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Nutrition Ethiopia Demographic and Health Survey 2011 • Breastfeeding and Infant and Young Child Feeding Practices • Micronutrient Intake • Nutritional Status of Children, Women, and Men • Anaemia © 2001 Hugh Rigby, Courtesy of Photoshare Duration of Breastfeeding Median duration of breastfeeding in months among children born in the last 3 years 25.2 5.3 2.3 Any breastfeeding Exclusive breastfeeding Predominant breastfeeding Exclusive Breastfeeding • Children who receive only breast milk and no other foods or liquids, even water, are considered exclusively breastfed. • Exclusive breastfeeding is recommended for the first 6 months of life, since breast milk contains all the nutrients that a baby needs. • Antibodies in breast milk provide immunity to disease. Exclusive Breastfeeding by Age Percent of children exclusively breastfed 70 55 52 32 0-1 2-3 Age in months 4-5 0-5 Breastfeeding Status Under 6 Months Breast milk plus complementary foods Breast milk plus 10% other non-milk liquids 4% Breast milk plus other milk 14% Not breastfed 2% Exclusively breastfed 52% Breast milk plus water 19% IYCF Practices • The Infant and Young Child Feeding Practices (IYCF) recommended by WHO: – Breastfed children over 6 months should also receive 4 or more food groups, at least twice a day, for infants 6-8 months and at least 3 times a day for breastfed children 9-23 months. – Non-breastfed children should receive milk or milk products, in addition to 4 or more food groups, 4 times a day or more. IYCF Practices Percent of children 6-23 months 96 95 96 Not fed with all IYCF practices Fed with all 3 IYCF practices 4 5 4 Breastfed Non-breastfed All 6-23 months • Breastfeeding and Infant and Young Child Feeding Practices • Micronutrient Intake • Nutritional Status of Children, Women, and Men • Anaemia © 2001 Hugh Rigby, Courtesy of Photoshare Micronutrients and Children Among youngest child age 6-23 months living with his/her mother Among children age 6-59 months 53 26 21 13 6 Consumed foods Consumed foods Given vitamin A Given iron Given deworming rich in vitamin A in rich in iron in last supplement in the supplements in medication in last last 24 hours 24 hours last 6 months the past 7 days 6 months Micronutrients and Pregnant Women Percentage of women age 15-49 with a child born in the past 5 years 16 6 <1 Received vitamin A dose postpartum Took iron supplements for 90+ days Took deworming medication • Breastfeeding and Infant and Young Child Feeding Practices • Micronutrient Intake • Nutritional Status of Children, Women, and Men • Anaemia © 2001 Hugh Rigby, Courtesy of Photoshare Nutritional Status of Children Percent of children under 5 Stunted (too short for age) Wasted (too thin for height) 23 7 3 21 44 10 Moderate Severe Underweight (too thin for age) *Based on the new WHO Child Growth Standards 20 9 29 Stunting by Region Percent of children under age 5 who are too short for their age (based on WHO standards) Ethiopia total 44% 49 41 27 22 30 33 36 44 50 51 52 Trends in Nutritional Status of Children Percent of children under age 5 2000 EDHS 2005 EDHS 2011 EDHS 58 51 44 41 33 12 Stunting (Height-for-age) 12 29 10 Wasting (Weight-for-height) Underweight (Weight-for-age) Note: Data for 2000 and 2005 are recalculated WHO reference standard to be comparable to 2011 data. How does Ethiopia Compare? Malawi 2010 53 DRC 2007 46 Zambia 2007 45 Ethiopia 2011 44 Tanzania 2010 44 Rwanda 2010 44 Uganda 2006 38 Kenya 2008-09 35 Zimbabwe 2005-06 35 Namibia 2006-07 29 Percent of children under 5 stunted (too short for age) Women’s Nutritional Status Percent distribution of women age 15-49 Overweight 5% Obese 1% Mildly thin 18% Moderately or severely thin 9% Normal 67% Men’s Nutritional Status Percent distribution of men age 15-49 Overweight 2% Obese <1% Mildly thin 23% Normal 60% Moderately or severely thin 14% • Breastfeeding and Infant and Young Child Feeding Practices • Micronutrient Intake • Nutritional Status of Children, Women, and Men • Anaemia © 2001 Hugh Rigby, Courtesy of Photoshare Trends in Anaemia in Children Percent of children age 6-59 months classified as having anaemia 2005 EDHS 2011 EDHS 54 44 28 21 21 20 4 Any anemia Mild anemia Moderate anemia 3 Severe anemia Anaemia in Children by Region Percent of children age 6-59 months classified as having anaemia Ethiopia total 44% 63 47 33 35 37 38 51 52 56 69 75 Trends in Anaemia in Women Percent of women age 15-49 classified as having anaemia 2005 EDHS 2011 EDHS 27 17 17 13 8 3 Any anemia Mild anemia Moderate anemia <1 <1 Severe anemia Anaemia in Women by Region Percent of women age 15-49 classified as having anaemia Ethiopia total 17% 44 35 29 17 9 11 12 19 19 19 19 Summary • Children are breastfed for a median of 25 months • Children are exclusively breastfed for 2 months • 52% of children under 6 months are exclusively breastfed • <1% of pregnant women took iron supplements for 90+ days as recommended • 44% of children are stunted (short for their age) • 44% of children age 6-59 months and 17% of women age 15-49 are anaemic