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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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Livelihood

Witness Radio welcomes the World Bank’s intervention into Kawaala drainage channel project affected persons…

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By witnessradio.org Team

Kampala – Uganda – Witness Radio Uganda has welcomed the World Bank’s decision to intervene into its funded project which is dispossessing poor urban dweller at Kawaala Zone II, Lubaga division, Kampala district.

On March 4th, 2021, the World Bank Team held its first ever virtual meeting with other stakeholders including the Kampala Capital City Authority (KCCA) over a forceful implementation Kampala Institution and Infrastructure Development (KIIDP 2) project.

On top of running to court to stop an illegal eviction, the residents through Witness Radio – Uganda lawyers raised a complaint to the World Bank to restrain its grantee (KCCA) from imposing a project they (residents) never participated in from the start.

In 2015, KCCA acquired USD 175 million loan from the World Bank and the International Development Association (IDA) for Kampala Institution and Infrastructure Development (KIIDP) project. However, part of the money (USD 17.5 million, which is 63 billion Uganda shillings) was earmarked to construct Lubigi Primary Channel.

Without following business and human rights standards, KCCA started using tricks aimed dispossessing the poor urban community at Kawaala including; hiding under section 72(1) cap 281 of the Public Health Act, and issued a notice to dwellers to pull down what it termed illegal structures erected on their land or otherwise, KCCA would do so at the cost of residents, just to cause a property loss to them.

In a meeting chaired by Martin Onyach-Olaa, a Task Team Leader, Senior Urban Specialist at the World Bank, faulted KCCA for failing to engage community including taking the contractor to the ground without their notice.

“The project affected community have valid grievances, which must be attended to in the interest of Kawaala project” Said Onyach-Olaa

The representatives from the affected community accused KCCA of intimidation, undertaking a forceful survey, sidelining and usurping powers of elected local leaders, extortion and undermining business and human rights standards before and during the implementation of the World Bank project.

“I was threatened and forced to participate in KCCA valuation exercise of my properties and I never understood what was done. I was even lured to sign on certain documents that were in a language they never explained and no copy was left with me. I am opposed to the KCCA’s working and I will not allow them to come back on my property: Said Segue Abbas.

He added that when he sought wise counsel from his lawyers, he just realized that he had been duped.

Among other recommendations, KCCA was advised to embark on an inclusive exercise to identity project affected persons, properties to be affected by the project and ensure that surveys and property valuation exercises are undertaken in accordance within the law.

About the Grievance Redress Committee the KCCA claims they elected, the World Bank saw it important that the Grievance Redress Committee be put in place with a complaint book and functional internal appeal mechanism.

It was further emphasized that no Kawaala resident will be forcefully lose his/her under a project being funded by the World Bank.

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Livelihood

Oil palm growing threatening food security in Buvuma

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Some of the banana plantation gardens abandoned by farmers after they were compansented at Busamuzi sub county.

Buvuma, Uganda | Several people in Buvuma district have taken to oil palm growing at the expense of food growing. Fishing and subsistence farming were the mainstay of Buvuma residents prior to the introduction of oil palm growing.  

However, the residents have surrendered the biggest part of the land they used to plant food crops such as bananas, rice, cassava, maize and sweet potatoes on the main island to National Oil Palm Project-NOPP for the establishment of oil palm gardens. NOPP intends to operate on 10, 000 hectares of land.

The investor Buvuma – Oil Palm Uganda Limited-BOPUL, a subsidiary of Oil Palm Uganda Limited and Bidco Uganda Limited in Kalangala will use 6, 500 hectares of land while the out-growers will use the remaining 3, 500 hectares.

However, since their compensation in 2012, most of the residents have failed to secure alternative land for settlement and food production. Sarasino Namuyimba Ssekajjolo, the Buvuma District Council Speaker, says they have compiled enough information proving that most of the residents have not benefited in the first stages of the project.

He says they are considering tabling a motion halting further land acquisition in areas where NOPP has not concluded the exercise.  Ssekajjolo reveals that over 1000 residents have failed to make good use of the money they received as compensation for their land. 

A report compiled by Mary Namaganda, the Principal Assistant Curator at Makerere University Collage of Nature Sciences shows that land use change in Bugala [Kalangala] from natural vegetation to monoculture plantation has caused biodiversity loss due to the destruction of the natural habitat, soil degradation and pollution of soil and lake water resulting from the use of nitrate fertilizers, agrochemicals and effluents from the palm oil mill.  

BOPUL also intends to setup a mill. Godfrey Yiga, a resident of Kirongo says that he secured another piece of land in Jinja using the Shillings 59 million he received in compensation for his 5-acre piece of land containing a banana plantation, sweet plantains and mangoes. He, however, says that he couldn’t use the remaining balance to setup a new garden.   

Nasta Nantongo Kwagala, another resident and widow of the late Yosefu Kavamawanga who cares for seven children and three grandchildren, says NOPP compensated the tenants on her late husband’s land without her consent. She explains that by the time she applied for compensation, she was chased and stopped from farming on the land.   

George William Telebajo, another resident says the project took advantage of poverty in Buvuma to trick them into selling their land cheaply. He notes that several residents have ended up in jail for stealing food while others are now sleeping in wooden cubical at landing sites. 

Reports from the District Security Commit-DSC point to increased cases of food theft in different camps on landing sites and settlements in forest reserves. Juma Kigongo, the Buvuma Deputy Resident District Commissioner, says about 10 cases of food theft are reported at police and local councils-LCI every month in the four sub counties on the main island.  

These include Nairambi, Buwooya, Busamuzi and Buvuma town council. He, however, says most of the people involved in criminal activities are residents who accepted compensations but failed to put the money to good use. 

Wilson Sserunjogi, the Buvuma District Oil Palm Project Focal Person, says that many people have failed to put their compensation money to good use much as the project has tried to support them. He notes that for the past years they have been handling complaints and compensated thousands of residents fresh but they keep on coming back for more money after misusing it. 

“Residents and leaders are scared for nothing, Buvuma still has land for growing food and also NOPP is here to support them. We also compensated residents with land over 5 acres and above,” he said.         

Original Post: The Independent

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2,000 Karimojong flee to Teso in search for food

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Many Karimojong children are getting emaciated as a result of lack of enough food.

Kampala, Uganda | Several families in Napak district in the Karamoja sub-region have fled their homes into the Teso region to search for casual jobs. This follows the current food shortage which is hitting the region.

Joseph Lomonyang the Napak LC V chairperson says that over 2,000 people mainly from six sub-counties of Matany, Lopei, Lokopo, Lorengechora, Iriiri and Apeitolim have crossed to the neighbouring  Teso districts of Amuria, Katakwi, Kapelebyong and Soroti looking for food.

According to Lomonyang, the number of people to flee the district is most likely to go higher given the current hunger situation.

“Last year, very many people planted crops but all the crops got destroyed by floods making our people vulnerable,” he said.

Elijah Lobucel, the Lokopo sub-county chairperson said everyday mothers and their children walk while those who can afford the costs pay for transport to Teso.

“What we are advising them is not to go to Kampala streets, but if its going to Teso for work to get food it is not bad since the Itesot are brothers and sisters under Ateker cluster,” he said.

Jimmy Tebenyang, the district councillor for Ngoleriet sub-county in Napak district said many children were getting emaciated as a result of lack of enough food.

“There are families where you find children yawning from morning to evening without eating anything and that is why we are calling the government to come to the rescue of people,” he said.

Robert Okitoi, the LC V chairperson Amuria confirmed the presence of Karamoja families in the district and urged the Itesot families to treat the Karimojong as their brothers and sisters.

He also appealed to other district leaders in the Teso region to receive the people of Karamoja with a good heart and share the little they have.

“This is the situation that requires to share, I call upon the people of Amuria and Teso at large that not all the Karimojong are bad people, those who are bad disturbing to raid people of Teso are few and so we should not victimise every one because the law will deal with those raiding but let’s support the Karimojong families,” he said.

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Source: THE INDEPENDENT 

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