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Feed the Future Multi-Year Strategy, Uganda, Public

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fortification of maize and wheat flour with vitamin A, iron, zinc, folic acid and vitamin B12 and. New<br />

food fortification vehicles will be added that include sugar fortification with vitamin A.<br />

The agriculture team is also looking at improved seed varieties to increase micronutrient content such<br />

as <strong>the</strong> orange-fleshed sweet potato, which has increased levels of beta-carotene (Vitamin A). The<br />

introduction of fortification of foods will be combined with educational activities that promote dietary<br />

diversity through <strong>the</strong> community and facility based programs.<br />

As previously mentioned, a key component to treatment of undernutrition in <strong>Uganda</strong> is <strong>the</strong> production<br />

of <strong>the</strong>rapeutic and complementary foods. USG’s <strong>Feed</strong> <strong>the</strong> <strong>Future</strong> will expand on previous investments<br />

in local ready-to-use <strong>the</strong>rapeutic food production to increase availability and distribution in health<br />

facilities across <strong>the</strong> country to treat acute undernutrition.<br />

Enabling Environment<br />

Our program will work to leverage o<strong>the</strong>r sectors (e.g., agriculture, water, public/private, etc) to create<br />

demand for fortified foods, adopt good nutrition behaviors, and activities like exclusive breastfeeding<br />

and integrated nutrition/WASH/food hygiene. Advocacy efforts will continue to emphasize <strong>the</strong><br />

importance of nutrition among key stakeholders. <strong>Uganda</strong> is one of <strong>the</strong> countries that is taking on <strong>the</strong><br />

Scaling Up Nutrition (SUN) initiative spear headed globally by <strong>the</strong> Irish Government, U.S. Government<br />

and <strong>the</strong> UN. SUN focuses on integration of relevant sectors with a view to addressing <strong>the</strong> window of<br />

opportunity within <strong>the</strong> 1,000 days (from minus 9 months to 24 months). We will work to harmonize<br />

FTF and SUN activities to maximize efficiency and national coverage in close consultation with MOH,<br />

MAAIF and o<strong>the</strong>r stakeholders. Through <strong>the</strong> existing micronutrient fortification program that has<br />

successfully enriched common staples such as oil and flour, FTF will continue to advocate for<br />

mandatory fortification of manufactured foods.<br />

Capacity Building<br />

Capacity building at <strong>the</strong> national and district level is critical. Nutrition has only recently become a<br />

priority in <strong>the</strong> health sector, and without strong nutrition champions and policies centrally, nutrition<br />

priorities will not be realized. USAID will continue to train health workers in new IMAM guidelines<br />

for use in health facilities and will expand technical assistance and capacity building at <strong>the</strong> national level<br />

beyond <strong>the</strong> health sector to include Agriculture and o<strong>the</strong>r ministries who can contribute to a national<br />

action plan on nutrition. Table 2 summarizes planned activities in nutrition across <strong>the</strong> four nutrition<br />

program areas.<br />

17

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