ADDIS ABABA, 11 January 2016 – The Government of Ethiopia has released the Joint Government and Partners’ Humanitarian Document, an initial humanitarian response planning document for 2017 while the comprehensive Humanitarian Requirements Document (HRD) is being finalized. Based on the early warning data and modelling undertaken by partners such as UNICEF, the document reflects the joint humanitarian response planning and provides a shared understanding of the crisis, including the most pressing humanitarian needs.
While Ethiopia battles residual needs from the El Niño-induced drought, below average rains in the southern and eastern parts of the country caused by the negative Indian Ocean Dipole, another climatic phenomena, have led to new symptoms of drought. It is anticipated that 5.6 million people will need emergency food assistance in 2017, in addition to those still suffering from effects of El Niño. Ongoing assessments for the HRD will provide total figures of those in need for 2017.
In 2016, international donors contributed US$894 million toward the humanitarian response efforts and from that figure, UNICEF raised US$108.7 million to support the Government of Ethiopia and partners to reach around seven million people with access to health and nutrition care, education, safe water, sanitation and hygiene services, and protection support. At least 73 per cent of those reached were children.
The total anticipated financial requirements for the 2017 HRD is US$1.1 billion, of which, the UNICEF Humanitarian Action for Children (HAC) appeal for Ethiopia is US$110.5 million. This includes US$13.6 million to respond to the new influx of South Sudanese refugees in the Gambella region. While the funding will be critical to UNICEF’s ability to respond to immediate needs, it will also be used to take appropriate actions to strengthen preparedness, improve early warning systems and reduce vulnerability, contributing to more resilient communities.
Immediate responses have already taken shape from regional governments allocating funds to water trucking and fodder provision in the south and south eastern regions, those most affected by the below average rainfall. In 2016 and years prior, UNICEF has supported such emergency interventions, in addition to child health and nutrition, sustainable water and sanitation, quality education for boys and girls, and the protection of children from violence and exploitation. UNICEF Ethiopia looks forward to continuing this support with the Government of Ethiopia and partners in 2017, for every child and their family.
NEW YORK/ ADDIS ABABA, 14 October 2016 – Five in six children under two years old are not fed enough nutritious food for their age, depriving them of the energy and nutrients they need at the most critical time in their physical and cognitive development, according to a new UNICEF report.
“Infants and young children have the greatest nutrient needs than at any other time in life. But the bodies and brains of millions of young children do not reach their full potential because they are receiving too little food, too late,” said France Begin, Senior Nutrition Adviser at UNICEF. “Poor nutrition at such a young age causes irreversible mental and physical damage.”
UNICEF data show that poor nutritional practices– including the delayed introduction of solid foods, infrequent meals and lack of food variety – are widespread, depriving children of essential nutrients when their growing brains, bones and bodies need them the most. The findings reveal that:
Young children wait too long for their first bites. One in five babies hasn’t been fed any solid foods by the age of 11 months.
Half of children aged six months to two years are not fed the minimum number of meals for their age, increasing their risk of stunting.
Less than one-third of children in this age group eat a diverse diet – meaning from four or more food groups daily – causing deficiencies in vitamins and minerals.
Almost half of pre-school aged children suffer from anaemia.
Only half of children aged six to 11 months receive any foods from animal sources – including fish, meat, eggs and dairy – which are essential to supply zinc and iron.
The high cost of foods from animal sources makes it difficult for the poorest families to improve their children’s diet. In Sub-Saharan Africa and South Asia, only one in six children from the poorest households aged six to 11 months eats a minimally diverse diet, compared to one in three from the richest households.
Improving nutrition for young children could save 100,000 lives a year.
Making nutritious foods affordable and accessible to the poorest children will require stronger and more targeted investments from governments and the private sector. Cash or in-kind transfers to vulnerable families; crop diversification programmes; and fortification of staple foods are key to improving nutrition for young children. Community-based health services that help caregivers learn better feeding practices, and safe water and sanitation – absolutely critical in preventing diarrhoea among children – are also vital.
“We cannot afford to fail in our fight to improve nutrition for young children. Their ability to grow, learn and contribute to their country’s future depends on it,” Begin said.
Ethiopia has experienced rapid, sustained improvement in under-nutrition during the past 15 years. For example, the country has seen a steady reduction in stunting – the fastest rate of improvement in Africa – and a decline in the percentage of underweight and wasted children. Yet, Ethiopia remains in a precarious situation, with large absolute numbers of affected children: 5.3 million children are stunted and 1.2 million children suffer wasting. UNICEF’s nutrition programme collaborates with the Government of Ethiopia to reduce these numbers further, working on multi-sectoral coordination to improve the nutrition of all children, pregnant and lactating women and their families
The Government of Ethiopia recognizes that addressing malnutrition is essential to achieving sustainable development. It therefore has issued the Seqota Declaration to end child malnutrition by 2030. The Declaration lays out a plan to stop the cycle of under-nutrition by bringing together all sectors of the Government, paying particular attention to the importance of nutrition during pregnancy and in the first years of a child’s life.
Over the past decade, Ethiopia has seen a steady reduction in stunting from 58 per cent in 2000 to 40 per cent 2014, in the percentage of underweight children from 41 per cent to 25 per cent, and in wasting from 12 per cent to 9 percent (Mini EDHS: 2014)
These trends indicate an improvement in chronic malnutrition over the past 15 years. Yet, 28 per cent of child deaths in Ethiopia is associated with under-nutrition. In addition to this high contribution to the under-five mortality rate, high prevalence of various forms of malnutrition among vulnerable groups in Ethiopia has serious implications for social development and economic growth. In a study conducted in 2009, the total annual cost of under-nutrition was estimated at US$2,775,000, equivalent to 17 per cent of the country’s GDP in 2009.
UNICEF’s strategies for nutrition ensure the achievements of results in four areas: 1) upstream nutrition policy support and multi-sectoral engagement; 2) improved nutrition knowledge and caring behaviours; 3) strengthening of systems for nutrition service delivery; and 4) strengthening partner capacities to respond to nutrition in humanitarian crises.
To accelerate the reduction of chronic and acute malnutrition, UNICEF is working in partnership with sectoral government counterparts, including in health, agriculture, education, social protection, trade and industry, and women, children and youth affairs.
UNICEF also works with United Nations agencies such as the Food and Agriculture Organization (FAO), United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA), World Food Programme (WFP) and World Health Organization (WHO); UNICEF National Committees; donors such as the aid agencies of Canada, Ireland, Japan, the Netherlands, Spain, the United Kingdom and the United States, as well as the European Union; civil society organizations; and local and international academic institutions.
The January 2016 Huffington Post article entitled Why are Indian kids smaller than Africa kids: hint its not race authored by Sanjay Wikesekera, UNICEF Global WASH Chief and Werner Shultink, UNICEF Global Nutrition Chief, highlighted the link between child stunting and lack of access to toilets. Children growing up in an environment where people are defecating in the open will result in kids crawling around on dirty floors, putting feacally contaminated material and objects in their mouths and ultimately will results in children having high rates of diarrhea which will result in their stunted physical and mental development.
To understand this better, UNICEF Ethiopia WASH team and John Hopkins University undertook a systematic review of more than 1000 peer reviewed academic articles with the aim of identifying interventions that health and WASH professionals can take or promote to reduce the contact of children with feacally contaminated material. The review identified strong evidence on the linkage between open defecation, stunting and early child development (See figure below from Ngure et al (2014).
The review also notes good knowledge of how to do hygiene and sanitation promotion to safe disposal of adult feaces but limited evidence on safe disposal of baby feaces.
UNICEF Ethiopia is using the review to design specific Baby WASH interventions that can complement our current Infant Young Child Feeding programmes. Ethiopia has substantially reduced Open Defecation during the last 25 years. In 1990, an estimated 9 out of 10 people were “pooing” in the open and by 2015, this had reduced by 64 per cent to less than 1 in 3 people. However, despite this progress, almost half of children were recorded as ‘stunted’ or not achieving their full physical and mental growth by 2015. The literature suggests that Baby WASH, as we have termed it, may be one of the key “missing pieces” in reducing stunting. Baby WASH comprises of a ‘menu’ of physical and promotions activities which will reduce the exposure of the BABY to ingestion of feaces and ultimately reduce stunting and improve Early Childhood Development.
Watch this space for more details on field evidence on Baby WASH from UNICEF Ethiopia as we work closely with the Government of Ethiopia and development partners to expand this intervention throughout Ethiopia in our new Country Programme of Cooperation between 2016 and 2020. For the time being, UNICEF Ethiopia is using its own financial core resources. Interested development partners are welcome to join this groundbreaking initiative.
UNICEF Ethiopia is collaborating with the US based Johns Hopkins Bloomberg School of Public Health, Department of International Health, Program in Global Disease Epidemiology and Control. A researcher from the school was an intern in the UNICEF Ethiopia WASH section in 2015 and has collaborated with the WASH section on producing a paper entitled Evidence on Interventions Targeted at Reducing Unsafe Disposal of Child Feaces: A Systematic Review.
UNICEF Ethiopia’s rural wash activities are supported by the UK Department for International Development (DFID), the Government of Netherlands, the Government of Canada and the UNICEF National Committees from Germany, UK and New Zealand.
Dr. Samuel Godfrey is Chief of WASH for UNICEF Ethiopia, and has a PhD and MSc in Civil Engineering and Water and Waste Engineering.
 Stunting is a sign of ‘shortness’ and develops over a long period of time. In children and adults, it is measured through the height-for-age nutritional index. In Ethiopia approximately 40 per cent of children are stunted.
ADDIS ABABA, 22 April 2016 – Today, UNICEF thanked donors for their generous contributions and the Government for its strong leadership, which together have enabled a concerted response to the current El Niño driven drought in Ethiopia, particularly in treating children with severe malnutrition.
With support from donors, UNICEF has procured 543,631 cartons of Ready-to-Use Therapeutic Food (RUTF), which represents 22 per cent of the global order for 2015 and is one of the largest single purchases in UNICEF’s history. The donors include the Governments of Canada, Germany, Japan, Sweden, United Kingdom and United States and partners including ECHO and the Bill & Melinda Gates Foundation.
To date in 2016, UNICEF procured in 2015 a further 73,344 cartons of RUTF out of a global procurement estimated at 565,623 cartons, which corresponds to 13 per cent of the global supply. In addition to RUTF, other supplies including therapeutic milk, routine drugs and hygiene and sanitation commodities have been procured as part of the drought response. To accommodate this large volume of supplies and enhance preparedness for the drought response, UNICEF rented a new warehouse in the Gerji area of Addis Ababa, earlier this year.
“On behalf of the Government of Ethiopia and UNICEF, I would like to express my sincere appreciation to the humanitarian donors for their timely and generous financial contributions to purchase Ready-to-Use Therapeutic Food that will save the lives of millions of children diagnosed with severe malnutrition,” said Ms Gillian Mellsop, UNICEF Representative to Ethiopia. “I would also like to especially thank the Ethiopian Customs Authority, the Ethiopian Food Medicine and Health Care Administration and Akakas Logistics, this enormous supply chain operation would not have been possible without their active support. By accelerating our joint nutrition interventions, we can transform the lives of millions of children to become healthy citizens and reach their full potential.”
Ethiopia is experiencing one of the worst droughts in decades due to El Niño weather condition which continues to wreak havoc on the lives of children and their families’ livelihoods. According to the latest Humanitarian Requirement Document issued this year, 6 million children are at risk from hunger, disease and lack of water. Malnutrition rates have greatly increased – 450,000 children are expected to be treated for severe acute malnutrition (SAM) this year.
As part of the joint drought response coordinated by the Government, UNICEF is leading the Nutrition, Water Sanitation Hygiene, Education (together with Save the Children) clusters and the Child Protection sub-cluster. Together with other partners, UNICEF implements life-saving humanitarian responses including procurement and supply of therapeutic food and milk, drugs, other medical supplies, plus water/sanitation and education and child protection supplies.
UNICEF also supports the treatment of severely malnourished children through the community-based management of acute malnutrition, with training, quality assurance and coordination with other partners. Regular nutrition screening helps ensure that malnutrition in children is diagnosed and treated early, thereby reducing cases of severe acute malnutrition and life-threatening complications.
The supply of RUTF procured by UNICEF to date to respond to the current emergency is worth US$28 million including freight and in-country distribution. With the continued effort of the Government and support from humanitarian actors, 350,451 children were treated for severe acute malnutrition in 2015.
Ethiopia is a country showing strong progress in achieving global and national goals for WASH services. It has achieved the MDG target 7c for water supply. Although still behind for sanitation targets, considerable progress is made. As of 2012, 37 per cent of communities practiced open defecation, as compared to 92 per cent in 1990
The progress on sanitation is mainly achieved through the national Health Extension Programme (HEP) and the community led total sanitation and hygiene (CLTSH) approach. CLTSH is an approach that helps to mainly rural communities to understand undesirable effects of poor sanitation, and through a process of “triggering” – igniting a change in behaviour – achieve sustained behaviour change leading to spontaneous and long term abandonment of Open Defecation (OD) practices. Since its introduction in 2006/7, CLTSH has remained the only instrument in Ethiopia to induce behaviour change of communities to consider construction of latrines and use them – discouraging the practice of open defecation. Although the achievements in the past decade are significant, the success of the approach varied significantly from place to place.
For example, the Oromia regional state, the largest in the country, consists 265 rural and 39 urban districts or woredas. Out of 6,531 kebeles (sub-districts each with an average population of 5,000) in rural areas, about 16 per cent are open-defecation free (ODF) – meaning no-one, including visitors and passing pedestrians, are openly defecating and all have access to basic latrines with handwashing facilities.
UNICEF supports 24 woredas in Oromia state between 2011 and 2015. Of the supported woredas, 24 per cent (116 of 477 kebeles) have achieved ODF status. Compared to regional average of 16 per cent, this is a huge achievement. Sire, one of the supported woredas, has recently been graduated in 2015 with 100 per cent performance, declaring all 18 rural kebeles ODF. Other woredas are at various stages. 11 woredas are between 20-50 per cent progresses, while the rest 12 woredas are of 0-10 per cent progress. Compared to these, Sire Woreda shows an outstanding performance.
Such exceptional achievement requires successfully overcoming a number of challenges. A key challenge is lack of thorough understanding of the steps involved in CLTSH and their importance. Usually CLTSH is about training facilitators and triggering communities. However, many practitioners agree that this is the easiest part. Rendering adequate supervision after the triggering stage and providing support that is necessary to sustain the momentum is the difficult part. Other challenges include diffusion of information to neighbouring communities that make the approach ineffective, lack of trainers with actual field experience, high staff turnover, poor coordination among stakeholders, weak commitment of staff and trained people and application of CLTSH without adequate or proper organisation and preparation.
Growing over all these challenges and as a result of four years of effort, Sire Woreda celebrated 100 per cent ODF achievement in April 2015, with all rural villages and kebeles free from open defecation.
Even though, some of these kebeles were declared ODF two or more years ago, , they continued to sustain their status despite the usual trend of falling-back to OD practice noticed as time elapses. This demonstrates an effective post-triggering activity by the Woreda that effectively complimented the planning and triggering activity.
How was this achieved? The Woreda administration leveraged existing structures to sensitize the leadership ladder down to village level on CLTSH and built it in to the regular reporting and evaluation process. This has helped to mobilize the largest possible support to the effort of Health Extension Workers (HEWs) and CLTSH facilitators, including teachers and students under the guidance and support of the Woreda Health Office. It has also avoided diversions of focus (including manpower, logistics, and resources) as CLTSH has become an official woreda priority.
Two notable practices can be praised in the woreda for this success. (a) the technique of triggering one full kebele at a time in contrast to the usual practice of village by village, and (b) use of different post-triggering follow-up technique suited to context. The advantage of the first technique was twofold. It helped to avoid diffusion of information in to neighbouring communities. Since, focusing in one kebele at a time required more trained people, the coordinators called upon trained and experienced facilitators from adjacent woredas to support, which worked really well. On the other hand, the woreda experts consciously applied different post-triggering follow-up methods. In highland areas, they applied the ‘flag system’, where by communities themselves awarded white flags to households who have constructed basic latrines, and red flags to those who did not. In low land areas, students were organized to alert the community when they see any one defecating in the open, who will then ensure the person buries the excreta.
Currently, the Woreda continues to strengthen the community platforms for monitoring progress and pro-actively works with local leaders to provide the necessary guidance and technical support to sustain the achievement. As a result of this, they are expecting at least two kebeles to achieve secondary ODF, which includes upgrading of basic latrines to improved latrines (with washable slab, vent pipe, hole-cover) with hand washing facility by the whole community. The commitment of leaders, and subsequent effective coordination in the Woreda has benefited the wider community to keep children, women and the society at large healthy.
For the community in Lode Lemofo Kebele, Sire Woreda in the Arsi Zone of the Great Rift Valley of Ethiopia, access to water was an ongoing problem. During the annual dry seasons in this hot, low-land area, community members had to walk for hours under a blazing sun just to get water.
In January 2016, the communities of Lode Lemofo and neighbouring Chenge Kebeles have seen a marked improvement in their day-to-day lives, thanks to a water supply project that was commissioned and constructed with UNICEF support. About 6,500 people in two Kebeles, particularly the 3,250 women and girls who are usually charged with collecting water for household use, are reaping the benefits of improved access to clean and safe water, including increased school attendance among children.
Lode Lemofo community member Yesunesh, mother of 10-year-old Genet and two-year-old Samuel, says, “Fetching water used to be the most demanding task we had to endure on a daily basis. Sometimes we had to do it twice a day. It is very tiring and takes up to three hours to and from the river. At times it is also dangerous, because sometimes hyenas try to attack us or our donkeys.”
The lack of access to water also affected health centres and schools. Communities had to support the provision of water in these facilities themselves. Visiting patients and members of neighbouring households carried water to health centres while school girls and boys carried water to school on a daily basis.
All this has changed when the new water supply scheme became operational. The scheme draws its source from a 265-metre deep well and includes 16 kilometres of pipe network, 11 water distribution points and a 100,000-litre reservoir. One primary school and one health centre have also been connected to the water distribution system.
Yesunesh underscores the difference the scheme has made, saying, “All that suffering is now gone. My girl Genet – as you have seen – can get the water we need for cooking and other household use in less than ten minutes.”
Health centres can now provide better care to community members, particularly pregnant women, while boys and girls are better able to learn at school.
In total, 24 other Woredas in Oromia Regional State are benefitting from UNICEF’s water and sanitation programme. This is part of the overall progress in water and sanitation in Ethiopia, where 57 per cent of the population now relies on improved water supply sources such as water taps or hand pumps, rather than unprotected and risky sources such as rivers and streams. This increased access to clean and safe water has benefitted the children of Ethiopia tremendously, contributing to the reduction of under-five child mortality by two-thirds and the significant reduction of child stunting.
25 June 2015, Addis Ababa: Today, the Government of Ethiopia reiterated its commitment to put an end to child marriage and Female Genital Mutilation/Cutting (FGM/C) at the National Girl Summit held for the first time in its capital. The Summit was held as a follow up to the Girl Summit in London held in July 2014 where the Government of Ethiopia took a heroic step by making a ground breaking commitment to end child, early and forced marriage and FGM/C in the country by 2025.
The historic National Summit in Ethiopia was officially opened by H.E. Ato Demeke Mekonnen, Deputy Prime Minister in the presence of H.E W/ro Zenebu Tadesse, Minister of Women Children and Youth Affairs with over two hundred partners drawn from Sector Ministries of Justice, Health, Education and Finance and Economic Development, UN representatives, representatives of religious council, development partners, civil societies, the private sector, members of the media and nine adolescent girls as guests of honour.
“We all have an obligation to fight and eliminate harmful traditional practices that are violating the rights of girls who will take over as the future leaders,” said H.E Ato Demeke Mekonnen. “If we are expecting good results and a lasting change to tackle these issues ones and for all, we need to work in a coordinated manner and there has to be accountability. I would like to reaffirm that the Government is on top of the agenda to eliminate early marriage and FGM/C and to build a harmful traditional practice (HTP) free country by working together with all partners.”
The Government of Ethiopia has formulated policies and legal and strategic frameworks to establish an environment whereby all citizens, regardless of gender, should have the right to determine his or her own future. However, harmful traditional practices (HTPs) such as child marriage and female genital mutilation/cutting (FGM/C) are still commonly practiced in the country, due to deeply entrenched traditional norms and values that degrades the lives of girls and women.
According to the Demographic Health Survey (DHS), the national prevalence of child marriage declined from 33.1 per cent in 1997 to 21.4 per cent in 2009/10 and among children aged 0-15 declined to 8 percent in 2011.As to FGM/C, the national prevalence rate was 74 per cent in 2005, 56 per cent in 2008 and 46 per cent in 2010. Among children aged 0-14 years, 52 per cent in 2000, 37.7 per cent in 2010 and 23 per cent in 2011 which shows a consistent decline.
H.E. Minister Zenebu on her part said that the Ministry of Women Children and Youth Affairs will continue to work closely and jointly with its sector Ministries and partners to support all the efforts on the ground including community conversations and also reinforcing the laws associated with harmful traditional practices.
On her keynote address, Gillian Mellshop, Acting UN Resident Coordinator and Representative to UNICEF Ethiopia said that Ethiopia has made significant progress in developing polices and strategies as well as in building the capacity of individuals and institutions to tackle those two harmful practices. She stated, “Now it is our turn as the UN in Ethiopia to maintain the momentum and pledge our support to translate the commitment into concrete action for girls. Let us use this occasion to recommit ourselves to empowering adolescent girls through strategies, interventions and partnerships that deliver results so we can jointly end child marriage and FGM/C by 2025 or sooner.”
“Female circumcision is neither in the Bible nor in the Koran and it should not be associated with any religion. How could one try to cut and harm a human body that has been created as complete?” exclaimed Dr. Aba Hailegabriel Meleku, Representative of the Inter Religious Council. “Our council condemns both child marriage and FGM and we hope there will be a platform to have one voice at the federal level to eliminate both evil acts.”
At the Summit, adolescent girls’ messages were geared towards the need for more support from religious leaders and law enforcement bodies; more schools for more girls to be educated; education on reproductive health; and above all the support from boys and young men to change their attitude towards harmful traditional practices.
Dr. Kestebirhan Admassu, Minister of Health said, “We should empower, educate and protect girls. Ethiopia’s Health Extension Workers are a great example to the rural girls and women to inspire them pursue their education and give back to their communities. ”
The Ministry of Women, Children and Youth Affairs establishes a national HTP Platform in order to realise the multi-sectoral mechanisms and to ensure effective coordination and collaboration between and among different development partners involved in the fight against HTPs. This National Implementation and Monitoring Platform is established from representatives drawn from relevant stakeholders (Government line ministries, multilateral and bilateral donors, CSOs, women and youth associations and national federations, faith based organisations, and national associations) working towards the prevention and elimination of HTPs.
Finally, the event was made colourful through the viewing of a rap song entitled, “Yalemachin Get” by young rap star- Abelone Melesse, UNICEF Ethiopia National Ambassador. The song sends a powerful message on children’s rights and making the world a better place for girls by educating, protecting and not turning our back on them as they need all our support.
Moreover, an exhibition was part of the summit where local and international NGOs, CSOs and the UN working on the themes of child marriage and FGM/C showcased their work through print and electronic media.
Photos, videos and other resources can be found here