{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Battling malnutrition in Uganda' data-url='/boclips/videos/5c54badad8eafeecae1209f0' data-video-url='/boclips/videos/5c54badad8eafeecae1209f0' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nBattling malnutrition in Uganda\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eAP TelevisionMoroto District, north eastern Uganda - April 27, 20111. Mid of malnourished child2. Close up malnourished child3. Mid of malnourished child getting ready to be weighed4. Wide pan of patients Moroto hospital5. Mid...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eAP Television\u003cbr/\u003eMoroto District, north eastern Uganda - April 27, 2011\u003cbr/\u003e1. Mid of malnourished child\u003cbr/\u003e2. Close up malnourished child\u003cbr/\u003e3. Mid of malnourished child getting ready to be weighed\u003cbr/\u003e4. Wide pan of patients Moroto hospital\u003cbr/\u003e5. Mid malnourished child been weighed\u003cbr/\u003e6. Tilt malnourished child been weighed\u003cbr/\u003e7. Mid malnourished child been weighed\u003cbr/\u003e8. Zoom out from malnourished child arm\u003cbr/\u003e9. Mid measurement of child height\u003cbr/\u003e10. Close up measurement of child height\u003cbr/\u003e11. Set up Jessica Olumpe - mother with malnourished child\u003cbr/\u003e12. SOUNDBITE (Ngakaramojong) Jessica Olumpe, mother with malnourished child:\u003cbr/\u003e\"Poverty is hitting us hard. I don't have money to feed myself or my baby, so we just live without knowing what we will eat tomorrow, that is why my baby in this condition, all her bones are visible.\"\u003cbr/\u003e13. Mid of malnourished child being weighed then passed back to mother\u003cbr/\u003eKampala District, central Uganda - April 29, 2011\u003cbr/\u003e14. Set up Dr. Joseph Otim, Nutritionist, Uganda Ministry of Health\u003cbr/\u003e15. Set up Dr. Joseph Otim, Nutritionist, Uganda ministry of health\u003cbr/\u003e16. SOUNDBITE (English) Dr. Joseph Otim, Nutritionist, Uganda Ministry of Health:\u003cbr/\u003e\"Currently IMAM (Integrated Management of Acute Malnutrition) is fully integrated in all hospital activities and also in the community activities where we handle in the hospital directly the ITC, the OTC and the supplementary feeding component. We also do community activities\"\u003cbr/\u003eKitgum District, northern Uganda - April 28, 2011\u003cbr/\u003e17. Mid village\u003cbr/\u003e18. Mid child being measured\u003cbr/\u003e19. Close up measurement of child's arm\u003cbr/\u003eKampala District, central Uganda - April 29, 2011\u003cbr/\u003e20. SOUNDBITE (English) Dr. Joseph Otim, Nutritionist, Uganda Ministry of Health:\u003cbr/\u003e\"We had a year ago about one hundred children admitted here with severe malnutrition daily now it has gone to a number of ten to fifteen, which is a very good reduction to what we were seeing physically.\"\u003cbr/\u003eKitgum District, northern Uganda - April 28, 2011\u003cbr/\u003e21. Various of village women receiving nutrition training\u003cbr/\u003e22. Set up Alice Anywar, women's group nutrition trainer\u003cbr/\u003e23. SOUNDBITE (Acholi) Alice Anywar, Nutrition Trainer:\u003cbr/\u003e\"Children in the villages we have visited are now a lot better than when we first started training. This makes me very happy, because I can see the fruits of my work in the villages around me.\"\u003cbr/\u003e24. Various set ups Andrew Lagoo\u003cbr/\u003e25. SOUNDBITE (English) Andrew Lagoo, Nutritionist, UNICEF:\u003cbr/\u003e\"Here we have a women's group. They are training other fellow mothers who are in the village.  Always, they move around from parish to parish or from village to village telling the mothers about the care of their children. The most important thing is that those mothers tell their fellow mothers about the care of their children; how they should feed their children; how they should help them when they have a problem a of sickness; the early referral to the hospital; giving vaccinations and other things so that their children can be healthy.\"\u003cbr/\u003e26. Various of food \u003cbr/\u003e27. SOUNDBITE (English) Andrew Lagoo, Nutritionist, UNICEF:\u003cbr/\u003e\"Those mothers - now they are aware that when you cook a well-balanced diet their children can be healthy.  It means very many mothers are practising, it means they are promoting good nutrition in their community, in the way they are preparing the food. Not in a traditional way - whereby they can prepare the maize flour alone and they add sugar then give it to their children - which is not really very nutritious.\"\u003cbr/\u003e28. Mid of village women receiving nutrition training\u003cbr/\u003eMore than half of Ugandan children suffer from malnutrition.\u003cbr/\u003eThe so-called 'food basket of Africa' has one of the highest mortality rates in the world - one in seven children die before their 5th birthday.\u003cbr/\u003eNow UNICEF is working with the government to try and do something about it.\u003cbr/\u003eThis is what malnutrition does to children.\u003cbr/\u003eThis child has the misfortune to be born in Uganda where more than half the population is malnourished.\u003cbr/\u003eLack of nourishment is the biggest killer of children in the country where one in seven will die before their fifth birthday.\u003cbr/\u003eAt this clinic at Moroto in north east Uganda infants are examined for the tell-tale signs of malnutrition - stunted growth, emaciation and infection.\u003cbr/\u003eLow birth weight combined with vitamin deficiencies, a lack of iron and iodine, multiply the problems facing the newborn. Malnutrition weakens the immune system, exposing the child to a host of killer diseases and infection.\u003cbr/\u003eUNICEF has joined with the Ugandan government to try to tackle the problem by a systematic approach to identifying vulnerable children.\u003cbr/\u003eA third of the people in sub-Saharan Africa are undernourished. Two thirds live on less than $1 per day.\u003cbr/\u003eBy comparison with some, they are the lucky ones. \u003cbr/\u003eJessica Olumpe has nothing:\u003cbr/\u003e\"Poverty is hitting us hard. I don't have money to feed myself or my baby, so we just live without knowing what we will eat tomorrow, that is why my baby in this condition, all her bones are visible.\"\u003cbr/\u003ePoverty is the killer, but so is ignorance.\u003cbr/\u003eThe joint project with UNICEF is called IMAM (Integrated Management of Acute Malnutrition).\u003cbr/\u003eIdentifying those at risk is just the start says Dr. Joseph Otim, a nutritionist from the Uganda Ministry of Health:\u003cbr/\u003e\"Currently IMAM (Integrated Management of Acute Malnutrition) is fully integrated in all hospital activities and also in the community activities where we handle in the hospital directly the ITC (In-Patient Therapeutic Care), the OTC (Outpatient Therapeutic Care) and the supplementary feeding component. We also do community activities.\"\u003cbr/\u003eTeaching women how to identify their child's condition and to seek help is the first stage. Teaching them how to prepare simple but nutritious food is the next.\u003cbr/\u003eProgress is being made, with a reduction in the hospital admissions for the most severe cases says Dr Otim:\u003cbr/\u003e\"We had a year ago about one hundred children admitted here with severe malnutrition daily. Now it has gone to a number of ten to fifteen, which is a very good reduction to what we were seeing, physically.\"\u003cbr/\u003eWorking directly within poor communities, the women are taught how to prepare nutritious food for their children using locally available foods.\u003cbr/\u003eNutrition trainers like Alice Anywar says she can already see the benefits:\u003cbr/\u003e\"Children in the villages we have visited are now a lot better than when we first started training. This makes me very happy, because I can see the fruits of my work in the villages around me.\"\u003cbr/\u003eAndrew Lagoo is a nutritionist with UNICEF, the United Nations Children's Fund. He says the the key to the strategy is getting the women themselves to spread the message:\u003cbr/\u003e\"Here we have a women's group. They are training other fellow mothers who are in the village.  Always, they move around from parish to parish or from village to village telling the mothers about the care of their children. The most important thing is that those mothers tell their fellow mothers about the care of their children; how they should feed their children; how they should help them when they have a problem a of sickness; the early referral to the hospital; giving vaccinations and other things so that their children can be healthy.\"\u003cbr/\u003eThe mothers are the key to tackling the problem at source says Andrew Lagoo:\u003cbr/\u003e\"Those mothers - now they are aware that when you cook a well-balanced diet their children can be healthy.  It means very many mothers are practising, it means they are promoting good nutrition in their community, in the way they are preparing the food. Not in a traditional way - whereby they can prepare the maize flour alone and they add sugar then give it to their children - which is not really very nutritious.\"\u003cbr/\u003eThe women's groups are the eyes and ears of their communities. They also identify older children and adults who are severely malnourished and refer them to hospital for treatment.\u003cbr/\u003eGrass roots action is at the heart of the programme - and it is badly needed.\u003cbr/\u003eThe progress made so far is still a drop in an ocean of problems.\u003cbr/\u003eAccording to the Uganda 2010 demographic health survey, 360,000 children are acutely malnourished with 125,000 of these being severe and acutely malnourished.\u003cbr/\u003eBesides the obvious human cost there is also an economic imperative to tackling the problem.\u003cbr/\u003eIt is estimated that Uganda loses over USD 300 million worth of potential productivity each year.\u003cbr/\u003e4% of the country's Gross Domestic Product is lost annually as a result of malnutrition according to figures revealed in a recently released report by Uganda National Academy of Science (UNAS).\u003cbr/\u003eIn the 21st Century malnutrition continues to plague the poorest nations.\u003cbr/\u003eThe 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