Community Based Management of Acute Malnutrition according UNICEF and WHO standards Implementation in Oromia Region, Ethiopia WIth Pablo Horstmann Foundation and Alegria Sin Fronteras

1. ECC-SDCOM
Pablo Horstmann Foundation
Dr. Iñaki Alegria (Project Manager)
Mr. Ashemi Dale (Project Focal Person)
Meki ,Ethiopia

2. Nutrition Intervention through Community Based Management of Acute
Malnutrition (CMAM) Project is a project working on community based
supplementary feeding program.
The beneficiaries :
1. Children under five
2. Lactating women
3. Pregnant women
Operational area: East Shoa Zone, Dugda Woreda specifically
in 8 sellected kebeles which are Ate Leman, Mukuye Leman, Wedesha
Orogocho, Mejana Lalu, Argo Gadilala, Koto Biliti, Biliti Balewald, &
Burka Dembal)

3. Kebeles
Ate Lema
Mukuye Leman
Wedesha Orogocho
Mejana Lalu
Argo Gadilala
Koto Biliti
Biliti Balewald
Burka Denbel

4.  General Objective
 Improving health status of children under 5
years, pregnant and lactating women in 8
kebeles of Dugda Woreda.

5. Specific Objectives
 To reduce the effects of malnutrition in under
five children in eight (8) kebeles
 To identify children under 5 years malnourished
children in eight (8) kebeles, management and
treatment according protocol.
 To screen the Pregnant and Lactating women in
same kebeles and distribute Famix for those who
are malnourished.
 To train HEWs and other health professionals on
nutritional screening, management and
treatment.

6.  Develop community programs
Creation of Focus group discussion (FGD)
 Micronutrient malnutrition
To ensure distribution of Vitamin A
supplement
 Monthly Screening of Malnutrition in 8
selected Kebeles
Monthly report

7. Ensure Management and treatment of Severe Acute
Malnutrition in Health posts, HCs and Meki catholic clinic
 Strengthening of Therapeutic Feeding Unit
(TFU/OTP) in kebeles
 Ensure availability of RUTF and routine medications in
therapeutic feeding unit.
 Checking of OTP registration and cards
 Measuring weight weekly.
 Measuring MUAC weekly
 Other medical complication management
Admission for SAM management according SAM protocol and
referral of severe complicated cases to Health centers or Meki
Catholic clinic.

8.  Nutritional counseling at Therapeutic
Feeding Program (TFP/OTP) for Mothers
and care takers about the problem of their
child and their role in the program for best
out come of the child.
 Feeding uncomplicated SAM according to
the protocol.

9.  Management and follow up of Moderate Acute
malnutrition.
 Provision of Faffa/Famix
 Capacity building activities
 Training of HEWs, and Health professionals.
 Focus group discusion (FGD)
 Review meetings with community members
 HP Supervision

10.  Health Post Supervision
 Monthly Malnutrition Screening
 Famix distribution
 Health Education

11.  We are closely working with Dugda woreda
Health Office, DWDPPO & other NGO

12. Kebele
Total
Population
Total Children
Under 5
Total Children
Screened
% Children
Under 5
Screened
Total SAM
MUAC <
11
% Total
MUAC <11
Total
MAM
MUAC <12
% Total
MAM MUAC
<12
GAM % GAM
Hate
Leman
3081 506 349 4 1,1% 89 25,5% 93 26,6%
Mejana
Lalu
3003 525 414 1 0,2% 11 2,7% 12 2,9%
Mukuye
Leman
2994 491 352 0 0,0% 6 1,7% 6 1,7%
Wedesha
Orogocho
3397 558 218 0 0,0% 7 3,2% 7 3,2%
Argo
Gadilala
3499 652 388 3 0,8% 18 4,6% 21 5,4%
Koto
Biliti
4041 605 658 8 1,2% 41 6,2% 49 7,4%
Biliti
Baleweld
3093 508 248 1 0,4% 33 13,3% 34 13,7%
Burka
Dembel
4549 714 18 4 22,2% 14 77,8% 18 100,0%
Total 27657 4559 2645 21 219 240

13. Kebele Total Population
Total
Pregnant
Women
Total PLW
Screened
% PLW
Screened
Total SAM
MUAC < 21
% Total
MUAC <21
Total MAM
MUAC <23
% Total
MAM MUAC
< 23
GAM % GAM
Hate
Leman
3081 97 277 50 18,1% 211 76,2% 261 94,2%
Mejana
Lalu
3003 108 220 54 24,5% 89 40,5% 143 65,0%
Mukuye
Leman
2994 96 150 19 12,7% 24 16,0% 43 28,7%
Wedesha
Orogocho
3397 118 71 4 5,6% 18 25,4% 22 31,0%
Argo
Gadilala
3499 122 249 36 14,5% 116 46,6% 154 61,8%
Koto Biliti 4041 141 342 55 16,1% 155 45,3% 210 61,4%
Biliti
Baleweld
3093 108 170 34 20,0% 107 62,9% 141 82,9%
Burka
Dembel
4549 158 26 4 15,4% 22 26 %
TOTAL 27657 948 1505 256 742 1000

14. SN Kebele Under 5 PLW TOTAL Kebele Kg Quintal Price ETB
1Ate lema 129 208 337 Ate lema 2106,25 21,0625 28945,141
2 Mukuye Leman 7 52 59 Mukuye Leman 368,75 3,6875 5067,5469
3 Mejana Lalu 71 157 228 Mejana Lalu 1425 14,25 19583,063
4Wedesha Orgocho 19 44 63
Wedesha
Orgocho 393,75 3,9375 5411,1094
5 Argo Gadilala 56 169 225 Argo Gadilala 1406,25 14,0625 19325,391
6 Koto Biliti 137 297 434 Koto Biliti 2712,5 27,125 37276,531
7 Biliti Baleweld 91 147 238 Biliti Baleweld 1487,5 14,875 20441,969
8Burka Dambal 16 25 41 Burka Dambal 256,25 2,5625 3521,5156
Total 526 1099 1625 TOTAL 10156,3 101,5625 139572,27

15.  weather condition affects our plane to
kebeles
 The road is not comfortable to go to some
kebele
 Absence of registration of screening for PLW

16.  Strenghtening the relationship between
Health Posts, Health Centers and Woreda
Health Office.
 As much as possible ajust our plan to kebeles
on non raining days.

24. Clinic Staff
Pediatrician 2
GP 1
Health Officer 2
Nurses 7+2
Receptionist 2
Lab technician 2
Druggist 1
Cleaner 4
Guard 4

25. Waiting Room 1
Card Room 1
OPD Room
 Nutritional OPD
 EPI
 Emergency pediatric OPD
 Emergency and follow uu OPD
4
Laboratory 1
Pharmacy 1
Dressing and injection room 1
Observation Room 1
In-patient Room 2
Phisiotherapy room 1
Staff and meeting room 1
Store 1

26.  OPD – Pediatric Out Patient Department
 Severe Acute Malnutrition Program
◦ Therapheutic Feeding Unit
◦ Out Patient Program
 Moderate Acute Malnutrition Program
◦ Out Patient Program
 Nutritional counselling
 Under 5 cinic
 Malaria Program
 TB Program
 EPI
 Family teaching
 Laboratory
 Pharmacy
 Dressing and Injection
 In patient department
 Observation department
 Phisiotherapy
 International campaigns
 ENT
 Cardio
 Dental
 Trauma