In the 13 refugee settlements and 12 hosting districts analysed, around 104,440 children were and will likely be acutely malnourished between February 2022 and January 2023, including around 16,540 children severely malnourished and are in need of treatment. Furthermore, around 12,850 pregnant or lactating women were and will likely be acutely malnourished and in need of treatment.

In the refugee settlements, one district - Adjumani - was classified in IPC Phase 3 (Serious), six districts - Bidibidi, Imvepi, Palabek, Palorinya, Rhino Camp and Kiryandongo - were classified in IPC Phase 2 (Alert), while the rest were classified in IPC Phase 1 (Acceptable) between February and July 2022. During the projection period (August 2022 - January 2023), Adjumani is expected to improve to IPC Phase 2. In the refugee hosting districts, all of them were classified in IPC Phase 1 in both periods.

The major factors contributing to acute malnutrition in the refugee settlements and hosting districts are inadequate food consumption, both in terms of quality and quantity; food scarcity and insecurity; high malaria and Acute Respiratory Infection incidences and prevalence; inadequate Maternal, Infant, Young Child and Adolescent Nutrition (MIYCAN) practices/interventions; inadequate water access and the generally high levels of anaemia among children and pregnant mothers.

• Scale up screening and treatment for SAM and MAM cases identified, particularly in settlements with low coverage. Early case identification needs to be scaled up for both children and pregnant and lactating women.
• Conduct a coverage survey e.g., the Semi-Quantitative Evaluation of Access and Coverage (SQUEAK) for establishment of IMAM coverage, dive deeper into reasons for any low coverage. The FSNA is not a reliable source for IMAM coverage.
• Improve coverage and access of IMAM services through stabilizing the commodity pipeline, strengthening the capacity of health workers in IMAM, having the right staffing levels, and strengthening the facility-community linkages.
• Strengthen MIYCAN practices at both health facility and community levels through multisectoral collaboration, using available MIYCAN Social and Behaviour Change Communication (SBCC) materials, scaling up the care group model, and creating mother-baby friendly spaces at health facilities for breastfeeding, IYCF counseling etc.
• Strengthen the Integrated Community Case Management (ICCM) within the settlements and host communities to bring health services closer to households, addressing leading child morbidities and reducing burden on health facilities.
• Strengthen prevention, testing and treatment of malaria in settlements and host population through scale-up of interventions like ICCM, community mobilizations and outreach services, vector control mechanisms like distribution of mosquito nets, indoor residual spraying, and larviciding and other public health services.
• Scale up iron supplementation in children and women including Iron-Folic acid supplementation during ANC. Additionally, scale up provision of multi-vitamin powders (MNPs), deworming, promotion of the production and consumption of Ironrich and Vitamin C rich foods; and enhance investment in multisectoral actions to reduce anaemia among all vulnerable groups.