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

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

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Steps:<br />

➊ GROUP PRESENTATIONS: Take each topic <strong>on</strong>e at a time and get each group to explain what they<br />

produced.<br />

a) BODY MAPS & PRIORITY HEALTH ISSUES – Ask each group to present its priority health issues.<br />

Write up the comm<strong>on</strong> issues <strong>on</strong> a new flipchart and get the group to agree <strong>on</strong> them. Clarify why<br />

they regard each issue as a priority. (See sample below.)<br />

Priority Issue<br />

HIV and AIDS<br />

Sexually transmitted<br />

infecti<strong>on</strong>s (STIs)<br />

Cancer – breast,<br />

cervical & uterine<br />

Tuberculosis (TB)<br />

Malaria<br />

Violence against<br />

women<br />

Why Priority?<br />

Leading cause of death. Results – orphans, loss of income and poverty.<br />

Women highly vulnerable to HIV due to lack of power to make decisi<strong>on</strong>s<br />

re: sexual activity.<br />

Stigma and lack of knowledge prevents women from getting treatment.<br />

Taboos prevent women from talking about STIs.<br />

Low knowledge about cancer am<strong>on</strong>g women and health workers. Lack of<br />

services to detect or treat cancer.<br />

Dangerous, highly stigmatized and highly prevalent am<strong>on</strong>g vulnerable<br />

populati<strong>on</strong>s such as people living with HIV.<br />

Major cause of death. Affects large % of populati<strong>on</strong>. Mosquito nets too<br />

expensive <str<strong>on</strong>g>for</str<strong>on</strong>g> many women.<br />

Experienced by large % women. Major cause of injuries, stress,<br />

depressi<strong>on</strong> and HIV.<br />

Note: Use the differences am<strong>on</strong>g groups to drive the discussi<strong>on</strong>. For example the women might<br />

name sexually transmitted infecti<strong>on</strong>s as a priority, while the service providers might not menti<strong>on</strong><br />

STIs at all. If this happens, ask the group questi<strong>on</strong>s, such as: Why have the women rated sexually<br />

transmitted infecti<strong>on</strong>s as a high priority, while the health workers have not menti<strong>on</strong>ed it? Do the women<br />

go to the health workers <str<strong>on</strong>g>for</str<strong>on</strong>g> treatment, or to the local healers? How can health workers change their<br />

practices so that more women come to them <str<strong>on</strong>g>for</str<strong>on</strong>g> treatment?<br />

b) GAPS IN SERVICES: Use the same process.<br />

c) BARRIERS PREVENTING WOMEN FROM ACCESSING SERVICES<br />

Note: Keep a list of participants’ questi<strong>on</strong>s. Explain that a later sessi<strong>on</strong> will go over these issues and<br />

provide answers.<br />

Chapter C: Facilitating <str<strong>on</strong>g>Community</str<strong>on</strong>g> Assessment Workshops 57

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