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 Status Micronutrient Initiative Micronutrient deficiency prevention and control active Timeframe Dec. 2004 to Dec. 2006 Main areas Objectives Activities Target Sites Micronutrient deficiencies Accelerate Vitamin A supplementation and salt iodization • Fund gaps and identify bottlenecks in Vitamin A supplementation and salt iodization. • Vitamin A supplementation training. • Vitamin A supplementation funding. Vitamin A supplementation for under-fives. Salt iodization for all households. National, but only working in woredas that have not been targeted by the Enhanced Outreach Strategy. Roles definition Advisory services provided at federal level. The plan is to employ regional coordinators in Amhara and Oromiya. Involved in training, monitoring and evaluation, and logistics with the Ministry of Health. Partners Training Tools developed Achievements Challenges Sustainability Joint ventures with Ministry of Health and UNICEF. Four-day Vitamin A supplementation training for health workers at regional, zonal, and woreda levels . None to date, but plan to take over the training curricula and educational tools that MOST (The USAID Micronutrient project) produced. N/A Clear need for a policy framework and a body mandated to provide technical advice and coordinate research, training, and the design of educational materials. Micronutrient Initiative is a technical institution, providing technical support. Will continue Vitamin A capsule supply. Lessons learnt N/A 184
Table 6.6: (continued) Agency Intervention Status Médecins Sans Frontières - France Short-term medical emergency project (Guradamole) and primary health care project (Cherati). Active, but approaching closing Timeframe 2005 Main areas Objectives Activities Target Sites Therapeutic feeding Reduce mortality and morbidity related to malnutrition in project areas • Mass measles vaccination. • Sick child consultation. • Nutritional surveillance - screening of acute malnutrition is done by a mobile clinic, as there is -no health infrastructure in the area. • Therapeutic feeding on outpatient basis and weekly monitoring. • Food distribution (blanket food distribution and farming tools) – resources provided by ICRC. Children under-five. Two woredas in Somali region. Roles definition MSF staff (3) with 4 local nurses allocated to MSF by the Ministry of Health. Partners Training Tools developed Achievements Challenges MOH, ICRC Training on the management of severe malnutrition of under-fives on an outpatient department basis. Screening of malnutrition. Feeding protocols – use the same categories as the MOH national guidelines , but different management structure, as the approach here is community-based rather than clinic based. Severe acute malnutrition levels brought down from 3.5 in March to 0.6 percent prevalence. • Pastoralist population always on the move. • Region prone to drought. • Geographical barriers to access, as the population is sparsely distributed. Sustainability Not sustainable without other actors . Lessons learnt Multisectoral approach is the way forward 185
- 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 and 188: Table 6.6: (continued) Agency Inter
- Page 189 and 190: 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: 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 />
Status<br />
Médec<strong>in</strong>s Sans Frontières - France<br />
Short-term medical emergency project (Guradamole) and primary health care project<br />
(Cherati).<br />
Active, but approach<strong>in</strong>g clos<strong>in</strong>g<br />
Timeframe 2005<br />
Ma<strong>in</strong> areas<br />
Objectives<br />
Activities<br />
Target<br />
Sites<br />
Therapeutic feed<strong>in</strong>g<br />
Reduce mortality and morbidity related to <strong>malnutrition</strong> <strong>in</strong> project areas<br />
• Mass measles vacc<strong>in</strong>ation.<br />
• Sick child consultation.<br />
• Nutritional surveillance - screen<strong>in</strong>g <strong>of</strong> acute <strong>malnutrition</strong> is done by a mobile cl<strong>in</strong>ic, as<br />
<strong>the</strong>re is -no health <strong>in</strong>frastructure <strong>in</strong> <strong>the</strong> area.<br />
• Therapeutic feed<strong>in</strong>g on outpatient basis and weekly monitor<strong>in</strong>g.<br />
• Food distribution (blanket food distribution and farm<strong>in</strong>g tools) – resources provided by<br />
ICRC.<br />
Children under-five.<br />
Two woredas <strong>in</strong> Somali region.<br />
Roles def<strong>in</strong>ition MSF staff (3) with 4 local nurses allocated to MSF by <strong>the</strong> M<strong>in</strong>istry <strong>of</strong> Health.<br />
Partners<br />
Tra<strong>in</strong><strong>in</strong>g<br />
Tools<br />
developed<br />
Achievements<br />
Challenges<br />
MOH, ICRC<br />
Tra<strong>in</strong><strong>in</strong>g on <strong>the</strong> management <strong>of</strong> severe <strong>malnutrition</strong> <strong>of</strong> under-fives on an outpatient<br />
department basis. Screen<strong>in</strong>g <strong>of</strong> <strong>malnutrition</strong>.<br />
Feed<strong>in</strong>g protocols – use <strong>the</strong> same categories as <strong>the</strong> MOH national guidel<strong>in</strong>es , but<br />
different management structure, as <strong>the</strong> approach here is community-based ra<strong>the</strong>r than<br />
cl<strong>in</strong>ic based.<br />
Severe acute <strong>malnutrition</strong> levels brought down from 3.5 <strong>in</strong> March to 0.6 percent<br />
prevalence.<br />
• Pastoralist population always on <strong>the</strong> move.<br />
• Region prone to drought.<br />
• Geographical barriers to access, as <strong>the</strong> population is sparsely distributed.<br />
Susta<strong>in</strong>ability Not susta<strong>in</strong>able without o<strong>the</strong>r actors .<br />
Lessons learnt Multisectoral approach is <strong>the</strong> way forward<br />
185