Community Health Volunteer's Training Manual - Population Council

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Box 4.4.5: RCH Services Provided in Ghana Reproductive and Child Health • Post-abortion services: aim to reduce deaths due to complications of abortion. It includes emergency treatment for complication of abortions, educating the community on the dangers and prevention of abortion and providing family planning services • STI Management: Prevention, detection and treatment of sexually transmitted infections including syphilis, gonorrhea, and HIV & AIDS • Family planning: Provision of family planning counselling and services to clients • Immunisation: a child who receives all the recommended vaccinations at the appropriate times gets protection from some of the major diseases that kill under-five children • Other child health services: These include nutrition and appropriate management of the sick child to prevent disease and death. A woman should not die simply because she got pregnant. But in our communities, women continue to die from pregnancy related causes. This is not acceptable because pregnancy is not a disease. Also pregnancy related deaths don’t just happen – there are a series of events and danger signs that lead to those final moments when we lose the woman or her baby or both. These are called the danger signs of pregnancy. Exercise 4.4.5 Objective 1. To discuss Antenatal Services Time: 20minutes Questions 1. What are some of the sings of pregnancy? 2. Why should mothers have regular check ups during pregnancy? 3. What are some of the danger signs during pregnancy? 4. What should you do when you see a woman with these symptoms? Instructions to the Facilitator 1. Discuss the need for ANC care during pregnancy. 2. Brainstorm and write down danger signs of pregnancy. 3. Compare with those listed in the Box 4.4.6. and 4.4.7 In order to be able to detect danger sings during pregnancy, you must first be able to know that a woman is pregnant. All pregnant women should be refered to the nearest health facility. The reproductive services offered to women as indicated in the Box 4.4.5 take place at various government establishments and some private health facilities in the country. Box 4.4.6: Check up provided during pregnancy • General health of the pregnant woman • Position of the foetus • Growth of foetus 209
Module 4 The work of Community Health Volunteers 210 Box 4.4.7: Danger signs during pregnancy • Swollen feet, face and hands • Bleeding from Vagina • Excessive vomiting • Anaemia • Severe headache • Blurred vision • Very pale conjuctiva, tongue, palms and nails • Severe abdominal pains • Jaundice • Offensive or discoloured discharge from vagina • Premature rupture of membranes As volunteers, it is important for you to realise that you do not have the technical training or skills to deliver most reproductive and child health services that community members require. However, CHVs have an important role to play in promoting RCH services including family planning, antenatal care, and mobilising children under 5 years old for immunisation. Topic 3 Expanded Programme on Immunisation (EPI) Immunisation is also known as vaccination. Vaccination protects children against some dangerous diseases of childhood such as whooping cough, pertussis diphtheria, tetanus, polio, measles and tuberculosis. The Expanded Programme on Immunisation is a global programme to increase the number of children who are protected against these dangerous childhood diseases. Children should be given the different vaccinations during the first months of life onwards. In Ghana, the EPI vaccinations used currently are discussed below. Types of Vaccines for Children The most important vaccines for children are: Figure 4.4.1 Illustrates a child receiving immunisation. 1. Penta Vaccine: Protects the child against diphtheria, whooping cough and tetanus (DPT), hepatitis B, and heamophilus B influenzae. (For full protection, the child needs three injections. These are usually given at 6 weeks, 10 weeks and 14 weeks of age.)
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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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Module 1 The CHPS Concept Topic 1 T
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Module 1 The CHPS Concept 20 Box 1.
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Community Health Volunteer's Training Manual - Population Council

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