Multisectoral Nutrition Programming in Action
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Washington, DC: World Bank
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There has been renewed interest and
effort in recent years to adopt a multisectoral approach to
address malnutrition in many countries. The government of
Uganda, with technical support from the World Bank and
financial support from the Global Agriculture and Food
Security Program (GAFSP), has been implementing a
multisectoral nutrition project with strongcoordination in
activities by several line ministries including Agriculture,
Education, Health, and Local Government, to improve child
and maternal nutrition. This quasi-experimental evaluation
has been conducted to measure the impact of this project.
The study finds impact on households’ increased adoption of
micronutrient-rich crops, improvement in household dietary
diversity, reduced food insecurity, as well as improvement
in caregivers’ knowledge of better nutrition practices.
These have resulted in improved child-feeding practices and
reduced childhood stunting, wasting, and anemia among the
households that directly participated in project activities.
The study also finds evidence of some spillover effects on
households from the intervention communities that were not
direct participants. In terms of maternal health, fewer
women in intervention districts are found to be anemic
although there is no impact on their dietary diversity. The
results indicate that multiple pathways—foodproduction, food
habit, micronutrient supplementation, and health care
services—have contributed simultaneously to the impact on
nutritional outcomes of children and mothers. Since
multiplicity of impact pathways is critical in arguing for a
multisectoral approach, the project is found to be a case
where this approach has been effective.
Palabras clave
MULTISECTORAL, NUTRITION, FOOD SECURITY, UGANDA