IR3. Increasing Utilization of Quality Nutrition Services

It is essential that women and children have access to and utilize evidence-based nutrition-specific interventions and health services to prevent and treat infectious diseases. Key facility-level nutrition interventions include vitamin A supplementation, deworming, iron and folic acid (IFA) for pregnant women, zinc and oral rehydration therapy (ORT) for diarrhea, MIYCN and WASH, management of acute malnutrition, and nutrition management of infectious disease.

Building on successful ENGINE work, Growth through Nutrition will focus on the following intervention areas:

  • Improve delivery of quality nutrition services for children and pregnant and lactating women
  • Support sustained supply of commodities to deliver quality nutrition services
  • Support information system development for decision-making and program management

Key Progress in Project Year II

Growth through Nutrition provided Technical Assistance (TA) to the Federal Ministry of Health (FMoH) in updating the national Quality Improvement (QI) Training of Trainers (TOT) manual and developing community-based health services quality package; established 75 model QI sites; trained 1462 health workers and HEWs; and facilitated eight experience exchange visits for health workers from non-QI model Primary Health Care Units (PHCUs) to model QI sites.

The project trained 12,645 health workers (HWs), health extension workers (HEWs), agriculture extension workers (AEWs) and agriculture and health development army leaders on maternal and infant young child nutrition using standardized government training materials to improve nutrition services health centers, health posts in the community. The project conducted 983 mentoring and coaching technical support visits to health facilities.

Growth through Nutrition provided Integrated Pharmaceutical Logistics System (IPLS) training to 24 project staff and by integrated nutrition supply management related coaching in all health facilities visited for coaching. It also conducted nine assessments to monitor coverage of nutrition commodities in selected project supported PHCUs. The assessments highlighted gaps in key nutrition commodities which were reported to GoE counterparts for action at all levels.

Key Progress in Project Year III

The project responded to a call for emergency health system support in Year III to handle an Internally Displaced Persons (IDP) situation and prevent disruption of quality health and nutrition service delivery in one of its implementation regions.

Growth through Nutrition also provided technical assistance to finalize a Quality Improvement (QI) manual for community health services as well as to revitalize the health service quality technical working group.

Additionally, the project conducted 59 experience exchange visits to exhibit implementation of QI approaches, at Public Health Care Units to federal, regional, and zonal QI experts and 71 learning for staff from non-model to model PHCUs to encourage replication and scale-up of effective QI approaches. 

Key Progress in Project Year IV

In year IV, the project continued to support the Ministry of Health in conducting Training of Trainers, providing training to 341 health workers. The project also provided technical and financial support to the Ministry to develop draft clinical audit standards for Health Centers and conducted 80 field visits to strengthen commitment from local and regional teams to scale up QI approaches.      

Growth through Nutrition also facilitated a number of experience sharing visits (75 visits in total), in which 190 non-QI PCHUs visited QI sites to learn key lessons and practices despite significant ongoing security challenges during the year. The exercise in diffusion proved successful, with 90 percent of the visiting facilities beginning to apply the Kaizen model.

An assessment on effectiveness of AMIYCN/NSA training evaluated the integrated activity of the agriculture and health sectors – allowing project staff to modify training content on complementary feeding, diversity, and gender in Year III. In year IV, the project conducted follow up visits to assess the impact of the training on nutritional services. 

During world breastfeeding week, the project provided technical and financial support to regions that campaigned for breastfeeding and improved child health – wherein breastfeeding messages were integrated into COVID-19 messaging. 

The role of Quality Improvement Initiatives Supported by Growth through Nutrition Activity to Improve Quality of Nutrition Services at PHCUs

Growth through Nutrition (GTN), a 5-year USAID Feed the Future multisectoral nutrition project in Ethiopia, has been providing technical and financial support for quality improvement on nutrition at Primary Health Care Units (PHCUs). The study report summarizes some of the key findings from research conducted by Tufts University (project implementing partner) in collaboration with SCI, on the role of quality improvement initiatives (QI) in improving nutrition interventions at Primary Health Care Units (PHCU).

Document Type

Success Story - The Teachers Making an Impact on Nutrition Education in Ethiopia

Growth through Nutrition has provided training on Gender Responsive Effective Teaching Skills for 834 instructors at 19 institutions.This success story illustrates how Fekadu Reta's devoted teaching and dedication to nutrition education has been transformed by Growth through Nutrition training at Hawassa University.

Document Type
  • new-logo