The document summarizes two studies conducted in Ethiopia using the Link NCA methodology to understand the causal pathways of undernutrition. The studies were conducted in 2014 in East Harargue zone and Sidama zone. In East Harargue, acute malnutrition (GAM) was found to be 12% among boys aged 6-17 months. Main risk factors identified included poor access to health services, water and sanitation, inadequate infant and young child feeding practices, and food insecurity. In Sidama zone, GAM was 5.6% among boys aged 18-29 months. Main risk factors there were also found to be preventable childhood illnesses, poor access to health services and water, inadequate feeding practices, and poverty.
This presentation gives an outline on:
- identifying what data are needed to characterize the nutrition situation
- tracking progress in policies and programs at global, regional, and country level
- becoming familiar with common data sources for obtaining nutrition indicators
- identifying priority information gaps for nutrition measurement in the West Africa Region
POSHAN District Nutrition Profiles_Guide to DNPsPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that this guide uses the example of Bihar. POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
This presentation gives an outline on:
- identifying what data are needed to characterize the nutrition situation
- tracking progress in policies and programs at global, regional, and country level
- becoming familiar with common data sources for obtaining nutrition indicators
- identifying priority information gaps for nutrition measurement in the West Africa Region
POSHAN District Nutrition Profiles_Guide to DNPsPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that this guide uses the example of Bihar. POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Sundarbans Health Watch - Series 1: How healthy are the children of the India...Jeff Knezovich
Professor Barun Kanjilal of IIHMR and the FHS India team outlines findings from the first Sundarbans Health Watch. The findings are from several in-depth studies into the health situation of children in a representative block of the Indian Sundarbans -- Patharpratima. The full report is available on the FHS website -- www.futurehealthsystems.org.
On December 5th, 2016, Transform Nutrition Co-Research Director John Hoddinott gave a seminar on issues surrounding chronic undernutrition in Ethiopia. In addition to reviewing current trends and the factors associated with these, Dr Hoddinott summarized TN research on chronic undernutrition in Ethiopia, conveying key messages and outlining areas requiring attention in the future. The lecture was attended by representatives from civil society organizations, academics, government officials and researchers.
A tool to assess gaps in district-level coverage of nutrition interventions i...POSHAN
This presentation was made by Dr. Sumathi Swaminathan and Mr. Jithin Sam Varghese (St. John’s Research Institute) in the session on 'Assessing coverage and performance of nutrition interventions: Research experiences from across India' at POSHAN's "Delivering for Nutrition in India - Learnings from Implementation Research" conference, November 9–10, 2016 , New Delhi.
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Common vision mn def march 29 2019 sam scottPOSHAN
Micronutrient Deficiencies group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Integration of WASH and Nutrition: Successes, Challenges, and Implications fo...Jordan Teague
The relationship between water, sanitation, and hygiene (WASH) and nutrition is well-known and well-documented in the literature. Lack of WASH causes diarrheal disease and is associated with environmental enteropathy. Both of these inhibit the absorption and use of calories and nutrients, causing undernutrition. In turn, undernutrition makes children more vulnerable to enteric infections like diarrheal disease.
It is recognized that WASH and nutrition programs are both necessary to achieve improved health outcomes. Studies have shown that the most effective interventions will be those that combine both improved nutrition and infection control and prevention efforts. However, there is
limited evidence on how WASH and nutrition programs are integrated in the field, what barriers these programs face, and what stakeholders believe to be necessary for successful integration.
This study explored this integration to identify barriers to and necessary steps for successful integration of WASH and nutrition programs.Participants identified a total of 14 barriers or challenges and a total of 11 actions, strategies, or changes needed to support effective integration. The main barriers and needs are listed below.
Barriers:
- Insufficient or siloed funding
- Staff capacity and interest
- Knowledge of each sector
- Coordination between sectors
- Lack of evidence on impact of integrated programs
Needs:
- Comprehensive strategy
- Coordination between sectors
- Funding and donor support
- Evidence of impact of integrated programs
- Leadership
Integrating programs in public health is not an emerging concept, but has yet to be operationalized in WASH and nutrition practice. Below are several suggested initial steps toward effective integration of WASH and nutrition:
- Donors should support and fund integration in appropriate contexts through integrated funding streams
- Donors should fund operational research to generate the evidence base of the additive or multiplicative effects of integrated programs and to formulate a standard methodology for integration
- The WASH and nutrition sectors should improve knowledge sharing and cross-training
- Organizations and donors should design incentives through reporting or evaluation criteria for the WASH and nutrition sectors to work in collaboration toward common
goals, objectives, and targets
Source: Teague, J, et al. (2014). Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. International Journal of Public Health. DOI: 10.1007/s00038-014-0580-8.
Overweight, obesity & NCDs group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Factors Associated with Growth in the First 1,000 Days CHECKLEYCORE Group
CORE Group GHPC15
October 8, 2015
Concurrent Session: Factors Associated with Growth in the First 1,000 Days: Translating Evidence into Programs for Stunting, Wasting, and the Double Burden of Malnutrition
A presentation by Osman Sankoh as part of the Innovations in design and measurement panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Common vision outline of output maternal nutrition march 30 2019POSHAN
Maternal Nutrition group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Sundarbans Health Watch - Series 1: How healthy are the children of the India...Jeff Knezovich
Professor Barun Kanjilal of IIHMR and the FHS India team outlines findings from the first Sundarbans Health Watch. The findings are from several in-depth studies into the health situation of children in a representative block of the Indian Sundarbans -- Patharpratima. The full report is available on the FHS website -- www.futurehealthsystems.org.
On December 5th, 2016, Transform Nutrition Co-Research Director John Hoddinott gave a seminar on issues surrounding chronic undernutrition in Ethiopia. In addition to reviewing current trends and the factors associated with these, Dr Hoddinott summarized TN research on chronic undernutrition in Ethiopia, conveying key messages and outlining areas requiring attention in the future. The lecture was attended by representatives from civil society organizations, academics, government officials and researchers.
A tool to assess gaps in district-level coverage of nutrition interventions i...POSHAN
This presentation was made by Dr. Sumathi Swaminathan and Mr. Jithin Sam Varghese (St. John’s Research Institute) in the session on 'Assessing coverage and performance of nutrition interventions: Research experiences from across India' at POSHAN's "Delivering for Nutrition in India - Learnings from Implementation Research" conference, November 9–10, 2016 , New Delhi.
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Common vision mn def march 29 2019 sam scottPOSHAN
Micronutrient Deficiencies group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Integration of WASH and Nutrition: Successes, Challenges, and Implications fo...Jordan Teague
The relationship between water, sanitation, and hygiene (WASH) and nutrition is well-known and well-documented in the literature. Lack of WASH causes diarrheal disease and is associated with environmental enteropathy. Both of these inhibit the absorption and use of calories and nutrients, causing undernutrition. In turn, undernutrition makes children more vulnerable to enteric infections like diarrheal disease.
It is recognized that WASH and nutrition programs are both necessary to achieve improved health outcomes. Studies have shown that the most effective interventions will be those that combine both improved nutrition and infection control and prevention efforts. However, there is
limited evidence on how WASH and nutrition programs are integrated in the field, what barriers these programs face, and what stakeholders believe to be necessary for successful integration.
This study explored this integration to identify barriers to and necessary steps for successful integration of WASH and nutrition programs.Participants identified a total of 14 barriers or challenges and a total of 11 actions, strategies, or changes needed to support effective integration. The main barriers and needs are listed below.
Barriers:
- Insufficient or siloed funding
- Staff capacity and interest
- Knowledge of each sector
- Coordination between sectors
- Lack of evidence on impact of integrated programs
Needs:
- Comprehensive strategy
- Coordination between sectors
- Funding and donor support
- Evidence of impact of integrated programs
- Leadership
Integrating programs in public health is not an emerging concept, but has yet to be operationalized in WASH and nutrition practice. Below are several suggested initial steps toward effective integration of WASH and nutrition:
- Donors should support and fund integration in appropriate contexts through integrated funding streams
- Donors should fund operational research to generate the evidence base of the additive or multiplicative effects of integrated programs and to formulate a standard methodology for integration
- The WASH and nutrition sectors should improve knowledge sharing and cross-training
- Organizations and donors should design incentives through reporting or evaluation criteria for the WASH and nutrition sectors to work in collaboration toward common
goals, objectives, and targets
Source: Teague, J, et al. (2014). Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. International Journal of Public Health. DOI: 10.1007/s00038-014-0580-8.
Overweight, obesity & NCDs group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
Factors Associated with Growth in the First 1,000 Days CHECKLEYCORE Group
CORE Group GHPC15
October 8, 2015
Concurrent Session: Factors Associated with Growth in the First 1,000 Days: Translating Evidence into Programs for Stunting, Wasting, and the Double Burden of Malnutrition
A presentation by Osman Sankoh as part of the Innovations in design and measurement panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Common vision outline of output maternal nutrition march 30 2019POSHAN
Maternal Nutrition group presentation - IFPRI-NITI workshop on "A Common Vision for Tackling Malnutrition in India: Building on Data, Evidence and Expert Opinion" - 29-30 March 2019
An information system on nutrition for the Ministry of Health of Sudan and the WHO Country Office is discussed in this presentation. During emergencies in Sudan, nutrition surveys and surveillance focused on therapeutic feeding programs (TFPs) at pediatric wards and supplementary feeding programs (SFPs) in internally displaced people at camps. The nutritional status of the community, however, was unknown. Over the long term, it will be necessary to collect information about communicable and noncommunicable diseases in Sudan. An update to the nutrition information system was recommended in this proposal without affecting existing sustainability conditions.
Dr C. Dustin Becker, Leeroy Joshua and Dorothy Tavoa of the School of Natural Resources and Applied Sciences from the Solomon Islands National University undertook a rapid country scan on the agriculture-nutrition nexus in 2015. The scan was commissioned by CTA and provides a snapshot of the policies and programmes in the nation.
info4africa/MRC KZN Community Forum | 25 March 2014 | The Department of Healt...info4africa
Speaker: Ms Zamazulu Mtshali – Deputy Manager for the Integrated Nutrition Programme (INP), KwaZulu-Natal Department of Health
Ms Mtshali's presentation will highlight studies that show the presence of nutritional transition in KwaZulu-Natal, where both under and over-nutrition are prevalent. Within the context of the HIV and AIDS pandemic and food insecurity, the high prevalence of under-nutrition, micronutrient deficiencies and emergent over-nutrition presents a complex series of challenges.
Over the years, significant gains have been made with regards to scaling up nutrition, with the development of policies and guidelines for the implementation of nutrition strategies. There is now a renewed focus on specific priority groups for nutrition interventions to have a bigger impact.
POSHAN District Nutrition Profile_Kandhamal_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
POSHAN District Nutrition Profile_Unnao_Uttar PradeshPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
Livestock-Climate Change CRSP Annual Meeting 2011: Integrating Human Nutritio...Colorado State University
Tips for integrating human nutrition into research on the interaction between livestock/agricultural production and climate change; overview of the Global Livestock CRSP's ENAM project in Ghana. Presentation given by G. Marquis (McGill University) at the Livestock-Climate Change CRSP Annual Meeting, Golden, CO, April 26-27, 2011.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
1. Nutrition Causal Analysis in Ethiopia - The cases of
East Harargue and Sidama
ACF developed the Link NCA methodology to better
understand the causal pathways of undernutrition. In
2014, ACF conducted 2 NCAs in East Harargue (Fedis
and Kersa woredas) and in Sidama (Aleta Wondo and
Aleta Chuko woreda).
• In East Harargue zone (Misraq woreda), bi-annual
nutrition surveys (ENCU data) show little changes in
GAM (11% in Midhaga Tola in 2013) and SAM (0,5%)
rates. In the livelihood zones here-considered in Kersa
and Fedis woredas, the main source of income is
agriculture especially khat) and staple food purchase is
significant.
• Sidama zone, in SNNP Region of Ethiopia, is marked
by the paradox of the so called “green hunger”, and is
chronically affected by food insecurity despite fertile
lands, extended rains and a good diversity of crops
(inset, maize, barley, vegetable, etc.).
In both zones, the Link NCA studies took into account a
homogenous population (with different vulnerable
groups selected) sharing similar livelihood zones, to
extrapolate results and compare similar underling
causes. Indeed, in a local context - causes of under-
nutrition are often different from one location to
another. The purpose of the methodology is to go
beyond generic interventions by identifying really
context specific causes in order to propose adequate
solutions.
Main Objective: to identify main causes of child under-
nutrition, in particular wasting of children age 6-59
months in East Hararghe and Sidama
Among the Specific Objectives
• Estimate the prevalence and severity of wasting,
stunting and underweight among children age 6-59
months in the selected livelihood zones
• Estimate the prevalence of known risk factors for
under-nutrition among the population and key ‘nutrition
vulnerable groups’
• Understand how the community prioritizes risk factors
according to: a) which factors are believed to cause
under-nutrition, b) which causes are believed to be most
prevalent, c) which causes are believed to have the most
serious effects
• Identify seasonal and historical trends
• Determine which causal pathways of malnourishment
are likely to explain most under-nutrition cases
These studies were highly supported by the National Early
Warning Response Core Work Process, Regional Health Bureaus,
Health Research and Technology Transfer Support Core Work
Process, Regional Health Bureau Disease Prevention and Control
Core Work Process, Regional, Zonal and Woreda Health
Authority, Regional, Zonal and Agriculture Authority, Sidama
Zone Water, Mines and Energy Department, Regional / zonal
and woredas DPPO. In addition, technical experts from Hawassa
University, and NGO partners including UNICEF, WFP, World
Vision, CRS, IMC, Goal Ethiopia, Plan International, RIPPLE,
and People in Need, provided key inputs through the NCA
preliminary and final workshops. DRMFSS and ENCU were
supporting the full process of the NCA.
Background
• ACF Link NCA methodology – http://linknca.org
• ACF Nutrition security policy
• NCA Final Report – East Harargue zone, Fedis and Kersa
woredas, June 2014
• Nutrition Causal Analysis, Aleta Chuko and Aleta Wondo
Woredas, Sidama Zone, SNNPR, Ethiopia ; Final Report
Resources to Learn More
Aurelie Carmeille, dcdp@et.missions-acf.org,
Deputy Country Director, ACF Ethiopia.
Marie Sardier, msardier@actioncontrelafaim.org,
Link NCA project coordinator, ACF France
Contact Information
Methodology of the Link NCA
Figure Title Findings
East Harargue :
• GAM (w for h z-score) = 12% (95% C.I:8.9 - 16.1%); SAM
= 1.3% (95% C.I: 0.5 - 3.2%)
• Boy (6-17 months old) more at risk of malnutrition
Main risk factors
Sidama :
• GAM = 5.6% (95%CI: 3.5 – 8.9%), SAM = 0.6% (95% CI:
0.0 - 1.9%)
• Boy (18-29 months old) more at risk of malnutrition
Main risk factors :
• High rates of preventable infections and childhood illness in U5,
• Poor health service access and utilisation,
• lack of access to safe water supply,
• Poor hygiene practices,
• Poor utilisation of improved sanitation facilities,
• Poor nutritional status of pregnant and lactating mothers,
• Low status of Women,
• Inadequate complementary feeding practices for children age 6-23
months, & sub optimal breastfeeding practices of children age 0-6
months, chronic poverty
• The outcomes of the Link NCA aims at supporting
stakeholders for better addressing the immediate and
underlying causes of malnutrition significance of
engagement of authorities still needs follow-up and
response analysis and implementation
• Ranking risk factors does not bring a ready to use formula
for addressing malnutrition, as factors are various, but
provides orientations on how to prioritize them
• Malnutrition prevention encompasses several factors and
therefore requires a multi-sectoral response
• Plan of Action based on the Link NCA findings is a key
way forward ; ACF (jointly with partners in East Harargue
case) is developing strategy based on Link NCA
recommendations
• ACF is planning to conduct other Link NCAs in its area of
intervention in 2015 and 2016 (in Borena and WagHimra
zones)
Lessons Learned/ Conclusion/ Way forward
Jennifer Holden, Yibeltal Jembru, Carine Magen, Merce Herrero
The SMART survey report, part of the Link NCA study, has
been revised and approved by DRMFSS/Federal ENCU, and
ACF would like to appreciate their collaboration and
feedback.
Acknowledgements
Data from Kersa and Fedis, East Hararghe
A Link NCA is a structured, participatory, holistic, multi-
sectoral study, based on the UNICEF causal framework,
which aims to build a case for nutrition causality in a local
context.
The study is cross-sectional with the following major steps:
Results from Aleta Chucko & Aleta Wondo, Sidama
« We call it ‘hanqina nyaataa’ which means
lack of adequate food. The child becomes
edematous and has a lack of interest to eat
food, including eggs and milk ». Mother of
MN child
« It is true that mothers have a high work load. We
leave our children behind at home and let other
children who are even young to take care of the small
ones. Some might go out to trade khat leaving behind
infants as small as 1 month. During ou mothers’ time,
they didn’t leave their children behind at home but
now everything is getting difficult and we are getting
poor compared to previous times ». Mothers
H 1 – Care givers
work load
84,4% if care takers are mothers only
2,28 hrs/day = average time spent with child by care takers
H 2 – Short birth
spacing
2,35 years is the average age difference between children
(attempts for next pregnancy less than 24 months)
H 3 – Feeding
habits
Anorexia of pregnant women
60,3% children only given colostrum
Father’s pre-emptive right to choose and eat first – food
passes from the oldest to the youngest
H 7 – low use of
health services
Only 40,3% know of availability of OTP and SC
Traditional medicine: uvulectomy; burns on the chest, bell,
lower back; extraction of bad tooth; more rarely ‘hudurof ’
H 12 – Envn.
sanitation pbs
21% have a toilet + 10,3% boil water before drinking
Main source of water is pond water
H 14 – pbs w/
food quality &
quantity
58,5% report not having enough food
32,6% report events of no food to eat
Very low diversity (Vegetables, fruits and meat available only
for between 25 and 26%)
H 15 – Khat
consumption
Extension of khat production to the detriment of food
production
Use of khat cause loss of appetite
Sale of khat on the market = women – takes several hrs/day