Providing an ‘essential package’ for child survival: WFP and UNICEF in Ethiopia

WFP and UNICEF in Ethiopia  Deliberate, strategic partnership to address the underlying causes of child undernutrition, and ensure:  Access to adequate food  Care for mothers and children  Access to essential health services  Reorientation, refocusing of existing resources 

Enhanced Outreach Strategy for Child Survival An ‘essential package’ of nutrition interventions:An ‘essential package’ of nutrition interventions: Vitamin A supplementationVitamin A supplementation Measles vaccinationMeasles vaccination De-wormingDe-worming Health, nutrition and HIV/AIDS educationHealth, nutrition and HIV/AIDS education Screening of under five children, pregnant and lactating women for malnutritionScreening of under five children, pregnant and lactating women for malnutrition Referral of malnourished children and women to Targeted Supplementary Food (TSF) programmeReferral of malnourished children and women to Targeted Supplementary Food (TSF) programme

Building on existing infrastructure WFP and UNICEF are building on - and building - regional government capacity and infrastructure for health services and food assistance deliveryWFP and UNICEF are building on - and building - regional government capacity and infrastructure for health services and food assistance delivery The additional effort is focused on child hunger and undernutritionThe additional effort is focused on child hunger and undernutrition Programme will expand in line with local infrastructure capacityProgramme will expand in line with local infrastructure capacity Coverage: 326 of 326 most vulnerable districts for health services; 272 of 326 for TSFCoverage: 326 of 326 most vulnerable districts for health services; 272 of 326 for TSF

Key results of the EOS 2005: 80% of children in defined ‘vulnerable’ districts have received part (Vitamin A) of the ‘essential package’2005: 80% of children in defined ‘vulnerable’ districts have received part (Vitamin A) of the ‘essential package’ 2006: Broader coverage: more districts for TSF, and fuller ‘package’2006: Broader coverage: more districts for TSF, and fuller ‘package’ 5000 Food Distribution Agents (community women) trained in food distribution & management and provision of nutrition education to date.5000 Food Distribution Agents (community women) trained in food distribution & management and provision of nutrition education to date.

Key challenges Multi-sectoral coordination not smoothMulti-sectoral coordination not smooth Screening coverage, quality too low Screening coverage, quality too low Increasing, ensuring government ownership and budgeting Increasing, ensuring government ownership and budgeting Effective institutionalisation of results- based management system for the EOS/TSF Effective institutionalisation of results- based management system for the EOS/TSF

Vision for the Future: EOS integrated into broader, planned government Health Extension outreach programmeEOS integrated into broader, planned government Health Extension outreach programme EOS fully integrated into government budgetsEOS fully integrated into government budgets TSF managed by Regional Disaster Prevention and Preparedness Agency and Food Distribution Agents timely and effectively and with linkages to other food security and nutrition programmesTSF managed by Regional Disaster Prevention and Preparedness Agency and Food Distribution Agents timely and effectively and with linkages to other food security and nutrition programmes Expand FDA capacity:Expand FDA capacity: –1000 more women to be trained –Qualified to give a broader range of nutrition education From emergency to community-based approach to end child hunger and undernutrition: increase government and community capacity to provide needed food assistanceFrom emergency to community-based approach to end child hunger and undernutrition: increase government and community capacity to provide needed food assistance