WHO Millennium WHO Millennium Development Goals Grant Development Goals Grant

ProjectProject

Emily Brown, Raksmey Castleman, Suzette Decastro, Emily Brown, Raksmey Castleman, Suzette Decastro, TiffanyDobson, Cha See, Erna Siregar, & NabilaTiffanyDobson, Cha See, Erna Siregar, & Nabila

EthiopiaEthiopia

Country ProfileCountry Profile

– PopulationPopulation (est.): (est.): 82 million82 million

- - Annual population growth rateAnnual population growth rate (est.): (est.): 2.6%.2.6%.

– Health: Health: Infant mortality rateInfant mortality rate----77/1,000 live births.77/1,000 live births.– Mortality rate for children under Mortality rate for children under 5—104/1,000 live births5—104/1,000 live births

– Work force: Work force: AgricultureAgriculture--80%. --80%. Industry and Industry and commercecommerce--20%.--20%.

Malaria in EthiopiaMalaria in Ethiopia 75% of the land is prone to malaria75% of the land is prone to malaria More than 50 million people are at risk for malaria (68% of More than 50 million people are at risk for malaria (68% of

the population)the population) Malaria is the first and the leading cause of deathMalaria is the first and the leading cause of death Estimated Number people living in malaria areas: 50 millionEstimated Number people living in malaria areas: 50 million Estimated number malaria cases per year: 9 millionEstimated number malaria cases per year: 9 million

• • Number of extra cases in an epidemic year: 6 millionNumber of extra cases in an epidemic year: 6 million• • Number of people dying in a 9-month malaria epidemic Number of people dying in a 9-month malaria epidemic (e.g. 2003): 114,000(e.g. 2003): 114,000

• • Estimated number of lives saved annually if all malaria Estimated number of lives saved annually if all malaria control interventions fully implemented (Child survival control interventions fully implemented (Child survival strategy, 2005): 70,400strategy, 2005): 70,400

* * Number of Insecticide Treated Nets (ITNs) distributed to Number of Insecticide Treated Nets (ITNs) distributed to families in Ethiopia since 2005: families in Ethiopia since 2005: 4.5 million4.5 million• • Total number ITNs needed to reach 100% coverage: Total number ITNs needed to reach 100% coverage: 20 20 million million

Problem: Problem: Despite recent efforts, it is Despite recent efforts, it is evident there is still malaria mortality rates in evident there is still malaria mortality rates in

children under 5 in Ethiopiachildren under 5 in Ethiopia

Mother Mother NetNetWorkWork

Implement Early Prevention and Implement Early Prevention and Education to Reduce Childhood Education to Reduce Childhood

Mortality Rates by decreasing Malaria Mortality Rates by decreasing Malaria cases in Ethiopiacases in Ethiopia

Intervention and EvaluationIntervention and Evaluation

Target population: Pregnant women or women Target population: Pregnant women or women with children <5 years oldwith children <5 years old

Program goal: To reduce childhood mortality by Program goal: To reduce childhood mortality by 10% by the end of the first year of the program10% by the end of the first year of the program– Aim 1: Reduce mortality rate due to malaria by 10% by Aim 1: Reduce mortality rate due to malaria by 10% by

the end of the first year of the programthe end of the first year of the program– Aim 2: To increase the use of proper nets in intended Aim 2: To increase the use of proper nets in intended

population by 50% by the end of year 1.population by 50% by the end of year 1.– Aim 2: Provide education/resources at least 50 Aim 2: Provide education/resources at least 50

individuals of target population about proper utilization individuals of target population about proper utilization of mosquito netsof mosquito nets

– Aim 3: Provide additionally resources (community Aim 3: Provide additionally resources (community assets) to intervention participants through this assets) to intervention participants through this intervention by the end of the first year of the programintervention by the end of the first year of the program

Early PreventionEarly Prevention Reiterate the importance of properly Reiterate the importance of properly

using ITNs (nets)using ITNs (nets)– Video Video – Informational handouts (with pictures)Informational handouts (with pictures)– Community involvement (e.g., Community involvement (e.g.,

churches, community leaders, hospitals) churches, community leaders, hospitals) in obtaining ITNs in obtaining ITNs

Education Content AreasEducation Content Areas

What is malaria?What is malaria? What causes malaria?What causes malaria? Mode of transmissionMode of transmission What are the symptoms of malaria?What are the symptoms of malaria? Identifying early symptoms of malariaIdentifying early symptoms of malaria What are the treatment of malaria?What are the treatment of malaria? Various preventative measuresVarious preventative measures How to use netsHow to use nets Importance of using netsImportance of using nets

Thank You!Thank You!