An assessment of the causes of malnutrition in Ethiopia: A ...
An assessment of the causes of malnutrition in Ethiopia: A ... An assessment of the causes of malnutrition in Ethiopia: A ...
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 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 185 and 186: Table 6.6: (continued) Agency Inter
- Page 187: Table 6.6: (continued) Agency Inter
- Page 191 and 192: Table 6.6: (continued) Agency Inter
- Page 193 and 194: Table 6.6: (continued) Agency Inter
- Page 195 and 196: Table 6.6: (continued) Agency Inter
- Page 197 and 198: Table 6.6: (continued) Agency Inter
- Page 199 and 200: Table 6.6: (continued) Agency Inter
- Page 201 and 202: 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
Table 6.6: (cont<strong>in</strong>ued)<br />
Agency<br />
Intervention<br />
Food Security Coord<strong>in</strong>ation Bureau, M<strong>in</strong>istry <strong>of</strong> Agriculture and Rural Development<br />
Voluntary Resettlement Plan<br />
Timeframe s<strong>in</strong>ce 2003<br />
Ma<strong>in</strong> areas<br />
Objectives<br />
Activities<br />
Target<br />
Sites<br />
Food security<br />
Enable up to 440,000 chronically food <strong>in</strong>secure households to atta<strong>in</strong> food security<br />
through improved access to land.<br />
In response to chronic food shortages, <strong>the</strong> government has <strong>in</strong>itiated a pilot resettlement<br />
(access to land) program. Resettled families receive loans for <strong>in</strong>puts and receiv<strong>in</strong>g<br />
communities are to receive health and o<strong>the</strong>r <strong>in</strong>frastructure. About 45,000 households<br />
have been voluntarily resettled <strong>in</strong> Amhara, Oromia and Tigray regions <strong>in</strong> <strong>the</strong> year<br />
2002/03. Resettled families rema<strong>in</strong> with<strong>in</strong> <strong>the</strong>ir region <strong>of</strong> orig<strong>in</strong>.<br />
Chronically food <strong>in</strong>secure households<br />
National<br />
Roles def<strong>in</strong>ition Federal entity with extension to regional and woreda levels.<br />
Partners<br />
Tra<strong>in</strong><strong>in</strong>g<br />
Tools<br />
developed<br />
Challenges<br />
Susta<strong>in</strong>ability<br />
None<br />
Provides tra<strong>in</strong><strong>in</strong>g to development agents on nutrition advocacy and growth monitor<strong>in</strong>g<br />
None<br />
Coord<strong>in</strong>ate delivery <strong>of</strong> services <strong>in</strong> time for families and livestock. Basic health, water, and<br />
sanitation <strong>in</strong>frastructure needs to be provided before communities are resettled.<br />
By design, families that resettle should have a susta<strong>in</strong>able livelihood<br />
Lessons learnt People can establish better livelihoods <strong>in</strong> new resettlement sites; more people can be<br />
<strong>in</strong>cluded <strong>in</strong> <strong>the</strong> programme. Interventions that allow asset creation through labor-based<br />
public works can be <strong>in</strong>struments to establish physical and social <strong>in</strong>frastructure <strong>in</strong> and<br />
around settlement areas.<br />
177