An assessment of the causes of malnutrition in Ethiopia: A ...

More documents

Recommendations

Info

Table 6.6: (continued) Agency Intervention Food Security Bureau, Ministry of Agriculture and Rural Development Child Growth Promotion - Food Security Project Timeframe since 2005 (delayed since 2003) Main areas Objectives Activities Nutrition promotion Improve nutrition in children under two Community-based child growth promotion based on monthly weighing and counseling sessions. Animators will also make home-visits, discuss child growth trends with community leaders and community members at regular meetings, and prepare reports for monitoring, evaluation, and supervision purposes. Community funds are available to support child growth and nutrition. The same communities have access to income generation and asset creation programs and resources. Target Children under 2 Sites 751 kebeles in 50 woredas in 4 regions (Amhara, Tigray, Oromia, SNNP) Roles definition Volunteer Health animators (or Health Promoters in SNNP) will provide information and counseling services to caregivers. Target is to have one animator for every 100 to 150 target households. Partners Training Tools developed Challenges Sustainability Woreda development committee, Health services through the Nutrition Unit of the Federal Ministry of Health and regional and woreda health bureaus. UNICEF, Linkages. TOT (8 days), Health Animator (30 days), Health Promoters (5 sessions of 2 days each at 1 to 2 month intervals). Training manual, Family Health message booklet including child growth chart (MOHadopted, support from UNICEF), Flip charts (adapted from CRS). Most preparatory activities are underway at federal level, but delays and substantial gaps remain at region, woreda, and kebele levels. The planning and implementation structure is not yet in place. Capacity and coordination remains to be strengthened across federal, regional, woreda, and kebele levels before CGP can start. Major issues to be addressed include: • Planning and implementation. • Coordination with Ministry of Health. • Coordination with ongoing health programs. • Ensure adequate training for staff involved. • Provide measurement equipment. • Conduct more advocacy on child growth promotion. • Link to available income generation and asset creation opportunities through the Food Security Project. Depends on the provision of some sort of incentives for volunteers. Requires the continued involvement of formal health structures and communities. Lessons learnt Still too early in implementation to draw clear lessons. 176
Table 6.6: (continued) Agency Intervention Food Security Coordination Bureau, Ministry of Agriculture and Rural Development Voluntary Resettlement Plan Timeframe since 2003 Main areas Objectives Activities Target Sites Food security Enable up to 440,000 chronically food insecure households to attain food security through improved access to land. In response to chronic food shortages, the government has initiated a pilot resettlement (access to land) program. Resettled families receive loans for inputs and receiving communities are to receive health and other infrastructure. About 45,000 households have been voluntarily resettled in Amhara, Oromia and Tigray regions in the year 2002/03. Resettled families remain within their region of origin. Chronically food insecure households National Roles definition Federal entity with extension to regional and woreda levels. Partners Training Tools developed Challenges Sustainability None Provides training to development agents on nutrition advocacy and growth monitoring None Coordinate delivery of services in time for families and livestock. Basic health, water, and sanitation infrastructure needs to be provided before communities are resettled. By design, families that resettle should have a sustainable livelihood Lessons learnt People can establish better livelihoods in new resettlement sites; more people can be included in the programme. Interventions that allow asset creation through labor-based public works can be instruments to establish physical and social infrastructure in and around settlement areas. 177
Page 1:
An assessment of the causes of maln
Page 4 and 5:
• Bantirgu Hailemariam coordinate
Page 6 and 7:
3.4. National and Regional Trends:
Page 8 and 9:
LIST OF TABLES Table 2.1: Child stu
Page 10:
LIST OF ACRONYMS ADLI AGOA AIDS BCC
Page 14 and 15:
Figure 1.1: Stunting among children
Page 16 and 17:
these underlying determinants of th
Page 18 and 19:
experimental body of evidence that
Page 20 and 21:
water can have significant impact o
Page 22 and 23:
2.1. Introduction In the early 1960
Page 24 and 25:
violating the basic tenets presente
Page 26 and 27:
Table 2.3: Regional profile of stun
Page 28 and 29:
A rich food through popularization
Page 30 and 31:
key tenet in the process of identif
Page 32 and 33:
Basic Causes Major Features High im
Page 34 and 35:
commodity trading is the most signi
Page 36 and 37:
Table 2.9: Gross primary enrollment
Page 38 and 39:
following and in alliance with the
Page 40 and 41:
• Accept that agricultural develo
Page 42 and 43:
the other practices that need to be
Page 45 and 46:
CHAPTER 3: FOOD SECURITY AND MALNUT
Page 47 and 48:
Afar in 2000 was 12.6 percent and 5
Page 49 and 50:
3.1. Introduction The economic grow
Page 51 and 52:
In a more technical way, it is diff
Page 53 and 54:
differently, it is important to acc
Page 55 and 56:
households will not be as difficult
Page 57 and 58:
the drought prone areas, the rain f
Page 59 and 60:
insecure, these activities will als
Page 61 and 62:
viewed as a proxy for household foo
Page 63 and 64:
Figure 3.3: Per capita food product
Page 65 and 66:
Intermediate means of transport suc
Page 67 and 68:
educated, environmentally conscious
Page 69 and 70:
1995-96 revealed that ‘the greate
Page 71 and 72:
works are key instruments to lay do
Page 73 and 74:
due to inappropriate land mismanage
Page 75 and 76:
3.6.3.5. HIV/AIDS This disease is w
Page 77 and 78:
coordinates the different implement
Page 79 and 80:
conception through early pregnancy
Page 81 and 82:
households who depend on purchased
Page 83 and 84:
• Improve rural radio infrastruct
Page 85 and 86:
3.7.3.6. Improve rural market infra
Page 87 and 88:
CHAPTER 4: CARE AND MALNUTRITION IN
Page 89 and 90:
household allocation; 5) workload a
Page 91 and 92:
lack of national nutrition strategy
Page 93 and 94:
children between 6 and 24 months. T
Page 95 and 96:
Care was recognized as one of the u
Page 97 and 98:
Figure 4.1: Risk of death in infant
Page 99 and 100:
Table 4.2: Present discount values
Page 101 and 102:
Figure 4.3: Factors that affect the
Page 103 and 104:
Box 4.2: Reasons why PLWHA are vuln
Page 105 and 106:
Figure 4.7: Risk of mother to child
Page 107 and 108:
arely provide this kind of benefit.
Page 109 and 110:
Figure 4.8: The extended model of c
Page 111 and 112:
4.3.1.2. Recognizing symptoms of il
Page 113 and 114:
the direction of the growth curve i
Page 115 and 116:
Figure 4.13: Prevalence of stunting
Page 117 and 118:
from poor exposure of children to l
Page 119 and 120:
4.3.3.4. Response to food security
Page 121 and 122:
4.3.6. Time and energy expenditure
Page 123 and 124:
Table 4.3: Care focused initiatives
Page 125 and 126:
together. This demands an integrate
Page 127 and 128:
In an emergency, therefore, care an
Page 129 and 130:
• Enhance women’s capacity for
Page 131 and 132:
Table 4.4: Analysis of care conside
Page 133 and 134:
Sector/ Office Strength Weakness Op
Page 135 and 136:
International initiative Strengths
Page 137 and 138: • Rate of continued breastfeeding
Page 139 and 140: Figure 4.17: Community based nutrit
Page 141: There is a strong need for enhancin
Page 144 and 145: supplies. The available facilities
Page 146 and 147: 5.1. Introduction 5.1.1. Conceptual
Page 148 and 149: access to a basic package of qualit
Page 150 and 151: Integrating nutrition interventions
Page 152 and 153: Although the coverage of ENA traini
Page 154 and 155: Box 5.1: Household and Community In
Page 156 and 157: The interventions that make up this
Page 158 and 159: conferences. To this effect, a nati
Page 160 and 161: with the engineering aspect of wate
Page 162 and 163: Table 5.1: Prevalence of diarrhea a
Page 164 and 165: Figure 5.3: Trends in latrine cover
Page 166 and 167: Institutional arrangements are also
Page 168 and 169: ehavior are integrated and supplied
Page 170 and 171: 5.4.2. Programs and projects 5.4.2.
Page 172 and 173: made by NGOs for the affected child
Page 175 and 176: CHAPTER 6: INSTITUTIONAL FRAMEWORK
Page 177 and 178: interventions in Ethiopia, includin
Page 179 and 180: 6.2. Challenges and Lessons Learnt
Page 181 and 182: Training Post-secondary training is
Page 183 and 184: Table 6.6: (continued) Agency Inter
Page 187: Table 6.6: (continued) Agency Inter
Page 203 and 204: Achievements Challenges Sustainabil
Page 205 and 206: Berhane G. 1995. Nutrition surveill
Page 207 and 208: Ethiopian PROFILES Team & AED/Linka
Page 209 and 210: Middlebrook, P. 2002. Social protec
Page 211 and 212: Raisin, J. 2001b. Improving food se
Page 213: Yamano, T., H. Alderman, & L. Chris
show all

An assessment of the causes of malnutrition in Ethiopia: A ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?