The document provides information about a proposed pilot project in the Oramiya Region of Ethiopia. [1] The region has high rates of malnutrition, poverty, and disease. [2] The project aims to improve child nutrition, develop sustainable interventions integrating agriculture/education/income, and utilize alternative water/hygiene technologies. [3] A 1-year pilot will train health workers and 400 households, educate communities, provide microfinance for crops, generate income through weaving, and combat malnutrition with leaf extracts and water purification.

1. Global Health Competition
Team 3
Planting the Seeds of the Future
Project PSF-Ethiopia
Vanessa Gaioso
Hunter Howell
Loraine Kanyare
Tsuguhiko Kato
Irene Tami 1

2. Assessment – Oramiya Region
• Population: 27,158,471 • Child mortality 178 death
(2007 Census) per 1,000 live birth
• 48% Muslim 31% Orthodox, • 6.4 births per a woman
and local religions • 4.8 per household
• 85% Oromo • Life expectancy 42 years
• 89% Rural • 31 hospitals
• Chronic drought • 242 health centers
• 51% total coffee production • 3,758 health posts
in the country
• 24% engage in non-farm
related jobs
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3. Assessment (cont’d)
• Children under 5: • Education
• 41% stunted • Literacy Rates-62% Men, 30%
Women
• 9.6% malnourished.
• 62.5% enrolled in primary school
• 34.4% underweight
• 10% enrolled in secondary
• 32% Access safe drinking school
water • High dropout rate especially
among girls
• Infectious Diseases:
• Malaria • 44% affected Poverty
• Food or water borne diseases • Governance and institutions
(Bacterial, Protozoal diarrhea,
hepatitis A&E, and typhoid • Public Policy and Budget
fever Allocation
• Respiratory infections • 50% of Budge on Military
• 6% on Health Care.
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4. Potential Barriers
• Geographic area (Rural)
• High illiteracy rate esp. among women
• Drought
• Access to clean water & associated hygiene
practices
• High mortality rate
• Centralized government
• Military conflicts & displaced population
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5. Objectives
1) Improve Nutritional Status of Children Under Five Years
2) To develop Self Sustaining and Gender Sensitive
Interventions that Integrate Agriculture, Education, and
Income Generation
3) Utilize Alternative Technology for Water
Purification, Hygiene, & Extremely Nutritious Leaf Protein
Concentrate
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6. Malnutrition Status
41 % are stunted (children < 5 y-o) Manifestation
9.4% children malnourished
34.4%children underweight
50% women underweight
Infections/Diseases
Nutrition Intake Malaria
Food Shortage, -Parasitic Diseases/ Diarrhea Direct
5 person per household - HIV/AIDS Causes
Food delivery-no gas, truck -Hepatitis
-Typhoid fever
Household Food Behavior & Health Services
Security Caring Practices ↓ sanitation
Rural women spend ↓ Hygiene ↓ safe water
Indirect
time caring wood, ↓ Education ↓ immunization Causes
child, water
↓ Latrines coverage
Military Conflicts
Education
(Literacy rate 62% men – 30% women)
Fundamental
Causes
Unequal Distribution of Resources
Centralized Government, Gender Inequality, Poverty,
Agricultural resources (timing/quantity of rain season, erosion of land)
Based in UNICEF Model

7. Pilot Study
• Duration – 1 year (pilot), 2 years (replication)
• Location – Borana zone in Oromiya
11%Urban, 2 million, about 4,000 households,
• Sample size – 400 households
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8. Intervention
Health Professional, Community
Description: Worker Training
• Tri-location Educational Sessions - • Rapid Malnutrition Assessment and triage
schools, market places, local health • Health education
centers etc • De-worming/partnership with other NGOs
• 2 training levels -> community and • Solar Water Purification
local trainers • Leaf concentrate process, storage and
advantages to community
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10. Intervention
Community Education
• Expert to teach – leaf concentrate
process, storage and advantages to
• Microfinance opportunity – High grain community Highly Nutritious Leaf Protein
prices sometimes not affordable for Concentrate – (rich in beta
farmers –Bioengineered drought resistant carotene, iron, & high quality protein) –
sorghum seeds loaned out for subsistence Effective in combating malnutrition, esp
farming anemia & vit A deficiency prevalent in
– First harvest after 3 months children & pregnant women in developing
countries
• Women of Ethiopia traditionally weave - Easily combined with variety of local
beautiful baskets for daily use, Coffee – available foods to make culturally
acceptable dishes.
cash crop Partnership with Coffee Grower
Association to purchase – small baskets • Water purification – teach low tech water
purification techniques - combine of the
woven by local women to package retail
sun's ultra violet rays and heat to kill
coffee to market for export & tourists - pathogenic germs - that spread much
Income generating opportunity diarrheal in Africa
• Reinforce hygiene (hand
washing, vegetables, construction of
latrines/ partnership)
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11. 1/2

12. Pilot Study Time Frame
Activity Feb Mar Apr May Jun July Aug Sep Oct Nov Dec Jan-
e Marc
Establish logistics (office sites and transportation)
Identify key personnel
Governtment contacts for buy-in
Community Based Participation (informed consent)- Problem
Identification
•Hire local experts
•Trainer training – medical professionals- triage malnutrition
cases, women – handicraft (illustrated training material or
pamphlet), men – sorghum cultivation & storage(6 weeks)
•Meet community leaders
•Identify intervention sites
•Purchase the intervention supplies
•Partner with coffee farmer association-purchase woven
basket local women
•Community Assessment (local hospital chart-weight for
height, observation of visible severe wasting & nutritional
edema)
•Community malnutrition awareness education (9 months)
•Microfinance-first seeds delivery
•Weaving – income generation women
•Solar water purification training
•Combat children malnutrition with leave extract.
• Continuous evaluation
•Continue intervention
Microfinance-crop return
Quarterly assessment and spontaneous director site visit
Community leader involvement in microfinance project
Quarterly assessment and spontaneous director site visit
Test effectiveness of the intervention
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13. Illustrative Budget
Training = XXX
Office overhead = $200 * 12=
Experts for training = XXX*10
Incentive= Goats and chickens
Sorghum= $300 per metric tons
Director Salary = XXX
Administrative personnel =XXX
Expert Salary (local experts, = 10 * XXX
leader women experts)
Transportation (vehicles, = XXX
trucks, and repair)
Refreshments = XXX

14. Dissemination and Replication
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15. Thank you
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