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Improving Routine Health and Nutrition Data Quality in Ethiopia: Recommendations from a Systematic Review

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We conducted a systematic review to address gaps in understanding the quality of Health Management Information System (HMIS) data, particularly nutrition data, across Ethiopia's diverse regions. We screened 790 papers, including 25 studies, to evaluate completeness, consistency, and timeliness metrics as per WHO standards. Findings revealed wide variability in completeness (50%- 100%), accuracy (38.9%-90.5%), and timeliness (41.87%-93.71%), with significant deficiencies noted, including indicator discrepancies and timeliness issues. Poor data quality was attributed to human resource shortages, capacity gaps, behavioral influences, and infrastructural deficits. Addressing these challenges through resource allocation, training, supervision, and feedback mechanisms is crucial for enhancing HMIS data quality, supporting informed decision-making, and improving population health outcomes in Ethiopia. Future interventions should prioritize sustainable improvements in data management to ensure reliable and comprehensive health information across the country.

Investing in healthy and cost-effective school menus in Ethiopia

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the national average daily cost to cover two-thirds of the daily calorie requirement for primary students who are aged 6–18 years and beneficiaries of the school feeding program. This cost is calculated by using the locally available food items retail price to meet the expected daily calorie requirement for the school feeding program. The average national cost of two meals per child per day is 41.8 ETB.

Revolutionizing Multi-Sectoral Nutrition Policy: Reflections from the Successes of the NiPN Approach

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Policy and governance play critical roles in addressing food security, nutrition, and food system, often overshadowing scientifically validated strategies. The National Information Platform for Nutrition (NiPN) represents a transformative approach to nutrition policy by emphasizing evidence-based decisionmaking using available data. It addresses gaps in nutrition policy through a structured cycle of formulating policy questions, data analysis, and communication aligning with policymakers' needs. Despite challenges in evidence utilization within governance frameworks, NiPN prioritizes comprehensive, multi-sectoral strategies for addressing nutrition. By focusing on rigorous data analysis and tailored policy recommendations, NiPN aims to enhance the effectiveness of nutrition interventions. This approach not only fosters informed decision-making but also underscores the critical role of evidence in shaping policies that mitigate malnutrition and promote sustainable food systems.

Potential impact of large-scale food fortification in Ethiopia - Coverage and knowledge of fortifiable foods

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Edible Oil: National coverage is high at 89%, ranging from 77.5% (Dire Dawa) to 96% (Addis Ababa). Urban households (93.4%) consume more than rural ones (87%). Wheat Flour: National coverage remains low (<30%), with highest consumption in Somali (67.5%) and Harari (63.5%), and lowest in Tigray (17%). Its limited reach reduces its impact on micronutrient deficiencies. Salt: Fortifiable salt is widely consumed (97.8%), with slightly lower coverage in Tigray (88.8%), Somali (89.1%), and Afar (96.3%).

Guiding Nutrition Governance in Ethiopia: Delphi Study Insights on Multisectoral Coordination

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The Delphi study generated strong consensus among experts across ten thematic domains, highlighting the following key insights: -  High-Level political commitment is vital.  Neutral Coordination Body is essential to mitigate sectoral competition.  Subnational Weaknesses persist, including lack of dedicated staff, resources, and coordination structures.  Siloed Data Systems hinder integrated monitoring and decision-making.  Sustainable Financing through treasury allocation is a priority.  Community Engagement and accountability are underutilized but critical for lasting change.

Expanding the Coverage of Nutrition Interventions Across the Continuum of Care: A Call to Action

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Coverage of essential nutrition interventions is sub-optimal: The highest coverage for mothers were observed for the early initiation of breastfeeding (78%) and receiving tetanus toxoid during pregnancy (67%). In contrast, only 17% of women received 90 or more iron/folate tablets during pregnancy. For children, vaccination interventions had the highest coverage.

Seqota Declaration: Impact of the expansion phase and potential impact of the scale-up phase on child stunting and mortality

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Childhood malnutrition remains a significant challenge to achieving health and economic development goals.To address this, the Government of Ethiopia made a bold commitment to end child stunting by 2030 through the Seqota Declaration (SD) a multi-phase, multisectoral initiative. The SD began with an innovation phase (2015–2020), moved into an expansion phase (2021–2025), and will progress to a scale-up phase (2026–2030)

Investing in healthy and Cost Effective School Menus in Ethiopia

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School Feeding Programs (SFPs) are essential for im-proving the nutritional, health, and educational out-comes of schoolchildren. However, challenges re-main in ensuring these programs are both affordable and sustainable. This brief estimates the cost of providing nutritious, locally available, culturally ap-propriate, and cost-effective meals for Ethiopian children aged 6–18 years, and highlights strategies to enhance program sustainability

Nutrition Data Mapping for Ethiopia: Assessment of the Availability and Accessibility of Nutrition Related Data

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Data sources identified: We identified a total of 62 data sources. The main types of data sources were surveys (87%), randomized controlled trials and longi tudinal follow-up studies (8%), and routine monitoring information systems (5%). The majority of the data sources identified were only representative at the pro ject or study implementation areas. Less than a fifth of the data sources were nationally and regionally repre sentative. Availability of data to track WHA targets: Data were available to track progress for five of the six WHA; with the exception of low birth weight. Limited data were available to adequately track progress at the regional and sub-regional levels. Data availability for target groups: Almost forty per cent of the data sources contained nutrition-related data for households and for children under five years of age. Adolescents and women of reproductive age were the two target groups with the least amount of data available.

Improving adolescent undernutrition in Ethiopia: A rapid review

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This rapid review brings together global research evidence (from systematic reviews) and local evi dence to inform deliberations/decision makers about improving adolescent undernutrition in Ethiopia. We searched for relevant evidence describing the prob lem, and possible options for addressing the prob lem, from systematic reviews.