Implementers REG. NO

Oriba Dan Langoya 11/U/1019

Mugalu Denis Edward 11/U/1007

Nabukalu Ssentongo Angela 11/U/1044

Baluku Andrew 11/U/15559/PS

Acam Joan 11/U/1079

Kalungi Jonathan 11/U/1021

Tumwesigire Samuel 11/U/47

SITE SUPERVISOR CONTACT EMAIL

Dr. Edith Nakku Joloba 0701682846

SITE TUTOR

Dr. John Kamulegeya

Contents ACRONYMS .............................................................................................................................................................................................. 3

ABSTRACT ................................................................................................................................................................................................ 4

Background ....................................................................................................................................................................................... 4

Problem statement ........................................................................................................................................................................... 4

Intervention ...................................................................................................................................................................................... 4

Justification ....................................................................................................................................................................................... 4

General Objective.......................................................................................................................................................................... 4

Methods............................................................................................................................................................................................ 5

Evaluation ......................................................................................................................................................................................... 5

INTRODUCTION ....................................................................................................................................................................................... 5

Background ....................................................................................................................................................................................... 6

Problem statement ........................................................................................................................................................................... 8

Intervention ...................................................................................................................................................................................... 8

Justification ....................................................................................................................................................................................... 8

OBJECTIVES ............................................................................................................................................................................................. 9

General Objective ............................................................................................................................................................................. 9

Specific objectives ............................................................................................................................................................................ 9

METHODS .............................................................................................................................................................................................. 10

Project area: ................................................................................................................................................................................... 10

Target population: .......................................................................................................................................................................... 10

Ethical approval: ............................................................................................................................................................................. 10

Community Entry ............................................................................................................................................................................ 10

Project duration .............................................................................................................................................................................. 10

Quality control ................................................................................................................................................................................ 10

Project activities: ............................................................................................................................................................................ 10

Implementation .............................................................................................................................................................................. 11

Tools and equipment ...................................................................................................................................................................... 11

Evaluation; ...................................................................................................................................................................................... 12

Analysis plan and presentation of findings..................................................................................................................................... 12

WORK PLAN. .......................................................................................................................................................................................... 13

DETAILED IMPLEMENTATION PLAN MATRIX. .............................................................................................................................. 16

BUDGET ................................................................................................................................................................................................. 17

PROJECT FRAME WORK ......................................................................................................................................................................... 19

REFERENCES .......................................................................................................................................................................................... 20

APPENDIX ........................................................................................................................................................................................ 21

ACRONYMS

FM…………………………………………………………..Frequency Modulation

IMR……………………………………………………….…Infant Mortality Rate

IYCF…………………………………………...…Infant and Young Child Feeding

LC 1…………………………………………………………….…..Local Council 1

MDG……………………………………….…….Millennium Development Goals

NCHS………………………………………....National Center for Health Sciences

RUTF……………………………………………...Ready to Use Therapeutic Food

SSA…………………………………………………………….Sub Saharan Africa

UCG…………………………………………………..Uganda Clinical Guidelines

UDHS………………………………...…Uganda Demographic and Health Survey

UNICEF……………………United Nations Initiative and Child’s Education Fund

ABSTRACT

Background

Meeting the Nutrition requirements of children aged 6months to five years has become a major global

challenge and as such an estimate of 55 million pre- school children globally are malnourished. In 2010,

the nutrition status of children under five in Uganda was estimated to be 38% stunted, 16% acutely

malnourished and 19% undernourished and by 2011 the statistics stand at 33% for stunting,5% for

wasting ,14% for underweight, vitamin A deficiency at 38%. The current levels of malnutrition hinder

Uganda’s human, social, and economic development. Although the country has made tremendous

progress in economic growth and poverty reduction over the past 20 years, its progress in reducing

malnutrition remains very slow. In Nakasongola Sub County, the majority of the households sampled

had high calorific diet which included root tubers and cereals, but greatly lacking in vitamins and

proteins. Most of the families (81%) included mainly root tubers in their diet meals. Others had maize

and its products (57.1%), matooke (38.1%). Their meals are majorly in proteins and vitamins as shown

by comparatively fewer families (31%) consuming animal products and vegetables. The results above

depict that most families don’t have a balanced diet in their nutrition.

Problem statement Although the people of Nakasongola have good food security with big gardens in which is plenty of

food (61.9% of the families obtain food from those gardens), the food is majorly calorific as most

families (81%) consume cassava and sweet potatoes. Yet, comparatively fewer families (31%) included

vegetables and animal products. This shows the unbalanced diet burden, which puts their family

members, especially the infants who make up the biggest proportion of their families (54%), at a risk of

malnutrition. Malnutrition in under-fives is clinically severe especially in acute form as it accounts for

the greatest contribution in the high infant mortality rates (IMR) in Uganda (76 deaths per 1000 live

births) and under-fives mortality shooting up to 134 deaths per 1000 live births.

Intervention Sensitization of mothers and care takers of the infants between 6 months and five years of age about the

importance of a balanced diet in this age group.

Justification In Nakasongola Sub County, most families (81%) feed mainly on high calorific diet expressed in root

tubers and cereals, with just 31% of families including vegetables and proteins in the diet. This presents

an unbalanced diet, especially for children between 6 months and 5 years of age and puts them at a risk

of malnutrition, yet under-fives in this region make up the biggest proportion (54%) of their

householders. Malnutrition impairs immune function, and malnourished children are prone to

frequent infections that are more severe and longer-lasting than those in well-nourished children and

may lead to a spiral of ever-worsening nutritional status.

General Objective To increase the knowledge of a balanced diet amongst the people of Buruuli, Matuugo, Kalubanga

villages in Nakasongola sub county

Methods The sensitization project will be carried out in 3 of the villages; Kalubanga, Matuugo, and Buruuli in

Nakasongola sub county, Nakasongola County, Nakasongola district. Mothers and caretakers of children

6 months to under 5 years in 3 villages of Nakasongola Sub County will be our target population.

Sensitization of the mothers and care takers about the different food groups, their nutritional value and

how they can be combined to make a balanced diet shall be done by laying a demonstration table

containing all the different examples of foods in order of Grow, Go and Glow foods, plus iodized salt

and water present as well.

Evaluation . Issuing of post interventional questionnaires to household caretakers (mothers) using simple

randomized sampling technique

INTRODUCTION

This project is going to be carried out under the COBERS program of Makerere University College of Health

Sciences. COBERS stands for Community Based Education and Research Services, a program under whom the students

are sent out to the community by the college. There, they are expected to identify with the lay man. They should

familiarize themselves with the way of life out there, identify the different community health problems by way of a

community diagnosis and then come up with feasible and sustainable solutions to these problems.

A community diagnosis was done in Nakasongola sub county, Nakasongola District by the implementers of this project

in April 2013 and a number of problems were identified, including an unbalanced diet for the infants. This problem is

thus, the center of focus in this proposal.

Background Meeting the Nutrition requirements of children aged 6months to five years has become a major global

challenge and as such an estimate of 55 million pre- school children globally are malnourished. [1]

Malnutrition is a major global health problem, contributing to increased morbidity, mortality,

impaired mental development. Causes of malnutrition include poor feeding practices, inadequate

breast-feeding, early and late weaning, inadequate nutritional knowledge, diseases and cultural

practices. Intake of nutrients that are inadequate in the habitual diet can be increased through use of

Plumpy nuts, taking BP-5 biscuits (high energy), Ready to Use Therapeutic food (RUTF), Use soya

milk. [2]

All children with moderate wasting, or with moderate or severe stunting, have in common a higher

risk of dying and the need for special nutritional support. In contrast to children suffering from life-

threatening severe acute malnutrition, there is no need to feed these children with highly fortified

therapeutic foods designed to replace the family diet. Their dietary management should be based on

improving the existing diets by nutritional counseling and, if needed, by the provision of adapted food

supplements providing nutrients that cannot be easily provided by local foods. Children with growth

faltering would also benefit from the same approach.[3]

Although poor child nutrition status is a pervasive global problem, it is mainly concentrated in a few

developing countries. According to the United Nations Children’s Fund (UNICEF), 24 developing

countries account for over 80 percent of the world’s 195 million children faced with stunting. Out of

the 24 countries, at least 11 are from Sub Saharan Africa (SSA). Furthermore, countries in SSA have

made the least progress in reducing stunting rates from 38% to 34% between 1990 and 2008

compared to a reduction of 40% to 29% for all developing countries. . Uganda is among the

developing countries with the largest population of stunted children. An estimated 2.4 million

children aged less than 5 years in Uganda are stunted and this place the country at the rank of 14th

based on the ranking of countries with large populations of nutritionally challenged children [4].

Malnutrition is widespread in Uganda, but generally declining. The proportion of children aged below

5 years classified as stunted declined from 38% in 2006 to 33 % by 2011.Overall, the figure shows

that Uganda has registered mixed progress regarding child nutritional health indicators. However, the

trends suggest that Uganda might not be able to achieve 50 percent reduction in these indicators by

2015. Despite the commendable progress in reducing child stunting rates, the progress is relatively

much slower than that recorded for the decline in income poverty. [4]

In 2010, the nutrition status of children under five in Uganda was estimated to be 38% stunted, 16%

acutely malnourished and 19% undernourished[6], and by 2011 the statistics stand at 33% for

stunting,5% for wasting ,14% for underweight, vitamin A deficiency at 38%. [5]

One out of every three young children in Uganda are short for their age, according to the 2011

Uganda Demographic and Health Survey (UDHS); and the incidence of poor nutritional status is

highest in the relatively better off sub region of South Western Uganda[4]

The current levels of malnutrition hinder Uganda’s human, social, and economic development.

Although the country has made tremendous progress in economic growth and poverty reduction over

the past 20 years, its progress in reducing malnutrition remains very slow. [6]

Different policy guidelines on Infant and Young Child Feeding (IYCF) have been structured to

strengthen nutrition in under-fives. Efforts have been directed to promotion, protection and support of

optimal IYCF spear headed by the ministry of health in collaboration with its stake holders. Much

progress has been achieved especially in promotion of exclusive breast feeding through policy

making, health education and campaigns. Despite these impressive efforts, IYCF practices are not yet

optimal.

The Uganda Demographic Health Survey (2006) shows that;

Timely complementary feeding from 6-9months is 80% but of these 72% of children 6-23months

receive inadequate complementary feeds with foods lacking at least 2 food groups especially

vegetables and proteins but excessive in calories [7].

This is in line with the community diagnosis report of Nakasongola Sub County (2013) where

amongst all families sampled had high calorific diet with 81% root tubers but greatly lacking

vitamins and proteins. Most of the meals were served with root tubers included in 81% of sampled

families; others were included maize and its products (57.1%).

These results depict that most of the families don’t have a balanced diet in their nutrition. Their

meals are majorly deficient in proteins as shown by the few animal products consumed by a few

families (31%). They are also deficient in vitamins indicated by the little amounts of vegetables in

their meal consumed by the fewest families (10%) [8].

Major challenges in their feeding lies in a spectrum that has ignorance about essence of balanced diet

and behavioral attitudes seen in the conservative nature of the locals in a way of commercializing

their garden produce especially vegetables and protein-rich foods such as fish. As a result of these

mal behavioral practices;

Malnutrition is prevalent with stunting rates at 38%,wasting rates at 6% and rate of underweight

children at 16%

Infant mortality rate(IMR) stands at 76 deaths per 1000 live births, while the

Under five mortality rate is currently 137 deaths per 1000 live births [7].

This conservative behavior of selling off food unmasks the ignorance of the importance of well-

balanced diet in this vulnerable group. It should be noted that the greatest proportion of their family

members are under five (54%) and this age group report cases with increased morbidity rate [8].

Improving the nutrition of these infants can help strengthen their immunity and in turn decrease the

morbidity rate.

The habit of selling off such nutritious foods instead of consuming it at home therefore puts people,

especially the infants, at a risk of malnutrition and its effects. Great emphasis has been put on

changing the practices so as to address these nutrition problems as an intervention.

However the mothers and other cares takers have not been sensitized on the values of the food that

they have in their homesteads. They seem not to know which foods are the glow, the go and the

grow foods. They simply feed the children so that they are not hungry, not with the purpose of

attaining a balanced diet. [8]

Mothers therefore need to be educated about complementary feeding. This is where the child is

breast feeding but along with breast milk, other semi solid foods are given. It is started after six

months of exclusive breast feeding. Breast milk contains almost all food values required by an

infant, however, after six months, the quantities in the breast milk are no longer adequate and hence

an energy gap is created. This gap can be filled with food values that are found in the semi-solid

foods that are introduced at this point so as to prevent malnutrition in the under-fives. [9].

Complementary food can be prepared from locally available cheap and affordable foodstuffs with

high nutrient value. The foods should be representative of the grow, go and glow foods in

appropriate quantities. The Glow foods have two categories i.e. plant products like beans, peas and

ground nuts and animal products like milk, eggs, mukene, nkejje, ants and grasshoppers. The Go

foods are also divided into two categories, the fresh/wet like matooke, cassava, yams, potatoes and

the dry like millet flour, sorghum flour, maize flour ,rice and pumpkin. Glow foods as well are of

two categories that is fruits (bananas, oranges, passion fruits, and water Mellon) and vegetables

(young pumpkin, tomatoes, avocado, and nakati).

Problem statement The people of Nakasongola have a good food security. They have big gardens with plenty of food

in them. However the food is mainly root tubers; cassava and sweet potatoes. This unbalanced diet

puts their family members especially the infants who make up the biggest proportion of their

families (54%), at a risk of malnutrition.

Malnutrition in under-fives is clinically severe especially in acute form as it accounts for the greatest

contribution in the high infant mortality rates(IMR) in Uganda(76 deaths per 1000 live births) and

under-fives mortality shooting up to 134 deaths per 1000 live births [6] in concert with respiratory

and diarrheal infections. In chronic form, however it is seen to impact stuntedness (33% of the

under-fives in Uganda [4], wasting and poor psychosocial development.

Ignorance, attitudes and conservative nature of the Nakasongola sub county citizens about the

essence of a well-balanced diet for their children under five have certainly played a pivotal role in

establishing this unbalanced nature of the diet in this age group. The food is instead grown for sale

since most of them are low income earners. Being near Lake Kyoga, they even have access to the

proteins from the fish but they sell it off instead so as to cope with the ever increasing standards of

living. Also the foods commonly grown are the root tubers. This puts the population, especially the

infants at a risk of malnutrition due to unbalanced diet [8].

Despite the interventions that have been in place to promote good nutrition and discourage people

from selling off their food, the practice still goes on especially due to the ever increasing costs of

living. This is probably because the people don’t know the values of the nutrients in the food they

are selling off. They lack the knowledge about the importance of a balanced diet and therefore need

to be sensitized.

Intervention Sensitization of the people of Nakasongola, especially the family heads about the dangers of selling

off food. Sensitization about what should be added or reduced from diet so as to make it balanced.

This will help curb the disease burden by improving the diet, nutrition and eventually the immunity.

Justification In Nakasongola Sub County, most families feed mainly on high calorific diet with 81%

carbohydrates expressed in root tubers with less than 10% vegetables and proteins in the diet. This

presents an unbalanced diet for children between 6 months and 5 years of age and puts them at a risk

of malnutrition, yet under-fives in this region make up the biggest proportion (54%) of their

householders.

The health problems in Nakasongola include malaria, poor diet, upper respiratory tract infections

and diarrheal diseases as observed in the community diagnosis in 2013. Improved nutrition increases

the level of immunity causing a reduction in occurrence of these health conditions. This is also in

line with the Millennium Development Goal (M.D.G) number.4 that aims at addressing the nutrition

situation causing a reduction in child mortality rates especially of the under-fives.

Nationally, the malnutrition challenge is acknowledged and different health policies are made to deal

with it. The policy guideline 2 for integrated infant and young child feeding(IYCF) by MOH

stipulates that parents should be counseled and supported to introduce adequate, safe and

appropriately give complementary food at 6 months of the infants’ age while they continue

breastfeeding for up to 2 years or beyond. [8]

This calls for more efforts in increasing knowledge about the nutrients of the different foods and on

how to balance them appropriately.

OBJECTIVES

General Objective

To increase the knowledge of a balanced diet amongst the people of Buruuli, Matuugo,

Kalubanga villages in Nakasongola sub county.

Specific objectives

To increase the knowledge of mothers and care takers about the different food groups and how

they can be combined to make a balanced diet.

To increase the knowledge of mothers and care takers about the importance of complementary

feeding, preparation, frequency, amount and types of feeds so as to maintain a good nutrition

status for their children.

To sensitize people about the dangers of an unbalanced diet.

To improve the skill of mothers and care takers on how the locally available food is prepared

and, served in order to maintain its nutrition content and value, with their full participation and

involvement.

To assess post interventional knowledge and practice.

METHODS

Project area: The project will be carried out in Nakasongola sub county, Nakasongola County, Nakasongola

district. The district covers an area of 3509 sq.km. It is occupied by swamps (wetlands) and part of

the Lake Kyoga. The project will be carried out in 3 of the villages in Nakasongola Sub County:

Kalubanga, Matuugo, and Buruuli.

Most of the occupants go for low income generating activities like peasant farming whereby they

rear cattle and grow food especially root tubers, and selling food items in their local market place.

Target population: Mothers and caretakers of children 6 months to under 5 years in 3 villages of Nakasongola sub

county; Kalubanga, Matuugo and Buruuli.

Ethical approval:

Approval will be obtained from the District Health Officer, local leadership and College of

Health Sciences.

We shall also seek for consent from the people whose homes we are going.

Community Entry The implementation team shall introduce themselves to the community leaders including the Local

chairpersons of Matuugo, Kalubanga and Buruuli villages and request them for their permission to

carry out our project in their area.

Project duration The project will run for 5 weeks.

Quality control The implementers have met a nutritionist, Dr. Hanifa Namusoke at Mwanamugimu Nutritional unit

for a teaching about the complementary feeding. They have also had a session with her at

Mwanamugimu Nutrition Unit for technical training on how to prepare and serve a balanced diet to

children of complementary feeding age.

Project activities: Mothers and care takers of the target group infants in 3 villages of Matuugo, Kalubanga and

Buruuli shall be mobilized for community meetings by the local leaders on two days per week in

3 different villages and on each occasion, records about their particulars such as address,

contacts, will be established and kept.

Mothers and caretakers will be sensitized about the different food groups and how they can be

combined to make a balanced diet.

Education of the mothers of the ten key messages for complementary feeding laid out by the

ministry of health.

Demonstration of how the different foods can be combined to make a balanced diet.

Demonstrations on how the balanced diet is prepared and served in order to maintain its nutrition

content and value, with their full participation and involvement. This will be done following the

guidelines that are provided by ministry of health in preparation of a local formula called

“ekitobeero”.

Occasional radio talk shows at Buruuli FM to sensitive to teach the importance of a balanced diet

to infants between 6 months and five years.

Community nutrition campaigns at least once in each of the three different villages to further

sensitize the locals about the importance of a balanced diet to infants between 6 months and five

years.

Distribution of fliers, demonstrative charts and calendars to homes with our target population.

Planting a demonstration garden in each of the 3 villages.

Demonstrative videos on nutrition will be used during the community gatherings to aid

sensitization about a balanced diet.

Implementation Mobilization of mothers for the different community gatherings through the LC 1 chairmen and

the village Health Team.

Implementation shall be done twice a week that’s Tuesday and Friday for each village including

health education and demonstrations and preparation of tools and materials for implementation

done mainly over the weekends.

Sensitization of the mothers and care takers about the different food groups, their nutritional

value and how they can be combined to make a balanced diet. This shall be done by laying a

demonstration table containing all the different examples of foods in order of Grow, Go and

Glow foods, plus iodized salt and water present as well.

Different menus shall be prepared during demonstrations using the locally available foods to

give different choices of different combinations so as to aid flexibility during preparation back at

home. This will help the community to own and aid continuity of the program.

Tools and equipment National counseling cards for health workers

Training guidelines from the ministry of health of the republic of Uganda

Locally available foods like cassava, sweet potatoes, groundnuts, beans and greens.

Manila paper, markers and videos for demonstration.

Modem and laptop.

Evaluation questionnaire, key informant interview guides

Evaluation;

Objective

To assess the level of awareness gained about the importance of a balanced diet to children aged

between 6 months and five years.

Study Area

3 villages in Nakasongola sub county, Kalubanga, Buruuli, and Matuugo villages

Study population

A target number of 90 families of our target population (household caretakers of children aged 6

months to five years); 30 from each of the 3 villages will be assessed.

Evaluation methods

Both qualitative and quantitative methods to assess the impact of the project will be executed as

follows;

Quantitative methods will involve;

Issuing of questionnaires about nutritional knowledge specifically about a balanced diet, to

household caretakers such as mothers, of households with children aged 6 months to 5 years; a

pre-interventional questionnaire to establish their knowledge about nutrition and post-

interventional questionnaire to determine in knowledge, if any.

During the nutrition assessment day at the health facility, we shall ask questions in line with the

importance of a balanced diet in infants aged 6months to 5 years and scores will be assigned

accordingly.

Qualitative methods will involve;

Interviewing key informants such as the Village Heath team, LC 1 of Kalubanga, Matuugo and

Buruuli, using key informant interview guides about attitudes and knowledge of the locals on the

importance of a balanced diet.

Assessing of knowledge via feedback from listeners during radio talk shows about nutrition.

Analysis plan and presentation of findings The data obtained from quantitative data shall be analyzed, using frequency distribution tabulations, measures

of central tendency, graphs and curves by the aid of Microsoft excel.

For interviews with key informants, information gathered will be transcribed through attaching a numerical

value accordingly to establish significance.

Feedback from the radio talk shows will be quoted to depict the attitudes and insights of citizens

about the impact of the project.

WORK PLAN.

Activity Responsibility Week one Week two Week three Week four

Week five Week six

Resource mobilization and training:

Collection of implementation tools.

Preparation of evaluation tools (questionnaires).

Mobilization of funds

Training at Mwanamugimu clinic.

All group members

Presentation of

project to the district

and funders for

approval and

financial support. All group members

Acquisition of community support and approval through the LC1 chairperson and the village health support (VHT).

All group members

Preparation of demonstration and assessment tools and materials.

All group members

Pre- intervention assessment

All group members and a VHT.

Sensitization and demonstration

Home visits: talks and demonstration

Radio talk show

Nutrition campaign

Nutrition day :at the health center (weekly)

All group members and a VHT.

Post- intervention evaluation

All group members.

Report writing All members

DETAILED IMPLEMENTATION PLAN MATRIX.

OBJECTIVE. ACTIVITY/METHOD. NO. of days SOURCE OF

INFORMATION.

To increase the

knowledge of mothers and

care takers about the

different food groups and

how they can be combined

to make a balanced diet.

To increase the

knowledge of mothers and

care takers about the

importance of

complementary feeding,

preparation, frequency,

amount and types of feeds

so as to maintain a good

nutrition status for their

children.

To educate people about

the dangers of an

unbalanced diet.

To improve the skill of

mothers and care takers on

how the locally available

food is prepared, served

and preserved in order to

maintain its nutrition

content and value, with

their full participation and

involvement.

To assess post

interventional knowledge

and practice

Sensitization: about the different food groups

and how they can be combined to make a

balanced diet.

A radio talk show is to be held at Buruuli

FM.

Talks shall be given during home visits.

Talks also shall be held during the

community nutrition campaigns (one

in each village)..

Distribution of Fliers/leaflets,

calendars and demonstrative charts

during the community nutrition and

home visits.

3

Training guidelines

from the ministry of

health of the

republic of Uganda.

Mwanamugimu

nutrition unit.

Demonstrations: to be done in each of the three

villages.

Using demonstration gardens planted at

three sites (one in each village).

Using demonstrative videos on

balanced diet.

Using the National counseling cards for

health workers.

Locally available foods - cassava,

sweet potatoes, groundnuts, beans and

greens – shall be used to demonstrate

the different food groups, their

nutritional value and how they can be

combined to make a balanced diet.

3

BUDGET EXPENSE ITEMS UNIT COST(Ush) AMOUNT(Us

h) JUSTIFICATION

Preparation Meetings with village

health team, DHO and

LC1 chairperson.

Transport.

Logistics.

50,000 (mobilization per

week for 3 weeks)

30,000 (logistics for the

meeting per week for

3weeks)

240,000 Preparatory

meetings prior

to

implementation

with Stake

holders shall be

held, including

motivation for

the mobilizers

Tools and materials for

implementation and

evaluation.

Demonstration charts

Demonstration videos

Questionnaires.

Certificates.

Registers

Fliers and stickers.

Markers

Pens

Masking tapes

Garden equipment,

seeds and foods

Demonstration charts

(30000)

Demonstration

videos(20000)

Questionnaires

Fliers.200(500@)

Markers (10000)

Pens 6 (500@)

Masking tapes 2

(3000@)

172000 Required for

Education and

demonstration

At the

implementatio

n sites.

Lunch for the

investigators and support

staff from the community

and at the health centre.

10 people (3000 @ for 6

visits)

180,000 The

implementation

team and the

recruited

members from

the community

shall need to be

provided with

lunch during the

implementation

process.

Communicatio

n

Communication costs

Airtime

Radio talk show.

Airtime; 10,000 per week.

Radio talk show: 50,000

80,000 For

coordination

For

sensitization

purposes.

Transportation Transport to

implementation site

Radio station

100,000 per day for 6days. 600,000 A vehicle shall

be hired and

fuel shall be

Homes

Campaign sites.

needed as well.

Evaluation Data collection,

printing of

questionnaires for

the post-

intervention

evaluation

process.

50 copies.(Ush400@) 20,000

Implementers

shall sample

homes

randomly from

the villages

where the

implementation

process was

done and

evaluation

questionnaires

shall used.

Personal

Medical needs(first Aid

Box)

Feeding and

accommodation .

100,000 @

700,000 Emergency

management of

minor ailments

during the

implementation

process

Miscellaneous 100,000 For the sake of

any added

unplanned

expenses

TOTAL

AMOUNT

2,092,000

PROJECT FRAME WORK Project

Component.

Aim/Goal. Indicator/

Outcome.

Project

activity.

Risks,

Limitations,

Assumptions.

Mitigation of

risks.

Increasing

knowledge on the

importance of a

balanced diet to

children aged 6

months to five

years , in

Nakasongola

subcounty.

To increase the

knowledge and

utilization of a

balanced diet

amongst the

people of Buruuli,

Matuugo,

Kalubanga

villages in

Nakasongola sub

county.

Scores from the

evaluation

questionnaires.

Observation

checklist.

Scores from key

informant

interviews.

Level of turn up

for the

demonstrations.

Radio talk show

feedback.

Resource

mobilization

and training.

Acquisition of

community

support and

approval

through the LC1

chairperson and

the village

health support

(VHT).

Pre-

intervention

assessment

Community Sensitization and demonstration activities. Post-

intervention

evaluation

Language barrier .

Adverse weather

changes such as

rain.

Wastage of

implementation

tools and

materials during

implementation

process.

Recruitment of Interpreters. Identification of alternative implementation sites. Securing a reserve of implementation tools.

`

REFERENCES

1. World Health Organization. Technical note: Supplementary foods and management of Moderate Acute

Malnutrition in infants and children 6-59months of age. 2012; Pages 2-3.

2. World Health Organization. Management of Severe Malnutrition, Save the Children, US. 1999

3. The United Nations University. Food and nutrition bulletin.2009 (supplement).

4. Sara Ssewanyana, Ibrahim Kasirye. Policy Brief-Addressing the Poor Nutrition of Uganda Children. July 2012;

Issue No. 19.

5. Uganda Bureau of Statistics. Uganda Demographic and Health Survey 2011 Preliminary Report . Calverton,

Maryland, USA. (March 2012) ;Pages 18-21

6. Ministry Of Health. Uganda Clinical Guidelines. 4th edition, 2010; Pages 28–32.

7. Ministry Of Health .Uganda Nutrition Action Plan: Scaling Up Multi-sectorial efforts to establish a strong

nutrition foundation for Uganda Development. 2011; Pages 7-15.

8. Mugalu DE, Oriba DL, Nabukalu SA et al. Community diagnosis report of Nakasongola sub county. Makerere

University College of health sciences 2013. ( not published)

9. Ministry of Health. Integrated Infant and Young Child Feeding Counseling.2009.

10. COBERS report of Nyakibaale 2013 (not published).

.

APPENDIX Questionnaire after providing Nutritional Knowledge.

1. Do you think what you were eating was a balanced diet?

a. Yes

b. No

2. After nutritional education do you think it will help you to improve your diet?

a. Yes

b. No

3. What changes you have been able to do in your diet?

4. Do you feel that now you are able to take judicious decisions related to your diet?

a. Yes

b. No

5. Do you consider yourselves that you know about different food and food groups and their proportion?

a. Yes

b. No

6. Which type of foods provides energy to our body?

7. Which type of foods builds and repairs our body tissues?

8. Which type of foods provide vitamins and minerals to protect and regulate our body function?

9. Do you feel nutritional knowledge is basic requirement for the individual?

a. Yes

b. No

20

10. Does nutritional knowledge help in maintaining good health?

a. Yes

b. No

11. Do you feel you can get sufficient nutritional knowledge from TV, Radio, News Papers, Magazines, relatives &

friends?

a. Yes

b. No .

If no.

No knowledge of program timings

Do not have time to see the program / read articles.

Missed few of the episodes

They are not satisfactory

12. Do you think that imparting nutritional knowledge will help to improve nutrition and health of society?

a. Yes

b. No

If yes, what method can be followed?

Nutritional education of adults at their working place.

Nutritional knowledge providing through TV, Radio, News papers & magazine.

Nutritional education in schools.