Program Objective To reduce the rate of Acute Malnutrition in Oromiyan children by disseminating health education through culturally appropriate music and community educators Reducing Oromiyan Acute Malnutrition (ROAM) “Malnutrition is a major underlying and preventable factor in more than 5 million child deaths under the age of five.” – Case Prompt 3
Acute vs. Chronic Care Current Acute Malnutrition cases: 126,000 Significantly higher costs (monetarily and workforce) are required to give tertiary care than to provide long- term care Hunger is inherently a chronic condition due to developmental effects seen in children 4
Target Population Members of communities within rural areas throughout the Oromiya Region Work with Médecins Sans Frontières to identify communities with high concentration of severe cases MSF has had feeding programs within the region since 2008 5
Plan Outline Establish working relationships with partners and share data of problem areas Recruit and train educators and musicians in Addis Ababa Release music through live tours and radio to initiate program messages Community educator lead training sessions Follow up evaluations of adopted practices 6
Community Education Identify Community Leaders throughout the targeted communities within the greater Oromiya Region Utilize educated Oromiyans to serve as Community Educators to travel in teams of two throughout the region 7
Musical Diffusion Employ respectable, well-known musicians to establish rapport and inform the public Songs teaching: Optimal nutrition with available crops Symptoms and treatment of malnutrition Water sanitation Use of animal fertilizer Drip irrigation systems Hand washing Community health educators 9
Partnerships Médecins Sans Frontières World Food Programme USAID FDRE Ministry of Health 10
Monitoring for Accountability Quantitative Regional data from existing hospitals and clinics on treatment of acutely malnourished children Qualitative Assessments by community educators on effectiveness of program practices 11
ROAM Breakdown Sites Complete Timeline 2 years training 4 years implementation 2 years training 150 workers villages 75 teams 2 years of follow-up 2 people/team Adoption of 7,500 villages program practices 1 village/team/wk Evaluation of health 50 villages/yr/team status of community 12
Budget Number per Item Cost Amount Total Cost Site CommunityHealth Workers $4,800 $150 $720,000 2Drip Irrigation $5 $22,500 $112,500 3 Tippy Tap $3 $15,000 $45,000 2 Visual Aids $1 $37,500 $37,500 5Transportation - - $10,000 1Seeds (millet, teff, and pulses) $10 $7,500 $75,000 1 $1,000,000 13
ReferencesASD Africa. (2009, March 15). AWWC Site Visit to Tanzania. Retrieved February 19,2010, from http://1.bp.blogspot.com/_3w4v_dnrngU/SYsJlAunINI/AAAAAAAABUs/QytjQ69pG38/s400/girl_tippytap3.jpg.Chossudovsky, M. (2000, September). Sowing the Seeds of Famine in Ethiopia. Retrieved February 19, 2010, from the Centre for Research on Globalisation’s website: http://www.globalresearch.ca/articles/CHO109B.html.Every Culture. (n.d.). Ethiopia. Retrieved February 19, 2010, from http://www.everyculture.com/Cr-Ga/Ethiopia.html.Federal Democratic Republic of Ethiopia Ministry of Health.(2009). Frequently Asked Questions. Retrieved February 19, 2010, from http://www.moh.gov.et/index.php?option=com_xfaq&Itemid=451.Friends of the World Food Program. (2010, February 4). Ethiopian Government Appeals for Aid to Feed 5.2 Million People. Retrieved February 19, 2010, from http://www.friendsofwfp.org/site/apps/nlnet/content2.aspx?c=hrKJIXPFIqE&b=5034199&ct=7985373.Global Food Security Crisis. (2009).World Bank Provides $480 Million to Combat Food Insecurity in Ethiopia. Retrieved February 19, 2010, from http://www.un-foodsecurity.org/node/134.Rogers, P. (2009, August 30). Millions Facing Famine in Ethiopia as Rain Falls. Retrieved February 19, 2010, from The Independent athttp://www.independent.co.uk/news/world/africa/millions-facing-famine-in-ethiopia-as-rains-fail-1779376.htmlThe Jimma Times. (2010). United States Concerned Over FDD Report on Food Aid Politicization. Retrieved February 19, 2010, from http://www.jimmatimes.com/article/Latest_News/Latest_News/United_States_concerned_over_FDD_report_of_Ethiopia_food_aid _politicization/33000.The Norwegian Council for Africa. (2003, April 11). Ethiopia: Government Policy Said Responsible for Current Famine. Retrieved February 19, 2010, from http://www.afrika.no/Detailed/3357.html.The World Bank. (2004, May 12). Ethiopia: Country Economic Memorandum. Retrieved from http://siteresources.worldbank.org/INTETHIOPIA/Resources/PREM/FourEthiopiasrev6.7.5.May24.pdf.U.S. Department of State. (2009, December). Ethiopia. Retrieved February 19, 2010, from http://www.state.gov/r/pa/ei/bgn/2859.htm.USAID Budget. (2005, June 14). Ethiopia. Retrieved February 19, 2010, from http://www.usaid.gov/policy/budget/cbj2006/afr/et.html. United Nations World Food Programme.(n.d.). Ethiopian Project Prevents Hunger By Managing Land. Retrieved February 19, 2010, from http://www.wfp.org/stories/ethiopian-project-recovers-degraded-farmland.World Hunger Education Service. (2009, November 25). The Hunger Notes. Retrieved February 19, 2010, from http://www.worldhunger.org/articles/09/editorials/mariam.htm. 14
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