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An assessment of the causes of malnutrition in Ethiopia: A ...

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LIST OF FIGURES<br />

Figure 1.1: Stunt<strong>in</strong>g among children under-five, by region..............................................................................2<br />

Figure 1.2: Global conceptual framework <strong>of</strong> <strong>the</strong> <strong>causes</strong> <strong>of</strong> <strong>malnutrition</strong>........................................................3<br />

Figure 1.3: Intergenerational l<strong>in</strong>k <strong>of</strong> <strong>malnutrition</strong>...............................................................................................7<br />

Figure 3.1: Nutrition and food security: two-way l<strong>in</strong>kage...............................................................................42<br />

Figure 3.2: Per capita food production and production gap – 1980/81 to 2002/03. ....................................48<br />

Figure 3.3: Per capita food production by major region – 1996/97 to 2003/04. ..........................................51<br />

Figure 4.1: Risk <strong>of</strong> death <strong>in</strong> <strong>in</strong>fants 3 to 12 months <strong>of</strong> age due to diarrhea by <strong>in</strong>fant feed<strong>in</strong>g<br />

method, Brazil. ...........................................................................................................................................85<br />

Figure 4.2: Prenatal and postnatal cl<strong>in</strong>ic utilization and chronic energy deficiency among women<br />

aged 15 to 49, by region............................................................................................................................87<br />

Figure 4.3: Factors that affect <strong>the</strong> relationship <strong>of</strong> <strong>the</strong> caregiver and <strong>the</strong> child .............................................89<br />

Figure 4.4: Breastfeed<strong>in</strong>g as a package <strong>of</strong> care address<strong>in</strong>g <strong>the</strong> three underly<strong>in</strong>g <strong>causes</strong> <strong>of</strong><br />

<strong>malnutrition</strong>.................................................................................................................................................90<br />

Figure 4.5: The vicious cycle <strong>of</strong> HIV/AIDS and <strong>malnutrition</strong>........................................................................91<br />

Figure 4.6: Virtuous cycle <strong>of</strong> nutritional care and HIV/AIDS ........................................................................92<br />

Figure 4.7: Risk <strong>of</strong> mo<strong>the</strong>r to child transmission <strong>of</strong> HIV. ...............................................................................93<br />

Figure 4.8: The extended mo del <strong>of</strong> care. ............................................................................................................97<br />

Figure 4.9: The Triple-A cycle. ..........................................................................................................................100<br />

Figure 4.10: Model <strong>of</strong> <strong>the</strong> stages <strong>of</strong> behavior change.....................................................................................100<br />

Figure 4.11: Stunt<strong>in</strong>g, wast<strong>in</strong>g, and underweight prevalence <strong>in</strong> preschoolers <strong>in</strong> <strong>Ethiopia</strong>, by age. .......102<br />

Figure 4.12: Trends <strong>in</strong> <strong>malnutrition</strong> <strong>in</strong> under-fives <strong>in</strong> <strong>Ethiopia</strong>, 1982-2000...............................................102<br />

Figure 4.13: Prevalence <strong>of</strong> stunt<strong>in</strong>g and wast<strong>in</strong>g among under-fives, by region.......................................103<br />

Figure 4.14: Feed<strong>in</strong>g Practices <strong>in</strong> <strong>Ethiopia</strong>n Infants < 6 mo .........................................................................103<br />

Figure 4.15: Feed<strong>in</strong>g practices <strong>of</strong> children 6-9 months <strong>in</strong> <strong>Ethiopia</strong>. ............................................................104<br />

Figure 4.16: Contributions <strong>of</strong> underly<strong>in</strong>g determ<strong>in</strong>ants to reductions <strong>in</strong> child underweight, 1970-<br />

95, 16 develop<strong>in</strong>g countries...................................................................................................................105<br />

Figure 4.17: Community based nutrition operational nexus .........................................................................127<br />

Figure 5.1: Framework for <strong>the</strong> determ<strong>in</strong>ants <strong>of</strong> sanitation <strong>in</strong> <strong>Ethiopia</strong> ........................................................148<br />

Figure 5.2: Trends <strong>in</strong> safe dr<strong>in</strong>k<strong>in</strong>g water coverage <strong>in</strong> <strong>Ethiopia</strong>, 1970 - 2002...........................................151<br />

Figure 5.3: Trends <strong>in</strong> latr<strong>in</strong>e coverage <strong>in</strong> <strong>Ethiopia</strong>, 1970 – 2002. ................................................................152<br />

LIST OF BOXES<br />

Box 3.1: Interventions and issues proposed for <strong>the</strong> formulation and implementation <strong>of</strong> <strong>Ethiopia</strong>’s<br />

National Nutrition Strategy......................................................................................................................63<br />

Box 4.1: Factors affect<strong>in</strong>g nutritional status at different stages <strong>of</strong> a woman’s life .....................................83<br />

Box 4.2: Reasons why PLWHA are vulnerable to nutritional <strong>in</strong>security .....................................................91<br />

Box 4.3: Feed<strong>in</strong>g options currently recommended by WHO/UNICEF (2003)............................................93<br />

Box 5.1: Household and Community Integrated Management <strong>of</strong> Childhood Illnesses ...........................142<br />

Box 5.2: Essential Nutrition Actions for <strong>Ethiopia</strong> ..........................................................................................143<br />

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