Guide for Community Assessments on Women's Health Care - ICRW

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Additional Activity: Site Visit to Health Facilities Facilitator’s Note: This activity involves a visit to facilities providing services to women (e.g., clinics, hospitals, shelters <strong>for</strong> battered women, rape crisis center, etc). During the visit you will interview staff and tour the facilities. This will give you a better sense of the facilities and services in the area, as well as service gaps and barriers limiting women’s access. This is a good activity to involve MPs, who can help with the observation and data collection. Things to Guard Against: Show interest in what clinic staff are doing and solicit their opinions about health care issues, so the interview does not feel like an interrogation. A friendly and in<strong>for</strong>mal approach to the interviews will help encourage staff to talk openly about their work, women’s health problems and the challenges they face as health workers. Objectives: ●● Collect firsthand in<strong>for</strong>mation on health facilities. Time: 60 minutes Materials: Checklist <strong>for</strong> Observation and Interviews (see next page) Preparation: Contact the manager of the health facility in advance to get permission <strong>for</strong> a visit (including a tour and interviews). Steps: ➊ SITE VISIT: Meet with the head of the institution and thank him/her <strong>for</strong> hosting the visit. Ask to be shown around the facilities and then to interview some of the staff. If the visiting team is large, split into smaller teams and get each team to talk to a different member of staff. Use the checklist to guide the interviews. Take notes during the interviews. There is a lot to be learned simply by careful observation of how things are done in the health facilities: How long do patients wait in line to see a doctor? Are there stigmatizing signs? How are patients treated? Is confidentiality protected? ➋ RECORDING: After the visit meet with the whole team to share observations and in<strong>for</strong>mation collected. Make a record of this meeting and your joint observations. 50 Chapter C: Facilitating <strong>Community</strong> Assessment Workshops
CHECKLIST FOR SITE VISITS Region: __________________________ Name of hospital/clinic: _____________________________ Date of visit: ______________________ Length of visit: _____________________________________ Which health services does the health center specialize in? ___________________________________________________________________________________ General Observations 1. The visit How were you greeted? Were you expected, and was someone available to speak to you? Were you shown around the hospital/clinic? 2. Cleanliness Did the site appear clean and orderly? What general observations can be made about the cleanliness, the equipment, the size of consultation rooms, etc.? 3. Waiting room Was there a waiting room? What was in it? Did it appear clean and com<strong>for</strong>table? How many people were in it, approximately? How long have patients been waiting to see the doctor? (Ask a few patients.) Was there a place <strong>for</strong> children to be left safely while their caregivers were having consultations? 4. In<strong>for</strong>mation, Education and Communication (IEC) Materials Were there any leaflets/posters/other in<strong>for</strong>mation available? Where were they? Were they easy to read or reach? What language(s) were they in? Did they use pictures/diagrams or only words? What issues did they address? Were they gender-sensitive (i.e. addressing issues of specific concern to men and women or recognizing the potentially different experiences of men and women)? Were any HIV-specific leaflets/posters/other in<strong>for</strong>mation available? 5. Confidentiality Were rooms/departments labeled in an indiscreet or stigmatizing way? (Example: clinics labeled “HIV Clinic,” or HIV clinics painted in a different color?) Were there separate waiting rooms <strong>for</strong> specific conditions (e.g., <strong>for</strong> sexually transmitted infections, HIV-related services, other potentially stigmatizing ailments, etc.)? 6. Male/female areas or services Were there any male- or female-only areas (e.g., waiting rooms or consultation rooms)? Were there any special clinics or services <strong>for</strong> men and women? Chapter C: Facilitating <strong>Community</strong> Assessment Workshops 51
Page 1: Guide for<
Page 4 and 5: Contents Preface ..................
Page 6 and 7: 6 Guide fo
Page 8 and 9: Abbreviations ART ARV CA CD4 CBO CL
Page 10 and 11: Why was this Guide
Page 12 and 13: Community
Page 14 and 15: Community Assessme
Page 16 and 17: ●● ●● ●● ●● ●●
Page 18 and 19: Step 2: Set Objectives Develop clea
Page 20 and 21: Step 5: Select the Field Sites It i
Page 22 and 23: There are other factors to consider
Page 24 and 25: The following tasks will be shared
Page 26 and 27: Checklist of Materials FLIPCHART PA
Page 28 and 29: Additional Activities ● ● COMMU
Page 30 and 31: Session 1: Introductions and Breaki
Page 32 and 33: Examples of Meeting Rules ●●
Page 34 and 35: ➋ SUMMARIZE: Explain what was lea
Page 36 and 37: Preparation: ●● ●● Tape six
Page 38 and 39: Explain that we cannot make diagnos
Page 40 and 41: Steps: The first two steps are opti
Page 42 and 43: Service Providers and Type of Servi
Page 44 and 45: Session 5: Women’s Experience Usi
Page 46 and 47: Put up the four topic cards along t
Page 48 and 49: Session 7: Evaluation, Follow up an
Page 52 and 53: General Informatio
Page 54 and 55: General Informatio
Page 56 and 57: ➌ WARM-UP AND INTRODUCTIONS (10 m
Page 58 and 59: Session 3: Problem Analysis and Pro
Page 60 and 61: Session 4: Questions and Answers Fa
Page 62 and 63: Pulling It All Together - The Round
Page 64 and 65: ●● ●● If you have to leave
Page 66 and 67: Active Listening - When participant
Page 68 and 69: Keep Objectives in Mind As the faci
Page 70 and 71: ●● Be clear with the translator
Page 72 and 73: 5. USE SMALL GROUPS TO BUILD PARTIC
Page 74 and 75: ●● ●● ●● ●● Keep a
Page 76 and 77: A n n e x A : Fact Sheets A1. HIV a
Page 78 and 79: HIV is not transmitted by: ●●
Page 80 and 81: A3. Condoms Male Condoms Rubber, Jo
Page 82 and 83: A4. Sexually Transmitted Infections
Page 84 and 85: Herpes cannot be cured, but there a
Page 86 and 87: Medicine for Treat
Page 88 and 89: Boils and abscesses. These are pain
Page 90 and 91: In places where live yogurt is avai
Page 92 and 93: A8. Human Rights and HIV Promoting
Page 94 and 95: A9. Pregnancy, Childbirth and Feedi
Page 96 and 97: A single drug (“monotherapy” -
Page 98 and 99: What Are the Causes of Gender-based
Page 100 and 101:
What Can a Community</stron
Page 102 and 103:
A11. Cervical Cancer and Pap Smear
Page 104 and 105:
A n n e x B : Energizers You can us
Page 106 and 107:
Affirmation Claps Unity Clap: Rub y
Page 108 and 109:
Silhouette 1 108 Annex C: Silhouett
Page 110 and 111:
Page 112 and 113:
Page 114:
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Guide for Community Assessments on Women's Health Care - ICRW

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