Ethiopia’s Decades-Long Malnutrition Crises

June 16,2026      In Ethiopia, Africa’s second-most populous country, roughly one in eight Ethiopians suffer food shortages in mid-2026 in many region-specific overlapping crises caused by fighting, drought, population displacements, refugees, sky-high prices, and sudden cuts in international aid.

A 2026 humanitarian analysis citing FEWS NET projected about 15. to 16 million Ethiopians in acute food insecurity, with IPC Phase 3 Crisis and Phase 4 Emergency conditions expected in parts of the country by this coming July 2026.  Large parts of eastern and southern Ethiopia are at “Crisis” level, meaning families are skipping meals, selling their animals, and running out of options. Some pockets near Harar, Dire Dawa, and the lowlands of East Hararghe in the east are Emergency level. Conflict-hit areas in Amhara and Tigray are also food insecure.

Children suffer most. Many are “wasted” (too thin for their height), which weakens their immune systems and can cause lifelong problems. In treatment centers in Gambella, the death rate for severely malnourished children reached 3.2%. . Similar death rates appear in Benishangul-Gumuz (2.7%) and South Ethiopia (2.8%). These are regions with almost no aid organizations working on nutrition, even though the need is urgent.

Tigray has repeatedly been a particular famine zone. SMART surveys and rapid nutrition assessments in Tigray and Amhara found child acute malnutrition above 15%, and 20% in four Tigray woredas.  From 2020 to 2022, a war between the government of Ethiopia and Tigray created a humanitarian crisis in Tigray.   Nutrition reporting from Tigray during the war was sparse.  Estimates of famine and civilian deaths during the war range from 96,000 to 378,000.

Causes for Ethiopia’s food crisis today:

  1. Conflict and displacement Fighting in Amhara, parts of Oromia (especially Wellega zones), and earlier wars in Tigray have forced more than 1.5 million people from their homes in Amhara and Afar alone. When people flee, they lose their farms, livestock, and access to clinics. Many health centers were looted or destroyed, so children cannot be screened or treated for malnutrition.
  2. Drought and climate shocks Pastoral communities in the Somali region (especially Doolo and Korahe zones), Afar, and South Ethiopia have suffered years of failed rains. Herders lose their animals — their main source of food and income. Some areas also face floods that destroy crops. These zones are often remote and “data-dark,” meaning they have not been properly surveyed recently, so the true scale of suffering is hidden.
  3. Aid cuts and supply breaks In 2023 a major scandal over stolen food aid led to a nationwide pause in deliveries. In 2025, big funding cuts (especially from the United States) caused the main program that feeds moderately malnourished children to stop across the entire country. Special peanut-paste treatment for severely malnourished kids also ran short. Refugee camps in Gambella region saw nutrition services shut down in several camps.

Foreign Assistance

Over the last fourty years, Ethiopia has received more food aid than any other country, around $20 billion worth, about half of it from the United States.  Most of the food aid has been to avert malnutrition among children or respond to famine.  Food aid was interrupted in 2023 over findings of food theft.

In the last decade, the U.S. Government has invested heavily in a single country-wide program called the Joint Emergency Operations Program (JEOP), led by Catholic Relief Services and including CARE, World Vision, Save the Children, Food for Hungry, ORDA, and REST.  Currently, the US Department of Agriculture is funding WFP in Ethiopia and reviewing proposals for new NGO emergency food and nutrition assistance, likely in the $80 million range.

Separately, the Joint UN Initiative for the Prevention of Wasting was launched in Ethiopia in August 2025 by the Federal Ministry of Health with WHO, UNICEF, and WFP, supported by FCDO. It is a five-year, multisectoral effort to prevent wasting among children 0–18 months in food-insecure settings.

The Ethiopia Nutrition Cluster (a group of UN agencies and NGOs) coordinates humanitarian assistance. dozens of high-need zones, especially in Gambella, South Ethiopia, parts of Somali, and conflict areas of Amhara and Oromia, have zero or only one nutrition partner. These “neglected gap zones” are the places where extra help could save the most lives.

In addition to the agencies mentioned above, aid nonprofits (NGOs) that address food and nutrition in Ethiopia include:  Oxfam, Welthungerhilfe, GOAL, Mercy Corps, Action Against Hunger, Project Hope, Tearfund, Plan International, Concern Worldwide, Islamic Relief, Cordaid, Terre des Hommes, and Norwegian Church Aid.

Many aid agencies work via networks such as the half-century-old  Consortium of Christian Relief and Development Associations (CCRDA).   In Tigray, a long-term relief agency that managed food aid in multiple famines is the Relief Society of Tigray, known as REST.

 

Global Food Crisis Opinion in Irish Times

April 30, 2026

The Executive Director of Concern Worldwide, Dominic Crowley, published in the Irish Times to amplify the findings of the 2026 Global Report on Food Crises, noting how “in total, 266 million people in 47 countries/territories experienced high levels of acute food insecurity in 2025. Nearly one quarter of the population in these countries/territories are acutely food … This acute food insecurity is mostly concentrated in just ten countries.”

He adds that “reflecting our focus on food insecurity, Concern Worldwide works in eight of these countries: Afghanistan, Bangladesh, the DRC, Pakistan, South Sudan, Sudan, Syria and Yemen. Over the past twelve months, Concern has also supported a response to the March 2025 earthquake in a ninth country in the list – Myanmar.”

He writes:  “These figures could get even worse. Harsh reductions in aid and the ongoing conflict in Iran and the Gulf States threatens to push more vulnerable people into poverty and acute food insecurity….It is vital that governments and donors scale up aid and investment in resilient food systems and support safe humanitarian access to prevent further catastrophe.”

Also at:

https://www.threads.com/@concernworldwide/post/DXpDe8ilAvZ/humanitarian-and-development-funding-for-food-sectors-in-crisis-fell-last-year

https://x.com/Concern/status/2048869861472764152

Concern for Sudan

World Hunger Education Service made its annual anti-hunger award, including our recommendation and a cash grant to Concern Worldwide for its food and nutrition assistance in the worst famine crisis in the world, The Sudan, where it manages health clinics, case finding of children with malnutrition and building household resilience amid an intractable civil war. Their operations reach nearly half a million people across several states, including West and Central Darfur, West and South Kordofan, and the Red Sea StateConcern Worldwide has been operating in Sudan since 1985, with programs adapted to address the ongoing humanitarian crisis stemming from the conflict that escalated in April 2023.

Concern’s assistance in the last year included over 11 tons of medical items and 56 metric tonnes of pharmaceuticals and equipment in recent deliveries.   Nutrition programs include distributing 11 tons of ready-to-use therapeutic food (RUTF) to treat childhood malnutrition, addressing the loss of Sudan’s domestic RUTF production capacity due to conflict damage. Overall, nearly 480,000 people received support through these health and nutrition efforts in the first 10 months of 2025, with programs continuing into 2026 amid funding shortfalls highlighted by Concern’s leadership.

To mitigate long-term impacts like poverty, Concern integrates food security, livelihoods support, nutrition, WASH, and disaster risk reduction.  Their aid includes agricultural training, provision of inputs, and village savings and loan associations in Kordofan communities, adapted to the conflict environment. These programs aim to build resilience while addressing immediate needs from the crisis, which has left over 24 million people in Sudan requiring aid.   In 2024, Concern treated 8,312 children for severe acute malnutrition (SAM).  In addition, in 2024, over 12,000 individuals received in-kind food assistance, and 5,875 households were provided with multi-purpose cash assistance totaling approximately €1.2 million.

Concern Worldwide began in 1968, when a small group of Irish volunteers launched an emergency response to the famine in Biafra, Nigeria.  Today, Concern reaches over 30 million people in emergencies.

See:    https://www.concern.net/what-we-do/health-and-nutrition

See Hunger Notes’ previous interview with Dominic MacSorley, former CEO of Concern at:  https://www.worldhunger.org/interview-with-dominic-macsorley-former-ceo-of-concern-worldwide/

Donations from the US can go to:  https://concernusa.org/

https://concernusa.org/search-results/?q=sudan&page=1