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

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General In<strong>for</strong>mation from Member of Staff Does the Center run any programs or clinic Attitudes of Health Workers Main Issues Affecting Women Challenges No ambulance (call one from Katima) About 30 patients per day: malaria incidents in both adults and children are coming down Fees: office hours (8 a.m – 5 p.m.): N$8-00, after hours N$20-00 24 hour service as nurses have housing and live on the premises No cases of violence against women and child abuse from last year More female patients than males Treat quite a lot of opportunistic infections Work together with home-based care (HBC) support groups: CAA , DED, Lirongo Eparo, Red Cross If patients default on treatment they are referred to Katima Nurses all received HIV training workshops and in<strong>for</strong>mation, including PMTCT workshop School health education at schools: from Grade 1 through to grade 12: education includes HIV, sexually transmitted infections, pregnancy, general outreach From grade 1: Examination and personal hygiene and immunization Nutrition program: under health education Health education in community Very helpful and friendly, we did not make an appointment and they welcomed us What about attitudes toward service users? Any difference in attitude to HIV+ users? Malaria, skin diseases, pneumonia, diarrhea, sexually transmitted infections, no polio Understaffed: should be 5 or 6 nurses Counselor: work overload as she helps out with other needs as well: if she goes away then no one to do counseling Only one clerk who keeps safe key with money: if she goes away then no one to do this Medicine does not always come on time 54 Chapter C: Facilitating <strong>Community</strong> Assessment Workshops
Joint Workshop (Day 5) Introduction At the end of the four workshops, organize a joint workshop bringing all the groups together to share what they have learned, work together on problem solving, develop recommendations <strong>for</strong> action and provide answers to their questions. The joint workshop would use the following agenda: Session Assessment Topic or Activity 1 Opening Activities 2 Sharing Outputs of Different Groups 3 Problem Analysis and Problem Solving 4 Questions and Answers 5 Evaluation, Follow up and Closing Preparation: Be<strong>for</strong>e this workshop you need to: 1) Contact a well-in<strong>for</strong>med local doctor or medical expert who can attend the workshop and answer participants’ questions. Give list of the questions to him/her be<strong>for</strong>e the workshop. 2) Collect the lists of priority health problems, service gaps and barriers, and display them at the start of this workshop. Session 1: Opening Activities Objectives: ●● ●● Break the ice and help participants get to know each other. Explain the importance of the workshop and how participants will benefit. Time: 30 minutes Materials: Registration sheet. Name tags. Preparation: Put up body maps and lists of priority health issues and service gaps. Steps: ➊ ARRIVAL ACTIVITY (Registration and Rhyming Name Tags): Ask participants to record their name on the registration sheet and make “rhyming name” tags – their own name plus an adjective starting with the same letter, e.g., Crazy Christine, Magical Mary, Sexy Sara. ➋ WALKAROUND: While participants are waiting <strong>for</strong> others to arrive, ask them to look at the body maps and lists of health issues. Chapter C: Facilitating <strong>Community</strong> Assessment Workshops 55
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 52 and 53: 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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