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
CMAM Project: Nutrition Intervention through
Community Based Management of Acute Malnutrition
Presentation
Ashemi Dale (BSc in HO)
ECC-SDCOM
Pablo Horstmann Foundation
Augest 5/ 2016
Ayu In’t Hotel,Ethiopia

2. 1. Presentation out line
1 Cover Page
2 Project Profile
3 Donation
4 Target group
5 Area of operation
6 Project goal
7 Project objectives
8 Budget
9 Activities vs Achievement
10 Budget utilization
11 Plan for the rest quarter of this year
12 Challenges & measures taken
13 Lesson learned
14 Conclusion
15 Recommendation

3. 2. Project Profile
PROJECT TITLE
“Nutrition Intervention through Community Based Management
of Acute Malnutrition (CMAM)” Project
GENERAL OBJECTIVE
To contribute to the reduction of morbidity and mortality of
children under 5 years and Pregnant and Lactating Women (PLW) in
8 Kebeles of Dugda District of East Shoa Zone by reaching severely
malnourished children with the outpatient and inpatient treatment
modalities (programs).
PROJECT DURATION March 2016 – Decembber 2016 ( 9 months)
AREA OF OPERATION
Oromia region, East Shoa Zone, Dugda Woreda, 8 kebeles (Ate
Lema,
Mukuye Leman, Wedesha Orogocho, Mejana Lalu, Argo Gadilala,
Koto Biliti, Biliti Balewald, Burka Debrebeg)
TIME OF
COMMENCEMENT
Time of Commencement (Date of Agreement): March 2016

4. Project Profile…
BENEFICIARIES Beneficiaries category Male Female
Average monthly
beneficiaries
Direct
Children 6-59m SAM 47 51 98
Children 6-59 m MAM 333 357 690
PLW 735 735
Total 380 1143 1523
Indirect Mothers/caretakers 6976 6976

5. 3. Donors
CMAM project is supported by:
• Pablo Horstmann Foundation
• Alegría Sin Fronteras (ASF)

6. 4. Target group
Under five
children
Pregnant
women
Lactating
women

7. 5. Area of operation
Region
• Oromia
Zone
• East Shoa Zone
Woreda
• Dugda
Kebeles
• 1. Ate Leman, 2. Mukuye Leman , 3. Wedesha Orogocho , 4. Mejana
Lalu, 5. Argo Gadilala, 6. Koto Biliti, 7. Biliti Balewald , 8. Burka Denbal

8. CMAM Kebeles
1. Ate Leman
2. Mukuye Leman
3. Wedesha
Orogocho
4. Mejana Lalu
5. Argo Gadilal
6. Koto Bilit
7. Biliti Balewald
8. Burka Denbal
5. Area of operation

9. 6. Project goal
To fight against the famine and its
impact on the health of children
under 5 years old and pregnant
and lactating women (PLW) caused
by the drought consequence of El
Niño phenomenon

10. 7. Project objectives
General Objective
• Improving health status of
children under 5 years,
pregnant and lactating women
in 8 kebeles of Dugda Woreda.

11. 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.

12. 8. Budget of the Project
• 887,500 ETBProgram
Cost
• 344,738 ETBAdmin Cost
• 1,232,238 ETBGrand Total

13. S .
N
Activities Unit of
measure
Plane for
this
quarter
Achiev
ement
% Remark
1 Facilitate project agreement with Zonal
Sectors
Number
1 1 100%
2 Elaborate questionnaires and checklist
for initial survey and screening
Number 16 16 100%
3 Review meeting
with Woreda health professional staffs
& HEWs Number 1 1 100%
4 Supervision of health posts
Number 24 24 100%
5 Recruitment of project staff
Number 2 2 100%
6 Conduct launching workshop
number 1 1 100%
9. Activities vs Achievement

14. 9. Activities vs Achievement
S .
N
Activities Unit of
measure
Plane for
this
quarter
Achieveme
nt
% Remar
k
7
Selection of community animators and
facilitators
number 24 24 100%
8
Orientation to animators and facilitators
number 24 24 100%
9
Beneficiary kebele selection using
medical criteria & Woreda Health Office
number 8 8 100%
10 Community mobilization in targeted
Kebeles
number 4569 4569 100%

15. S .
N
Activities Unit of measure Plane for
this
qaurter
Achieve
ment
% Remark
11
Malnutrition Screening of
children under 5 and PLW.
number of direct
beneficiaries 4569 4569 100%
12
Treatment and follow up of
SAM children number of direct
beneficiaries 33 21 64%
13 Health information &
Nutritional counseling to
community Number of session 3 3 100%
14 To buy Famix for SFP
Cycle 1 2200%
9. Activities vs Achievement

16. S . N Activities Unit of measure Plane
for this
quarter
Achieve
ment
% Remark
15
Food transportation to
kebeles
number of quintals 184 102 55.4%
April &
May are
missed
16 Strengthening of standard
data base for screening
and follow up
number of visits to Health
Posts 16 16 100%
17 Follow up of SAM children
weekly number of visits in HP 6 6 100%
18 Follow up of children and
PLW enrolled to SFP on
monthly bases
number of direct
beneficiaries monthly
1523 1706
112%
9. Activities vs Achievement

17. S . N
Activities Unit of measure Plane for
this qaurter
Achi
eve
ment
% Remark
19
Focus group discussion and
community conversation number of meetings 24 8 33%
Apir & May
are missed
20
Distribution of supplementary
feed to malnourishment
children number of days for
distribution Famix 24 8 33%
Apir &
May are
missed
21
Conduct meeting with Woreda
nutritional task force
committee & joint monitoring number of days 1 0 0
22 Reporting and documentation number of days
1
1
100%
9. Activities vs Achievement

18. 10. Budget utilization
S. N Budget
Plan for this quarter Achievement
%
Remark
1 Programe 341,166.67 561,110.86
164.45%
since we had
bought famix for
July & October
2 Admin 106,579.33 49,668.74 46.6%
3 Total 554,325.33 610,779.60 110.18%

19. 11.Plan for the rest quarter of this year ( July
December)
S.N Activities Plan for
3rd + 4th
quarter
Achiev
ement
3rd
quart
er
Plan
Achieve
ment
4th
quart
erPla
n
Achieve
ment
N % N % N %
1 Review meeting with health
professional staffs
& HEWs 1 1
2 Supervision of health post 24 24
3 Community mobilization in
targeted Kebeles 4569 4569
4 Malnutrition Screening of
children under 5 and PLW. 4569 4569
5 Treatment and follow up of
SAM children 33 33
6 Workshop and training to HEW 1 0

20. S.
N
Activities Plan for
3rd + 4th
quarter
Achieve
ment
3rd
quart
er
Plan
Achievem
ent
4th
quarte
rPlan
Achieveme
nt
N % N % N %
7 Health information to
community & Nutritional
counseling 24 24
8 Food transportation to
kebeles 184 184
9 Strengthening of standard
data base for screening and
follow up 16 16
10 Follow up of SAM children
weekly 6 6
11 Follow up of children and
PLW enrolled to SFP on
monthly bases
1523 1523
11.Plan for the rest quarter of this year ( July
December)

21. S.
N
Activities Plan
for 3rd +
4th
quarter
Achieve
ment
3rd
quart
er
Plan
Achievem
ent
4th
quarte
rPlan
Achieveme
nt
N % N % N %
12 Focus group discussion and
community conversation 24 24
13 Conduct meeting with
Woreda nutritional task
force committee & joint
monitoring 1 1
14 Reporting and
documentation 1 1
15 Terminal evaluation 0 1
11.Plan for the rest quarter of this year ( July
December)

22. 12. Challenges & measures taken
Road to Biliti side is not Ok, so we are in problem to
do activities according to our schedule
The HEWs are living in Meki town, so we are not
getting them when we need for the program
The non malnourished community, also is coming on
Famix distribution day, but they are not beneficiaries

23. 13. Learned lessons
As it is hard to go with HEWs
formally, better to persuade them &
patency is very important
Change in community takes time

24. 14.Conclusion & Recommendation
Conclusion:
• For the success of
our project every
concerned body
should be
committed & the
road to Bility site
should be repaired.
Recommendation:
• CMAM team
recommend our
organization to
inform the
challenges we faced
specially concerning
the road to the
concerned body.

25. Community orientation

26. Screening supervision

27. Screening supervision

28. Screening supervision

29. Screening supervision

30. Screening supervision

31. SAM supervision

32. Start up workshop

33. Start up workshop

34. CMAM Team

35. Data cross check in HP

36. Data cross check in HP

37. Community

38. Famix Store

39. Downloading Famix

40. Famix distribution
Supervision

41. Famix distribution
Supervision

42. Famix distribution
Supervision

43. Biliti Road condition

44. Biliti Road condition

45. Famix distribution
Supervision

46. GALATOMA
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