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Nutrition Works International Public Nutrition Resource Group A Review of Save the Children UK’s Nutritional Surveillance Programme in Ethiopia May 2006 Fiona Watson Carmel Dolan Jeremy Shoham Margie Buchanan-Smith Contents 1. Executive Summary..............................................................................1 2. Introduction...........................................................................................8 3. History of NSP.....................................................................................10 1978-1986 Antecedents to the NSP..................................................10 1986-1991 The Nutrition Surveillance Programme is established...11 1991-1995 Seeds of the Household Food Economy Approach.......12 1995-2001: A focus on credibility and communication...................15 1998-2001 Phase out of NSP............................................................17 2001-2006 From nutrition surveillance to rapid nutrition assessments ..........................................................................................................18 Conclusions.......................................................................................20 4. Design of the NSP................................................................................22 Design strengths and weaknesses.....................................................23 The role of nutrition trend data.........................................................23 Coverage...........................................................................................24 Concentration on the under-fives .....................................................25 Food first bias...................................................................................26 Appropriate nutrition indicators .......................................................26 Nutritional status as an early warning indicator of food crises........28 Nutritional status as an early warning indicator of humanitarian crises (increased mortality)...............................................................31 The role of nutrition in EWS............................................................32 Conclusions.......................................................................................33 5. Implementation of the NSP................................................................35 Implementation strengths and weaknesses.......................................35 Ensuring objective and high quality information.............................35 Lack of integration............................................................................36 Lack of capacity development..........................................................36 Separation between information and response.................................37 Dependence on agency core funding................................................37 Conclusions.......................................................................................38 6. Interpretation and use of information from the NSP......................39 Views on NSP information...............................................................39 Disseminating the NSP findings.......................................................39 Follow-up and advocacy...................................................................40 The NSP warns of crisis and elicits a response................................40 The NSP warns of crisis but is ignored............................................41 The NSP elicits a response by highlighting declines in nutritional status .................................................................................................42 The NSP fails to elicit a response due to over-emphasis on anthropometry...................................................................................43 ii NutritionWorks The NSP advocates for a non-food aid response..............................45 Conclusions.......................................................................................46 7. Sustainability.......................................................................................47 Financial sustainability.....................................................................47 Systemic (institutional) sustainability ..............................................48 Cost effectiveness.............................................................................49 Conclusions.......................................................................................52 8. Current nutrition situation................................................................53 The changing donor and agency climate..........................................53 Trends in malnutrition......................................................................54 Nutrition institutions.........................................................................55 Nutrition strategy..............................................................................57 Nutrition programmes.......................................................................57 Conclusions.......................................................................................58 9. Role of nutrition information in Ethiopia today..............................59 Priority nutrition problems ...............................................................59 Existing sources of nutrition information.........................................61 Conclusions.......................................................................................65 10. Conclusions and lessons learnt........................................................66 Design...............................................................................................66 Implementation.................................................................................68 Use of data........................................................................................70 Sustainability ....................................................................................71 11. Recommendations...........................................................................72 Recommendations for SC UK Ethiopia Office................................72 Recommendations for agencies involved in nutrition in Ethiopia...73 Recommendations for SC UK globally............................................76 Annex 1: Time-line of events in Ethiopia .............................................80 Annex 2: Key Informants.......................................................................82 Annex 3: Key Documents.......................................................................83 Annex 4: Terms of Reference................................................................87 iii NutritionWorks List of Acronyms CSA Central Statistical Authority CTC Community Therapeutic Care CIDA Canadian International Development Assistance DPPC Disaster Prevention and Preparedness Commission ENCU Emergency Nutrition Co-ordinating Unit EHNRI Ethiopian Health and Nutrition Research Institute ENI Ethiopia Nutrition Institute EU European Union EWS Early Warning System FA Farmers Association FSIS Food Security Information System GAM Global Acute Malnutrition HEA Household Economy Approach IDP Internally Displaced People MoARD Ministry of Agriculture and Rural Development MoH Ministry of Health MUAC Mid Upper Arm Circumference NFW Nutrition Field Worker NGO Non-Governmental Organisation NNS National Nutrition Strategy NSP Nutrition Surveillance Programme NTF Nutrition Task Force PRSP Poverty Reduction Strategy Paper RATS Rapid Assessment Team RATSO Rapid Assessment Team Somali Region RRC Relief and Rehabilitation Commission SAM Severe Acute Malnutrition SC UK Save the Children United Kingdom UNICEF United Nations Children’s Fund USAID United States Agency for International Development WFL Weight-for-Length WFP World Food Programme iv NutritionWorks
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