Ethiopia
FANTA-2 has been providing technical support to the Government
of Ethiopia, as well as to USAID/Ethiopia, its PEPFAR partners and
Title II Cooperating Sponsors in activities such as support to integration
of nutrition into the health system, and incorporation of nutrition
interventions by PVOs and other partners. Under FANTA, assistance
was also provided in developing food security strategies, refining
indicators used by the USAID Mission, establishing national guidelines
and implementing the Layers methodology.
National Guidelines and Tools for Nutrition Care and Support
for PLHIV: FANTA recently worked with the Government of
Ethiopia, USAID/Ethiopia and its PEPFAR partners to develop
guidelines and tools for the clinical nutrition care and support
of PLHIV which were completed in 2008. FANTA also initiated
a process to strengthen nutrition assessment and counseling at HIV
treatment and care sites and to strengthen coordination of nutrition
and HIV activities in the country.
Review of Essential Nutrition Actions in Ethiopia: The
Essential Nutrition Actions (ENA) package is an approach to expand
the coverage of seven affordable and evidence-based actions to improve
the nutritional status of women and children, especially those under
two years of age. FANTA’s Review
of Incorporation of Essential Nutrition Actions into Public Health
Programs in Ethiopia found that the approach has been incorporated
into the Ethiopia Federal Ministry of Health (FMOH) system and multilateral
and NGO programming, however, improved training and other steps
are necessary to further institutionalize the approach. The review,
requested by USAID/Ethiopia, examined a number of facilitating and
inhibiting factors to ENA integration in the context of Ethiopia’s
health system.
CMAM Program Review: FANTA worked closely USAID’s
Office of Foreign Disaster Assistance (OFDA) in Washington and in
the field to conduct reviews of CMAM program implementation in Sub-Saharan
Africa (Ethiopia, Malawi and Niger) to identify lessons learned
and contextual factors that facilitate and or constrain integration
of CMAM in post-emergency and development settings. FANTA produced
country reports with key lessons learned, then synthesized the findings
from the three countries into Review
of Community-based Management of Acute Malnutrition (CMAM) in the
Post-emergency Context: Synthesis of Lessons on Integration of CMAM
into National Health Systems.
Field Validation of Alternative Sampling Designs in Emergency
Settings: FANTA, in collaboration with CRS, Save the Children/US
and Ohio State University, applied LQAS methods to develop and test
three new sampling designs to respond to the data collection priorities
of emergency settings. These alternative
sampling designs have been field tested in Sudan and Ethiopia,
where they were shown to provide rapid and statistically reliable
methods for assessing the prevalence of global acute malnutrition,
in addition to a number of other child and household level indicators.
The study, A Field
Test of Three LQAS Designs to Assess the Prevalence of Acute Malnutrition
was published in the International Journal of Epidemiology in May
2007.
Refining Indicators and Data Collection: FANTA developed a methodology for collecting key indicator data to be used by the Mission under the Government of Ethiopia's Productive Safety Net Program (PSNP). This methodology, which uses Percent of Household Emergency Needs Met by the Disaster Prevention and Preparedness Committee (DPPC), will reflect the relative success of the Mission to build the capacity of the Ethiopian Government's DPPC to respond to food emergencies.
Layers Methodology: Implementation of the Layers methodology has allowed the Mission to better monitor its activities, identify potential problems and ensure that food aid is being delivered to the intended populations. In Ethiopia, FANTA developed Layers modules to verify the quality of infrastructure built under Food for Work activities. These modules have been adapted and used other countries as well.
Nutrition Advocacy: In recent years, the focus
for Title II programming has shifted from nutrition interventions
to a strong focus on food and cash transfers to chronically food-insecure
areas. FANTA-2 is continuing FANTA's work here, using DHS data collection
and the ongoing work on the National Nutrition Strategy to advocate
for a reassessment of health and nutrition priorities in Ethiopia.
One method for such advocacy is through PROFILES
workshops, a process for nutrition policy analysis and advocacy
that uses spreadsheet models to estimate the functional consequences
of malnutrition, quantified in terms of work productivity, health
and survival.

USAID
Country Profile [http://www.usaid.gov/locations/sub-saharan_africa/countries/ethiopia/index.html]
PEPFAR
Country Profile
[http://www.pepfar.gov/countries/ethiopia/index.htm]
UNICEF
Country Profile [http://www.unicef.org/infobycountry/ethiopia_12162.html]
WFP
Country Profile
[http://www.wfp.org/country_brief/indexcountry.asp?
region=2§ion=9&sub_section=2&country=231]
Demographic
and Health Surveys Country Survey
[www.measuredhs.com/countries/country_main.cfm?ctry_id=65]
FAO
Country Food Security Statistics
[http://www.fao.org/faostat/foodsecurity/Countries/EN/
Ethiopia_e.pdf]
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