Nov 2014 – Dec 2020

Sustainable Undernutrition Reduction in Ethiopia (SURE!)



Ethiopia – Africa

To reduce childhood stunting in Ethiopia through the promotion of complementary feeding.

$28,472,682 Grant Value

$2,277,815 evaluation budget

The Sustainable Undernutrition Reduction in Ethiopia (SURE!) programme is the first Government-led multi-sectoral programme for improving nutrition outcomes in Ethiopia, particularly focusing on health and agriculture sectors. 

The programme goal is to reduce stunting by up to 26% by 2020 in four rural regions in Ethiopia: Oromia, Amhara, Tigray and Southern Nations, Nationalities, and Peoples’ Region (SNNPR).  

The project has three main components: 

  • Enhancing community-based nutrition (CBN) to address inadequate complementary feeding and household dietary diversity through infant and young child feeding counselling and nutrition-sensitive agriculture
  • Systems strengthening, which focuses on integrating health and agriculture extension platforms by improving human resource capabilities, data management and information systems
  • Developing a sustainable multi-sectoral coordination mechanism to deliver nutrition services accountable to communities and government leadership.


Activities currently underway or completed include:

  • The programme will be implemented in 150 Woredas (13 in Tigray, 37 in Amhara, 75 in Oromia, and 25 in SNNPR) from 2016-2019 with roll out scheduled in three phases. Roll out of the first phase, including 50 Woredas is underway. 
  • A thorough baseline study has been completed by the Ethiopian Public Health Institute (EPHI) with technical assistance from London School of Hygiene & Tropical Medicine (LSHTM)
  • National and regional level training of trainers on community-based nutrition programming, behaviour change communication, and infant and young child feeding has been completed. Master trainers are currently training community health workers.
  • Defined engagements between the Ministry of Health and Agriculture have led to placement of national and two regional coordinators (in SNNPR and Amhara) as well as identification of activities and plans that will increase production of diversified crops and promote poultry keeping and consumption.
  • Multi-sectoral nutrition coordination committees involving the health and agriculture sectors were formed in 50 Woredas (district) and their Kabeles (sub-district). The structures are expected to facilitate coordination of interventions from various.
  • Routine programme monitoring tools  have been finalised and distributed to programme focal persons
  • A  mobile health implementation strategy has been agreed and will be tested in 25 districts
  • A mass media plan and media messages have been developed for local Radio and Television
  • Programme launch and advocacy events hosted by the First Lady of Ethiopia led to funding commitments from regional Governments. SNNPR allocated 500,000 Birr ($25,000) to support SURE programme activities.