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: (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

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

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