Nutrition
For Health Extension Workers
v v v
Melkie Edris Deb
v v
ub University
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InvcollaborationvwithvthevEthiopiavPublicvHealthvTrainingvInitiative,vThevCartervCenter,vthev
EthiopiavMinistryvofvHealth,vandvthevEthiopiavMinistryvofvEducation
Novemberv2004
, FundedvundervUSAIDvCooperativevAgreementvNo.v663-A-00-00-0358-00.
ProducedvinvcollaborationvwithvthevEthiopiavPublicvHealthvTrainingvInitiative,vThevCartervCe
nter,vthevEthiopiavMinistryvofvHealth,vandvthevEthiopiavMinistryvofvEducation.
ImportantvGuidelinesvforvPrintingvandvPhotocopying
Limitedvpermissionvisvgrantedvfreevofvchargevtovprintvorvphotocopyvallvpagesvofvthisvpublicat
ionvforveducational,vnot-for-
profitvusevbyvhealthvcarevworkers,vstudentsvorvfaculty.vAllvcopiesvmustvretainvallvauthorvcred
itsvandvcopyrightvnoticesvincludedvinvthevoriginalvdocument.vUndervnovcircumstancesvisvitvp
ermissiblevtovsellvorvdistributevonvavcommercialvbasis,vorvtovclaimvauthorshipvof,vcopiesvofvm
aterialvreproducedvfromvthisvpublication.
©2004vbyvMelkievEdris
Allvrightsvreserved.vExceptvasvexpresslyvprovidedvabove,vnovpartvofvthisvpublicationvmayvbevr
eproducedvorvtransmittedvinvanyvformvorvbyvanyvmeans,velectronicvorvmechanical,vincludin
gvphotocopying,vrecording,vorvbyvanyvinformationvstoragevandvretrievalvsystem,vwithoutvwr
ittenvpermissionvofvthevauthorvorvauthors.
Thisvmaterialvisvintendedvforveducationalvusevonlyvbyvpracticingvhealthvcarevworkersvorvst
udentsvandvfacultyvinvavhealthvcarevfield.
, Acknowledgments
ThevdevelopmentvofvthisvlecturevnotevforvtrainingvHealthvExtensionvworkersvisvanvarduousva
ssignmentvforvAtovMelkievEdrisvatvUniversityvofvGondar
Essentially,vitvrequiredvthevconsolidationvandvmergingvofvexistingvinvdepthvtrainingvmaterial
s,vexaminationvofvHealthvExtensionvPackagevmanualsvandvthevCurriculum.
Recognizingvthevimportancevofvandvthevneedvforvthevpreparationvofvthevlecturevnotevforvthev
TrainingvofvHealthvExtensionvworkersvTHEvCARTERvCENTERv(TCC)vETHIOPIAvPUBLICv
HEALTHvTRAININGvINITIATIVEv(EPHTI)vfacilitatedvthevtaskvforvUniversityvofvGondarvtovwr
itevthevlecturevnotevinvconsultationvwithvthevHealthvExtensionvCoordinatingvOfficevofvthevFe
deralvMinistryvofvHealth.
FinallyvthevFederalvMinistryvofvHealthvwouldvlikevtovexpressvspecialvwordsvofvgratitudevforvth
osevwhovcontributedvandvendeavoredvtovthevdevelopmentvofvthisvlecturevnotevandvtovTCC/
USAIDvforvthevtechnicalvandvfinancialvsupport.
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, TablevofvContents
Topics Page
Acknowledgement .......................................................................... i
TablevofvContents........................................................................... ii
ListvofvTables ................................................................................ iii
Abbreviation ................................................................................. iv
Introduction................................................................................... 1
UNITvONE:v GeneralvNutrition ....................................................... 3
UNITvTWO:v Carbohydrates ........................................................ 12
UNITvTHREE:vProteins ............................................................... 19
UNITvFOUR:vLipids ..................................................................... 29
UNITvFIVE:vBasalvMetabolism ..................................................... 35
UNITvSIX:vVitamins ..................................................................... 38
UNITvSEVEN:vMineralvSalts ........................................................ 58
UNITvEIGHT:vWater .................................................................... 67
UNITvNINE:vGrowthvandvDevelopment ........................................ 72
UNITvTEN:vNutritionalvSurveillance.............................................. 79
UNITvELEVEN:vNutritionvIntervention .......................................... 81
UNITvTWELVE:vEssentialvNutritionvActionsvApproach.................. 84
Reference .................................................................................. 90
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