1. AMOS Health & Hope: NICARAGUA Sarah Paraghamian, MS2 Summer 2011

3. Community Based Primary Health Care Responsive to needs Participatory Quality-oriented Scientifically sound Accountable Intersectoral

4. Where AMOS Works

5. My Project Develop an intervention to prevent, diagnose, and treat iron-deficiency anemia

6. Pre-Trip: IRB Application

8. Weeks 1 & 2: Train AMOS Health Promoters

12. Weeks 3-5: Research Evaluate diagnostic accuracy of Hemoglobin Color Scale compared to reference standard

18. Results Hemoglobin Color Scale NoYes HemoCue No True Negatives 390 False Positive 200 Yes False Negative 144 True Positive 198 Specificity57.9% Sensitivity66.1% Positive Predictive Value 49.7%

19. Weeks 6 & 7: Health Education Campaign

24. Budget DescriptionAmount Airfare$800 AMOS Program Fee Housing, Transportation, $1500 Food$400 UNC Travel Insurance$75 Misc$200 TOTALApprox $3000

25. Comida tipica: gallo pinto

26. Questions? Interested? Please contact me! sarah_paraghamian@med.unc.edu AMOS Website: http://www.amoshealthandhope.org

27. 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