Amhara Nutrition status

By Simeneh worku
Nutrition officer
AnRHB
January 2014
DEBRETABOR
Unite for children

Presentation Outlines

Introduction
What is malnutrition
Why stunting matters
Consequences of Under nutrition
Over view of Regional nutrition status
Opportunities
Challenges
The way forward

Introduction
Malnutrition : It is the condition that results from an
imbalance

between

dietary

intake

and

requirements.
It includes under nutrition due to low food intake,
repeated infectious diseases & hard physical
work,&
over nutrition is due to excess food intake and
less physical activities.
It includes being underweight for ones weight-forage,
Too short for ones height-for- age (stunted),

Dangerously
(wasted)

thin

for

ones

weight-for-

height

Main cause of stunting (under

nutrition )
IUGR ( intrauterine growth retardation )
inadequate food intake , to support
the fast growth and development of
children
infection , frequent infection during
early life

Why stunting matters

Diminished immune response
Reduced adult size
Reduced intellectual ability
Poor cognitive performance
Lower economic productivity (Malnutrition
costs 55.5Billion Birr each year i.e 16.5% of
GDP(Gross demos tic product)

Continued
Poorer
reproductive
outcome
(Malnutrition
causes
50,000
Spontaneous Abortion each year in
Ethiopia : EDHS 2011)
Delayed school entry (13 points in
IQ)
Greater grade repetition (16% of all
repetitions in primary school are
associated with stunting)
Increased school drop out
Lower school performance

Why is stunting more

worrying
Un noticed (in health facility , house
hold and community at all level )
No priority focus , most of the
existing
nutrition
focus
on
management of SAM
Lack of recognition that intervention
to address stunting can address all
form of malnutrition

STUNTING
125 cm
7 years
old

103 cm
7 years old

100 cm
4 years
old

Reference: Vilma Q. Tyler, UNICEF-CEE/CIS

What does Under nutrition Look Like

Large Necrotic Corneal Lesion

Goiter

The three major forms of malnutrition

in Ethiopia:- Iron deficiency Anemia
- Vitamin A deficiency and

 Nutritional problems are still public

health problem and need a national
programme effort.
Current efforts to address malnutrition:
food security, nutrition, and health
programmes need coordination.
Strengthening Multi-sectoral Nutrition
Linkages
The nutritional situation is improving but
needs to accelerate progress to achieve
MDG
It needs government commitment.

Over view of Amhara Regional nutrition

status

Total population=19,218,584
No. of Zones=13
No. of Woredas =167
No. of Kebeles =3437(U=311, R=3126)
No. of Health posts=3295
No. of Health centers=801
No. of Hospitals-19(Ref=5,Zonal=2,Dist=12)

No. of OTP sites=2661(HCs=100,HPs=2561)

No. of stabilization centers=106(Hospitals=14
HCS=92)

Regional Stunting Prevalence in 2011

Ethiopia: Trends in Childrens

Nutritional Status
Percentage
of children
under age
5 showing
moderate
or severe
forms of
malnutritio
n

Amhara: Trends in Childrens

Nutritional Status
Percentage
of children
under age
5 showing
moderate
or severe
forms of
malnutritio
n

NNP = Scaling-up Nutrition Programmes

167Woredas

Regional l
level
167 Woredas

CHD
VAS &
Dewormin
g

CBN

94 Woredas

11 Woredas
From 5 Zones
IYCF (infant young
child feeding)

11 woredas

94 CBN
woredas

In summary Current effort to address

malnutrition by RHB
1. Community Management
of SAM
2.Monthly GMP and
IYCF(infant young child
feeding) counseling for U2
children & Quarterly CHD
Activities
3.Biannual Vit A &
Deworming
supplementation
4.Fefol Supplementation for
PLWs
5.Enhance the utilization
of Iodized Salt

Existing opportunists
Availability of NNS &NNP
Establishment of

health infrastructure

with health professionals

at the grass

route level (HC,HP,HEW,HDA)

Capacity building for health professionals
&HEWS such as IRT,CHD &ICCM
Technical, financial & supply support
from partners.

challenges
Lack of Inter sect oral collaboration

with

different

sectors

such

as

Agriculture, Water, . . .
Less priority given to the program by

decision makers
Problem of coordination with different
Activities (EPI vs GMP)
Lack of awareness about( Nutrition vs

malnutrition)

The way for ward

Sustainability and scaling up of the nutrition
program
Empowering community to invest in their own
health and well-being
Strong multisectoral coordination/linkage
Strong partnership and aggressive resource
mobilization
Stunting from 52% to 30% by 2015 G.C
Wasting 9.9% to 3% by 2015 G.C
Underweight from33% to 21% by 2015
G.C
Universal slat iodization utilization 15% to
100%


!!!!!
(TFP)

(GMP)

Unite for children !!

Thank You for your
attention!!