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Book Cover
E-book
Author Rajkumar, Andrew Sunil.

Title Combating Malnutrition in Ethiopia : an Evidence-Based Approach for Sustained Results / Andrew Sunil Rajkumar, Christopher Gaukler, and Jessica Tilahun
Published Washington, DC : World Bank, ©2012

Copies

Description 1 online resource (xliii, 177 pages) : illustrations, maps
Series Africa Human Development series
Africa Region human development series.
Contents Table of Contents; Foreword; Acknowledgments; Abbreviations; Glossary; Executive Summary; CHAPTER 1. INTRODUCTION; Malnutrition: Definition, Causes, and Consequences; Food Security versus Nutrition Security; A Snapshot of Malnutrition in Ethiopia; Notes; CHAPTER 2. WHO IS MALNOURISHED IN ETHIOPIA AND WHY? FINDINGS FROM A DISAGGREGATED ANALYSIS; Stunting, Wasting, and Underweight: Disparities by Region and Level of Wealth; Determinants of Child Stunting and Wasting; Links between Food Security Status and Malnutrition; Suboptimal Breast-Feeding Practices: Scope of the Problem and Causes
Vitamin A Intake: A Disaggregated FocusIodine Intake and Salt Iodization; Iron Deficiency Anemia: A Disaggregated Focus; Notes; CHAPTER 3. CURRENT PROGRAMS IN ETHIOPIA; Programs That Give Food or Cash; Programs That Do Not Give Food or Cash, Other Than Those Focusing on Community Volunteers; Programs with a Strong Community Volunteer Focus; A Closer Look at Four Programs Affecting Nutrition in Ethiopia; Notes; CHAPTER 4. ASSESSING THE COSTS AND BENEFITS OF NUTRITION-RELATED PROGRAMS; Methods and Limitations of Cost-Effectiveness and Benefit-Cost Analysis of Nutrition Interventions in Ethiopia
Costing of Interventions and Effect on MortalityNonquantitative Assessment of an Intervention's Impacts; Impact on Economic Productivity; Impact on Mental Ability; Total Impacts on Mortality, Economic Productivity, and Mental Ability; Community Volunteer Programs; The Health Extension Program: Health Extension Workers; Major Findings and Implications; Notes; CHAPTER 5. A TARGETED, MULTISECTORAL APPROACH TO COMBATING MALNUTRITION IN ETHIOPIA; The National Nutrition Program: A Harmonized, Programmatic Approach; Strengthening Coordination between Programs and with the Private Sector
Nutrition Information and SurveillanceOptimal Targeting of Nutrition-Related Programs; Targeting: A Summary; Notes; APPENDIX A. RESULTS FROM REGRESSION ANALYSES; APPENDIX B. ASSUMPTIONS FOR THE COSTING OF NUTRITION INTERVENTIONS; REFERENCES; INDEX; BOXES; 2.1 Previous Analysis of the Relationship between Nutrition Security and Food Security; 2.2 Breast-Feeding Practices in North Wollo, Ethiopia, 2002; 5.1 Program Coordination and Linkages in SNNP; FIGURES; 1 Malnutrition Rates in Under-Five Children from Households with Varying Degrees of Self-Reported Food Insecurity, 2004
2 Prevalence of Underweight Children in Woredas in the First Phase of the CBN Program, by Region, 2008-103 Benefit-Cost Ratios for Current and Potential Interventions; 4 Under-Five Deaths Averted and Cost per Capita for Various Interventions; 5 Percentage of Households Reporting Food Shortage within Previous 12 Months in Woredas, by Food Security Designation; 6 Total Stunting and Wasting Rates in Woredas, by Food Security Designation, 2004; 7 Stunting and Wasting Rates in Woredas Grouped by the Number of Major Programs Affecting Nutrition, 2004
Summary Despite recent progress, malnutrition remains a severe problem in Ethiopia, especially among young children. Many of them suffer lifelong consequences in terms of higher risk of mortality and future illness, impaired cognitive ability (including lower IQ) and educational attainment, and overall productivity loss. This report provides the findings from an in-depth data-based analysis of malnutrition in Ethiopia and its causes. It assesses various aspects of current nutrition programming in the country, noting the importance of Ethiopia's first National Nutrition Strategy and National Nutrition Program established in 2008. The report also examines key details including costs and benefits of a range of interventions against malnutrition in the country, including some that are not yet being implemented but could potentially be introduced. The analysis draws on data from household surveys, detailed program data and data from various sources on costs, impacts and potential coverage, among others. The report finds that contrary to what is commonly believed and traditionally used to guide policymaking, a substantial amount of the malnutrition in Ethiopia is due to factors other than food insecurity, pointing to the need for a multi-sectoral approach. Nutrition interventions in general are found to have high benefit-to-cost ratios - sometimes in the double or triple digits - with these ratios being especially high for micronutrient interventions, insecticide-treated bednets, deworming and community-based interventions. Among others, the report recommends the introduction of deworming for pregnant women in Ethiopia - which has the highest benefit-to-cost ratio among the interventions analyzed - and scaling up community-based interventions. These include the Community-Based Nutrition program which shows impressive results in Ethiopia after just over two years of implementation. The report also recommends various ways of improving the effectiveness of nutrition programming including by improving program targeting, enhancing coordination and linkages among programs, and establishing an effective nutrition information and surveillance system. -- publisher description
Bibliography Includes bibliographical references and index
Notes English
Subject Malnutrition -- Ethiopia -- Statistics
Malnutrition in children -- Ethiopia
Cost effectiveness.
Malnutrition.
Children.
Infants.
International cooperation.
Mothers -- Nutrition.
Nutrition policy.
Malnutrition
Child
Cost-Benefit Analysis
Infant
International Cooperation
Maternal Nutritional Physiological Phenomena
Nutrition Policy
cost benefit analysis.
children (people by age group)
infants.
MEDICAL -- Endocrinology & Metabolism.
Nutrition policy.
Mothers -- Nutrition.
International cooperation.
Infants.
Children.
Cost effectiveness.
Malnutrition.
Malnutrition in children.
SUBJECT Ethiopia
Subject Ethiopia.
Genre/Form Statistics.
Statistics.
Statistiques.
Form Electronic book
Author Gaukler, Christopher.
Tilahun, Jessica.
World Bank.
LC no. 2011015871
ISBN 9780821387665
0821387669
6613491713
9786613491718
1283491710
9781283491716