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 ...
contains a recommendation to revitalize the training and placement of home economists to cater for nutrition, caring, and home management affairs. 3.7.3.4. Nutrition centered training and equipment provision Some key intervention areas are large-scale capacity building efforts in agricultural extension, employment generation through safety net programs, and community involvement in planning and implementing programs and projects geared towards the reduction of poverty and food insecurity. Capacity building interventions via training, equipment provision, as well as establishing infrastructure and facility that help to mitigate poverty, food insecurity, and malnutrition requires deliberate efforts to discharge safety net activities in a planned and coordinated manner. Training of extension staff and community members in a broad range of issues inclusive of planning, technologies, effective use of different resources, management of assets created, organizational and communication skills and performance based evaluation tools, etc, will be instrumental to achieve the intended outcomes and objectives of the MDGs through the NNS. Household focused social mobilization interventions are key instruments in this regard. Past nature conservation and agricultural development efforts were prominently focused on community asset building with insufficient emphasis on household development programmes. The NNS has to focus on households through using effective targeting criteria to cover children, women, and other members of a household. Donors should support programs that lead to a nutrition security. They should seek means to include nutrition in the safety net projects they support. The food aid they give must have a nutrition component and be targeted. They should support capacity building of key institutions that harmonize and coordinate nutrition-related food security programs in the government and non-government sectors. Over 250 woredas were affected by disaster or drought in recent years. Support should be given to all actors involved in the safety net, disaster preparedness, and emergency response activities, broadly within the NCFS initiative. The international community’s contribution should be to assist in the short run to save human life, but ultimately to enable Ethiopia to nourish itself and have a strong footing to sustainably reduce poverty and set itself on a path towards prosperity. Ethiopia's industries, both agricultural and non-agricultural, have to develop and generate income to ensure that the food and non-food needs of the growing population are met. 3.7.3.5. Encourage fortification and investment in food processing Making agricultural research programs nutrition oriented and encompassing a strong component of food processing research is not a sufficient condition to enhance the dietary diversity of rural farm households’ food consumption. Of course, it should not be only at the research center level that food processing is considered. Food processing investments should be encouraged particularly in rural parts of the country. The food processing investment should take into account specific nutritional problems, such as micronutrient disorders, and include quality control to ensure food safety at the community level. Significant investment is required to expand milling and processing facilities and related market infrastructure in rural Ethiopia, particularly to supply commercial micronutrient-fortified foods in order to reduce the prevalence of micronutrient deficiencies. Of course, financing food processing plants and rural market infrastructure may not be easy. In this case, donor assistance is timely and highly needed to mitigate important constraining factors particularly related to financia l and technical assistance. Local institutions such as peasant associations, cooperatives, local governments, NGOs and others can support investments in local mills and assist in generating consumer demand for local micronutrientfortified products. In many parts of the country, particularly in the highlands, cereal-based food consumption habits require an urgent expansion in fortification efforts, including the establishment of community based fortification plants. 72
3.7.3.6. Improve rural market infrastructure and facilities Poor rural infrastructure makes movements of food among regions difficult and thus exacerbates the problem because food shortages caused by drought in one region are difficult to remedy through food import from other regions. The nutritional repercussions of seasonal or irregular variations in access to food are severe for the poorer peasants who have very limited ability to cope. Coping could be more difficult where access to wage earning markets is constrained by poor roads and inadequate transport. It is indispensable to put in place market infrastructure and facilities in order to achieve sustained increases in agricultural growth and household income and to increase opportunities for gainful employment via the promotion and nurturing of natural resources and agriculture-based rural agribusiness through entrepreneurship and industrial growth. Improved market infrastructure and facilities reduces economically avoidable losses; reduce transport costs and other market transaction costs. 3.7.3.7. Price and income stabilization for nutrition security Grain price changes bring dietary changes. In many parts of the country when teff price is on the rise, consumers in urban areas start shifting from teff to other grains with no change in their real incomes. The substitution away from teff to other grains often is considerably stronger among the poor than among the better off. One of the critical roles of the food component of the NNS should be to facilitate a flow of real income to poor households through safety net programs, such as public works programs, and subsequently through the expansion of productive assets e.g. land and oxen under the control of the household, as well as production inputs, technical assistance, and fair prices. PAs should be guided to identify members with the above characteristics and assist them with both short and long-run solutions including, if needed, allocation of additional productive resources. The government, through the appropriate agencies, should facilitate training, technical assistance, and credit to adult men and women from such households to enable them to initiate small scale, non-farm, income generating activities in the rural areas where they are located. 3.7.3.8. Improve access to information Information is power and money in today's world. Farmers must have access to and use of this power in order to enhance their income and be food and nutrition secure even if they cannot produce all of what they need to feed their family. The process of information dissemination and support to target groups and locations should involve instruments such as radio; bulletin boards at kebele centers; exchange of experiences during market days, as well creative use of Farmer Training Centers for information. The instruments used should provide information to a wide range of users. Information should be disseminated by communication radio to DAs. Knowledge and information about food and nutrition will also be aired through public radio programs that will make it accessible to a wide audience throughout the country. Generally, issues of food insecurity and malnutrition in the country are poorly linked. There is a strong interdependence among various food production activities in agricultural, agro-pastoral and pastoral areas. Crop production, particularly in highland mixed crop-livestock farming system, is unthinkable without animal farming that provides the main traction and transport power, in addition to supplying byproducts such as milk, meat, manure. Ethiopian farmers rely on technologies that are generated through the national agricultural research system. The technologies and management systems so generated are disseminated through structured information and inputs supply systems, which are parts of the national agricultural extension service. Therefore, the objective in agricultural production in order to build a nutrition secure country is to increase the supply of technological inputs, on the one hand, and to improve the efficiency and effectiveness of the services that are responsible for the supply of these services, particularly through the delivery of and access to information. 73
- Page 34 and 35: commodity trading is the most signi
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- Page 125 and 126: together. This demands an integrate
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conta<strong>in</strong>s a recommendation to revitalize <strong>the</strong> tra<strong>in</strong><strong>in</strong>g and placement <strong>of</strong> home economists to<br />
cater for nutrition, car<strong>in</strong>g, and home management affairs.<br />
3.7.3.4. Nutrition centered tra<strong>in</strong><strong>in</strong>g and equipment provision<br />
Some key <strong>in</strong>tervention areas are large-scale capacity build<strong>in</strong>g efforts <strong>in</strong> agricultural<br />
extension, employment generation through safety net programs, and community <strong>in</strong>volvement<br />
<strong>in</strong> plann<strong>in</strong>g and implement<strong>in</strong>g programs and projects geared towards <strong>the</strong> reduction <strong>of</strong> poverty<br />
and food <strong>in</strong>security. Capacity build<strong>in</strong>g <strong>in</strong>terventions via tra<strong>in</strong><strong>in</strong>g, equipment provision, as well<br />
as establish<strong>in</strong>g <strong>in</strong>frastructure and facility that help to mitigate poverty, food <strong>in</strong>security, and<br />
<strong>malnutrition</strong> requires deliberate efforts to discharge safety net activities <strong>in</strong> a planned and<br />
coord<strong>in</strong>ated manner. Tra<strong>in</strong><strong>in</strong>g <strong>of</strong> extension staff and community members <strong>in</strong> a broad range <strong>of</strong><br />
issues <strong>in</strong>clusive <strong>of</strong> plann<strong>in</strong>g, technologies, effective use <strong>of</strong> different resources, management <strong>of</strong><br />
assets created, organizational and communication skills and performance based evaluation<br />
tools, etc, will be <strong>in</strong>strumental to achieve <strong>the</strong> <strong>in</strong>tended outcomes and objectives <strong>of</strong> <strong>the</strong> MDGs<br />
through <strong>the</strong> NNS. Household focused social mobilization <strong>in</strong>terventions are key <strong>in</strong>struments <strong>in</strong><br />
this regard. Past nature conservation and agricultural development efforts were prom<strong>in</strong>ently<br />
focused on community asset build<strong>in</strong>g with <strong>in</strong>sufficient emphasis on household development<br />
programmes. The NNS has to focus on households through us<strong>in</strong>g effective target<strong>in</strong>g criteria<br />
to cover children, women, and o<strong>the</strong>r members <strong>of</strong> a household.<br />
Donors should support programs that lead to a nutrition security. They should seek<br />
means to <strong>in</strong>clude nutrition <strong>in</strong> <strong>the</strong> safety net projects <strong>the</strong>y support. The food aid <strong>the</strong>y give must<br />
have a nutrition component and be targeted. They should support capacity build<strong>in</strong>g <strong>of</strong> key<br />
<strong>in</strong>stitutions that harmonize and coord<strong>in</strong>ate nutrition-related food security programs <strong>in</strong> <strong>the</strong><br />
government and non-government sectors.<br />
Over 250 woredas were affected by disaster or drought <strong>in</strong> recent years. Support<br />
should be given to all actors <strong>in</strong>volved <strong>in</strong> <strong>the</strong> safety net, disaster preparedness, and emergency<br />
response activities, broadly with<strong>in</strong> <strong>the</strong> NCFS <strong>in</strong>itiative. The <strong>in</strong>ternational community’s<br />
contribution should be to assist <strong>in</strong> <strong>the</strong> short run to save human life, but ultimately to enable<br />
<strong>Ethiopia</strong> to nourish itself and have a strong foot<strong>in</strong>g to susta<strong>in</strong>ably reduce poverty and set itself<br />
on a path towards prosperity. <strong>Ethiopia</strong>'s <strong>in</strong>dustries, both agricultural and non-agricultural,<br />
have to develop and generate <strong>in</strong>come to ensure that <strong>the</strong> food and non-food needs <strong>of</strong> <strong>the</strong><br />
grow<strong>in</strong>g population are met.<br />
3.7.3.5. Encourage fortification and <strong>in</strong>vestment <strong>in</strong> food process<strong>in</strong>g<br />
Mak<strong>in</strong>g agricultural research programs nutrition oriented and encompass<strong>in</strong>g a strong<br />
component <strong>of</strong> food process<strong>in</strong>g research is not a sufficient condition to enhance <strong>the</strong> dietary<br />
diversity <strong>of</strong> rural farm households’ food consumption. Of course, it should not be only at <strong>the</strong><br />
research center level that food process<strong>in</strong>g is considered. Food process<strong>in</strong>g <strong>in</strong>vestments should<br />
be encouraged particularly <strong>in</strong> rural parts <strong>of</strong> <strong>the</strong> country. The food process<strong>in</strong>g <strong>in</strong>vestment<br />
should take <strong>in</strong>to account specific nutritional problems, such as micronutrient disorders, and<br />
<strong>in</strong>clude quality control to ensure food safety at <strong>the</strong> community level.<br />
Significant <strong>in</strong>vestment is required to expand mill<strong>in</strong>g and process<strong>in</strong>g facilities and<br />
related market <strong>in</strong>frastructure <strong>in</strong> rural <strong>Ethiopia</strong>, particularly to supply commercial<br />
micronutrient-fortified foods <strong>in</strong> order to reduce <strong>the</strong> prevalence <strong>of</strong> micronutrient deficiencies.<br />
Of course, f<strong>in</strong>anc<strong>in</strong>g food process<strong>in</strong>g plants and rural market <strong>in</strong>frastructure may not be easy.<br />
In this case, donor assistance is timely and highly needed to mitigate important constra<strong>in</strong><strong>in</strong>g<br />
factors particularly related to f<strong>in</strong>ancia l and technical assistance. Local <strong>in</strong>stitutions such as<br />
peasant associations, cooperatives, local governments, NGOs and o<strong>the</strong>rs can support<br />
<strong>in</strong>vestments <strong>in</strong> local mills and assist <strong>in</strong> generat<strong>in</strong>g consumer demand for local micronutrientfortified<br />
products. In many parts <strong>of</strong> <strong>the</strong> country, particularly <strong>in</strong> <strong>the</strong> highlands, cereal-based<br />
food consumption habits require an urgent expansion <strong>in</strong> fortification efforts, <strong>in</strong>clud<strong>in</strong>g <strong>the</strong><br />
establishment <strong>of</strong> community based fortification plants.<br />
72