Completed Project

Community-based Nutrition and Integrated WaSH Program

sponsored by UNICEF Ethiopia

In Ethiopia, despite increases in water supply and sanitation coverage in rural areas and a favorable policy environment, only an estimated 30% of the rural population had basic drinking water service, and as few as 4% had basic sanitation in 2015 (WHO/UNICEF Joint Monitoring Programme). As assessed by UNICEF Ethiopia, 60-80% of communicable diseases are attributed to low levels of access to safe water and inadequate sanitation and hygiene services, while poor WaSH is a major contributor to mal- and undernutrition[1].

With its large-scale rural Community-based Nutrition and Integrated WaSH Program, jointly implemented with the Government of Ethiopia (GoE), UNICEF Ethiopia aimed to address the combined risks of chronic malnutrition and poor access to basic WaSH services for 1.4 million people living in 30 woredas (districts) in four regions in Ethiopia, between 2011 and 2015.

Researchers at the Water Institute at UNC, in collaboration with Jimma University, supported UNICEF Ethiopia with collection, analysis and reporting of data from 2,650 rural households, 2,400 children under age five, and 75 communities, and WaSH committees in WaSH intervention and control areas.

The Water Institute’s collaboration and the baseline and midline results will help UNICEF Ethiopia to strengthen national WaSH systems, target program improvements, and allow them to measure their program outcomes and impacts.

[1]  UNICEF Ethiopia Water, Sanitation and Hygiene

Water Institute Researchers

Jamie Bartram – Principal Investigator
Carmen Anthonj – Lead Researcher, Postdoctoral Research Associate
Ryan Cronk – Postdoctoral Research Associate
Kate Shields – Research Assistant
Lisa Fleming – Research Assistant
Amy Guo – Research Assistant
Osborn Kwena Mwenesa – Research Specialist

Research Products
  • Health risk perceptions are associated with domestic use of basic water and sanitation services—Evidence from rural Ethiopia. 2018. Anthonj, C., Fleming, L., Godfrey, S., Ambelu, A., Bevan, J., Cronk, R., and J. Bartram. International Journal of Environmental Research and Public Health, (15)10: 2112.
  • Improving monitoring and water point functionality in rural Ethiopia. 2018. Anthonj, C., Fleming, L., Cronk, R., Godfrey, S., Ambelu, A., Bevan, J., Sozzi, E., and J. Bartram. Water,  10(11): 1591.
  • Integrated WASH/MUS/CBN Program in Amhara, Oromia, SNNPR, and Tigray Regions: Baseline and Midline report. 2017. Shields, K.F., and Karon, A.J. The Water Institute at UNC, Chapel Hill, NC, USA.


UNICEF Ethiopia (2018, Ethiopia, Godfrey)


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