The ROAM ProgramReducing Oromiyan Acute Malnutrition

Team 7Rachel HeathJoseph HenryAlesia Pruitt

Allison SchauweckerErica Wilson

Oromiya Region, Ethiopia

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Photos: http://www.younglives.org.uk/images/countries/ethiopia/ethiopia_map_650.gif

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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Acute vs. Chronic Care

Current Acute Malnutrition cases: 126,000Significantly 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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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 casesMSF has had feeding programs within the

region since 2008

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Plan OutlineEstablish working relationships with

partners and share data of problem areasRecruit and train educators and musicians

in Addis AbabaRelease music through live tours and radio

to initiate program messagesCommunity educator lead training

sessionsFollow up evaluations of adopted practices

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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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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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Musical DiffusionEmploy respectable, well-known

musicians to establish rapport and inform the public

Songs teaching:Optimal nutrition with available cropsSymptoms and treatment of malnutritionWater sanitationUse of animal fertilizerDrip irrigation systems Hand washingCommunity health educators

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PartnershipsMédecins Sans FrontièresWorld Food ProgrammeUSAIDFDRE Ministry of Health

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Monitoring for Accountability

QuantitativeRegional data from existing hospitals and

clinics on treatment of acutely malnourished children

QualitativeAssessments by community educators on

effectiveness of program practices

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ROAM BreakdownSites

2 years training

150 workers75 teams 2 people/team

7,500 villages1 village/team/wk50 villages/yr/team

Complete Timeline

4 years implementation2 years training villages

2 years of follow-upAdoption of program practices

Evaluation of health status of community

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Budget

Item Cost Amount Total CostNumber per

Site

Community Health Workers $4,800 $150 $720,000 2Drip

Irrigation $5 $22,500 $112,500 3

Tippy Tap $3 $15,000 $45,000 2

Visual Aids $1 $37,500 $37,500 5Transportatio

n - - $10,000 1Seeds

(millet, teff, and pulses) $10 $7,500 $75,000 1

$1,000,000

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