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Ethiopia Assessment of Food Security and Nutrition Situation Bart Minten IFPRI Country Program Leader in Ethiopia Roundtable Discussion March 28, 2016 | Addis Ababa

Ethiopia - Compact2025 · •Leveraging agriculture for growth, reduced poverty, and better nutrition and health ... Ethiopia –E.g. Women’s empowerment, behavior change communication

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EthiopiaAssessment of Food Security and Nutrition Situation

Bart MintenIFPRI Country Program Leader in Ethiopia

Roundtable DiscussionMarch 28, 2016 | Addis Ababa

Ethiopia Roundtable Discussion, March 2016

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Mill

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Perc

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Prevalence (%)Number of undernourished (Millions)

Progress in reducing hunger, but more to

be done

• Hunger fell from 75% to 32% (1990-2015)

– Yet no. of hungry people only fell from 37 to 32 million in same period

• Ethiopia food deficit: 236 kcal/day

• Poor spend 55% of income on food

Undernourishment in Ethiopia

Sources: FAO 2015, Hassen et al. forthcoming

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Ethiopia Roundtable Discussion, March 2016

Poverty persists despite strong economic

growth

• Low income country with impressive GDP growth

– 9.6% average growth from 2000-2014

• Poverty greatly reduced, but 34% live below $1.90/day (2010)

• Majority of poor live in rural areas, where poverty and hunger are highest

GDP per capita (ppp, current international dollar) and poverty headcount ratio at $1.90 a day (2011 ppp, % of

population)

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Pove

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GDP per capita

Poverty headcount ratio

Ethiopia Roundtable Discussion, March 2016

Food availability increasing with room for

improvement

• Food production and productivity have increased; from 2000-2013,

– Yield increased for cereals (+60%)

– Production increased for roots and tubers (+80%)

• Yet there is room for improvement; for smallholders,

– Only 23% use improved seeds

– 8.6% irrigate their farmland

Sources: FAO 2016, CSA 2013

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Ethiopia Roundtable Discussion, March 2016

67

57

51

4440

1992 2000 2005 2011 2014

Despite progress, child undernutrition is

high

• Child stunting fell from 51% to 40% (2005-2014)

– 2.7% reduction per year

• Child wasting: 9% (2014)

• Anemia, women of productive age: 19% (2011)

• Child vitamin A deficiency: 50% (2015)

• No current obesity problem

Prevalence of under-5 stunting (%)

Sources: FAO 2015, Stevens et al. 2015). , UNICEF/WHO 2015

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Ethiopia Roundtable Discussion, March 2016

Stunting prevalence varies by region

Source: Mason et al. 2015

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Ethiopia Roundtable Discussion, March 2016

Selected determinates of nutrition

• Diet diversity: Ethiopia average proportion of calories from non-staple crops from 1991 to 2011 : 25% (Africa average: 37%)

• Water, Sanitation, & Hygiene (WASH): Increased coverage from 1990 to 2013

– Safe drinking water: 13% to 57%

– Improved sanitation coverage: 7% to 42%

• Women empowerment is shown to improve nutritional outcomes in Ethiopia

– Ranks 126 of 146 countries in the WEF Global Gender Gap Index (2015)

Source: WHO/UNICEF JMP 2015, Yimer and Tadesse 2015, WEF 2015

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Ethiopia Roundtable Discussion, March 2016

National frameworks and plans for food

security and nutrition

Strategy/Plan Relation to food security, nutrition

2nd Growth and Transformation Plan (GTP-II, 2015/16-2019/20)

• Includes stunting as a key indicator

• Emphasizes food security and nutrition as main priorities of economic development

Seqota Declaration • Expresses government’s commitment to end child undernutrition by 2030

• Includes social protection, education, WASH, and other goals/sectors

Health Sector Transformation Plan (2015/16-2019/20)

• Guides implementation of health interventions, monitoring key indicators, including nutrition indicators

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Ethiopia Roundtable Discussion, March 2016

National Nutrition Programme (NNP,

2013-2015)

Five strategic objectives

1. Improve the nutritional status of women and adolescents

2. Improve the nutritional status of infants, youth children and children under 5

3. Improve the delivery of nutrition services for communicable and non-communicable /life style related diseases (all age groups)

4. Strengthen implementation of nutrition sensitive interventions across sectors

5. Improve multi-sectoral coordination and capacity to ensure NNP implementation

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Source: Government of Ethiopia, National Nutrition Program 2015

Ethiopia Roundtable Discussion, March 2016

Coordinating and implementing NNP

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Source: Government of Ethiopia, National Nutrition Program 2015

Ethiopia Roundtable Discussion, March 2016

Food and nutrition security institutional

architecture

Source: Adapted from Droppelmann et al. 2015

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Food & Nutrition Security Coordination by

Government through DRMFSS

HumanitarianResponse with coordination

through UN cluster approach

Agricultural Development with donor coordination

through RED&FS

Nutrition Mainstreaming through NNBC & NNP Linkage to

NGO group

Elements of the food and nutrition security architecture in Ethiopia

Key food security, nutrition bodies

• Drought Risk Management and Food Security Sector (DRMFSS), within Ministry of Agriculture

• Rural Economic Development and Food Security (RED&FS)

• Humanitarian Response (UN cluster)

• National Nutrition Coordinating Body (NNBC)—mainstreaming nutrition

• NGOs e.g. Consortium of Christian Relief and Development Association (CCRDA)

Ethiopia Roundtable Discussion, March 2016

Selected policy gaps

• Scaling up investments in agric. R&D and research capacity

• Leveraging agriculture for growth, reduced poverty, and better nutrition and health

• Examining and improving key policies driving diet diversity and quality

• Enhancing multisectoral approach through nutrition mainstreaming in all relevant sectors

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Ethiopia Roundtable Discussion, March 2016

Selected implementation gaps

• Improving coverage of key nutrition activities in zones/woredas of most need

• Strengthening capacity and support to health and farmer extension workers

• Improving coordination across sectors AND levels of government

• Addressing logistic and transportation constraints to implementation of nutrition programs

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Ethiopia Roundtable Discussion, March 2016

Selected knowledge gaps

• Understanding agriculture-nutrition pathways in Ethiopia

– E.g. Women’s empowerment, behavior change communication

• Stimulating agricultural innovation

– E.g. Greater investment in agric. R&D for local crops

• Generating evidence and success stories in nutrition, especially looking beyond food security

– E.g. Evidence on WASH and nutrition

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Ethiopia Roundtable Discussion, March 2016

In summary

Challenges and opportunities

Strengths

• High level of political will for food security and nutrition

• Political structure in place for multisectoral collaboration

• Strong social protection (i.e. PSNP)

• Delivery mechanisms for nutrition in place, e.g. PSNP, Community health workers/ extension workers

Weaknesses

• Incomplete coverage of nutrition programs

• Lack of capacity for multisectoral collaboration at community level

Opportunities

• Momentum from Sustainable Development Goals, global initiatives supporting Ethiopia

• Integrating nutrition into social protection

• Investing in local crop production (i.e. teff)

Threats

• Climate change

• Risk of natural disasters

• Population growth/demographics

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