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 3.3: National, urban and rural malnutrition indicators of children under 5-years 2000 Malnutrition indicator Location Stunted Wasted Underweight National 56.8 9.6 45.0 Urban 44.5 6.1 33.7 Rural 57.9 9.9 46.7 Source: MOFED 2002; CSA & ORC Macro 2001. lactating mothers, as did the Southern Nations Nationalities and Peoples (SNNP) region. In 2000, both recorded that about 7 percent of the rural population was needy. Though the record for Tigray was of a stable nutrition status, 34 percent of the rural population was needy. In Somali, which is one of the pastoral regions, there were major outbreaks of bloody diarrhea and malnutrition-related diseases with 42 percent of the rural population being in need. In general, the analyses revealed that for some regions, short-term, targeted food aid could compensate for the lack of available foods, whereas other regions would benefit more from health and nutrition education or agricultural assistance. According to the recent MDG report (MOFED, UN 2004), Ethiopia would have to reduce poverty by a factor of about 4.5 percent per annum through 2015 to meet the Millennium Development Goals. This translates in to a decline of poverty from its current level of 44 percent to 22 percent by 2015. The minimum growth rate required to reduce poverty by this amount is about 6 percent. Moreover, real GDP is targeted to grow by at least 7 percent on average during the MDG period. However, such expectations have to be checked with past trends and realities. In 1990, the national poverty headcount was 48 percent. By 2000, ten years later, it had only dropped to 44 percent. However, the proportion of stunted children has shown somewhat larger declines – in 1995, 67 percent and in 2000, 57 percent. It is important to note that in Ethiopia poverty rates are computed on the basis of a local poverty line, which is approximately Birr 1095 per person per year (Poverty Situation in Ethiopia 1997). This is approximately Birr 3 (US$ 0.35 at the present exchange rate) per person per day. If purchasing power party (PPP) is used to compute the dollar equivalent of Birr 3, a figure closer to one dollar a day is attained, particularly in rural areas. 3.4.6. Marketing, trade and access to food Poverty reduction and food security efforts should be underpinned by market driven rural development. Ethiopia’s experience over the last decade shows that increased productivity is a necessary but not sufficient condition for income augmentation at farm level. Farmers must also be able to sell their products profitably. This is more pronounced in a situation where most smallholder farmers are poor, food insecure, malnourished and more vulnerable to the vagaries of external shocks. The vast majority of rural travel (80-90 percent) on community roads is by foot (MOFED 2005). The typical modal split for rural roads is for at least 60 percent of the trips to be by pack animal and for up to 30 percent to be by bus. Trips by pick-ups and trucks normally form a very small proportion of the total. Quantities transported are very small and undertaken over poorly maintained roads or paths, leading to high transport costs. It is not unusual for farmers to have to travel 30 or 40 km to take their produce to markets. Mules and donkeys are the most common form of animal traction used for transporting goods. 52
Intermediate means of transport such as donkey carts, are not common and programs for promoting the use of them have had limited success. Overall, Ethiopia’s transport system is one of the least developed in the world and is inadequate to support an efficient agricultural production and distribution system. Road density is the lowest in the world, with only 20 percent its land area being within 10 km of all-weather road and 70 percent of its farms being more than a half day walk from such a road. The classified road network (2000) covers about 33,297 km and has a density of about 0.43 km per 1000 population. The number of registered vehicles is about 105,000, mainly used in urban areas. Motorized vehicles account for only about 20 percent of the total travel and transport demand of the country and the remaining 80 percent depends on traditional means of transport such as walking, head loading, back loading and the use of pack animals. The grain marketing system in rural Ethiopia is undeveloped and post-harvest, transport and storage facilities are rudimentary. There are marked regional differences in the importance of the production of various grain crops, with the result that there is a complex domestic marketing system for grains, with significant amounts of grain flowing between regions. Price differences between the major surplus and deficit regions are large due to high transport costs and inadequate marketing infrastructure. Post-harvest losses of around 20-30 percent of the total grain crop occur. The need for interventions to minimize post-harvest losses and to ensure that higher quality produce reaches the consumer is substantial. Reports also indicate the presence of limited knowledge of production, post-harvest handling, and processing of horticultural products. These include absence of high yielding and high genetic potential cultivars, inappropriate management techniques, inappropriate pest control measures, lack of quality seed supplies, and minimal post-harvest technology. In many areas, vegetable products are sorted, packed, and loaded unsatisfactorily. In general, the most important part of a vegetable business is retaining quality along the marketing chain. This is difficult to do in Ethiopia. This has a tremendous negative impact on the utilization aspect of food security and in turn on achieving nutrition security at household level. As indicated in the previous sub-section, Ethiopia has large livestock resources. In spite of this large number of livestock, the economic contribution of this sub sector to the national economy is still minimal. Dairy development in Ethiopia is largely traditional which constitutes more than 98 percent of the production. The important problem for the dairy sub– sector in Ethiopia is not a shortage of milk production but the inaccessibility of milk to all potential consumers. The same is true for meat production. 3.4.7. Food prices, food security and malnutrition Due to a heavy reliance on rain-fed production combined with erratic rainfall, national annual grain production continues to be highly unstable. The instability of production and the associated changes in annual supply result in considerable price movements between years. Poor households are especially vulnerable to such instability, since they lack the capacity to save at times of favorable prices. Storage is needed to maintain crops in good condition for subsequent use or marketing. One of the main reasons for doing this is to obtain better prices at non–peak harvesting times. This is appropriate for cereals and oil crops, but not for highly perishable crops. Depending on the year, roughly ¾ of all grain is retained on farm for home consumption or for seed. From the reminder, farmers sell about 80 percent immediately after harvest to generate funds to meet urgent cash needs and to avoid the high losses that are incurred using traditional on-farm stores. Proximity and access are the most limiting factors in the pricing and market choices for perishable dairy and horticultural products. Many rural producers have no access to urban 53
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Intermediate means <strong>of</strong> transport such as donkey carts, are not common and programs for<br />
promot<strong>in</strong>g <strong>the</strong> use <strong>of</strong> <strong>the</strong>m have had limited success.<br />
Overall, <strong>Ethiopia</strong>’s transport system is one <strong>of</strong> <strong>the</strong> least developed <strong>in</strong> <strong>the</strong> world and is<br />
<strong>in</strong>adequate to support an efficient agricultural production and distribution system. Road<br />
density is <strong>the</strong> lowest <strong>in</strong> <strong>the</strong> world, with only 20 percent its land area be<strong>in</strong>g with<strong>in</strong> 10 km <strong>of</strong><br />
all-wea<strong>the</strong>r road and 70 percent <strong>of</strong> its farms be<strong>in</strong>g more than a half day walk from such a<br />
road. The classified road network (2000) covers about 33,297 km and has a density <strong>of</strong> about<br />
0.43 km per 1000 population. The number <strong>of</strong> registered vehicles is about 105,000, ma<strong>in</strong>ly<br />
used <strong>in</strong> urban areas. Motorized vehicles account for only about 20 percent <strong>of</strong> <strong>the</strong> total travel<br />
and transport demand <strong>of</strong> <strong>the</strong> country and <strong>the</strong> rema<strong>in</strong><strong>in</strong>g 80 percent depends on traditional<br />
means <strong>of</strong> transport such as walk<strong>in</strong>g, head load<strong>in</strong>g, back load<strong>in</strong>g and <strong>the</strong> use <strong>of</strong> pack animals.<br />
The gra<strong>in</strong> market<strong>in</strong>g system <strong>in</strong> rural <strong>Ethiopia</strong> is undeveloped and post-harvest,<br />
transport and storage facilities are rudimentary. There are marked regional differences <strong>in</strong> <strong>the</strong><br />
importance <strong>of</strong> <strong>the</strong> production <strong>of</strong> various gra<strong>in</strong> crops, with <strong>the</strong> result that <strong>the</strong>re is a complex<br />
domestic market<strong>in</strong>g system for gra<strong>in</strong>s, with significant amounts <strong>of</strong> gra<strong>in</strong> flow<strong>in</strong>g between<br />
regions. Price differences between <strong>the</strong> major surplus and deficit regions are large due to high<br />
transport costs and <strong>in</strong>adequate market<strong>in</strong>g <strong>in</strong>frastructure.<br />
Post-harvest losses <strong>of</strong> around 20-30 percent <strong>of</strong> <strong>the</strong> total gra<strong>in</strong> crop occur. The need for<br />
<strong>in</strong>terventions to m<strong>in</strong>imize post-harvest losses and to ensure that higher quality produce<br />
reaches <strong>the</strong> consumer is substantial.<br />
Reports also <strong>in</strong>dicate <strong>the</strong> presence <strong>of</strong> limited knowledge <strong>of</strong> production, post-harvest<br />
handl<strong>in</strong>g, and process<strong>in</strong>g <strong>of</strong> horticultural products. These <strong>in</strong>clude absence <strong>of</strong> high yield<strong>in</strong>g and<br />
high genetic potential cultivars, <strong>in</strong>appropriate management techniques, <strong>in</strong>appropriate pest<br />
control measures, lack <strong>of</strong> quality seed supplies, and m<strong>in</strong>imal post-harvest technology. In<br />
many areas, vegetable products are sorted, packed, and loaded unsatisfactorily. In general, <strong>the</strong><br />
most important part <strong>of</strong> a vegetable bus<strong>in</strong>ess is reta<strong>in</strong><strong>in</strong>g quality along <strong>the</strong> market<strong>in</strong>g cha<strong>in</strong>.<br />
This is difficult to do <strong>in</strong> <strong>Ethiopia</strong>. This has a tremendous negative impact on <strong>the</strong> utilization<br />
aspect <strong>of</strong> food security and <strong>in</strong> turn on achiev<strong>in</strong>g nutrition security at household level.<br />
As <strong>in</strong>dicated <strong>in</strong> <strong>the</strong> previous sub-section, <strong>Ethiopia</strong> has large livestock resources. In<br />
spite <strong>of</strong> this large number <strong>of</strong> livestock, <strong>the</strong> economic contribution <strong>of</strong> this sub sector to <strong>the</strong><br />
national economy is still m<strong>in</strong>imal. Dairy development <strong>in</strong> <strong>Ethiopia</strong> is largely traditional which<br />
constitutes more than 98 percent <strong>of</strong> <strong>the</strong> production. The important problem for <strong>the</strong> dairy sub–<br />
sector <strong>in</strong> <strong>Ethiopia</strong> is not a shortage <strong>of</strong> milk production but <strong>the</strong> <strong>in</strong>accessibility <strong>of</strong> milk to all<br />
potential consumers. The same is true for meat production.<br />
3.4.7. Food prices, food security and <strong>malnutrition</strong><br />
Due to a heavy reliance on ra<strong>in</strong>-fed production comb<strong>in</strong>ed with erratic ra<strong>in</strong>fall,<br />
national annual gra<strong>in</strong> production cont<strong>in</strong>ues to be highly unstable. The <strong>in</strong>stability <strong>of</strong> production<br />
and <strong>the</strong> associated changes <strong>in</strong> annual supply result <strong>in</strong> considerable price movements between<br />
years. Poor households are especially vulnerable to such <strong>in</strong>stability, s<strong>in</strong>ce <strong>the</strong>y lack <strong>the</strong><br />
capacity to save at times <strong>of</strong> favorable prices.<br />
Storage is needed to ma<strong>in</strong>ta<strong>in</strong> crops <strong>in</strong> good condition for subsequent use or<br />
market<strong>in</strong>g. One <strong>of</strong> <strong>the</strong> ma<strong>in</strong> reasons for do<strong>in</strong>g this is to obta<strong>in</strong> better prices at non–peak<br />
harvest<strong>in</strong>g times. This is appropriate for cereals and oil crops, but not for highly perishable<br />
crops. Depend<strong>in</strong>g on <strong>the</strong> year, roughly ¾ <strong>of</strong> all gra<strong>in</strong> is reta<strong>in</strong>ed on farm for home<br />
consumption or for seed. From <strong>the</strong> rem<strong>in</strong>der, farmers sell about 80 percent immediately after<br />
harvest to generate funds to meet urgent cash needs and to avoid <strong>the</strong> high losses that are<br />
<strong>in</strong>curred us<strong>in</strong>g traditional on-farm stores.<br />
Proximity and access are <strong>the</strong> most limit<strong>in</strong>g factors <strong>in</strong> <strong>the</strong> pric<strong>in</strong>g and market choices<br />
for perishable dairy and horticultural products. Many rural producers have no access to urban<br />
53