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21 Feb 2012 description

This report is a synthesis from lessons of government experiences of scale up of community-based management of acute malnutrition (CMAM). It is based on nine country case studies (Ethiopia, Pakistan, Niger, Somalia, Kenya, Ghana, Sierra Leone, Malawi, Mozambique), considerations around scale-up from India, and the proceedings of an international conference in Addis Ababa, 14-17 November, 2011 at which the case studies and India experiences were presented and discussed. The contributions of an additional 12 countries at the conference are also reflected in this report.

28 Feb 2011 description

A special issue of Field Exchange focusing on Ethiopia, 25 years on from the famine of the 1980s, Field Exchange 40 brings together articles by Government and non-government actors about the country's large-scale programmes aimed at preventing and treating acute malnutrition, food insecurity and childhood sickness.

31 Jul 2006 description

From the Editor

This issue of Field Exchange features four field articles about community based therapeutic care of the severely malnourished, a type of programming that is increasingly being rolled out by humanitarian agencies.

The article by Josephine Querubin from ACF-USA is about a home based treatment (HT) programme in Upper Nile and Bahr el Ghazal in southern Sudan, introduced following drought and a large returnee influx. HT was adopted as previous experiences of using the centre based therapeutic feeding model had been poor with high defaulter rates and low coverage.

22 Nov 2004 description


ENN Special Supplement Series, No. 2, November 2004

By Hedwig Deconinck (SC-US Ethiopia)

22 Nov 2004 description


ENN Special Supplement Series, No. 2, November 2004

Community-based Therapeutic Care (CTC)

By Kate Golden (Concern Ethiopia) and Tanya Khara (Valid International)

31 Jul 2004 description

Summary of published paper1

Neurolathyrism is a neurodegenerative and irreversible spastic paraparesis2 that can be crippling and lead to complete dependency. This disorder can be caused by excessive consumption of the drought resistant pulse, grass pea (Lathyrus sativus)3. All major famines and chronic food shortages in Ethiopia from the mid-1970s onwards have been accompanied by reports of neurolathyrism epidemics.

31 Jul 2004 description

By George Jacob

George Jacob is communications officer with Self Help Development International.

31 Jul 2003 description

Summary of published research1

Bedawacho Woreda is a district in Ethiopia, 350 km south of Addis Ababa, which had suffered three years of drought. A nutritional survey by Concern Worldwide found that 17% of children aged 6-60 months were moderately malnourished (weight-for height less than -2 z scores) and 5% were severely malnourished (weight-for-height less than -3 z scores).

31 Jul 2003 description

Summary of workshop1

A one day workshop was held on March 14, 2003 by the Institute of Development Studies (IDS) Sussex, with the aim of developing an operational definition of famine. Convened as a follow-up to an IDS 2002 conference on famine, it was attended by a group of academics, donors, agencies and the ENN.

Four cases were highlighted to focus discussion.

31 Jul 2003 description

By Dereje Adugna Tieke

Dereje is an Emergency Response & Transition Program Officer for CARE Ethiopia, with sixteen years of field experience in development work and emergency relief operations.

The contribution of CARE Ethiopia in permitting the publishing of this article is gratefully acknowledged.

This article describes Care Ethiopia's experiences of a destocking programme in Ethiopia, and the lessons they learned for future similar interventions1.

The Borana zone in the Oromiya region of southern Ethiopia is extremely drought prone.

31 Mar 2003 description

By Saul Guerrero

Saul Guerrero has a background in Social Anthropology. He is currently completing a Masters in Humanitarian Assistance at University College Dublin, while undertaking an internship with the ENN.

This article is based on a review of recent literature as well as a number of interviews with humanitarian agency staff that have had long-term experience and knowledge of Ethiopia.

30 Apr 2002 description

By Jean Gladwin

Planned institutional development can be fraught with difficulties and diverted by internal and external political agendas. Therefore, it was with excitement and trepidation that I accepted the challenge of contributing to the development of the Emergency Nutrition Coordination Unit (ENCU) within the Disaster Prevention and Preparedness Commission (DPPC).

30 Nov 2001 description

Summary of published paper1

The long-held traditional approach to treating severely malnourished individuals in emergencies is challenged in a recent 'viewpoint' article published in the Lancet. Dr. Steve Collins argues that a therapeutic feeding (TF) centre's huge requirement for resources, skilled staff and imported therapeutic products makes the operation very expensive and highly dependent upon external support.

30 Nov 2001 description


By Vanessa Tilstone

Vanessa Tilstone has worked for HelpAge International in Ethiopia for the last 3 years as the Country Programme Director and has worked previously in Mozambique, Ethiopia, Malawi and Brazil. Dolline Busolo is the Regional Nutritionist for Helpage and has been based in Nairobi for the last 2 years.

30 Apr 2001 description

By Ken Bailey

Ken Bailey worked on a contractual basis for WHO Geneva from 1991 to 1997 and for a considerable part of that time had responsibility for the "nutrition in emergencies" sub-programme. Since leaving Geneva Ken has worked for Tearfund/UK in Southern Sudan, the United Mission to Nepal and another INGO in Ethiopia.

I began working as a volunteer nutritionist for an international non-governmental organisation (INGO) in July 2000. The INGO had been supporting rural development work in 3 districts (total population 518 000 in year 2000) of North-West Ethiopia (Amhara …

30 Apr 2001 description


By Kate Sadler

Kate Sadler undertook her MSc in Public Health and Nutrition at LSHTM. She has spent over 3 years working for Concern Worldwide in Burundi, Rwanda and Ethiopia. Currently in Ethiopia, she is supporting ongoing emergency feeding programmes as well as developing community health and nutrition programmes for the post-emergency recovery phase.

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