WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia –...
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![Page 1: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/1.jpg)
WFP’s Urban HIV/AIDS
Nutritional Support Program in
EthiopiaA joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP
Michelle Jennings
USAID/Ethiopia
![Page 2: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/2.jpg)
Overview• Problem
• Background
• WFP/USAID Urban HIV/AIDS Nutritional Support Program
• Opportunities
• Challenges
• Broader Issues
• Future vision
![Page 3: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/3.jpg)
The Context
• Staggering
malnutrition country-wide
• 47% of children under
five are stunted
• 8-10 million (avg.) food
insecure in rural areas
![Page 4: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/4.jpg)
The Numbers
• National HIV/AIDS prevalence is 2.03 which means over 1.5 million people in Ethiopia are living with HIV/AIDS
• Equally troubling is the high prevalence in URBAN areas, esp. among girls and women (1 and 8 in Addis are infected)
• We think that almost half of PLWHAs come from the RURAL setting although are infected in Urban areas
![Page 5: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/5.jpg)
The Problem
“ART without food is meaningless” ARV Clinic M.D., Nazareth, Ethiopia
• HIV and malnutrition exacerbate one another and have profound consequences for clinical outcomes for PLWHA
• Effectiveness of drug response in patients under treatment for HIV/AIDS is strongly dependant upon their nutritional status
![Page 6: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/6.jpg)
History
• WFP had supported an urban food security program in Addis Ababa in 2000
• Refocused program to address nutritional support for Urban HIV/AIDS affected households in Addis Ababa in 2003
• WFP scaled-up further to the current 14 large towns in Ethiopia
![Page 7: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/7.jpg)
• $350,000 USD from PEPFAR
• 13,800 MT of Title II food ($8.2 million)
Total program cost: $19.2 2006/2007 (2 yr.)– Outstanding needs for 2007 are $5 million
in food resources
![Page 8: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/8.jpg)
ObjectivesBy providing nutritional support WFP contributes to the national response to
HIV/AIDS by
• Increasing nutrition, health and overall well being of PLWHAs (including complementary support to Home Based Care Services)
• Supporting enrollment and adherence to anti retroviral treatment (ART) and prevention of mother to child transition (PMTCT) programs
• Supporting school attendance of orphans and vulnerable children (OVCs)
![Page 9: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/9.jpg)
Urban HIV/AIDS Project
• The project targets urban food insecure/poverty stricken, HIV/AIDS infected or affected households
• The Food Basket provided consists of Wheat, Corn Soya Blend (CSB), Oil and Pulses
• There are currently more than 111,000 beneficiaries
![Page 10: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/10.jpg)
Food and Nutritional SupportEntry Exit
Orphans andVulnerable Children
IndividualRation
VCT/PMTCT(HIV +)
NutritionalCounselingand Support
HH ration
Pre-ARTor ART
Provision ofBasic CarePackage &HH ration
SeverelyMalnourished
Pre-ART or ART
RUTF(if eligible BMI/MUAC)HH ration
![Page 11: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/11.jpg)
Linkages
Nutritional Support for affected HHs is linked to a collection of other referral services
• Care • Treatment • Prevention
![Page 12: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/12.jpg)
Capacity Building
• PEPFAR funding provides training in HIV/AIDS & Nutrition for Partners and Home Based Care Volunteers
• Training in preparation of Corn Soya Blend (CSB) provided to beneficiaries through HBC volunteers
• Training in Logistics and M&E for partners
• Capacity Building for implementing partners through provision of IT equipment
![Page 13: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/13.jpg)
Promising Results• 98% of patients receiving ART and
nutritional support were able to adhere to their treatment
• Over 90% of PLWHAs receiving nutritional support reported that their health condition was improving or stable
• 90% of OVCs receiving nutritional support were able to attend school regularly
![Page 14: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/14.jpg)
OpportunitiesNutritional support provides entry points to increase nutrition awareness and linkages to
other HIV/AIDS services for beneficiaries
• Strong and committed partnerships between Government, donors and WFP to collaborate on nutritional support
• Presence of strong implementing partners, including government and NGOs
• Complementary activities, including Home Based Care and OVCs programmes
![Page 15: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/15.jpg)
Challenges
Increased demand as VCT and ARV services expand
Lack of longer term food security programs with which to link in the Urban areas
Exit strategy and linking to income generating activities (IGA)
Unpredictable food resource
![Page 16: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/16.jpg)
Broader Issues
Inadequate food and food security resources link to PEPFAR programs
Imbalance in USAID resources (Title II and PEPFAR)
Are there alternative mechanisms to provide food to PLWHAs?
Can PEPFAR cover transportation and operational costs to allow for more food to be purchased?
Capitalize on geographic overlap (mainstreaming)
![Page 17: WFP’s Urban HIV/AIDS Nutritional Support Program in Ethiopia A joint program of USAID/Ethiopia – FFP, PEPFAR, and WFP Michelle Jennings USAID/Ethiopia.](https://reader033.fdocuments.us/reader033/viewer/2022051415/56649cc25503460f9498a2a7/html5/thumbnails/17.jpg)
Future Vision Establish a long term solution to HIV/A nutritional
support that is predictable and reliable
Ensure nutritional support to acutely malnourished PLWHAs is linked to complementary household ration
Title II and community therapeutic center (CTC) experience is applied and informs HIV/AIDS programming for nutrition
Harmonize policy and implementation guidelines