AMOS Health & Hope:NICARAGUA

Sarah Paraghamian, MS2Summer 2011

Community Based Primary Health Care

• Responsive to needs

• Participatory• Quality-oriented• Scientifically

sound• Accountable• Intersectoral

Where AMOS Works

My ProjectDevelop an intervention to prevent, diagnose, and treat iron-deficiency anemia

Pre-Trip:IRB Application

Weeks 1 & 2:Train AMOS Health Promoters

Weeks 3-5:Research

Evaluate diagnostic accuracy of Hemoglobin Color Scale compared to reference standard

Results Hemoglobin Color Scale No YesHemoCue

No True Negatives390

False Positive200

Yes False Negative144

True Positive198

• Specificity 57.9%

• Sensitivity 66.1%

• Positive Predictive Value 49.7%

Weeks 6 & 7:Health Education Campaign

BudgetDescription Amount• Airfare $800• AMOS Program Fee Housing, Transportation,

$1500

• Food $400• UNC Travel Insurance $75• Misc $200 TOTAL Approx $3000

Comida tipica: gallo pinto

Questions? Interested?

• Please contact me!sarah_paraghamian@med.unc.edu

• AMOS Website:http://www.amoshealthandhope.org

Thank You!

• Dr. Laura Parajon, Dr. David Parajon, Dr. Alan Cross, and Dr. Douglas Morgan

• Sam Hawes and Dr. Martha Carlough• Jan Lovell and the Lucius Blanchard Carolina

Family Scholarship• AMOS Staff and Volunteers

Photo credits: Cassie Butler, Carolyn Witman, Dave Stalsbroten & Erika Spring