End-line Survey of the Project for Improving maternal and Child nutrition Status in oromiya Region
Client: Japan International Cooperation Agency(JICA)
Objective of the study: The Oromiya Region Health Bureau and Japan International Cooperation Agency (JICA) launched a joint 5-year programme known as the Community-Based Nutrition Approach (COBANA) and aimed at reducing malnutrition. The main objective of this survey was to assess the nutritional status and other project indicators for the purpose of evaluating the effectiveness of the COBANA project in meeting its purpose. The specific objectives were: 1) to estimate the prevalence of malnutrition in terms of stunting, underweight and wasting in children under 5 in the targeted area; 2) to estimate the key Infant and Young Child Feeding (IYCF) indicators for children under 5 years in the project site; 3) to estimate the prevalence of Protein Energy Malnutrition (PEM) in mothers of children less that 5 years in the project site; 4) to estimate pregnancy care of the last child among the mothers of children 0.24 months; 5) to draw appropriate recommendations. The study was conducted in 10 weredas within 3 zones of the Oromiya Region, namely: East Shewa, Arsi and Bale.
Methodology Used : BDS-CDR’s primary concern in this study, as in all of its other studies, was to collect high quality data through rigorous methodology and with close expert supervision during data collection, processing and consolidation. To generate the high quality data, BDS-CDR used a combination of methods, namely: document review, interviews, taking anthropometric measurements and direct field visits of 1,189 households in 10 woredas distributed among 3 zones (East Showa, Arsi and Bale) of the Oromiya Region. The collected data was manually verified and put into the computer for processing and rigorous analysis.
Findings : The study showed that, as a result of the programmed intervention sponsored by JICA in collaboration with the Oromiya Regional Health Bureau and the frequent visits by Health Extension Workers, people in the targeted woredas have developed greater awareness on health and nutrition matters and become beneficiaries of basic health services. Health centers are within a walking distance— an average distance of 1.8 km from where they live. As a result, households are able to obtain healthcare services from trained personnel. A large majority of pregnant mothers receive antenatal health services on essential matters including weighing, blood testing, blood pressure follow up, maternal counseling, breastfeeding, balanced complementary feeding and family planning. As revealed by the study, the level of stunting (40.3% in 2013) in the intervention areas, is lower than that in Oromiya (41.4%) and of the national prevalence (48.4%). The decrease of stunting in the intervention area is well over 8%. The level of underweight in the intervention area (21.7%) was far below the national average (29%) as well as the regional average (26.9%).
-The integrated approach of health, nutrition, food security and WASH in tackling both the immediate and underlying causes of malnutrition should be strengthened and scaled up.
-There should be continued and more intensive health and nutrition interventions on:
-The importance of proper sanitation and hygiene especially using latrines,
-The appropriate IYCF feeding practices with a special focus on the value and duration of exclusive breastfeeding and the importance of timely introduction of complementary feeding,
-The dietary diversity and appropriate frequency of feeding especially during the pregnancy and lactation period
-The integrated child health day strategy should also be used for delivering immunization for measles as well as for other additional health and nutrition services.