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