UN High Commissioner for Refugees Review of the nutrition interventions in the refugee camps Jobs in Ethiopia
Closing date: 14 Jul 2019
Background
The Government of Ethiopia has a history of receiving and providing refuge to individuals from neighbouring countries who have fled as a result of political conflicts. As of August 2018, a total of 905,831 refugees have been registered with about 70% resident in the Gambella and Melkadida camps.
The United Nations High Commissioner for Refugees (UNHCR) and the government refugee agency ARRA coordinate the humanitarian assistance along with many other partners to ensure protection of all these refugees.
UNHCR has been supporting refugees to meet their key basic needs and essential services, which include but not limited to food security, primary healthcare, nutrition wellbeing, and supply of potable water, structures and materials for personal and environmental sanitation and shelter.
The Food security situation of refugees primarily depends on the monthly cyclical food ration assistance provided by the World Food Programme (WFP) and distributed by the government refugee agency (ARRA).
However, since November 2015, varied levels of ration reductions have been implemented, leading to the provision of less energy and nutrients than the sphere standards (2100 Kcal/p/p/d).
Despite the threat to household food security, the prevalence of GAM appears to have shown a levelling off and a stability has been established across most of the camps in Ethiopia however in 2019 the situation in Melkadida has deteriorated with reported increasing negative coping strategies utilized by households.
Partner organizations
ARRA, IMC, GOAL, AAH and CWW implement nutrition programmes in 7 camps of Gambella namely; Jewi, Kule, Pugnido 1 Pugnido 2, Tierkidi, Ngunyel and Okugo. In Melkadida, IMC and ARRA implement nutrition programmes in the 5 camps of Buramino, Hilaweyn, Kobe, Melkadida and Bokolmanyo.
The La Caixa foundation has been supporting some of the nutrition activities in Gambella and Dollo Ado and have requested the current review.
Programme Overview
The nutrition programme focuses mainly on the vulnerable individuals within the camps to ensure that they maintain a good nutrition status: children aged 0-6 months through their mothers /caretakers; children aged 6-59 months and women who are pregnant or lactating (with children 0-6 months).
Both curative, community management of acute malnutrition (CMAM) and preventive packages including infant and young child feeding practices (IYCF) are implemented for each category.
The CMAM program comprises: identification of children with faltering growth; subsequent referral to the therapeutic programs for management of severe acute malnutrition (SAM) from in-patient or out-patient centres, and management of moderate acute malnutrition.
The preventive programme is run alongside the curative programme and comprises: 1) provision of blanket supplementary food (BSFP) to both children aged 6-59 months and PLWs; 2) the IYCF programme promoting appropriate infant and young children feeding and linkages to other nutrition–sensitive sectors.
In addition, blanket supplementary feeding is provided for clients on treatment for Tuberculosis and HIV/AIDS.
Purpose of the Assignment
The main purpose of the assignment is to explore how the various elements of the Nutrition programming and the integration of Nutrition into other sectors have affected Nutrition Status and IYCF indicators (SENS surveys available) and how the activities and focus on nutrition has contributed to the lives and skills of mothers and families and communities who have benefited from the programmes and how it has contributed to the capacity building, awareness and skills of health workers and the understanding of nutrition amongst other multisectoral actors.
The review serves to describe the pathways of change of the, “IYCF practices in Gambella and
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