Despite experiencing relative peace and undergoing rapid social, political, ecological, and economic transition, Karamoja remains the most nutritionally vulnerable in Uganda according to recent projections. The effects of climate change have exacerbated food insecurity, with the delayed onset of the rainy season, pests, and disease affecting crop production. Poor harvests lead to competition for resources, such as water and pastures, and below average income earning.1 Recurring cattle raids continue to disrupt livestock markets, further undermining local livelihoods and exacerbating security risks. Undernutrition remains a significant barrier to development.