A child’s example demonstrates the need for integrating educational services for refugees and host communities in western Ethiopia.

By Amanda Westfall

On 21 December 2017, eight-year-old Ethiopian Sefadin Yisak speaks about his friend on the hill, Adam, a nine-year-old, South Sudanese refugee boy. When boundaries, legal restrictions and cultural differences can divide communities, it is the children who remind us of the great importance of social integration.

Children truly know no borders. To Sefadin Yisak, an Ethiopian student at Tsore Arumela Ethiopian Primary School, Adam, a South Sudanese refugee who attends primary school within the neighbouring refugee settlement, is just his good friend. Sefadin doesn’t see the differences in history, culture or in the quality of educational services. He only sees the South Sudanese refugee boy as his good friend that he met at the river over the summer. They meet and play in the water with other neighbourhood kids when they don’t have school or other chores to do.

“To Sefadin, Adam (a South Sudanese refugee) is just his good friend. He doesn’t see the differences in history, culture or educational services.”

But from an adult’s perspective, it is evident that educational services have not been equal between refugees and their host-Ethiopian communities. With the host primary school only a 15-minute walk from the refugee settlement, one can truly notice the differences.

In addition to their struggle to survive and flee from conflict, the South Sudanese refugees experience lack of quality education due to unskilled teachers, overcrowded class sizes and exclusion from the national educational system and the services it provides. On the other hand, some refugee settlements have in some cases benefited from other services, including better-constructed classrooms, play equipment and materials for teaching, while the host communities often experience a lack of funding to improve classroom infrastructure and educational materials.

Thus, these inequalities in educational provisions can create social barriers that could potentially build unnecessary tension between communities. In reality, there are more similarities between the communities than differences, such as language, food, family customs, and a passion for education.

When South Sudanese people residing in Ethiopia for multiple years (some over 20 years, some less than one year), and children from both communities – like Sefadin and Adam – show us the importance of integration, it is crucial to support this clear demand.

Sefadin says that his favourite school subject is mathematics because his 2nd grade teacher, Ahmed Mustefa, is very helpful. Ahmed explains the importance of integration with the refugee communities. He noted that the communities never lived in conflict, but that the lack of integrated services has limited the amount of authentic social interaction with the refugee community who live just a short walk away. He adds, “We are all human beings and when we live together it is better for socialization.”

“We are all human beings and when we live together it is better for socialization”

Education for Refugee and Host Community Children Benishangu-Gumuz, Ethiopia
Children at Sefadin’s host-community primary school play on equipment provided with the support of UNICEF. The refugee settlement is visible in the top left corner, where schools also enjoy the same play equipment provided with UNICEF’s support. © UNICEF Ethiopia/2017/Martha Tadesse

Institutions recognize the need

Institutions have started recognizing the need, and in response have begun providing services that support integration. With the support of the United States Government (US-BPRM), UNICEF has been working with partners – the Ministry of Education, the Administration for Refugee and Returnee Affairs, UNHCR, and Save the Children – to bring equitable and efficient educational services that spark social cohesion for both communities.

Refugee and Ethiopian teachers join the same training programme

Ahmed’s teacher training programme is a prime example.  In his region of Benishangul-Gumuz, 149 refugee teachers and 225 host-community teachers have all taken part in the new UNICEF-developed teacher training flagship programme, Assessment for Learning. This new approach shows teachers how to implement continuous assessment techniques to better understand the learning gaps of children and respond accordingly.

It is the first of its kind – where refugee and national teachers learn the same skills at the same time. Ahmed and other teachers from both communities stayed in the same dorms for the 10-day course, learned from each other, and now feel more part of each other’s communities. Before this training, refugee and national teachers never interacted professionally. They were trained with different programmes, and in most cases, it was the refugee teachers who missed out on professional development and teacher enhancement opportunities. Now, with more equality in refugee and host-community teachers’ knowledge and skills, Ethiopian students, like Sefadin, and refugee students, like Adam, both benefit from teachers who were trained in the same teacher training programme.

Integration through sport and play

What’s most exciting about the integrated response is the development of sport and play activities. Both communities now enjoy new play equipment and learning and play materials such as balls, toys, puzzles, counting blocks, and others. Teachers are trained on the “Connect, Reflect, Apply” approach, to develop useful life skills in children. Both Sefadin and Adam now have new equipment to play and are learning the same life skills, in addition to enjoying the benefits of new solar-powered TV’s that display educational programmes.

More efforts are necessary for sustained integration

Education for Refugee and Host Community Children Benishangu-Gumuz, Ethiopia
Sefadin and his 2nd Grade teacher, Mr. Ahmed Mustefa © UNICEF Ethiopia/2017/Martha Tadesse

While some refugee settlements in Ethiopia have experienced integration, in terms of students attending the same school, teacher training integration, or social cohesion through extra-curricular activities, many communities still lack support for equitable integration.

Communities have started to integrate, whether it be working for each other during harvesting season, inter-marriage, or making friendships while playing in the river. Even Sefadin’s family is now supporting Adam’s family with food provisions, like sorghum, maize and mango.

It is time to truly respond to the needs on the ground. Ahmed insisted that “we need more programmes like these for integration,” as he reflected on his new friendships he developed with refugee teachers from the training programme.  And young Sefadin adds that it would be “cool if Adam were in my class.”

When boundaries, cultural differences, and varying educational services can divide communities, it is the children – like Ethiopian Sefadin and South Sudanese Adam – who remind us of the great importance of social integration.

UNICEF continues to work with partners to implement programmes that spark integration of refugees and host communities in all five refugee-hosting regions of Ethiopia so that cross-cultural friendships, like that of Sefadin and Adam, can be supported with an equality in educational services.

Italy and UNICEF sign the agreement for the second phase of the “vital events registration project”.

ADDIS ABABA, 6 December 2017: Italy and UNICEF signed today a financing agreement for the project “Strengthening the Civil Registration System for Children’s Right to Identity: Identification for Development – ID – Second Phasefor an amount of one million Euros.

The first phase of the project is currently under implementation in 50% of the Woredas and Kebeles of Oromia and Southern Nations, Nationalities, and Peoples’ (SNNP) regions. The second phase, which is funded by the Italian Ministry of Foreign Affairs and International Cooperation for a period of 12 months, will cover the remaining 50% of the Woredas and Kebeles of Oromia and SNNP Regional States.

The agreement signed today by the Italian Ambassador Arturo Luzzi, the UNICEF Representative, Ms. Gillian Mellsop and the Director of the Addis Ababa Office of the Italian Agency for Development Cooperation, Ms. Ginevra Letizia, will implement strategic activities aimed at: 1)improving institutional and technical capacity of the Regional Vital Events Registration Agencies (RVERAs) in Oromia and SNNPR; 2) establishing a standardized database and data management system; 3) providing RVERAs with modern IT devices and transportation, in order to better reach remote and disadvantaged areas. 820,000 newborn children will benefit from this initiative.

Speaking at the signing ceremony, Arturo Luzzi, Ambassador of Italy to Ethiopia said that: “Through this initiative, we reiterate our strong commitment to work closely with the Ethiopian Authorities in order to ensure the basic rights and protection of newborns and children, since the first crucial step of identification and registration”.

Italy and UNICEF sign the agreement for the second phase of the “vital events registration project”
Ms Gillian Mellsop, UNICEF Representative to Ethiopia says: the Italy support will allow UNICEF to scale up its programmatic support to the Regional Vital Events Registration Agencies of Oromia and SNNP region.

Ms. Gillian Mellsop, UNICEF Representative to Ethiopia, on her part said: “We enter into the second phase of this partnership having witnessed encouraging results over the past twelve months. The renewed support will allow UNICEF to scale up its programmatic support to the Regional Vital Events Registration Agencies of Oromia and SNNP regions in their efforts to further improve and standardize the Civil Registration and Vital Statistics system.”

Ms. Ginevra Letizia, Head of the Addis Ababa Office of the Italian Agency for Development Cooperation underlined that “The project works at community level, raising the awareness on the importance and benefits of birth registration, that is a crucial element for each individual also allowing citizens to benefit from social, economic, cultural, civil and political rights, reducing the phenomena of marginalization and exploitation”.

The Government of Sweden grants US$ 2.5 million to UNICEF for emergency response

The Government of Sweden provides another US$2.5 million to UNICEF Ethiopia to support Water Sanitation and Hygiene (WASH), health and nutrition programmes in the drought affected regions of Afar, Oromia Somali and Southern Nations Nationalities and People’s regions.

UNI_9757

In Ethiopia, where 8.5 million people are currently in need of relief food assistance due to the recurrent drought emergency, 376,000 children are estimated to require treatment for severe acute malnutrition, 10.5 million people require access to safe drinking water and sanitation services and 1.9 million school-aged children need emergency school feeding and learning material assistance.

The contribution provided by the Government of Sweden will be used to construct and rehabilitate water supply schemes, procure Emergency Drug and Case Treatment Centre kits as well as obtain Community Management of Acute Malnutrition (CMAM) supplies including ready to use therapeutic food (RUTF), tents and Stabilization Centre materials in the four regions highly affected by the drought emergency.

UNICEF is grateful to the Government of Sweden for its continued support for providing life-saving interventions during the current humanitarian situation which continues to affect mostly women and children.

In 2017, the Government of Sweden has contributed more than US$5 million to UNICEF-assisted humanitarian programmes in Ethiopia.

UNICEF and Italian Agency for Development Cooperation made it possible for host communities and refugees in Itang Special District to access clean and reliable water supply

By Dorosella Bishanga

ITANG SPECIAL WOREDA (DISTRICT), GAMBELLA REGIONAL STATE, 6 October 2017-While it is commonly understood that water flowing in river streams is not clean and suitable for drinking nor cooking, in Itang town, Baro River was the only main source of water supply in which households depended for everyday domestic use. Consequently, as the Itang Town Water Supply Scheme was launched in October 2017, residents were delighted for the assured access to clean and reliable water supply.

The inauguration event of the Itang Town Water Supply Scheme was attended by his Excellency Senai Akwer, Vice President, Gambella Regional State, his Excellency, Thok Thoan, Head, Gambella Regional Bureau of Water and Resource Development. Ms Gillian Mellsop, UNICEF Representative to Ethiopia, Ms Ginevra Letizia, Head of the Italian Cooperation Agency Office, members of the Woreda Administration, the residents of Itang town, and delegations from UNICEF and the Italian Agency for Development Cooperation in Ethiopia.

Itang water scheme supported by Italian Agency for Development Cooperation
The Itang water supply scheme will provide water for 11,319 and 10,000 individuals in Itang and Thurpham respectively. As part of the multi donor integrated water supply project, the project will provide safe water to a total of 205,703 refugees in three camps of Kule, Tierkidi and Nguenyiel refugee camps after the system upgrade. ©UNICEF Ethiopia/2017/Mulugeta Ayene

During the inauguration of the Itang Water Supply Scheme, UNICEF Representative, Gillian Mellsop expressed her gratitude both to the Gambella Regional and the Itang Special Woreda leaders, by recognizing their commitment during the implementation of the Itang Water Supply Scheme and the remarkable collaboration towards realizing key development milestones on access to clean water as put forward in the government development agenda. Ms. Mellsop said, “With the right investment, it is possible to provide a more reliable and resilient water service to rural communities; that reduces their vulnerability and also improves the quality of their lives – in this case, also contribute to peace building efforts by avoiding potential conflict over limited available resources.”

Conveying her gratitude for the financial contributions made by the  Italian Agency for Development Cooperation, which made it possible for the building of the Itang Town Water Scheme, Ms Mellsop added, “I also thank our very generous donors, including the Italian Cooperation Agency, who are also here with us, whose support has made it possible for the building of the permanent water scheme that not only provides water for the town but also the large population of refugees that is hosted in three refugee camps Tierkidi, Kule and Nguenyiel found in this Woreda.

Likewise, Ms Ginevra Letizia, the Director of the Italian Agency for Development Cooperation (AICS) conveyed her gratefulness to the Regional and Itang Woreda administration for their cooperation as well as the management to ensure the successful completion of the project. Insisting on the need to strengthen community structures hosting refugees, Ms Letizia said, “It is a pillar for the AICS humanitarian interventions to also target hosting communities since these are the ones sustaining the burden of welcoming refugees and an equitable access for both to basic services like water is a guarantee for peace and stability.”

Itang water scheme supported by Italian Agency for Development Cooperation
UNICEF Representative Ms Gillian Mellsop and the Italian Agency for Development Cooperation Country Director Ms Ginevra Letizia inaugurating the Itang Water Supply Scheme at the elevated water tank together with the representative of the Itang Woreda Administration. ©UNICEF Ethiopia/2017/Mulugeta Ayene

The Itang water supply scheme will provide water for 11,319 and 10,000 individuals in Itang and Thurpham respectively.  As part of the multi donor integrated water supply project, the project will provide safe water to a total of 205,703 refugees in three camps of Kule, Tierkidi and Nguenyiel refugee camps after the system upgrade.

To curtail the development – humanitarian funding challenges, UNICEF is responding to humanitarian needs in emergency contexts, while at the same time investing in government management systems to increase the self-reliant capacity of the communities. Being one of the emerging regional states and emergency affected regions in the country hosting a proportionally large population of refugees compared to the hosting population, UNICEF has prioritized Gambella. UNICEF provides support to increase sustainable community access to safe water supply by funding the construction, rehabilitation and maintenance of water supply schemes both in refugee camps and host communities.

Besides, UNICEF is adopting new approaches to provide water to communities where water is scarce by conveying water from reliable ground water sources where it is available. Shifting from surface water sources to groundwater sources, the Itang Town Water Supply Scheme is composed of pressure main line collector pipes, storage tanks/reservoirs, a central collection tank, a booster station and an elevated water tank. In addition, the system includes the installation of electro-mechanical equipment such as pumps and generators to the host communities in Itang.  18 water kiosks including the pipe distribution system have been constructed to supply at least 20 litres of water for daily use by communities.

To ensure optimum water use, the Itang Town Water Supply System is being upgraded with the aim to meet the demand of an additional 85,000 refugees in the newly established Nguenyiel camp and surrounding communities. Through collaboration and additional financial support from the German / KfW funding, the project will supply and install pressure main pipes from Itang to the booster station, install additional storage tanks at the collection chamber and booster station, construct additional power houses, supply and install additional electro-mechanical equipment at Itang and the Thurpham pumping station, drill two additional boreholes and rehabilitate two additional boreholes.

Similarly, UNICEF has led the development of the business plan for the entire water supply project by promoting cost recovery through user fees obtained for domestic uses of water for drinking, food preparation, washing, cleaning and miscellaneous domestic purposes and institutional uses. A study was conducted with residents of Itang and Thurpham analyzing the institutional capacity and willingness to pay for water supply and sanitation services. In the context of (i) what is being paid for water at the moment; (ii) consumers’ perception about the value of the effort they make to collect water; (iii) the maximum amount that consumers would be willing to pay for a water supply service and (iv) the affordable rate to be paid by the low-income section of the society to determine the bottom level of price for water.

Additionally, UNICEF is building the capacity of the Regional Water Bureau and Itang Special Woreda Water Office to improve the overall WASH sector coordination and institutional capacity building. UNICEF has supported the establishment of Itang Town Water Utility which will manage, operate and maintain the entire water supply project.  In coordination with UNHCR and the Administration for Refugee and Returnee Affairs (ARRA), the government agency with the mandate for water supply provision for refugees in the country, UNICEF is implementing the cost recovery model of public sector utility management for WASH services as a sustainable long-term solution to service provision to refugee populations.  As part of this model ARRA plays a key role through membership on the water board which oversees the water utility to ensure accountability to refugee populations.

As UNICEF continues to advocate for a robust partnership with the Regional Government and donor support for different programmes in the region; it calls for a well-defined operation and maintenance system to improve efficiencies, reduce water losses, and increase the sustainability of services.

WHO, UNICEF and Rotary International urge to sustain the polio-free status of Ethiopia

24 October 2017, Addis Ababa: Today, as the world commemorates World Polio Day, we, the World Health Organization (WHO), UNICEF and Rotary International, reaffirm our commitment to building on the success of our joint polio eradication efforts and sustaining the polio free status of the country.

Today, we are looking back at nearly three decades of concerted global polio eradication efforts. The Global Polio Eradication Initiative was created in 1988 after the World Health Assembly resolved to eradicate poliomyelitis globally and has since made remarkable progress towards reaching the eradication target. As a result, polio cases globally decreased by over 99 per cent from an estimated 350,000 cases in 1988, to only 37 reported cases in 2016. Furthermore, the number of countries with polio endemic decreased from 125 to only three countries – Afghanistan, Nigeria and Pakistan. However, until the polio virus transmission is interrupted in these polio endemic countries, all countries remain at risk of polio importation.

 

Nahom Alemseged gets a mark after receiving a polio vaccination
Nahom Alemseged get his finger marked after receiving a polio vaccination during a national campaign. ©UNICEF Ethiopia/2013/Sewunet

Ethiopia maintained its polio-free status for almost four years (45 months) after the last wild polio case was reported in Somali region in January 2014. We recognize that this achievement is a result of the effective leadership of the Federal Ministry of Health and the great partnership of polio eradication initiative collaborators, donors and partners including: Rotary International; Bill and Melinda Gates Foundation; WHO; UNICEF; USAID; CDC; CORE Group; and many frontline health workers who have played a key role in the successful fight against polio. 

We are committed to building on the recommendations which Ethiopia received from the Africa Regional Certification Commission (ARCC) in June 2017 when Ethiopia’s submission of a national polio free status report was accepted. As such, we will strive to strengthen and maintain routine immunization and surveillance with a particular focus on pastoralist communities, refugees, hard to reach and border areas as well as strengthening outbreak preparedness and coordination, cross-border surveillance with Somalia and others.

The theme for this year’s World Polio Day in Ethiopia is Commending Ethiopia polio free status, sustaining the gain.While we celebrate Ethiopia’s polio eradication success, we remain committed to continuing our joint polio eradication efforts in order to sustain this incredible achievement. In particular, we will build on the lessons learned as we strive to achieve regional certification.

The Polio Eradication and End Game Strategic Plan, developed by the Global Polio Eradication Initiative, envisages a polio free world by 2018. While we have come very close to achieving this goal, much remains to be done. We would like to call on all stakeholders to renew their commitment to a world which is free of polio.

 

Sweden Signs an Agreement with UNICEF to Build an Integrated Safety Net System for the Most Vulnerable Women and Children in Ethiopia

The Government avails US$ 9.2 million contribution to implement the programme in five years

12 October 2017, ADDIS ABABA – The Government of Sweden provided US$9.2 million to UNICEF Ethiopia to support a national integrated safety net system for the most vulnerable women and children in both rural and urban parts of the country. The initial phase will provide direct cash support to 1,000 households in Amhara region and 1,000 households in Addis Ababa with the objective to scale up innovations for the 8 million Rural Productive Safety Net Programme (PSNP) beneficiaries and the envisaged 4.7 million urban poor who are going to benefit from the Urban PSNP. The programme will be implemented from 2017 to 2022.

The objective of this programme is to implement nationally appropriate social protection systems and measures which ensure increased access to a comprehensive package of social protection interventions and services to poor and vulnerable citizens coping with social and economic risks, vulnerabilities and deprivations. It also aims to strengthen the Government’s capacity to develop, implement, coordinate and monitor a national, child-sensitive social protection system in the country.

At the signing ceremony, H.E Mr Torbjörn Petterson, Ambassador of Sweden to Ethiopia said, “In spite of existing challenges, it is impressive to see strong government commitment, financially as well as technically, to support the Productive Safety Net Programme (PSNP). Partnering with UNICEF in this particular endeavour, gives us leverage in terms of significant experience with previously supported pilot programmes which helped inform the design of PSNP 4.”

The first joint pilot project supported by UNICEF in Tigray, which MoLSA implemented between 2012-2015 together with the Tigray Bureau of Labour and Social Affairs (BoLSA), was guided by a rigorous evidence generation plan and demonstrated the role of community care structures and social workers. As a result, community care structures and social workers have since become crucial components of the national social protection system – a major milestone towards establishing a countrywide social welfare workforce.

Ms Gillian Mellsop, UNICEF Representative to Ethiopia and Mr Torbjörn Petterson, Ambassador of Sweden to Ethiopia signing the grant agreement. ©UNICEF Ethiopia/2017/Demissew Bizuwerk

“This timely contribution from SIDA will allow us to build on the rich experience of these successful pilot interventions. We are also expanding existing multi-sectoral linkages and will explore synergies between different public social protection measures, for example between PSNP and Community Based Health Insurance,” said Ms Gillian Mellsop, UNICEF Representative to Ethiopia. “We embrace this partnership with great enthusiasm since the outcome of the programme will extend beyond the pilot regions and further assist the Government of Ethiopia and UNICEF to develop a nationwide social protection system that is child sensitive and which prioritizes the most vulnerable and marginalized.”

Despite Ethiopia’s significant economic growth over the past decades, 32 per cent of Ethiopian children still live in poverty. Building an integrated and child sensitive social protection system, which focuses on those left behind, is a critical element in ensuring more inclusive development to the benefit of all children.

With the provision of access to an integrated social protection system in urban and rural areas, the programme aims to contribute to long-term poverty alleviation. In addition, the programme is expected to have a significant impact on the nutrition, health and education-related status of the target groups with a focus on adolescent girls. Furthermore, the proposed interventions will provide solid evidence to enable relevant government authorities to implement efficient and effective integrated social protection measures which will inform annual reviews of the social protection sector and future phases of national programmes such as the PSNP and the Urban PSNP.

 

Japanese Support to make reliable water sources available in Gashamo

By Ayuko Matsuhashi

Gashamo Woreda, Somali REGION, 6 September 2017 – What if you are told that the water you would have daily for drinking, cooking and bathing is rain-dependent and dries up into a muddy puddle during eight out of the 12 months of the year?

For the lucky ones, life without water is unthinkable. Sadly enough, this still remains a daily life reality in arid and semi-arid areas in Ethiopia.

A shortage of water in Somali region has been devastating due to the ongoing multi-year drought. While climate resilient water source development is a key to mitigate negative impacts of the drought, the majority of the population in Somali region is still dependent on seasonal water harvesting ponds. Farah Abdulahi is a 34 year old single mother of four who has become an Internally Displaced Person (IDP) in Gashamo IDP site from a village which is 15km away. “I came here because I have lost all of my 150 goats and sheep since the onset of the drought,” Farah said. Several hydro-geological complications and costly investments have prevented the WASH sector from actively investing in drilling a deep borehole in the region whereas surface water sources are highly vulnerable to drought and put people at a greater risk. “I used to fetch water from birkas*. But they all dried up because there had been no rain,” Farah describes her life in the previous village before she was displaced. “Thanks to the humanitarian aid providing water at this IDP site, we are barely surviving.”

Deep borehole drilling, Gashamo woreda, Somali region
Farah Abdulahi with her children in her temporary shelter in Gashamo IDP site
© UNICEF Ethiopia/2017/ Michael Tsegaye

Ahmed Hussein Brerale, 57 years old, is one of the community elders in Haji Dereye kebele (sub-district) near Gashamo town. As a long time resident of Haji Dereye, he has witnessed the dreadful decrease of water in the area and says, “There is no borehole in this area. We heard that the nearest borehole is 78km away and is the only potable water source in this large woreda (district). What we have here is only seasonal water sources like birkas. As the last two rain seasons failed, the available volume of water in birkas has significantly decreased. We are worried.”

Deep borehole drilling, Gashamo woreda ,Somali region
Ahmed Hussein Brerale telling us their difficult situation with water © UNICEF Ethiopia/2017/ Michael Tsegaye

In order to provide access to potable water for children and women such as Farah and her children, UNICEF Ethiopia has started drilling a new borehole near Gashamo town in partnership with a private sector partner with financial support from the Government of Japan’s emergency grant aid for the Middle East and Africa region for emergencies since August 2017. The drilling site was carefully located by using hydro-geological data from satellites in close collaboration with the Somali Regional State Water Bureau. According to the satellite data, the estimated depth of finding an aquifer is at around 500-600 metres. So far one-fourth of the planned depth has been achieved. Since there is no alternative safe and reliable water source in the area, this new borehole is going to be an ‘oasis in the desert’. Although this drilling work is one of the UNICEF’s emergency projects, in a longer term the project will also bring a sustainable solution for the area which is high vulnerability to climate change. The borehole is expected to provide clean water directly to 11,000 – 25,000 people in Gashamo town with a potential to indirect beneficiaries who are passing by from surrounding areas in search of water.

“I heard about the new borehole drilling. I am looking forward to seeing clean water. That has been always my dream to have clean water nearby in my life,” says Farah with a smile on her face.

UNICEF will keep working together with the regional water bureau to ensure that people who have been living without reliable water sources get sustainable access to potable water without interruption.

 

Deep borehole drilling, Gashamo woreda, Somali region
The drilling work is ongoing with support from the Japanese government near Gashamo town © UNICEF Ethiopia/2017/ Michael Tsegaye

 

 

*Birka – A traditional water harvesting pond which collects run-off water when it rains.

Promotion of Dietary Diversity for the Healthy Growth and Development of Children

By Esete Yeshitla

Sekota, AMHARA, 21 June 2017- Meet Netsanet, a strong and independent 25-year-old mother who is very self-assured; reminiscent of her name, which means ‘freedom’.

When we visit Netsanet in her house, it is a typical morning for her. First, she waters her home garden: cabbage, carrots, tomatoes and other vegetables. The seeds were provided by FAO with funding from the European Union through the woreda (district) agriculture office as a support for her family to have balanced meals. Her next task is feeding her chickens, from which she uses eggs for cooking and as a source of income. She sells eggs on Thursdays at the nearby Hamusit market. She then starts preparing breakfast. She takes fresh vegetables from her garden; a couple of eggs, milk, mixed grains and starts to cook the meal for her daughter.

Netsanet, preparing food as per lessons learned from health extension workers
Netsanet, preparing food as per lessons learned from health extension workers, at the woreda health post. Sekota woreda , Hamusit kebele ©UNICEF Ethiopia/2017/Nahom Tesfaye

Netsanet has two daughters, Mekdes age 5 and in kindergarten; and Tsige age 2. Netsanet explains the difference between her two pregnancies, birth and the girls’ first two years of life. “I had my first child at home, as we did not have awareness. I was lucky that I did not face any complications when I had her. If something bad had happened, I would have regretted it,” says Netsanet.

Back then, even when health extension workers insisted that women give birth at the health centre, it was embarrassing for most women. Netsanet explains, “Nowadays, even the wife of a priest gives birth at the health centre. We lost many of our sisters due to high blood loss during birth. I am grateful for the awareness we are getting now.”

Twice a month, they participate in awareness training at the health post, as part of a UNICEF-supported, European Union-funded programme called EU-SHARE. They also receive education on how to prepare balanced meals for young children under two years old, something Netsanet did not know how with her first child. She says, “I was younger, I only breastfed Mekdes when I had spare time as I was busy with house chores.” For her second daughter, she breastfeeds her 8-10 times per day. Netsanet says, “It makes my child strong and at the same time, it serves as protection against unwanted pregnancy.”

Netsanet has witnessed the results. “My first child was fragile and got sick regularly. I used to spend most of my time at the hospital or pharmacy. She was malnourished and at one point, I thought I would lose her. Thank God she was better after she started taking the [ready-to-use therapeutic foods] that was provided by the health post.”

Netsanet put into practice the education given to her about healthy nutrition with Tsige. She started to feed her food when she was six months old. She says, “We did not know that we can feed different vegetables to our babies.”

Netsanet and her husband have three plots of land allotted by the Government, which they use for harvesting crops. Netsanet says, “We do not sell what we produce. We use it for our consumption.”  In addition to selling eggs, Netsanet buys lambs, raises them and sells the sheep. She also buys grains from retailers and sells it for extra money. Netsanet adds, “So the money I get, I use it to buy other stuff.”

This is not the only work Netsanet has. She is also a member of the health development army (HDA), a strategic network the Government has galvanised to reach rural communities. As part of the Government’s intervention, health extension workers train women from the community to become HDA members and drive health-related behaviour change, including breastfeeding and child feeding practices, within their communities. Netsanet is a leader of five teams that each consist of five women- a ‘network’. Netsanet and five additional network leaders are supervised by a health extension worker.

Netsanet, feeding her tow year daughter porridge made of balance nutritional ingredients based on lessons from the wereda health post.
Netsanet, feeding her two-year-old daughter porridge made of balance nutritional ingredients based on lessons from the woreda health post; Sekota woreda, Hamusit kebele ©UNICEF Ethiopia/2017/Nahom Tesfaye

Mothers meet to discuss twice a month. They meet at the health post to demonstrate how to make food for children. They bring whatever food stuff they can find at home such as eggs, flour and milk, then they cook and feed their children.

The Government of Ethiopia has placed malnutrition high on both the political and the development agenda over the past decade. As a result, bold actions have been taken in health and other nutrition-related sectors, putting in place policies, programmes and large-scale interventions to significantly reduce malnutrition among the most vulnerable groups: young children and pregnant and lactating women.

The EU- SHARE project addresses gaps in implementation of the National Nutrition Programme while strengthening nutrition outcomes of major health, food security and livelihoods Government programmes. The primary focus is on the first 1, 000 days of a child’s life, in order to accelerate the decline in stunting.

Sekota is the woredas targeted by the project and has received support with an aim to enhance quality and uptake of nutrition services being delivered to the community. This is done through building the technical capacity of health workers, improving availability of nutrition supplies and sensitizing community members towards proper infant and young child feeding practices.

These interventions have a significant impact in the overall reduction of child malnutrition, especially through contributing to the improvement of nutrition and dietary diversification practices for adolescent girls, pregnant and lactating women, and children younger than five, just like Netsanet and her girls.

Emergency Efforts Lend to Sustainable Water Sources

By Rebecca Beauregard

FEDIS, OROMIA, 31 May 2017 – “Our daily routines have changed. We used to give water to our animals every other day, now they drink daily. I used to bath the children once per week, now I have no idea how many times a day they wash because they always come use the tap on their own,” says Saada Umer, pointing to her 4-year-old, Anissey, who is near the tap.

Sustainable WASH interventions
26-year-old mother of four, Saada Umer caries 2-year-old Sumaya on her back while tending to the livestock.  Saada and her husband are farmers living at the edge of Boku town, Fedis woreda (district) in Oromia region. ©UNICEF Ethiopia/2017/Rebecca Beauregard

Saada, 26-years-old, is one resident who benefits from the new water supply system in Fedis woreda (district). She and her husband are farmers and have four children, ranging from 2 to 9 years old. Rather than filling 20 litre jerry cans daily at a water point a few kilometres away, she fetches it from her front yard where the tap flows anytime. The impact is literally life-changing.

Ethiopia has faced devastating drought conditions for the past two years now, affecting different areas of the country in different seasons and creating rippling effects in health, education, the economy and development initiatives.

In times of crises, emergency action is required and often takes priority over development initiatives, understandably, to save lives and curb any potential disease outbreaks. However, one emergency action by UNICEF, with funding from the German Development Bank (KfW) and the UK Department for International Development (DFID), supported the Government of Ethiopia to address both the drought-related emergency water shortage affecting 8,600 people while also contributing to a more resilient and long-term supply of water.

In Boko town, the drought had taken its toll at the same time that the town’s water supply system had run its 25-year design course, leaving thousands without access to clean and regular water. In times like these, those who can afford pay for expensive water brought in by vendors and those who cannot afford, take from ponds and rivers.

UNICEF Ethiopia purchased a pump and generator to supplement the drilling of a new borehole the regional and zonal water office initiated, providing further construction support to complete the project. The emergency-funded project enabled the water office to make functioning a 122 metre borehole which, as of February, supplies fresh, clean water by keeping two town reservoirs filled. In addition, it supplies 24-hour water taps in about 800 households in Boko, with water points at the edge of town providing safe water for surrounding rural villages. The borehole also supplies a water-trucking point nearby, where currently four trucks carrying two 5,000 litre water tanks are filled daily and supplied to the nearby Midega Tola woreda, which is lacking a water system while grappling with drought.

The effect of having household water has led to the creation of a town utility office, which records the water meters and collects payment for its use. Setting up this regular system has not only created more demand for household taps, it ensures steady water supply and a regular income to employ plumbers and maintenance crews for water system maintenance.

Hikma Mesfin is a 25-year-old Water Attendant at one of the town’s new water points. Her job is to open the point each morning, collect ETB 25 cents (US$.01) per jerry can from the users throughout the day, manage the site and close up each evening. Her salary is paid by the utility office, another regular income supported by the system.

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Hikma Mesfin, 25-years-old,  Water Attendant, Boku town, Fedis woreda, Oromia region. ©UNICEF Ethiopia/2017/Rebecca Beauregard

“I was happy to get this job. It was difficult when it first opened, because people thought it was like the old water pumps, thinking the water could stop flowing at any time and fighting each other to be first in line. Now they understand it flows every day and they can be at ease. Everyone will get their water.”

While emergency times call for emergency measures, UNICEF and the Government of Ethiopia collaborate to ensure the most sustainable solutions possible are implemented where it is most needed. As the effects of protracted drought continue to wreak havoc on lives across the country, UNICEF calls on the support of international donors to fund projects such as deep borehole drilling which build resilience in communities and offer long-term solutions for challenges facing communities across the country.

Integrated Nutrition Services for Better Nutrition Outcomes 

By Nardos Birru

BOLOSO SORE, SOUTHERN NATIONS, NATIONALITIES AND PEOPLE’S REGION, 26 January 2017 – It was a sunny afternoon at the Chamahinbecho health post and the trees planted by health extension workers 10 years ago provided much needed shade in the compound. A group of mothers were sitting under the trees discussing how to best feed their toddlers and among them was Beyenech.

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Beyenech (middle), waiting for the porridge to feed her baby at a cooking demonstration session at Chamahinbecho health post, Boloso Sore woreda, SNNPR ©UNICEF/2017/Pudlowski

The cheery Beyenech, a mother of three, came to the health post to get her 1-year-old son weighed as part of the growth monitoring and promotion session that they attend on a monthly basis.

“I bring my son here every month and the health extension worker measures his weight and gives me advice,” says Beyenech. “She teaches us how to prepare meals for our children using different foods. I can see that my child is growing healthy and am glad to hear that [confirmed by] the health extension worker.”

Beyenech is among the many mothers in Chamahinbecho kebele (sub-district) who are benefiting from a project supported by the European Union called EU-SHARE. The project aims to contribute to improved nutritional status of children under five, adolescent girls and pregnant and lactating women through strengthening nutrition outcomes of Government health, food security and livelihood programmes. The strategy involves integration of the multi-sector interventions at the household level to create synergetic effects that will maximize programme results.

Nutrition services for adolescents

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Adolescent deworming service. Chamahinbecho health post, Boloso Sore woreda, SNNPR ©UNICEF/2017/Pudlowski

It is not only Beyenech’s son who is benefiting from the nutrition services at the health post; her 15-year-old daughter has participated in the deworming campaign organized for adolescent students in the kebele. Beyenech speaks of her daughter, “Wubalem received a deworming tablet from the adolescent deworming campaign at her school last year. She also told me about the nutrition and hygiene practices that she heard from group discussion sessions during the campaign.”

Deworming of intestinal worms and schistosomiasis is an important service for young students, as both ailments affect the health and education of children and adolescents. A student with worms will be too sick or tired to attend school or will have difficulty concentrating in school. If left untreated over time, they may face stunting or malnutrition due to anaemia, as well as impaired cognitive development.

The Government-led programme, which is supported by EU-SHARE, contributes to the health and nutrition status of adolescents while improving school attendance rates. EU-SHARE project supports the programme through procurement of deworming tablets, provision of information, education and communication as well as behavioural change communication materials that are helpful to create awareness and initiate discussion on nutritional requirements during adolescence. The programme also includes technical support to health workers who carry out the deworming campaigns. Students like Wubalem have a better chance to succeed with their education due to initiatives like these.

Improving dietary diversity through backyard gardening

EU-SHARE also includes nutrition-sensitive agriculture interventions which is implemented by FAO as part of the Government’s commitment to integrate nutrition into the agriculture sector. Promotion of backyard gardening is among the initiatives being implemented in the kebele.

After meeting the eligibility criteria targeting vulnerable families, Beyenech has been selected among the 1,960 beneficiaries targeted for seed supplementation led by the woreda agriculture office. She received vegetable seeds and began growing carrots, cabbage and tomato in her backyard garden. Beyenech explained, “I started preparing a porridge mixed with vegetables from my garden, using what I learned from the cooking demonstrations at the health post. I also prepare roasted vegetables along with shiro wot [chickpea stew] for the rest of my children.”

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Beyenech, a mother of three, showing her backyard garden. Chamahinbecho kebele, Boloso Sore woreda, SNNPR. ©UNICEF/2017/Pudlowski

Beyenech aspires for her children to have a better future. She wants them to be top students and become teachers or doctors so they have the knowledge and skills to impact the next generation in the community.

“Such type of nutrition interventions that consider integration as a cornerstone by addressing the different aspects of nutrition are a key weapon to combat the problem of malnutrition in a sustainable manner,” said Israel Mulualem, the nutrition focal person in Boloso Sore woreda health office.

The four-year EU-Share programme has been operational since 2015 and continues to support children, mothers and their families in seventeen woredas located in SNNP, Oromia and Amhara regions. Together with the Government of Ethiopia and donors such as the European Union, UNICEF is able to support existing initiatives of Government programmes so that children such as Wubalem, Setot and Teketel may have a bright future.