3. 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
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4. 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
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5. 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
6. 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
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7. 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
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9. 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
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11. 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
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12. 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
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13. Budget
Number per
Item Cost Amount Total Cost Site
Community
Health Workers $4,800 $150 $720,000 2
Drip Irrigation $5 $22,500 $112,500 3
Tippy Tap $3 $15,000 $45,000 2
Visual Aids $1 $37,500 $37,500 5
Transportation - - $10,000 1
Seeds (millet,
teff, and
pulses) $10 $7,500 $75,000 1
$1,000,000
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14. References
ASD 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 at
http://www.independent.co.uk/news/world/africa/millions-facing-famine-in-ethiopia-as-rains-fail-1779376.html
The 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.
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