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.

New EU funding will provide essential nutrition treatment for 130,000 children under the age of five in Ethiopia

03 May 2017, ADDIS ABABA – The European Union (EU) has given €3 million in humanitarian funds to support UNICEF’s emergency interventions in Ethiopia. The new grant will provide life-saving nutrition treatment for severely malnourished children living in drought-affected areas of the country.

In Ethiopia, below-average rainfall has worsened the situation in Somali, Afar, and parts of Oromia and Southern Nations, Nationalities, and People’s (SNNP) regions, already severely affected by protracted drought. Access to water, sanitation and health services in these areas is critically low. In addition, livestock deaths have further reduced communities’ capacity to cope, resulting in food and nutrition insecurity. An estimated 303,000 children under the age of five are at risk of severe acute malnutrition (SAM) in 2017.

A boy is being treated for a severe malnutrition at a UNICEF supported stabilization centre“We are grateful for EU’s continuous and generous assistance for life-saving interventions addressing malnutrition at this critical time,” said Ms Gillian Mellsop, UNICEF Representative to Ethiopia. “We believe that the funding will significantly improve the health condition of children affected by the current drought and reduce the long term impact of malnutrition including life-long cognitive impairments.”

The EU humanitarian funding will support UNICEF to reduce child mortality and morbidity associated with SAM. In order to reach vulnerable children in remote areas, UNICEF will support the Government to expand existing healthcare services and provide treatment supplies – including ready-to-use-therapeutic food (RUTF), therapeutic milk, and medicines. The intervention will also aim at mobilizing communities’ awareness on preventing malnutrition.

“As devastating drought hits pastoral communities in the south and south-east of Ethiopia, bringing in its wake Acute Watery Diarrhoea (AWD) , food and water shortages, the EU is scaling up funding to provide children with vital nutrition care,” said Ségolène de Beco, Ethiopia Head of Office for EU Civil Protection and Humanitarian Aid (ECHO). “Infants and young children are extremely vulnerable to a combination of malnutrition and diseases. To avoid unnecessary deaths and suffering, we need to respond to the needs of these children in time with appropriate treatment and care.”

The concerted efforts of UNICEF with the EU, the Government of Ethiopia and other partners, will relieve the suffering of children while continuing to build long term resilience and strengthening the Government’s capacity to respond to future nutrition emergencies.

EU Partnership Paves the Way for Better Nutrition for Children and Women in Ethiopia

By Nardos Birru

ADDIS ABABA, September 2016 – Ethiopia has experienced repeated droughts, particularly in the past few years, which have eroded rural livelihoods, causing increased food insecurity and malnutrition among vulnerable communities. The 2015/2016 El Niño-driven drought, for instance, left 9.7 million people in need of emergency food assistance.

In response to recurrent food insecurity, UNICEF has partnered with the European Union (EU) to contribute to building resilience of the most vulnerable groups, which includes children under five, as well as pregnant and lactating women. Resilience, or the ability of a community to withstand, adapt and quickly recover from shocks such as drought, is a cornerstone of the EU’s humanitarian and development assistance.

To this effect, the EU has provided €10 million to UNICEF-assisted programmes as part of its Supporting the Horn of Africa’s Resilience (SHARE) initiative through a project entitled Multi-Sectoral Interventions to Improve Nutrition Security & Resilience. The project is implemented in collaboration with the Food and Agriculture Organization of the United Nations (FAO) in the drought-affected woredas (districts) of Amhara, Oromia Southern Nations, Nationalities and People’s Region (SNNP) regions, benefiting 773,626 mothers and children.

NYHQ2014-3631
As part of the community-based nutrition programme, Binti, a Health Extension Worker counsels a mother on best nutrition practices. ©UNICEF/2014/Nesbitt

How does SHARE work?

The project aims for communities to have access to quality nutrition services in their vicinity and a better understanding of the importance of proper infant and young child feeding (IYCF) practices.

It covers a wide range of interventions including the promotion of exclusive breast feeding and adequate complementary feeding, vitamin A supplementation and deworming of children, as well as the promotion of hygiene and sanitation.

This is complemented by a series of nutrition-sensitive agriculture interventions led by FAO in partnership with the Ministry of Agriculture. This component helps build the capacity of women to improve the variation of their diet through livestock and poultry rearing, as well as backyard gardening. It also brings opportunities for women to collaborate as peer support groups to produce nutritionally valuable complementary foods such as cereal mixtures for sale. This stimulates the local economy by creating jobs and empowering women to ensure the healthy growth of their children.

An evidence-based approach

Launch of document entitled “Situation Analysis of the Nutrition Sector in Ethiopia” from 2000-2015
Left to right: H.E Chantal Hebberecht, Ambassador of the European Union; Birara Melese, National Nutrition Programme Team Coordinator; Gillian Mellsop, UNICEF Representative to Ethiopia; at the launch of the 2000-2015 “Situation Analysis of the Nutrition Sector in Ethiopia” in Addis Ababa, Ethiopia ©UNICEF/2016/Tesfaye

One achievement of the project was an initiative to analyze and document the nutrition situation in the country from 2000 to 2015.  The report was launched in March 2016 and highlights critical gaps in terms of existing policies and programmes which need to be addressed urgently to accelerate nutrition results for women and children. Key findings of the situation analysis report include poor water supply and sanitation as high risk factors for child stunting, educating mothers as a key factor for improving nutrition, as well as the need to improve production diversity, nutrition knowledge and women’s empowerment to ensure that diverse and nutritious foods are available and accessible at all times.

The SHARE project also serves as a platform for multiple non-governmental organizations where they can exchange expertise and best practices to improve implementation and follow a harmonized approach in their respective intervention sites. This way, efforts are combined and the impact on the nutrition status of children and women will be maximized.

UNICEF would like to express its gratitude to the EU for the generous financial contribution to UNICEF-assisted programmes and looks forward to strengthening successful collaboration for children and women in Ethiopia. Thanks to EU support, over 225,000 children under five and over 50,000 mothers will have better access to improved nutrition services. This is in line with the efforts of the Government of Ethiopia to realize the Seqota Declaration to make undernutrition, in particular child undernutrition, history in Ethiopia.

EU’s Satellite images provide life saving water to drought affected communities in Ethiopia

By Samuel Godfrey

An ongoing UNICEF supported borehole drill in Musle Kebele of Kore Woreda.
An ongoing UNICEF supported borehole drill in Musle Kebele of Kore Woreda. The borehole drilling site was identified through combined remote sensing technology with conventional methodologies (hydrogeology and geophysics). © UNICEF Ethiopia/2016/Ayene

Ethiopia is in the middle of an El Nino induced drought which has left 5.8 million people across the country without access to adequate water. More than 220 districts of Ethiopia are facing water related emergencies that arise due to either a lack of availability or quality of water.

As the WASH cluster lead, UNICEF supports the Government of Ethiopia and other partners in the rehabilitation, maintenance and construction of new water supply systems, provision of water purification and treatment chemicals, scaling up of water trucking activities, and provision of sanitation and hygiene facilities in schools. In addition, UNICEF is exploring innovative ways to use satellites to detect deep groundwater for large scale, multiple-village water supply systems. As part of the overall drought emergency response, UNICEF supports programmes in child protection, education, health and nutrition.

Groundwater, compared to rivers/lakes or other surface water, supplies 80 percent of all drinking water in Ethiopia. Water from the groundwater aquifers supports emergency water supply, urban water supply and livestock watering. With limited rains, many of these shallow groundwater wells have run dry and these communities rely on expensive commercial trucks to haul in water.

The more sustainable groundwater is located at extremely deep depths. In some cases, more than 300 metres below the ground which is the equivalent in height of the Empire State Building. To locate water that deep and then to drill and extract it is a major challenge.

Satellite image of Afar Elidar woreda Potential drilling sites
Satellite image of Afar Elidar woreda potential drilling sites

To tackle this problem, the European Union and UNICEF have selected 9 of the worst affected districts across Ethiopia to use ‘satellite’ technology to locate groundwater. The EU Joint Research Centre (JRC) are providing their expertise by availing ‘no cost’ satellite images which depict the physical and topographical characteristics of the districts from satellites 100s of KM in the sky. These are then combined by UNICEF hydrogeology experts to locate appropriate sites for the drilling of essential deepwells for drought affected communities.

Results to date are extremely encouraging that it should be expanded to a larger scale of the country. On a recent visit to a well sited using this technique in Afar, the UNICEF Executive Director, Anthony Lake said “This approach is very cost-effective, compared to delivering water by truck. Indeed, every permanent well costs the equivalent of only three deliveries of water by truck.”

Mr. Lake added “This is only the beginning. With our partners in the European Union and the Government of Ethiopia we are expanding this effort through out the country, distributing water to villages, schools, health centres and cattle troughs.”

UNICEF would like to express its thanks to the European Union Delegation and the EU-JRC, for their establishment of a remote sensing partnership with UNICEF and providing the un-reserved support so far, which we believe to be strengthen and extended further in the future.

Innovative approaches like these are already showing results for boys and girls in the hard to reach areas of Ethiopia.

Dr. Samuel Godfrey is Chief of WASH for UNICEF Ethiopia, and has a PhD and MSc in Civil Engineering and Water and Waste Engineering.

EU gives €3 million to improve the nutritional status of children in Ethiopia

Funds to reach over one million beneficiaries in Ethiopia 

Asmera Bere feeds her son, Amanuel Shibabaw, feeds to her child a nutritious porridge made from locally available products, at the health post as a demonstration to cook at home
Asmera Bere feeds her son, Amanuel Shibabaw, a nutritious porridge made from locally available products, at the health post as a demonstration to cook at home ©UNICEF Ethiopia/2014/Sewunet

ADDIS ABABA, 21 March 2016 – The European Commission today announced a €3 million grant to UNICEF to improve the nutrition for severely malnourished children in the drought affected areas in Ethiopia. 

The EU funding aims to strengthen the current emergency response and reach an estimated 40,000 Severe Acute Malnutrition (SAM) children. It will help provide supplies (40,000 boxes of Ready-to-use Therapeutic Food (RUTF) and 19,700 packs of amoxicillin). The funds will also support one round of Extended Outreach Strategy (EOS) screening which provides biannual vitamin A supplementation and de-worming to children under 5 years of age. Screening for acute malnutrition for children and pregnant and lactating women will also be covered.

“The El Niño phenomenon is impacting entire regions in Africa, notably Ethiopia. The EU support will help UNICEF provide life-saving assistance to the most vulnerable. It will help more than a million children suffering from malnutrition get treatment,” said Jean-Louis De Brouwer, Director of Operations in the European Commission’s Humanitarian and Civil Protection department (ECHO).

“We are grateful to the EU for its continued support for life saving interventions addressing malnutrition in Ethiopia,” said UNICEF Representative to Ethiopia, Ms Gillian Mellsop. “Children are always the most vulnerable group in emergencies but when support is made available, we can change their lives for the better.”

The EU funding targets close to half a million children under the age of five along with nearly 140 000 pregnant and lactating women in the Somali region. UNICEF, at the request of the Government, is responsible for the procurement of supplies for Severe Acute Malnutrition (SAM) management as a key input to the emergency nutrition responses throughout the country. It also provides technical and financial support to ensure programme quality and coverage. 

UNICEF is supporting the Government in responding to the emergency by scaling up and strengthening the treatment of children with severe acute malnutrition, increasing the intensity and frequency of screening of children and pregnant and lactating women, and ensuring key preventative nutrition services are provided to prevent excess morbidity and mortality.

According to the revised Humanitarian Requirement Document (HRD), over 10.2 million people in need of food aid and estimated 435,000 in need of treatment for severe acute malnutrition by the end of 2016. This has significantly devastated livelihoods and greatly compromised the health and wellbeing of children and women, through malnutrition and hygiene-related diseases across Ethiopia with six regions hit particularly hard.

In Ethiopia, Nationwide Polio Vaccination Campaign Reaches 13 Million Children

Somali Region, Ethiopia, 12 May, 2014 – Ethiopia kicked off a polio vaccination campaign on 3 October 2013, targeting 13 million children across the country following an emergency response that began in the Dollo Ado refugee camps in June 2013.

In July 2013, Ethiopia Reports First Wild Poliovirus Case Since 2008.

Ayan Yasin, a four-year-old girl, was one of the first confirmed polio cases in Ethiopia. Ayan lives with her father and mother, a typical pastoralist family, in their house, made of tin, wood and woven bed sheets in a remote secluded area three kilometers from Geladi Woreda in Ethiopia’s Somali Region. Living next to the Somalia border means that the family move frequently between Ethiopia and Somalia – making routine immunisation practices difficult.

When Ayan fell sick, her father took her to the nearest hospital in Somalia where he was told there was very little hope. After many visits to various health posts, Hergeisa Hospital finally confirmed she had Polio. “We call this illness the disease of the wind. We know that there is no cure for it, and that it can paralyse and even cause death. My daughter hasn’t died but it has disabled her forever,” says her father.

Polio vaccines arrive in Warder
Bukhari Shiekh Aden of UNICEF helps in moving polio vaccines of an airplane which just arrived in Warder district, Somali region of Ethiopia for a campaign as a response of a recent polio outbreak in the Horn of Africa. ©UNICEF Ethiopia/2013/Sewunet

Close to 50,000 health workers and volunteers and 16,000 social mobilisers have been deployed all over the country as part of a campaign that includes remote and hard to access areas. With the support of the European Commission- Humanitarian Aid and Civil Protection Department (ECHO), UNICEF has procured vaccines to support immunisation efforts particularly for children and the refugee population being hosted in the Somali Region. In total, 135,000 vials or 2.7 million doses of bivalent Oral Polio Vaccine (bOPV) were procured to immunise 2.43 million children with a polio vaccine – a critical input to immunisation activities in the Somali Region and Polio high-risk areas. The support from ECHO has also helped to airlift the Polio vaccine to hard-to-reach zones of Afder, Gode and Dollo in the Somali Region.

Synchronised cross-border polio outbreak preparedness and response

Supplementary Immunisation Activities (SIAs) were conducted in Ethiopia, Somalia, Kenya, and Djibouti to accelerate progress towards ending Polio in the Horn of Africa. The synchronised SIAs were an outcome of the Horn of Africa Countries Cross-Border Polio Outbreak Preparedness and Response Meeting in Jigjiga, from 21 to 23 May 2014, where Ethiopia, Somalia, Kenya and Djibouti agreed to strengthen cross-border collaboration to eradicate polio from the Horn of Africa.

To reinforce support and strengthen Polio eradication efforts in the Somali Region, a high-level delegation consisting of Dr Kebede Worku, State Minister of Health, Mr Abdufatah Mohammed Hassen, Vice President of Ethiopia’s Somali Regional State and Head of the Somali Regional Health Bureau, Dr Pierre M’Pele-Kilebou, WHO Representative to Ethiopia, and Dr Willis Ogutu, Head of UNICEF programme in Somali Region, visited Warder in Dollo Zone, the epicentre of the wild polio virus outbreak in Ethiopia, on 14 June 2014. The delegation, together with the Warder Zonal Administration, launched the ninth round of Supplementary Immunisation Activities (SIAs) in the outbreak zone and formally inaugurated the Zonal Polio Outbreak Command Post, which had been established in April 2014 to improve coordination of response activities.

Polio vaccination in the Somali region of Ethiopia, as a response of a recent polio outbreak in the Horn of Africa
Polio vaccination in the Somali region of Ethiopia, as a response of a recent polio outbreak in the Horn of Africa ©UNICEF Ethiopia/2014/Sewunet

Sustained interventions to ensure long-term success

While the campaigns to vaccinate children against Polio in the Somali Region have been going well, ensuring long-term success in eliminating the disease will require sustained interventions.

Abdufatah Mohammud Hassen believes the best solution is to immunise every child and ramp up routine immunisation activities in the region. “The campaigns are just to stop the emergency but the main thing that we are doing is to reach every child by strengthening the routine EPI and ensuring that the health facilities have the capacity to respond to the demands of the public”

With the help of developing partners like ECHO, Bill and Melinda Gates Foundation, the Rotary International and the Crown Prince of Dubai, UNICEF together with the Ministry of Health is continuing its efforts so that young children like Ayan Yasin living in the region are protected from the disabling symptoms of the Polio disease.

Butajira’s ideal health facilities give hope to ending maternal and new-born death in Ethiopia

By Wossen Mulatu

Butajira Hospital and Health Center Media Visit ahead of the EU-ESDE project lauch, 2 April 2014
Dr. Ayenachew Abebe, Medical Director of Butajira Hospital gives briefing about the activities of the hospital in maternal and new-born health. Butajira Hospital and Health Centre Media Visit ahead of the EU-ESDE project launch, 2 April 2014 ©UNICEF Ethiopia/2014/Fasil

Butajira, 2 April 2014: Around fifteen journalists from eleven media houses visited Butajira hospital and health center to witness firsthand the facilities for mothers and new-borns there.

The media visit was organized by the Federal Ministry of Health, European Union and UNICEF to show the commendable services provided by Butajira hospital and health centre ahead of the high level launch of the ‘Enhancing Skilled Delivery in Ethiopia’ (ESDE) which was made possible with EU’s generous €40.2 million grant.

New mother Aster Kebede’s face is filled with grace holding her new baby girl already named Etenesh Gobeza. After an hour of delivery, she has immediately started breast-feeding her child sitting comfortably on the hospital bed. It took her a day to come to the hospital from the neighboring Mareko woreda (district) with her mother Fichage Arega. Now, both of them are proudly sitting close to each other admiring the newly born child and grandchild in relief.

“I am highly content with the service provided here at the hospital. The staff were really kind to me and I had a smooth delivery. I am also grateful that such service is offered for free.” said Aster.

In Ethiopia the most critical period of care for maternal and neonatal mortality reduction (skilled birth attendance) has remained stagnant for the past two decades with only 29 per cent of mothers accessing this essential care. In addition, despite the improvements in reducing under 5 mortality rates, neonatal mortality rate has also remained stagnant showing no significant reduction from 39 in the 2005 to 37 in 2011.

Butajira Hospital and Health Centre Media Visit ahead of the EU-ESDE project launch, 2nd April 2014
Aster Kebede, one hour after delivering her baby girl Etenesh Gobeza describes her experience in the hospital to the media. ©UNICEF Ethiopia/2014/Fasil

“Both the quality and quantity of services have increased in the hospital due to the commitment and motivation of the hospital management and its staff to prevent any death of mothers and new-borns” said Andualem Mengistu, Manager of the hospital.

According to Andualem, the range of mothers who deliver at the hospital has increased from 10-15 up to 80-90 mothers per week at present. This significant increase is due to the introduction of free service for mothers who deliver at the hospital, increase in the number of midwives on duty programme and early referral system from the Health Center. In addition, the hospital implements Maternal Death Surveillance and Response (MDSR) and uses volunteers from Voluntary Services Organization (VSO) to fill the staffing and skill gap.

“Giving birth should be a time of happiness and celebration for mothers and not a time of sorrow. And newborns are not predestined to die” said Dr. Asheber Gaym, Health Specialist at UNICEF. “We need to make all our efforts to stop the unnecessary death of mothers and new-born in the country by closely working with the Government and partners” he added.

 Ali Abdella, deputy head of the woreda health unit indicates that, their main objective is to create demand so that mothers deliver at a health facility and not at home. The maternal mortality rate in the city used to be 67 deaths per 10,000 in 2010 and now it has gone down to 6 deaths per 10,000 which is a significant achievement.

According to Ethiopian Demographic and Health Survey (EDHS) 2011, Ethiopia has one of the highest maternal mortality ratios in the world estimated at 676 maternal deaths per 100,000 live births far from the MDG target of 267.

“We are now aiming at quality service and HDF (Home Delivery Free) community.” he stresses.

Translation of paragraphs from stories by journalists that took part in the media visit are posted here: [With a link to the Amharic story]

[Ethiopian Reporter] Saving a mothers life

Hospitals can solve Maternal health and newborn deaths when they have the necessary  equipments and sustainable supply. To equip new and old hospitals with the necessary equipments to sustain the supply, the European Union  has donated 40 million Euros through a project implemented by Ministry of Health and UNICEF. All health sectors will benefit from this three year project Read more.

[Ethiopian News Agency] The hospital has played a role in reducing maternal and newborn deaths

“Many newborn and maternal lives were saved because of this hospital” says Fetiya “The service is for free, so all mothers should come to the hospital and save the life of their children and themselves” Fetiya conveys her message. Read more

[DW- Amharic] Butajira hospital to benefit from new 40 million Euro EU funded project 

UNICEF and Ethiopian Ministry of Health will work together to achieve MDG5, reduce maternal and newborn deaths , by implementing a new 40 million euro project donated by the European Union. Read more