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 ...
that one third of households are unable to produce adequate food for their own family (EEA 2003/04). The government should incorporate nutrition and diet issues in its extension approach. The extension workers that cater for the nutrition aspects of households should receive regular training in methods of cooking and preserving traditional foods. But currently there is no additional agent at kebele level to shoulder this responsibility, like those home economists of the past at the federal level, or those found in kebeles and woredas in Tigray region. The transfer of knowledge and technology in agricultural production is the main mandate of the agricultural extension service, both at federal and regional levels. Due to traditional attitudes, the extension service has been unable to address certain segments of the agricultural community effectively. These traditional barriers are in the process of breaking down and therefore there is an opportunity to ameliorate the situation. The issue of identifying who owns a property, who undertakes certain agricultural operations, who can borrow credit, freedom to address only female clients, and so on could be obstacles that have eased over time. It should be noted that some of the tradition-related problems could be managed better through female extension agents. Obviously, there have been efforts along this line in the past and some of the interventions included under Agricultural Extension should be further finetuned to address this problem directly. 3.6.3.4. Gender The productive and reproductive roles of women often compete to bring about a huge labor demand on women in their roles as farmer, fetcher of water and wood fuel, caregiver to children, the aged and the ill, preparer of meals, and income earner from off-farm employment. To the extent that women confronting all these roles are already malnourished themselves, they find it difficult to perform all the roles well. Often what is not done well, as stated in the FSS ‘is tending to the necessary food intake and nutritional requirements of their infants and small children'. The time pressure is compounded by lack of knowledge about good nutrition, and by use of unboiled water, unhygienic living conditions, and the lack of sanitation.’ Domestic water management is a key responsibility of women and the SDPRP recognizes their need for specific representation in community organizations managing water. About 50 percent of the labor force in agricultural production constitutes females. Despite traditional constraints in labor division between males and females, both at home and within the house, women play a major role in agricultural activities. There are a number of areas in technology development that have implications on women farmers and herders. Women, especially in the “plow-culture” areas of highland Ethiopia, find it hard to use traditional land preparation equipments. Similarly, women in “hoe-culture” areas, such as the enset growing areas of Guraghe and Sidama, not only spend a lot of time and energy in enset processing but also the work is tedious and unhealthy. Another area of concern relates to the time spent on collecting fuel wood. Developing and disseminating fuel saving stoves could go a long way to reduce this burden on women. Socio-economic surveys in various areas adjacent to research centers have clearly indicated these problems. Obviously, this is a wide area and requires further analysis. Nevertheless, some programs in agricultural research must deal with issues that affect women in their agricultural activities. For example, the development of tools and implements that save time and labor. Implements used in processing crops like “enset” in areas growing areas have been the subject of research for many years. Although there are some useable results, the issue of cost has been a major bottleneck for its wide scale adoption. Similarly, the development of systems that save energy and time in food preparation has been a subject of research, including in crop breeding. These should be well integrated in the drafting of the Ethiopian NNS by an explicit recognition of the interdependence of food insecurity, caring, and health determinants of malnutrition, which often heavily affect children and women. 62
3.6.3.5. HIV/AIDS This disease is wreaking havoc on the Ethiopian population. However, its impact is very serious in agricultural production as it directly affects the most productive work force in the agricultural community. Unless this problem is contained, Ethiopia’s capacity to feed its human and livestock population could be seriously jeopardized. Food based strategies to improve nutrition have a good potential to supplement HIV-infected populations with vitamins and other needed micronutrients. One intervention area identified and targeted to deal with this pandemic in relation to agricultural production is to strengthen the capacity of the agricultural extension service to enhance awareness raising through training and advice to agricultural communities. This is best done in collaboration with health agents that may be available at kebele level. Given the current weak link between agriculture and health workers at the grassroots level, a lot has to be done in terms of policy and strategy development and grassroots action plan preparation and implementation. 3.7. The Way Forward: Actions, Interventions and Issues for the National Nutrition Strategy Based on the assessments and analysis and the gaps recognized in previous sections on the linkage between food and nutrition, twenty-one actions, interventions, and issues for the formulation and implementation of Ethiopia’s NNS are identified in this section These are placed into three broad categories: institutional (organization and relationships), technic al, and capacity building. Box 3.1 presents a summary of the actions, interventions, and issues by category. In each category, the list is made in order of priority. Overall, out of the twenty-one Box 3.1: Interventions and issues proposed for the formulation and implementation of Ethiopia’s National Nutrition Strategy. 1. Institutional • Improve institutional arrangements. • Advocacy and awareness creation. • An integrated approach. • Use conditional policy. 2. Technical • Targeting young children and women of childbearing age. • Targeting pastoral areas. • Changing production and feeding practices. • Strengthening the nutrition component of disaster preparedness and emergency programs. • Improve the handling and shelf life of nutritionally high value food sources. • Avoid marginalizing urban areas. • Incorporate nutrition in the food security monitoring and evaluation system. • Promote integrated food and nutrition surveillance. 3. Capacity Building • Promote intervention planning and implementation by community participation. • Promote rural-agricultural entrepreneurship. • Strengthen agricultural research and extension. • Nutrition centered training and equipment provision. • Encourage fortification and investment in food processing. • Improve rural market infrastructure and facilities. • Price and income stabilization for nutrition security. • Improve access to information. • Use of experience sharing visit programs. 63
- Page 24 and 25: violating the basic tenets presente
- Page 26 and 27: Table 2.3: Regional profile of stun
- Page 28 and 29: A rich food through popularization
- Page 30 and 31: key tenet in the process of identif
- Page 32 and 33: Basic Causes Major Features High im
- Page 34 and 35: commodity trading is the most signi
- Page 36 and 37: Table 2.9: Gross primary enrollment
- Page 38 and 39: following and in alliance with the
- Page 40 and 41: • Accept that agricultural develo
- Page 42 and 43: the other practices that need to be
- Page 45 and 46: CHAPTER 3: FOOD SECURITY AND MALNUT
- Page 47 and 48: Afar in 2000 was 12.6 percent and 5
- Page 49 and 50: 3.1. Introduction The economic grow
- Page 51 and 52: In a more technical way, it is diff
- Page 53 and 54: differently, it is important to acc
- Page 55 and 56: households will not be as difficult
- Page 57 and 58: the drought prone areas, the rain f
- Page 59 and 60: insecure, these activities will als
- Page 61 and 62: viewed as a proxy for household foo
- Page 63 and 64: Figure 3.3: Per capita food product
- Page 65 and 66: Intermediate means of transport suc
- Page 67 and 68: educated, environmentally conscious
- Page 69 and 70: 1995-96 revealed that ‘the greate
- Page 71 and 72: works are key instruments to lay do
- Page 73: due to inappropriate land mismanage
- Page 77 and 78: coordinates the different implement
- Page 79 and 80: conception through early pregnancy
- Page 81 and 82: households who depend on purchased
- Page 83 and 84: • Improve rural radio infrastruct
- Page 85 and 86: 3.7.3.6. Improve rural market infra
- Page 87 and 88: CHAPTER 4: CARE AND MALNUTRITION IN
- Page 89 and 90: household allocation; 5) workload a
- Page 91 and 92: lack of national nutrition strategy
- Page 93 and 94: children between 6 and 24 months. T
- Page 95 and 96: Care was recognized as one of the u
- Page 97 and 98: Figure 4.1: Risk of death in infant
- Page 99 and 100: Table 4.2: Present discount values
- Page 101 and 102: Figure 4.3: Factors that affect the
- Page 103 and 104: Box 4.2: Reasons why PLWHA are vuln
- Page 105 and 106: Figure 4.7: Risk of mother to child
- Page 107 and 108: arely provide this kind of benefit.
- Page 109 and 110: Figure 4.8: The extended model of c
- Page 111 and 112: 4.3.1.2. Recognizing symptoms of il
- Page 113 and 114: the direction of the growth curve i
- Page 115 and 116: Figure 4.13: Prevalence of stunting
- Page 117 and 118: from poor exposure of children to l
- Page 119 and 120: 4.3.3.4. Response to food security
- Page 121 and 122: 4.3.6. Time and energy expenditure
- Page 123 and 124: Table 4.3: Care focused initiatives
that one third <strong>of</strong> households are unable to produce adequate food for <strong>the</strong>ir own family (EEA<br />
2003/04).<br />
The government should <strong>in</strong>corporate nutrition and diet issues <strong>in</strong> its extension<br />
approach. The extension workers that cater for <strong>the</strong> nutrition aspects <strong>of</strong> households should<br />
receive regular tra<strong>in</strong><strong>in</strong>g <strong>in</strong> methods <strong>of</strong> cook<strong>in</strong>g and preserv<strong>in</strong>g traditional foods. But currently<br />
<strong>the</strong>re is no additional agent at kebele level to shoulder this responsibility, like those home<br />
economists <strong>of</strong> <strong>the</strong> past at <strong>the</strong> federal level, or those found <strong>in</strong> kebeles and woredas <strong>in</strong> Tigray<br />
region.<br />
The transfer <strong>of</strong> knowledge and technology <strong>in</strong> agricultural production is <strong>the</strong> ma<strong>in</strong><br />
mandate <strong>of</strong> <strong>the</strong> agricultural extension service, both at federal and regional levels. Due to<br />
traditional attitudes, <strong>the</strong> extension service has been unable to address certa<strong>in</strong> segments <strong>of</strong> <strong>the</strong><br />
agricultural community effectively. These traditional barriers are <strong>in</strong> <strong>the</strong> process <strong>of</strong> break<strong>in</strong>g<br />
down and <strong>the</strong>refore <strong>the</strong>re is an opportunity to ameliorate <strong>the</strong> situation. The issue <strong>of</strong> identify<strong>in</strong>g<br />
who owns a property, who undertakes certa<strong>in</strong> agricultural operations, who can borrow credit,<br />
freedom to address only female clients, and so on could be obstacles that have eased over<br />
time. It should be noted that some <strong>of</strong> <strong>the</strong> tradition-related problems could be managed better<br />
through female extension agents. Obviously, <strong>the</strong>re have been efforts along this l<strong>in</strong>e <strong>in</strong> <strong>the</strong> past<br />
and some <strong>of</strong> <strong>the</strong> <strong>in</strong>terventions <strong>in</strong>cluded under Agricultural Extension should be fur<strong>the</strong>r f<strong>in</strong>etuned<br />
to address this problem directly.<br />
3.6.3.4. Gender<br />
The productive and reproductive roles <strong>of</strong> women <strong>of</strong>ten compete to br<strong>in</strong>g about a huge<br />
labor demand on women <strong>in</strong> <strong>the</strong>ir roles as farmer, fetcher <strong>of</strong> water and wood fuel, caregiver to<br />
children, <strong>the</strong> aged and <strong>the</strong> ill, preparer <strong>of</strong> meals, and <strong>in</strong>come earner from <strong>of</strong>f-farm<br />
employment. To <strong>the</strong> extent that women confront<strong>in</strong>g all <strong>the</strong>se roles are already malnourished<br />
<strong>the</strong>mselves, <strong>the</strong>y f<strong>in</strong>d it difficult to perform all <strong>the</strong> roles well. Often what is not done well, as<br />
stated <strong>in</strong> <strong>the</strong> FSS ‘is tend<strong>in</strong>g to <strong>the</strong> necessary food <strong>in</strong>take and nutritional requirements <strong>of</strong> <strong>the</strong>ir<br />
<strong>in</strong>fants and small children'. The time pressure is compounded by lack <strong>of</strong> knowledge about<br />
good nutrition, and by use <strong>of</strong> unboiled water, unhygienic liv<strong>in</strong>g conditions, and <strong>the</strong> lack <strong>of</strong><br />
sanitation.’ Domestic water management is a key responsibility <strong>of</strong> women and <strong>the</strong> SDPRP<br />
recognizes <strong>the</strong>ir need for specific representation <strong>in</strong> community organizations manag<strong>in</strong>g water.<br />
About 50 percent <strong>of</strong> <strong>the</strong> labor force <strong>in</strong> agricultural production constitutes females.<br />
Despite traditional constra<strong>in</strong>ts <strong>in</strong> labor division between males and females, both at home and<br />
with<strong>in</strong> <strong>the</strong> house, women play a major role <strong>in</strong> agricultural activities. There are a number <strong>of</strong><br />
areas <strong>in</strong> technology development that have implications on women farmers and herders.<br />
Women, especially <strong>in</strong> <strong>the</strong> “plow-culture” areas <strong>of</strong> highland <strong>Ethiopia</strong>, f<strong>in</strong>d it hard to use<br />
traditional land preparation equipments. Similarly, women <strong>in</strong> “hoe-culture” areas, such as <strong>the</strong><br />
enset grow<strong>in</strong>g areas <strong>of</strong> Guraghe and Sidama, not only spend a lot <strong>of</strong> time and energy <strong>in</strong> enset<br />
process<strong>in</strong>g but also <strong>the</strong> work is tedious and unhealthy. <strong>An</strong>o<strong>the</strong>r area <strong>of</strong> concern relates to <strong>the</strong><br />
time spent on collect<strong>in</strong>g fuel wood. Develop<strong>in</strong>g and dissem<strong>in</strong>at<strong>in</strong>g fuel sav<strong>in</strong>g stoves could go<br />
a long way to reduce this burden on women. Socio-economic surveys <strong>in</strong> various areas<br />
adjacent to research centers have clearly <strong>in</strong>dicated <strong>the</strong>se problems.<br />
Obviously, this is a wide area and requires fur<strong>the</strong>r analysis. Never<strong>the</strong>less, some<br />
programs <strong>in</strong> agricultural research must deal with issues that affect women <strong>in</strong> <strong>the</strong>ir agricultural<br />
activities. For example, <strong>the</strong> development <strong>of</strong> tools and implements that save time and labor.<br />
Implements used <strong>in</strong> process<strong>in</strong>g crops like “enset” <strong>in</strong> areas grow<strong>in</strong>g areas have been <strong>the</strong> subject<br />
<strong>of</strong> research for many years. Although <strong>the</strong>re are some useable results, <strong>the</strong> issue <strong>of</strong> cost has been<br />
a major bottleneck for its wide scale adoption. Similarly, <strong>the</strong> development <strong>of</strong> systems that<br />
save energy and time <strong>in</strong> food preparation has been a subject <strong>of</strong> research, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong> crop<br />
breed<strong>in</strong>g. These should be well <strong>in</strong>tegrated <strong>in</strong> <strong>the</strong> draft<strong>in</strong>g <strong>of</strong> <strong>the</strong> <strong>Ethiopia</strong>n NNS by an explicit<br />
recognition <strong>of</strong> <strong>the</strong> <strong>in</strong>terdependence <strong>of</strong> food <strong>in</strong>security, car<strong>in</strong>g, and health determ<strong>in</strong>ants <strong>of</strong><br />
<strong>malnutrition</strong>, which <strong>of</strong>ten heavily affect children and women.<br />
62