In 2016, the World Food Programme (WFP) engaged ACF International to conduct an assessment of both supplementary feeding programme (SFP) for the treatment of moderate acute malnutrition (MAM) and the outpatient feeding programme (OTP) for the treatment of severe acute malnutrition (SAM).

Between December 2009 and May 2012, the District Health Office with support from ACF-USA implemented a UNICEF-funded nutrition project to reduce child mortality through strengthening the capacity of the Ministry of Health in detection and treatment of acute malnutrition in Uganda. One of the expected results of this project was to have a functional nutrition surveillance system established and strengthened in six districts within Karamoja region (Kaabong, Abim, Kotido, Moroto/Napak, Nakapiripirit, and Amudat).

The nutrition surveillance system was implemented by conducting regular surveys (multi-stage cluster sampling methodology), three times a year at the same time of year (May, September and December), collecting data on key anthropometric, health, food security and livelihoods and WASH indicators. By May 2012, by the end the District Health Office with support ACF-USA had conducted eight rounds of nutrition surveillance surveys and reports shared with stakeholders. This report presents the results of the meta-analysis of the eight surveys combined, creating a sample of 17,696 children under 5 years of age and 13,973 households.