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

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General In<strong>for</strong>mation (to ask a member of staff) 1. How many people work at the health center? How many doctors and nurses? 2. Is it possible to see a male or female doctor or nurse on request? 3. Is there a gynecologist? (if so, male or female? HIV-specialized?) 4. How often does the staff undergo training? 5. Has everyone there had HIV-related training? What kind? 6. Who uses the health center (Mainly men? Mainly women? Adolescent girls?)? Where do they come from? 7. Does the center run any programs or clinic specifically <strong>for</strong>: ●● ●● ●● ●● ●● ●● ●● ●● ●● Men/women living with HIV and AIDS? Young women? Treatment <strong>for</strong> sexually transmitted infections? Family planning? Prevention of mother-to-child transmission services? Voluntary counseling and testing? Antiretroviral therapy distribution (including adherence counseling)? Other counseling services? Nutrition advice? If so, where are the clinics held? 8. How is the confidentiality of HIV-positive service users protected? 9. Is there a user fee? Which services/medications are free, which do users have to pay <strong>for</strong>? Attitudes of health providers 1. Did the staff you spoke to seem friendly? 2. Did they display negative attitudes toward service users when speaking about them? (If so, who in particular?) 3. Were you able to observe any interaction between staff and service users? How were the service users addressed? 4. Was the attitude of the staff/service provider: Friendly? Helpful? In<strong>for</strong>mative? Judgmental? Hostile? Patronizing? Questions <strong>for</strong> service providers (There may not be an opportunity to ask all these questions to one person, but it would be good to ask some of them to doctors or nurses who are available to talk – even if only one question to one person). 1. What are some of the main issues affecting women who use this service? 2. What are some of the challenges that the service providers face in addressing women’s health issues? 3. What additional resources/training/services/programs would the provider like to see allocated or implemented at community level? (Make it clear that this is just an assessment exercise with no promises to address these issues.) 4. What are the main differences perceived by service providers between men’s and women’s health issues in the community and how these are addressed? 5. What services are available <strong>for</strong> young women and men? 52 Chapter C: Facilitating <strong>Community</strong> Assessment Workshops
SAMPLE SITE VISIT REPORT CAPRIVI REGION: BUKALO HEALTH CENTER: CAPRIVI (approx. 60 East of Katima): July 2006 Health Institution Bukalo Health Center: Caprivi (approx 60 East of Katima) Date of Visit Thursday, July 6, 2006 Contact Person Staffing General Observations Cleanliness Waiting Rooms IEC Materials Confidentiality Male and Female Areas or Services Missing Services Nurse: Mary Masule 08102019154 Record Clerk: Patricia Kamwi 0812367265 <strong>Community</strong> Counselor: 0812139256 3 registered nurses female (2 Namibians, 1 Kenyan; no language problem as we help translate <strong>for</strong> her), junior counselor (Rapid Testing), cleaner, security guard, no doctor (patients referred to Katima hospital) 1 consulting room, 1 treatment room (2 beds) emergency room, delivery ward Very clean, inside and outside of building Yes quite large with TV Yes: lots of posters and in<strong>for</strong>mation: Posters: SAY NO TO SEX, SAVE LIVES TAKE CONTROL, ITS MY LIFE (GTZ – maximum gold condoms), Family Planning and contraception, Word health day, Soul City (DFID): Choose Life booklet and Join the Fight against HIV and AIDS, Namibia Red Cross, Hand drawn: AVOID TRADITIONAL HEALERS, WHY? BECAUSE: transmission of HIV, exploiting patients, high charges <strong>for</strong> poor, long process of healing Yes: from counselor and nurses General: Family planning: condoms (no femidoms), injections and pills are available, Rapid Testing: HIV screening, special area <strong>for</strong> adolescents (ages 10 years up) Female: ante- and post-natal health education, delivery and maternity room, provide PMTCT: nevaparine be<strong>for</strong>e delivery No incubator (if premature refer to Katima), no pap smear facilities (explain to patients they need to have one) ARV treatment: only in Katima No overnight services <strong>for</strong> patients: only <strong>for</strong> observation Chapter C: Facilitating <strong>Community</strong> Assessment Workshops 53
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 50 and 51: Additional Activity: Site Visit to
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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