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 ...
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Table 6.6: (cont<strong>in</strong>ued)<br />
Agency<br />
Intervention<br />
Status<br />
L<strong>in</strong>kages<br />
Essential Nutrition Actions<br />
active<br />
Timeframe s<strong>in</strong>ce 2003<br />
Ma<strong>in</strong> areas<br />
Objectives<br />
Activities<br />
Target<br />
Sites<br />
Nutrition promotion<br />
Improve nutritional status<br />
Based on 6 contact po<strong>in</strong>ts with health services and 7 proven behaviors: The 7 behaviors<br />
are: optimal breastfeed<strong>in</strong>g, complementary feed<strong>in</strong>g, feed<strong>in</strong>g dur<strong>in</strong>g illness, women’s<br />
nutrition, Vitam<strong>in</strong> A deficiency control, anemia control, and iod<strong>in</strong>e deficiency disorders<br />
control.<br />
L<strong>in</strong>kages has developed ENA-focused lesson plans and curricula for Addis Ababa,<br />
Jimma, Gondar, Alemaya, Awasa, Mekelle, and <strong>the</strong> Defense Universities.<br />
Children under 2, adolescent girls, pregnant and lactat<strong>in</strong>g women<br />
As per partners ’ sites<br />
Roles def<strong>in</strong>ition N/A<br />
Partners<br />
Tra<strong>in</strong><strong>in</strong>g<br />
Tools<br />
developed<br />
Achievements<br />
Challenges<br />
Susta<strong>in</strong>ability<br />
M<strong>in</strong>istry <strong>of</strong> Health, Food Security Bureau <strong>of</strong> M<strong>in</strong>istry <strong>of</strong> Agriculture and Rural<br />
Development (Child growth monitor<strong>in</strong>g component <strong>of</strong> Food Security Project).<br />
MOARD/Pastoral department, NGOs, UNICEF.<br />
Five modules:<br />
• Decision-mak<strong>in</strong>g for managers ;<br />
• Advocacy;<br />
• Behavior Change Communication;<br />
• Infant feed<strong>in</strong>g <strong>in</strong> HIV; and<br />
• Lactation m anagement.<br />
Tra<strong>in</strong>ed MOH staff – program managers only at federal level, Family Health Program<br />
Managers, i.e. MCH and EPI, <strong>in</strong> all regions , except Affar and Somali Regions, Health<br />
Extension Agents tra<strong>in</strong><strong>in</strong>g is planned.<br />
Child Growth Promotion animators , under <strong>the</strong> Food Security Project, is planned.<br />
Extension workers <strong>of</strong> MOARD/Pastoral Department,<br />
Tra<strong>in</strong><strong>in</strong>g <strong>of</strong> Tra<strong>in</strong>ers with NGO partners, UNICEF, pr<strong>of</strong>essors from Public Health,<br />
pediatrics , Obstetrics -Gynecology, and paramedics .<br />
Information, Education, and Communication: posters, audio programs, flip charts for use<br />
by academia, teach<strong>in</strong>g <strong>in</strong>stitutes, government agencies, NGOs.<br />
Curricula standardization – The M<strong>in</strong>istry <strong>of</strong> Health adopted, <strong>in</strong> collaboration with <strong>the</strong><br />
medical universities, national guidel<strong>in</strong>es on Infant and Young Child Feed<strong>in</strong>g.<br />
Monitor<strong>in</strong>g & evaluation tool developed. This is currently be<strong>in</strong>g f<strong>in</strong>alized.<br />
N/A<br />
Limited <strong>in</strong>formation on partners ’ implementation <strong>of</strong> ENA<br />
Limited reflection, as have focused on develop<strong>in</strong>g tools until now. Need now to assess<br />
options for susta<strong>in</strong>ability.<br />
Lessons learnt • Lack <strong>of</strong> coord<strong>in</strong>ation <strong>in</strong> nutrition actions .<br />
• Need to create a critical mass <strong>of</strong> tra<strong>in</strong>ed personnel.<br />
• ENA approach is accepted by all partners . ENA is a very simple approach, address<strong>in</strong>g<br />
available technical capacity and is <strong>of</strong> use for advocacy and IEC efforts.<br />
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