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Team 7
       Rachel Heath
       Joseph Henry
         Alesia Pruitt
Allison Schauwecker
        Erica Wilson
Oromiya Region, Ethiopia




Photos: http://www.younglives.org.uk/images/countries/ethiopia/ethiopia_map_650.gif
                                                                                      2
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
Implemented Drip Irrigation System & Azmari Musician




                                                                                                                                  8
Photos: http://www.ideorg.org/OurTechnologies/IDE_DripAlbum.pdf , http://farm4.static.flickr.com/3392/3186347558_00809ae0a8.jpg
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


 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

                                                                13
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.


                                                                                                                                    14

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Team7

  • 1. Team 7 Rachel Heath Joseph Henry Alesia Pruitt Allison Schauwecker Erica Wilson
  • 2. Oromiya Region, Ethiopia Photos: http://www.younglives.org.uk/images/countries/ethiopia/ethiopia_map_650.gif 2
  • 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 3
  • 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 4
  • 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 6
  • 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 7
  • 8. Implemented Drip Irrigation System & Azmari Musician 8 Photos: http://www.ideorg.org/OurTechnologies/IDE_DripAlbum.pdf , http://farm4.static.flickr.com/3392/3186347558_00809ae0a8.jpg
  • 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 9
  • 10. Partnerships  Médecins Sans Frontières  World Food Programme  USAID  FDRE Ministry of Health 10
  • 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 11
  • 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 12
  • 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 13
  • 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. 14