Team 7 will implement the Reducing Oromiyan Acute Malnutrition (ROAM) program in rural areas of Ethiopia's Oromiya Region to reduce acute malnutrition rates in children. The program will establish partnerships and recruit musicians and community educators to disseminate health education through culturally appropriate music and training sessions. Messages will include optimal nutrition, malnutrition symptoms and treatment, water sanitation, and other practices. Implementation will be monitored through regional health data and community assessments to ensure accountability.

1. Team 7
Rachel Heath
Joseph Henry
Alesia Pruitt
Allison Schauwecker
Erica Wilson

2. Oromiya Region, Ethiopia
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Photos: http://www.younglives.org.uk/images/countries/ethiopia/ethiopia_map_650.gif

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
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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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8. Implemented Drip Irrigation System & Azmari Musician
Photos: http://www.ideorg.org/OurTechnologies/IDE_DripAlbum.pdf , http://farm4.static.flickr.com/3392/3186347558_00809ae0a8.jpg
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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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10. Partnerships
 Médecins Sans Frontières
 World Food Programme
 USAID
 FDRE Ministry of Health
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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. 12
ROAM Breakdown
Sites
 2 years training
 150 workers
 75 teams
 2 people/team
 7,500 villages
 1 village/team/wk
 50 villages/yr/team
Complete Timeline
 4 years implementation
 2 years training
villages
 2 years of follow-up
 Adoption of
program practices
 Evaluation of health
status of
community

13. 13
Budget
Item Cost Amount Total Cost
Number per
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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