Ethiopia invests US$ 31.4 million on innovative next-generation solar refrigerators for vaccines

Addis Ababa, 18 July 2018 –The Federal Ministry of Health has procured over 6,000 Solar Direct Drive (SDD) refrigerators for health posts and woreda (district) health offices in areas without reliable electricity. The devices will store vaccines at health facilities which will help keep millions of children alive and healthy. The Federal Ministry of Health fully funded the procurement of these solar refrigerators at a total cost of US$ 31.4 million. The procurement was supported by UNICEF given its global expertise in handling such large-scale purchases in a short time.

Prequalified by WHO, the SDD refrigerators are expected to expand immunization coverage in Ethiopia through significantly reducing the time and resources required for vaccine transportation. The devices will ensure the availability and safety of vaccines in remote areas where the country’s most vulnerable children live.

Solar Direct Drive (SDD) refrigerators Programme Launch
Enter H.E Dr Kebede Worku, State Minister of Health addressing media during the Solar Direct Drive (SDD) refrigerators programme launch. ©UNICEF Ethiopia/2018/Mulugeta Ayene

The procurement follows a unique bundled procurement services approach which includes warranty, delivery of spare parts, and training of supply chain and immunization focal persons both at federal and regional levels. In addition, a project management team led by the Ministry of Health and UNICEF will regularly review the progress and efficiency of operations.

At the ceremony, H.E Dr Kebede Worku, State Minister of Health, said, “The Government of Ethiopia underlines its commitment to equip all health posts, health centres and hospitals with optimal cold chain equipment to ensure quality and improve access of the immunization programme.”

“The Solar Direct Drive devices we are being rolled out are the successful outcome of the strong partnership built between the Ministry of Health, UNICEF and other health partners to ensure that no child is left behind on immunization,” said Ms Gillian Mellsop, UNICEF Representative to Ethiopia.

Solar Direct Drive (SDD) refrigerators Programme Launch
Ms Gillian Mellsop visits a display during Solar Direct Drive (SDD) refrigerators programme launch. The SDD refrigerators are expected to expand immunization coverage in Ethiopia through significantly reducing the time and resources required for vaccine transportation. ©UNICEF Ethiopia/2018/Mulugeta Ayene

Immunization is one of the most cost-effective health investments. By protecting children against vaccine preventable diseases, immunization plays a central role in ending preventable child deaths. Despite significant improvements over the past decades, in Ethiopia, only 38.5 per cent of children between 12 and 23 months receive all basic vaccinations. There are also great disparities in terms of access to vaccination services between rural and urban areas.

One of the key strategies to improve access and utilization of immunization services is to improve the cold chain system, especially at health post level. Therefore, the Ministry of Health invested in solar powered refrigerators which are more cost effective and sustainable than refrigerators using gas or kerosene, in remote areas where there is no electricity.

Ethiopia’s Health Sector Transformation Plan (HSTP) has set ambitious goals to improve equity, coverage and utilization of essential health services at all levels by 2020. Achieving these goals will require significant investments, including in innovative technology.

While it remains important to achieve high coverage rates of essential health services, such as immunization of mothers and children, continued efforts are required to provide quality health services to all citizens regardless of differences in socio-economic status or geographic location.

Ethiopia inaugurates model water supply and waste management project

26 May 2018, WUKRO, Tigray region – Today marks another major milestone in the Water Supply, Sanitation and Hygiene (WASH) sector in Ethiopia with the inauguration of a model water supply, sanitation and waste management system in Wukro Town, Tigray Region. Part of the One WASH Plus programme, the system integrates innovative and resilient solutions to provide WASH services to 73,000 people, including 35,000 children under the age of 15, residing in the town and its satellite villages.

Attending the inauguration were His Excellency Dr. Negash Wagasho, State Minister of Water Irrigation and Electricity, Dr Christian Rogg, Head of the UK’s Department for International Development (DFID) in Ethiopia, Ms. Gillian Mellsop, UNICEF Representative in Ethiopia, officials from the Tigray Regional Government and Wukro Town administration officials.

“Ethiopia’s rapid urbanization and population growth has resulted in increased water stress,” said Dr. Negash Wagasho. “The development of adequate, resilient, sustainable and inclusive WASH services is therefore a must to ensure sustainable development of rapidly growing towns. Thus, what we are seeing today is what can be achieved when we put our concerted efforts together.”

“The UK is the largest bilateral donor in the Ethiopian WASH sector and we are proud to fund the excellent work taking place in Wukro, which is supplying vital water and sanitation services to the town and its surroundings,” said Dr Rogg. “I hope the progress in Wukro can serve as an example to be emulated on a national scale.”

UNICEF Representative Gillian Mellsop said the project was one of the greatest achievements of the One WaSH Plus programme and stands as a testament to the tremendous good that can be achieved when everyone pools their resources together towards one common purpose.

“Investments of this nature, both in Wukro and elsewhere in Ethiopia, are not just improving access to essential services but are changing entire lives,” said Dr. Samuel Godfrey, Chief of WASH at UNICEF. “Women and girls no longer have to walk long distances and spend many hours fetching water. Girls can go to school and attend to their schoolwork while mothers have enough time to spend with their children and engage in other productive activities. For communities, a safe and clean environment means fewer disease outbreaks.”

The Wukro project involved expanding the capacity of the town’s existing system to supply water to the town and five satellite villages, integrating it with a “full chain” system for managing liquid sludge and waste (from containment to recycling), improving water and sanitation in institutions such as schools and health facilities, and establishing a business model for managing the facility comprising the local administration and private operators. The low-cost technology deployed in treating domestic liquid waste in selected social housing developments in the town was sourced through a partnership with the Government of Brazil.

The One WASH Plus programme, fully funded by DFID, is implemented by UNICEF in collaboration with the Ministry of Water, Irrigation and Electricity, regional sector bureaus, and the Water Resource Development Fund. The programme also works with the Ministry of Health, the Ministry of Urban Development and Construction, and respective Sector Regional Bureaus, as well as town administrations and town water supply and sewerage utilities.

The programme, which began in 2013, will benefit 250,000 people in eight small towns and surrounding rural villages in Amhara, Oromia, Somali and Tigray regions with a total investment of some US $36 million by targeting communities living in towns and in peri-urban areas. Models such as the one in Wukro, some large and others medium sized, are now a key component of the One WaSH programme across more than 1,000 towns in the four regions in Ethiopia.

Ethiopia’s rapid urbanization and urban development has resulted in increased water stress and high potential for disease outbreaks. The development of adequate, resilient, sustainable and inclusive WASH services is therefore a must to ensure sustainable development of the rapidly growing towns to meet the targets set in the SDGs.

Linking One WASH National Programme and Water Resources Management: UNICEF Ethiopia’s Leverage in the Sector

By Kaleab Getaneh and Jorge Alvarez-Sala

There is a high interdependence between Water, sanitation and hygiene (WASH) services and Water Resources Management. A sustainable supply of good quality drinking water highly depends on how properly the water sources are managed. Similarly, if WASH services provision is not sustainably managed it will have a huge negative impact on the water resource.

The UNICEF and USAID supported project to strengthen the Water Sector Working Group (WSWG) Secretariat started in July 2015 with the aim of establishing a well-functioning platform for the water sector consisting of the WASH and Water Resources Management (WRM) subgroups that contribute to the sustainable development and management of the water resources in the country.

The project has been supporting the reactivation of the WRM Sub Group and the organization of the first-ever Joint Technical Review (JTR) for the WRM sub-sector. The main purpose of the JTR is to bring various stakeholders together and ensure a sustainable coordinated development and management of water, land and related resources in order to maximise the economic and social welfare of the population. This is the basis for the ongoing and future water sector interventions in general and One WASH National Programme in particular.

Developing climate resilient sustainable WASH services under the umbrella of One WASH National Programme require looking into the bigger water resources management picture, including the protection of water sources and the overall water governance issues. To this end, the reactivation and capacitation of the WRM subgroup and the launching of the JTR is significantly contributing to the development of a clear and common agenda for the water resources sector in Ethiopia.

The WRM sub-group has been able to bring together three concerned Ministries: Ministry of Water, Irrigation and Electricity (MoWIE); Ministry of Agriculture and Livestock Resources (MALR); and Ministry of Environment Forest and Climate Change (MoEFCC) and key development partners (DPs), academia and civil society organizations (CSOs).

The priorities established by the WRM sub-group include: 1.Irrigation for growth; 2.Legislation of groundwater use; 3. Conflict resolution; 4. Communication/Management Information System; 5. Institutional and Human Capacity; 6. Water quality; and 7. Water Charges/Tariff and Scheme Sustainability. Following the identification of the priority areas, six WRM technical working groups have been established to further pinpoint key bottlenecks and gaps.

Opening speech by H. E. Ato Kebede Gerba, the state Minister of MoWIE. © UNICEF Ethiopia/2018/Jorge Alvarez-Sala

On the 19th April 2018, the WRM JTR kick-off meeting was successfully held by involving more than 85 participants from academic institutions, CSOs, development partners, basin authorities, concerned federal ministries, and regional bureaus of water, environment and agriculture. The workshop was attended by H.E. Ato Kebede Gerba, the state Minister of MoWIE and H.E Ato Kare Chewicha, the state Minister of MoEFCC. It has laid the foundation by bringing the three ministries (MoWIE, MoEFCC and MoANR) together to talk about water resources management in the country.

 

Currently, the six working groups are actively organizing a field mission to review the state of WRM in three selected river basins (Awash River Basin, Rift Valley Lakes Basin and Abay River Basin) and come up with high impact implementable actions. The findings of the field mission will feed into the upcoming Multi Stakeholders Forum, which will bring both WASH and WRM subsectors together for the first time.

The whole process of JTR and MSF is expected to culminate in the preparation of a National WRM Programme document, which is currently being developed with technical and financial support from UNICEF.

UNICEF’s support to the Water Sector Working Group (WSWG), and its sub-groups is possible thanks to the generosity and support of USAID. The JTR kick-off meeting was also financially supported by JICA and the Italian Cooperation Agency.

Sweden contributes US$ 3 million to UNICEF’s 2018 humanitarian appeal for children in Ethiopia

30 April 2018, Addis Ababa: The Government of Sweden has provided US$3 million to UNICEF Ethiopia’s 2018 Humanitarian Action for Children. The funds will be used to meet the needs of internally displaced populations in the Oromia and Somali regions of Ethiopia.

“We are grateful to the Government of Sweden for this contribution, which confirms Sweden’s continued commitment to supporting populations affected by humanitarian emergencies,” said UNICEF Representative Gillian Mellsop. “This is the first such significant contribution to our funding appeal in 2018. It will enable us to alleviate the hardships currently faced by populations living in IDP sites where access to basic services remains low and where conditions, especially for children, are simply unbearable.”

Current estimates place the number of persons internally displaced by climatic and conflict factors at around 1.7 million. The displaced are settled in 916 sites across the country.

The contribution from Sweden will enable UNICEF to provide critical and much-needed water and sanitation, nutrition, and health services to displaced populations in the two regions. Other services will include education and child protection.

Specifically, Sweden’s support will go towards:

  • Trucking of water to IDP sites and construction or expansion of water supply systems;
  • Diarrhoea treatment, vaccination of children against measles, and distribution of mosquito nets;
  • Treatment of children with acute malnutrition and provision of high protein biscuits to prevent malnutrition in children and pregnant and lactating women;
  • Provision of emergency education, including early childhood development;
  • Reunification of separated and unaccompanied children with their families and preventing and mitigating risks faced by children, especially girls.

While the Government continues to prioritize the return and resettlement of the IDPs, thousands of displaced people are still in need of urgent life-saving assistance. UNICEF’s US$ 112 million humanitarian appeal for children targets 3.1 million people with support, out of which 1.5 million are children. Presently, the appeal has a shortfall of US$ 86 million, with nutrition, health, and education having the most significant gaps.

EU and UNICEF launch a photo book on the success story of reducing malnutrition in Ethiopia

25 April 2018, HAWASSA – Today, the European Union (EU) and UNICEF launched a photo book entitled “Ending malnutrition in Ethiopia – A SUCCESS STORY” which illustrates Ethiopia’s success story in ending malnutrition, through the voices, stories and images of Ethiopians.

The nutrition photo book launch and photo exhibition held in the presence of Dr Abreham Alano, Head of the SNNP Regional Health Bureau, H.E Ambassador Johan Borgstam, Head of the European Union Delegation to Ethiopia, Ms Gillian Mellsop, UNICEF Representative to Ethiopia and other key stakeholders from the Government and other partners is a celebration of the success achieved so far in the reduction of malnutrition in Ethiopia while advocating for continued multi-sectoral efforts since malnutrition among children and women in Ethiopia remains a major concern.

It is also a celebration of how Ethiopia has managed to sustain improvements in nutrition, yet also a reminder of all the work that needs to be done to ensure everyone enjoys optimal nutrition.

On the occasion, Dr Abreham Alano, Head of the SNNP Regional Health Bureau thanked the EU and UNICEF for their support in results gained thus far in reducing stunting and  malnutrition, on the health care utilization as well as maternal and child mortality reduction and urged them to continue their support until the targeted results are achieved.

Ambassador Johan Borgstam, Head of EU delegation to Ethiopia on his part said, “It is an honour for me to open this photo book and exhibition launching event today on a topic of malnutrition which is a priority of both the Government of Ethiopia and of the EU’s development cooperation policy. Malnutrition is not only a major health problem affecting children and adults in partner countries, it also has important economic and social dimensions challenging their development by deteriorating the well-being of their entire population.”

Ethiopia has experienced rapid and sustained improvements in nutrition during the past 15 years. For instance, the country has seen a steady reduction in stunting – the fastest rate of improvement in Africa – as well as a significant decline in the percentage of underweight and wasted children. Yet, Ethiopia remains in a precarious situation, with large absolute numbers of affected children: 5 million children are stunted and 1.3 million children under five suffer wasting.

“I would like to highlight the importance of long-term investments to ensure that progress is sustained in ending malnutrition in Ethiopia. While the achievements we recognize today are indeed a success story, we cannot afford to rest on our laurels. Undernutrition still remains a challenge and it requires us all to redouble our efforts to ensure that every child enjoys better health and nutrition,” said Ms Gillian Mellsop, UNICEF Representative to Ethiopia. With the Government’s leadership and the strong commitment of partners, this goal is achievable. Let’s walk together with the same single-minded determination, zeal, and focus to end undernutrition in Ethiopia.”

To further reduce these numbers, the EU has provided €10,000,000 to support vulnerable populations in 17 woredas (districts) in Oromia, SNNP and Amhara regions of Ethiopia through a project entitled “Multi-sectoral interventions to improve nutrition security and strengthen resilience.” This joint action plan which is being implemented by UNICEF and FAO aims to contribute to the improvement of nutritional status of children, adolescents, pregnant and lactating women using the life cycle approach.

Canada partners with UNICEF to improve reproductive health and nutrition among adolescent girls in Ethiopia

8 March 2018, ADDIS ABABA – On the occasion of International Women’s Day, the Government of Canada is pleased to provide CDN$ 14.8 million (US$ 12 million) to UNICEF Ethiopia to improve the reproductive health and nutritional status of adolescent girls. The initiative will reach over four million girls in districts with high food insecurity and a high prevalence of child marriage. It will be implemented between 2018 and 2022.

“As part of our feminist approach, Canada is committed to advancing sexual and reproductive health and rights in order to empower women and adolescent girls in Ethiopia and around the world,” says Ivan Roberts, Head of Cooperation at the Embassy of Canada in Ethiopia.

In Ethiopia, 25 per cent of the population is made up of adolescents (aged 10 to 19 years), of which 11 million are girls.  Adolescent girls experience numerous barriers that hinder them from fully realizing their potential. A significant portion of these barriers is related to their sexual and reproductive health and to their nutrition.

Canada’s contribution will help girls access adolescent-friendly sexual and reproductive health services and nutrition facilities by training health workers to clearly understand the physiological and psychological needs of adolescent girls. This initiative will also leverage gender clubs in schools to provide life skills and sexual and reproductive health knowledge to young people. In addition, adolescent-friendly spaces will be created to ensure out-of-school children freely discuss nutrition and sexual and reproductive health issues and practices including family planning.

To improve personal hygiene, the programme will support the local production and supply of sanitary pads, education of girls on pre- and post menstruation, improve sanitary facilities through upgrading and rehabilitation, provide spaces in schools for menstruating girls to rest, enhance counselling and peer-to-peer support, and promote informal discussions among girls on issues that concern them.

“We appreciate the timely support from the Government of Canada which will allow us to address the challenges that Ethiopian adolescent girls face today,” says Gillian Mellsop, UNICEF Representative in Ethiopia. “We believe that this contribution will help adolescent girls break out of discriminatory social and gender norms that hamper their education and hinder their ability to meaningfully contribute to their nation’s development.”

UNICEF will use its strong monitoring and evaluation tools to ensure the success of this programme and invest in regular compilation of health and nutrition data to better understand trends and uptake of services by adolescent girls.

25 million child marriages prevented in last decade due to accelerated progress, according to new UNICEF estimates

 Improving trend in child marriage driven largely by significant reductions in South Asia, but problem persists with over 150 million girls likely to marry by 2030

 NEW YORK/ADDIS ABABA, 6 March 2018 – The prevalence of child marriage is decreasing globally with several countries seeing significant reductions in recent years, UNICEF said today. Overall, the proportion of women who were married as children decreased by 15 per cent in the last decade, from 1 in 4 to approximately 1 in 5.

South Asia has witnessed the largest decline in child marriage worldwide in the last 10 years, as a girl’s risk of marrying before her 18th birthday has dropped by more than a third, from nearly 50 per cent to 30 per cent, in large part due to progress in India. Increasing rates of girls’ education, proactive government investments in adolescent girls, and strong public messaging around the illegality of child marriage and the harm it causes are among the reasons for the shift.

“When a girl is forced to marry as a child, she faces immediate and lifelong consequences. Her odds of finishing school decrease while her odds of being abused by her husband and suffering complications during pregnancy increase. There are also huge societal consequences and higher risk of intergenerational cycles of poverty,” said Anju Malhotra, UNICEF’s Principal Gender Advisor. “Given the life-altering impact child marriage has on a young girl’s life, any reduction is welcome news, but we’ve got a long way to go.”

According to new data from UNICEF, the total number of girls married in childhood is now estimated at 12 million a year. The new figures point to an accumulated global reduction of 25 million fewer marriages than would have been anticipated under global levels 10 years ago. However, to end the practice by 2030 – the target set out in the Sustainable Development Goals – progress must be significantly accelerated. Without further acceleration, more than 150 million additional girls will marry before their 18th birthday by 2030.

Worldwide, an estimated 650 million women alive today were married as children. While South Asia has led the way on reducing child marriage over the last decade, the global burden of child marriage is shifting to sub-Saharan Africa, where rates of progress need to be scaled up dramatically to offset population growth. Of the most recently married child brides, close to 1 in 3 are now in sub-Saharan Africa, compared to 1 in 5 a decade ago.

New data also point to the possibility of progress on the African continent. In Ethiopia – once among the top five countries for child marriage in sub-Saharan Africa – the prevalence has dropped by a third in the last 10 years.

“Each and every child marriage prevented gives another girl the chance to fulfill her potential,” said Malhotra. “But given the world has pledged to end child marriage by 2030, we’re going to have to collectively redouble efforts to prevent millions of girls from having their childhoods stolen through this devastating practice.”