Community Health Volunteer's Training Manual - Population Council

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Unit 1 Home Visiting Introduction How many of you have children or relatives who have children? Were the children under five years visited at home by the Community Health Nurse or the ‘Khaki Nurses’? The visitation of homes by a Community Health Nurse to deliver health services is called home visiting. In your work as volunteers, you are also expected to carry out similar activities. Home Visiting One important work of the volunteer is to visit families and individuals in their homes to check up on their health. In this unit we will discuss the importance of home visits, the purpose of home visits, and the volunteer’s roles during home visits. We will also describe the tools or materials that you may use during home visits. Finally, we will discuss how you trace defaulters and make referrals to the CHO and other health facilities. Unit Objectives Unit Topics By the end of this Unit participants will be able to: 1. Meaning and purpose of home visiting 1. Explain home visiting and its purpose 2. Practice of home visiting 2. Describe the activities during home visits 3. Role of the volunteer in home visiting 3. Identify the roles of the CHVs in home visiting Keywords and phrases Concept, discreet, counselling, referral, feedback, Khaki nurses, limits, home visit Topic 1 Meaning and Purpose of Home Visiting visiting Meaning of home visiting Figure 4.1.1: Community Health Volunteer on a home visit Home visits are visits made to families and individuals by volunteers and CHOs as part of health service delivery at the community level. Home visits are of two main types – routine home visits and special home visits. Routine home visits are made as part of a volunteer’s regular job to visit homes for the purpose of promoting health. These kinds of visits may be planned to come on regularly, for instance once a week or every Thursday. Special home 181
Module 4 The work of Community Health Volunteers 182 visits are visits made to homes and individuals for a specific reason. These could happen even during routine home visits. When the need arises for a special home visit it should not be missed or there may be serious consequences. Special visits may be necessary when a sudden death occurs, when a woman gives birth, when a disease breaks out, or to an old person, a TB patient or an HIV & AIDS infected person or a chronically ill person or an accident victim. We are going to do an exercise (Exercise 4.1.1) that will help us identify the reasons why you do home visiting. Purpose of visiting Home visiting is a very important activity because through these visits the volunteer becomes a trusted friend and guide to the family on health issues. In the process of home visiting, the volunteer gets to know a lot about the family. It is therefore extremely important for the volunteer to keep any information obtained to him or herself. It is important to obey certain rules when doing a home visit. We are now going to discuss some of the most important stages and acceptable ways to do home visiting. Exercise 4.1.1 Objective 1. To discuss the reasons for home visiting. Time: 20 Minutes Question 1. Why does the walk volunteer do home visits? Box 4.1.1: Reasons for home visiting Instructions to the Facilitator 1. Guide participants to brainstorm the proper way of entering a home 2. Compare their answers with those in the Box 4.1.1 below and fill in the blanks 1. Helping families • Identify and help families and individuals who have no access to health care • Identify and help families and individuals with special health needs or problems • Identify and help families and individuals who have failed to access health care for problems that they may have 2. Defaulter tracing • Identify parents who have defaulted on their children’s immunisation • Identify and assist defaulting TB patients • Identify pregnant women who have defaulted on antenatal care (IPT).
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USAID UNITED STATES AGENCY I N T E
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© 2009 The Population Council, Inc
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Preface iv The Community-based Heal
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Acknowledgements vi The Ministry of
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viii MDGs Millennium development go
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x Module 4 The work of Community He
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Module 1 The CHPS Concept Module Ov
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Community Health Volunteer's Training Manual - Population Council

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