Health and Nutrition

AFI provides integrated services through Supplementary Feeding Care (SFC) for Moderate Acute Malnutrition (MAM), utilizing Ready to Use Supplementary Food (RUSF) and Corn Soy Blend (CSB++). AFI supports facility-based outreaches with anthropometric assessments, nutrition counseling, and referrals. Village Health Teams (VHTs) and health workers are trained on Maternal Infant Young Child and Adolescent Nutrition (MIYCAN) and Integrated Management of Acute Malnutrition (IMAM) protocols, with data reported through HMIS/DHIS2 systems. 

In Karamoja where climatic shocks and chronic food insecurity persist, nutrition-specific and sensitive programming remains central. In 2025, Global Acute Malnutrition (GAM) rates exceeded 13% (2025 FSNA), prompting AFI, WFP, and district governments to deliver integrated services across all nine districts. Over 7,000 MAM cases are reached quarterly via SFC and OTC, aligned with Uganda’s IMAM guidelines and embedded within broader health platforms. 
Targeted food and cash assistance reached 100,000+ vulnerable households during lean seasons, stabilizing consumption and mitigating nutritional decline. The Integrated Nutrition Programme (INP) also deploys early action responses such as quick-maturing seeds, food, and cash to accelerate recovery and prevent seasonal surges. 

Under Result Area 2 of the Climate-Resilience for Food and Nutrition Security project, AFI implements IMCHN to reduce malnutrition and improve health outcomes for children under five, pregnant women, and lactating mothers. The program trained 29 health workers and 179 VHTs on MIYCAN and IMAM and equipped 10 health facilities with anthropometric tools. 
Community-based care groups promote nutrition-sensitive practices like kitchen gardening and small livestock rearing. Social and Behavior Change Communication (SBCC) has reached reached 6,298 individuals, with 200 care groups trained and 80% of targeted women attending three+ sensitization sessions. These efforts contributed to a 62% household food consumption score and are being scaled to improve dietary diversity and resilience. IMCHN integrates health education, early warning systems, and community engagement to strengthen nutrition outcomes across Teso. 

In collaboration with Population Council (PC) Kenya, AFI is implementing a Sexual Reproductive Health Project aimed at reducing unintended pregnancies through increased uptake of family planning among refugees. The project integrates family planning sensitization and awareness creation in the already existing AFI interventions at Food Distribution Points and Health Facilities. The project links family planning to improved nutrition by promoting manageable family sizes, thereby reducing the risk of malnutrition