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  • Ethiopian women are actively involved in all aspects of their society's life. Women are both producers and procreators and they are also active participants in the social, political, and cultural activities of their communities. Women’s role as caretakers makes them effective target of SAM prevention in children under two.
  • Team8

    1. 1. UAB Global Health Challenge Team 8 February 20, 2010
    2. 2. UNICEF Conceptual Framework of Malnutrition Prevention 2
    3. 3. Case for Prevention• Epidemiological Argument – Direct Causes of Child Deaths• Economic Argument – Prevention vs. Treatment• Ethical Argument – Reliance on Treatment is Unethical 3
    4. 4. Case for PreventionWomen are a critical link, biologically and socially,in the well-being of households and communities. 4
    5. 5. ObjectiveTo develop a sustainable community healthprogram for prevention of severe acutemalnutrition in the Borena Zone of theOromiya Region, Ethiopa 5
    6. 6. Why the Borena Zone?• Major drought affected area – Resulting in food shortage shortages and an increase in SAM-related disorders• Aid organizations currently facilitating SAM treatment – RUTFs, in clinic treatment• Data is available for SAM within region for comparison and analysis• Infrastructures available – Health centers, clinics• Communities and Universities are easily accessible
    7. 7. Collaborative Partners• Ministry of Health• Hawassa University• VodaFone• Hospitals and Clinics in Borena Zone: – Negele Hospital, Yabello Health Center, Moyale Health Center• NGOs in Borena Zone
    8. 8. Qualitative research Grant given to University and Clinics Student Training Certification Program Certification Program Certification Program Community Health Workers -Continuing Education (2 times per year) Community MobilizationCommunity Woman Clinics Schools Churches Leaders Organizations 8
    9. 9. CHW Certificate: Identification and Diagnosis of SAM• Identification and Diagnosis of SAM – TALC Insertion Tape • Green More than 135mm – Reasonably Nourished • Yellow 125-135mm – Probably malnourished • Red Less than 124mm – Almost certainly malnourished
    10. 10. CHW Certificate: Identification and Diagnosis of SAM• Identification and Diagnosis of SAM – Little energy
    11. 11. CHW Certificate: Prevention• Breastfeeding – Exclusive breastfeeding for six months and continued breastfeeding for the first year could avert 13% of the more than 10 million deaths among children ever year – Why exclusive breastfeeding • Formula increases risk of illness and death – Protection of the many essential infection-fighting components of human milk – Possible contamination of water and formula – Diluting Formula
    12. 12. CHW Certificate: Prevention• Breastfeeding – Diarrheal Control• Needs assessment – Asset mapping
    13. 13. Timeline Proposal• Year 1: – Qualitative Research – Creation of Certification Program through HU – Application processing of 30 CHW – Training program for CHW – Begin field work – Monitoring• Year 2 and 3: – Continue field work – Monitoring – Continuing Education – Assessing Model & Data Evaluation – Recruiting & Training for 30 additional CHWs
    14. 14. Budget Proposal• $200,000- Grant for the Hawassa University• $150,000- Oromiya Regional Health Bureau for Funding to Clinics and Hospitals in the Borena Zone• $108,000- Community Health Workers Funding: – Year 1: $18,000 – Year 2: $36,000 – Year 3: $54,000• $100,000- Equipment and Supplies – TALC Bands and Awareness Material, Mobiles• $150,000- Costs For Initial Referrals• $100,000-Evaluations – Formative, Process, Outcome• $92,000-Domestic Operating Costs• $100,000- Discretionary Funding
    15. 15. Feasibility & Sustainability• Partner with Local Organizations, NGOs, and facilities already on ground• Simple, focused, & not overly ambitious• Employs locals and promotes community involvement and mobilization• Promotes education• Easily expandable to include more areas and could be applied to other diseases
    16. 16. References:•• Acute__Malnutirtion.pdf••• chell_WHO.pdf•••••••••
    17. 17. Thank you for your attention! Questions? 17