Nutritionists Plea For Sector Reforms in Eastern Equatoria
The Eastern Equatoria State, EES, nutritionists complained during a
coordination meeting organised by the health ministry with UNICEF,
that the nutrition sector is still facing numerous challenges citing
lack of essential facilities such as nutrition centres and enough
qualified nutritionists.18 April 2011
Asst. Commissioners for Health and Nutritionists attending a
coordination meeting[©Gurtong]
By Peter Lokale Nakimangole
TORIT, 17th April, 2011 [Gurtong] – The Eastern Equatoria State, EES,
nutritionists complained during a coordination meeting organised by
the health ministry with UNICEF, that the nutrition sector is still
facing numerous challenges citing lack of essential facilities such as
nutrition centres and enough qualified nutritionists.

During the nutrition coordination meeting held in Torit early last
week, nutritionists deliberated that lack of essential facilities such
as nutrition centres in most of the Counties as well as lack of enough
qualified nutrition officers, mobility, inadequate funds to service
the sector are some of the factors hindering the implementation of
proposed projects.

The Assistant Commissioner for Budi County, Angelo Mauro Iko confirmed
to the participants that his County had neither a nutrition centre nor
a nutrition officer except a hospital where they carry out nutrition
activities to help malnourished children in Chukudum town, the County
headquarters.

Mauro said that although the hospital is equipped with nutrition
facilities, there is still no megaphone for announcements coupled with
the absence of trained nutrition personnel to effectively conduct
activities in a professional manner.

He also complained that his County has no NGOs dealing with nutrition
programs. He affirmed the Adventist Development and Relief Agency,
ADRA, which operated in the County before and after the signing of the
CPA but withdrew its services last year until two months ago when it
resumed.

A nutrition officer in the State Health Ministry’s Headquarters, Ms.
Antazia Sabasio confirmed to Gurtong that, the Department lacked
adequate trained nutrition practitioners and she appealed for more
support from the Government’s well wishers to quickly intervene in
order to minimise the ongoing alarming malnutrition cases of young
children in the State.

The Deputy Director for Nutrition in Torit County, Diana Bortel said
that lack of Nutrition Officers in her County to conduct nutrition
services remain a bigger challenge.

Bortel said, “Lack of essential vitamins and minerals in the diet
affects the immunity of more than one third of preschool-age children
globally.”

However, the Director of Nutrition in the Eastern Equatoria State
Ministry of Health, Mrs. Rachael Awadia who presided over the meeting
concurred with the complaints citing mobility as a major challenge.

“Nutrition officers lack coordination between the Headquarters and
Counties hence affecting timely reports as major obstacle,” she
affirmed.

Some Counties lacked computers and internet connectivity to send their
reports quarterly or monthly, therefore making it hard for her to
detect the challenges.

Mrs. Awadia also reminded the 8 Assistant commissioners for Health
drawn from the 8 Counties that they were responsible for preparing
yearly budgets for incorporation with the respective Counties annual
budgets, so that any missing item could be taken care of accordingly.

The budget helps to reflect what can be done to fulfil nutrition
requirements like constructing nutrition centres, recruiting
professional nutritionists, acquiring nutrition equipments among other
infrastructural needs.

The director affirmed that facilities like Outpatient Department, OPD,
could easily open but doubted their management and effective
supervision in the Counties. “We need professionals to oversee the
running of a facility with less supervision from us,” Awadia added.

She also noted that mothers had no access to basic information on
nutrition; she then recommended organised mobile support groups to
move from village to village, informing mothers about the importance
of nutrition.

According to a World Health Organization, WHO, report, malnutrition in
every form, presents significant threats to human health. Today the
world faces a double burden of malnutrition that includes both
under-nutrition and overweight, especially in developing countries.

Hunger and inadequate nutrition contribute to early deaths for
mothers, infants and young children, leading to physical impairment
and low brain development in the early age.

At the same time, growing rates of overweight and obesity worldwide
are linked to a rise in chronic diseases such as cancer,
cardiovascular disease and diabetes - conditions that are
life-threatening and very difficult to treat in places with limited
resources and already overburdened health systems.

The WHO reports that about 115 million children worldwide are
underweight and suffer from malnutrition which contributes to about
one third of all child deaths apart from stunting growth (an indicator
of chronic undernutrition), that also hinders the development of 171
million children under age 5 according to 2010 figures.

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