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A Profile of Malnutrition in Uganda : Demographics and Consequences Dr. Elizabeth Madraa (MD, MPH) Ministry of Health, Uganda. The National Development Plan 2010-2015. Reduce poverty from 38% to 30% Main driving strategies include: Increased agricultural productivity and value added
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A Profile of Malnutrition in Uganda: Demographics and ConsequencesDr. Elizabeth Madraa (MD, MPH)Ministry of Health, Uganda
The National Development Plan 2010-2015 • Reduce poverty from 38% to 30% • Main driving strategies include: • Increased agricultural productivity and value added • Improved health and survival • Human capacity development
Requirements for the achieving NDP2010-2015 goals • Children must be well cared for • Population must attain their full potential: • Productivity • Health • Educatability
Malnutrition Among Children <5yrs Uganda 1995, 2001 and 2006 (WHO standards) UDHS, 2006
Vulnerability to Malnutrition is Higher in Some Regions UDHS, 2006
Micronutrient Deficiencies in Uganda, 2001 and 2006 UDHS, 2001 & 2006
Consequences of Malnutrition and the National Development Plan 2010-2015 Malnutrition in Uganda has effect on: • Agricultural productivity • Disease and survival • Human capacity development
Consequences on Agricultural Productivity and Value Addition
Iron Deficiency Anaemiaand Agriculture in Economic Development • Uganda lost US$ 38 million worth of productivity in 2009 • 0.6% of the GDP
Childhood stunting and Agriculture in Economic Development • Uganda lost US$ 230 Million worth of productivity in 2009 • 2.5% of the GDP
Burden of low-birth weight (LBW) on UGANDA in 2009 • In 2009 over 170,000 born underweight. • Cost the government and families about US$ 5.8 million for specialized health care • 16,000 children died due to low birth weight Profiles UGANDA
Burden of Vitamin A deficiency on UGANDA in 2009 Risk of death from Vitamin A deficiency is 1.4 Profiles UGANDA
R.I.P R.I.P R.I.P Malnutrition and Child Mortality in Uganda (2009 alone!!!) 51,300 child deaths due to PEM alone! 16,200 child deaths due to LBW 15,800 child deaths due to VAD
Maternal Deaths in UGANDA (2006-2016) 15,000 Maternal Deaths due to Anaemia! Jorge Moreiro Profiles UGANDA
Iodine Deficiency and education (2009) 2,100 children will be born as cretins Another 59,000 will be born with severe mental retardation UNICEF/95-0065 Shadid Permanent! US$8.6m worth of productivity lost
Growth retardation (stunting) and education (2009) Start school later Absenteeism high Stunted children tend to start school later, repeat classes, and less productive in adulthood School grade performance poor Class repetition high 7y 7y 4y olds
Iron Deficiency Anaemia and Education • Ability to learn, • Concentration in school, • Retention rates, • School performance, • Speech and hearing ability. UNICEF/Pirozzi
$ $ There’re Benefits to the POOR and to the Nation • Savings from treating ailments attributable to malnutrition • Economic worth of physical & mental productivity gained
Ability to compete as children and adults UNICEF/Pirozzi
R.I.P Lowered IMR and MMR among the POOR Deaths Prevented