ETHIOPRECISION: Digital Nutrition Surveillance Framework Scoping review (Arksey & O’Malley 2005) – March 2026

Background Ethiopia ranks 100th/123 in the 2025 Global Hunger Index (24.4, “serious”). Despite 15,000 + HEWs using ODK and UNISE/DHIS2 infrastructure, school-age children (5–14 years) show zero digital nutrition studies despite NNP-II mandate. This scoping review map digital nutrition surveillance gaps and propose ETHIOPRECISION L1-L4 framework. Methods Arksey and O’Malley (2005) stage methodology with PRISMA-ScR guidelines and JBI PCC framework. Searched PubMed, Google Scholar, EPHI/FMOH grey literature (2000–2026) for “nutrition Ethiopia digital ODK DHIS2’. Two reviewers screened 60 records; 9 studies included for numerical/thematically synthesis and framework development. Results n = 9 studies: ODK dominance (89%) across children/pregnant women, but School-age 5–14 year’s digital gaps (0 studies), DHIS2 cascade incompleteness. ETHIOPRECISION synthesizes four gaps into L1-L4 framework: L1: ODK screening, L2: XGBoost AI risk prediction, L3: precision intervention plans, L4: eLMIS supply chain integration Conclusion ETHIOPRECISION L1-L4 provides first comprehensive digital nutrition surveillance framework for Ethiopia’s triple burden crisis. Address critical school-age gap and ODK→DHIS2 integration failure. University of Gondar positioned for Amhara L1 pilot nationally. Trial registration : Not applicable