1. Gamaaggama Raawwii hojii Sirna Nyaataa
Kan Ji’a Jahaa

2. Presentation Outline Background Global situation National situation
Regional scenario

4. Background Covers an area of 359,619.8 square KMs
Population of 1,173,359
11 Woreda and 1 town administrations
2 Functional Hospitals & 4 Hos. Under construction
55 Health Centres
258 Health Posts
PHSC 100 %

5. Background cont…. WCBA(15-49 yr) = 227,673
NPW = 218,597
PW = 41068
Under 5yrs Children = 192,431
2yr Children = 66,999
Surviving Infant = 37,782

6. Global Situation 1 billion people+ in the world today- undernourished.
178 million children under 5 years old are stunted,
104 million underweight and
55 million are wasted and
19 million start life with low birth weight each year.
2 billion people - vitamin or mineral deficiency
One-third of the 9 million annual child deaths are related to under-nutrition.
Lancet nutrition series, 2008/ 13
Under-nutrition is one of the biggest challenges facing the world.
Over 1 billion people in the world today are under-nourished.
171 million children under 5 years old are stunted,
104 million underweight and 55 million are wasted and
19 million start life with a low birth weight each year.
In total as many as 2 billion people suffer from some form of vitamin or mineral deficiency.
It is estimated that one-third of the 9 million annual child deaths are related to under-nutrition. FAO, 2010
Maternal and Child Under nutrition: global and regional exposures and health consequences, Lancet series 2008

7. The National Situation

8. Context: The State of Nutrition in Ethiopia.
2000
2005
2011
U5 mortality rate (per 1000)
166
133 88
Stunting
57.8
51.5
44.4
Wasting 11 12
9.7
Underweight
42.1
34.9
28.7
Anaemia
No data
53.5
44.2
Generally declining, but still relatively alarming
Source: EDHS 2000, 2005 and 2011

9. Trends in nutritional status of children under 5 years of age, DHS
Stunting = 44% means 5, 524, 200 children have irreversible damage. 664,000 lives of under-five children will be lost related to stunting productivity loss of million US$ (17,903,000,000 Birr)
Underweight 29% = 3, children with acute and chronic under-nutrition
Plus 1,255,500 children wasted regional differences!
All in all, we have 10, 420, 650 children with severe disadvantages due to
low cognitive behaviour = low school performance
frequent diseases more severe longer days
bleak adult life = low working capacity, low production = poorest of the poor; plus chronic diseases
who will take over to lead the countries as innovative farmers, industrialists, competent teachers & social scientists,
water engineers and empowered women or social and economic development for Ethiopia to be a middle- income country.
What about our workforce NOW!

10. Stunting rates across Regional States, EDHS 2011
Tigray; Amhara, Benshangul Gumuz; SNNP and Oromiya – I believe that is where our AGP woredas are.
We give prices to farmers for better production and making million birr – I wish we could also acknowledge them when their child has not been undernourished throughout the year!!

11. Other indicators Nutritional problem 2005 2010/ 11 % Micronutrients
Anaemia in Children 54 44
Anaemia in women years 27 17
Anaemia in men years
--- 11
Households consuming iodized salt 4 15
Adult Under-nutrition
Women BMI <18.5 kg/m2
Men BMI <18.5 kg/m2 37
Women BMI > 25 kg/m2 6
Men BMI > 25 kg/m2 3
Adult Under-nutrition (aka CED)
27% of women (15-49) are thin or undernourished (BMI less than 18.5 kg/m2) = 5 million or 1 in 5 of all ET women
37% of Ethiopian men age are thin or undernourished (BMI less than 18.5 kg/m2) = 7 million or 1 in 3 of all ET men
6% of women = overweight or obese while 2% men = overweight or obese (BMI 25 kg/m2 or above).
One in five woman residing in Addis Ababa and the Dire Dawa region are overweight or obese, compared with 3% in Benishangul-Gumuz and Tigray.
In Addis Ababa and Dire Dawa , 12 percent & 10 percent are overweight or obese men respectively, while Amhara region has 1%.
National anaemia prevalence in children estimate has dropped by 19 percent in the past six years, from 54 percent in 2005 to 44 percent in 2011
13% of children age 6-23 months living with their mothers consumed foods rich in vitamin A and iron-rich foods
households that use iodised salt = 15%
The prevalence of any anaemia in women (15 – 49 years) has declined from 27 percent to 17 percent in 2011, = 8,602,823 .
Nationally 11% of men are anaemic = 9,104,152 .
Overall, at total of circa 20 million adults can’t perform well, are easily affected by infections and
more importantly the women will have small babies bound to be stunted if they survive the birth (also increasing MMR & IMR)
But we can do something, & do it together thru joint discussions, planning, implementation and monitoring to have a synergistic effect.
How .... Next slide

12. Regional Scenario EDHS 2011
Stunting- 41.4% ( 2,217,325 U5Children) this means more than2 out of every 5 children are stunted in the region
Underweight -26% (1,406,108 U5Children)
Wasting – 9.7% ( 524,587 U5Children)
Anaemia in Children – 51.7%
Anaemia in women years – 19.2%
Households consuming iodized salt – 17.4%
Women BMI <18.5 kg/m2 (thin) – 26.9%
EDHS 2011

13. Regional Nutritional situations
Selected Indicators for nutrition specific interventions
DHS data
2000
2005
2011
2014
Undernourished women BMI <18.5
28.7
24.3
26.9 NA
Children < 5yrs with anemia 56
51.7
Children stunted
47.2 41
41.4 37
Children under weight
42.4
34.4 26 22
Vitamin A deficiency
???
61 (National)
Exclusive Breast feeding
38.1 (national)
31.6 52

14. Selected Indicators for nutrition sensitive interventions
DHS data
2000
2005
2011
2014
For education ( % of no -Education
Female
78.6
66.1
49.4 -
Male
60.1
48.1
26.1
% of HH access to improved source of water 18 24 34
% of women make decision based on 3 types of HH decisions
% of married women who decided jointly on use of earnings
41.7
54.8 32 51
55.4
% of current employment status
49.6
32.0
41.0
86.3
84.1
80.3
% of child labor
21.9

15. Trends in nutritional status of children under 5 years of age, in the last 4 DHSs Oromia

16. So What ???
Why Nutrition Matters ???

17. Thank you!