision of the African Court on Human and Peoples’ Rights concerning the record of a state in implementing a binding decision.

The case

In October 2009, the Kenyan government, through the Kenya Forestry Service, issued a 30-day eviction notice to the Ogiek and other settlers of the Mau Forest, demanding that they leave the forest. Concerned that this was a perpetuation of the historical land injustices already suffered, and having failed to resolve these injustices through repeated national litigation and advocacy efforts, the Ogiek decided to lodge a case against their government before the African Commission on Human and Peoples’ Rights with the assistance of Minority Rights Group, the Ogiek Peoples’ Development Program and the Centre for Minority Rights Development. The African Commission issued interim measures, which were flouted by the Government of Kenya and thereafter referred the case to the African Court based on the complementarity relationship between the African Commission and the African Court on Human and Peoples’ Rights and on the grounds that there was evidence of serious or massive human rights violations.

On 26 May 2017, after years of litigation, a failed attempt at amicable settlement and an oral hearing on the merits, the African Court on Human and Peoples’ Rights rendered a merits judgment in favour of the Ogiek people. It held that the government had violated the Ogiek’s rights to communal ownership of their ancestral lands, to culture, development and use of natural resources, as well as to be free from discrimination and practise their religion or belief. On 23 June 2022, the Court rejected Kenya’s objections and set out the reparations owed for the violations established in the 2017 judgment.

Source: minorityrights.org

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NGO WORK

Climate wash: The World Bank’s Fresh Offensive on Land Rights

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Climate wash: The World Bank’s Fresh Offensive on Land Rights reveals how the Bank is appropriating climate commitments made at the Conference of the Parties (COP) to justify its multibillion-dollar initiative to “formalize” land tenure across the Global South. While the Bank claims that it is necessary “to access land for climate action,” Climatewash uncovers that its true aim is to open lands to agribusiness, mining of “transition minerals,” and false solutions like carbon credits – fueling dispossession and environmental destruction. Alongside plans to spend US$10 billion on land programs, the World Bank has also pledged to double its agribusiness investments to US$9 billion annually by 2030.

This report details how the Bank’s land programs and policy prescriptions to governments dismantle collective land tenure systems and promote individual titling and land markets as the norm, paving the way for private investment and corporate takeover. These reforms, often financed through loans taken by governments, force countries into debt while pushing a “structural transformation” that displaces smallholder farmers, undermines food sovereignty, and prioritizes industrial agriculture and extractive industries.

Drawing on a thorough analysis of World Bank programs from around the world, including case studies from Indonesia, Malawi, Madagascar, the Philippines, and Argentina, Climatewash documents how the Bank’s interventions are already displacing communities and entrenching land inequality. The report debunks the Bank’s climate action rhetoric. It details how the Bank’s efforts to consolidate land for industrial agriculture, mining, and carbon offsetting directly contradict the recommendations of the IPCC, which emphasizes the protection of lands from conversion and overexploitation and promotes practices such as agroecology as crucial climate solutions.

Read full report: Climatewash: The World Bank’s Fresh Offensive on Land Rights

Source: The Oakland Institute

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NGO WORK

Africa’s Land Is Not Empty: New Report Debunks the Myth of “Unused Land” and Calls for a Just Future for the Continent’s Farmland

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A new report challenges one of the most persistent and harmful myths shaping Africa’s development agenda — the idea that the continent holds vast expanses of “unused” or “underutilised” land waiting to be transformed into industrial farms or carbon markets.

Titled Land Availability and Land-Use Changes in Africa (2025), the study exposes how this colonial-era narrative continues to justify large-scale land acquisitions, displacements, and ecological destruction in the name of progress.

Drawing on extensive literature reviews, satellite data, and interviews with farmers in Zambia, Mozambique, South Africa, and Zimbabwe, the report systematically dismantles five false assumptions that underpin the “land abundance” narrative:

  1. That Africa has vast quantities of unused arable land available for cultivation

  2. That modern technology can solve Africa’s food crisis

  3. That smallholder farmers are unproductive and incapable of feeding the continent

  4. That markets and higher yields automatically improve food access and nutrition

  5. That industrial agriculture will generate millions of decent jobs

Each of these claims, the report finds, is deeply flawed. Much of the land labelled as “vacant” is, in reality, used for grazing, shifting cultivation, foraging, or sacred and ecological purposes. These multifunctional landscapes sustain millions of people and are far from empty.

The study also shows that Africa’s food systems are already dominated by small-scale farmers, who produce up to 80% of the continent’s food on 80% of its farmland. Rather than being inefficient, their agroecological practices are more resilient, locally adapted, and socially rooted than the industrial models promoted by external donors and corporations.

Meanwhile, the promise that industrial agriculture will lift millions out of poverty has not materialised. Mechanisation and land consolidation have displaced labour, while dependency on imported seeds and fertilisers has trapped farmers in cycles of debt and dependency.

A Continent Under Pressure

Beyond these myths, the report reveals a growing land squeeze as multiple global agendas compete for Africa’s territory: the expansion of mining for critical minerals, large-scale carbon-offset schemes, deforestation for timber and commodities, rapid urbanisation, and population growth.

Between 2010 and 2020, Africa lost more than 3.9 million hectares of forest annually — the highest deforestation rate in the world. Grasslands, vital carbon sinks and grazing ecosystems, are disappearing at similar speed.

Powerful actors — from African governments and Gulf states to Chinese investors, multinational agribusinesses, and climate-finance institutions — are driving this race for land through opaque deals that sideline local communities and ignore customary tenure rights.

A Call for a New Vision

The report calls for a radical shift away from high-tech, market-driven, land-intensive models toward people-centred, ecologically grounded alternatives. Its key policy recommendations include:

  • Promoting agroecology as a pathway for food sovereignty, ecological regeneration, and rural livelihoods.

  • Reducing pressure on land by improving agroecological productivity, cutting food waste, and prioritising equitable distribution.

  • Rejecting carbon market schemes that commodify land and displace communities.

  • Legally recognising customary land rights, particularly for women and Indigenous peoples.

  • Upholding the principle of Free, Prior, and Informed Consent (FPIC) for all land-based investments.

This report makes it clear: Africa’s land is not “empty” — it is lived on, worked on, and cared for. The future of African land must not be dictated by global capital or outdated development theories, but shaped by the people who depend on it.

Download the Report

Read the full report Land Availability and Land-Use Changes in Africa (2025) to explore the evidence and policy recommendations in detail.

Source: Alliance for Food Sovereignty in Africa (AFSA)

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