PRA toolkit sample.pdf - Training and Research Support Centre

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PARTICIPATORY METHODS TOOLKIT Table of Contents MODULE 1: WHY A TOOLKIT OF PARTICIPATORY METHODS IN HEALTH? 1 Section 1.1: Background 3 Section 1.2: Who produced this toolkit? 9 MODULE 2: UNDERSTANDING COMMUNITY 11 Section 2.1: What do we mean by ‘community’? 13 Section 2.2: What are the ways of looking at social groups in communities? 16 Section 2.3: Does the power of different social groups in communities matter? 20 Section 2.4: How do we ensure that all social groups are involved in and reached 23 by health activities? MODULE 3: UNDERSTANDING HEALTH 29 Section 3.1: What do we mean by health? 31 Section 3.2: Understanding health problems and needs in our community? 34 Section 3.3: What causes our health problems and what can we do about it? 38 CONTENTS: Participatory Methods for a People-Centred Health System MODULE 4: §PEOPLE CENTRED HEALTH SYSTEMS 43 Section 4.1: What is a health system? 45 Section 4.2: Do health systems give meaningful roles to communities? 51 Section 4.3: Do health systems listen to people’s views? 56 Section 4.4: Do health systems collect, share and use resources for health fairly 60 and effectively for people’s needs? MODULE 5: COMMUNITY ACTIONS IN PLANNING AND ORGANISING 67 HEALTH SYSTEMS Section 5.1: Mechanisms for participation in health planning 69 Section 5.2: Communicating about health services with health workers 75 Section 5.3: Building community priorities into district planning and budgets 77 MODULE 6: BRINGING COMMUNITY VOICE TO NATIONAL AND GLOBAL LEVELS 83 Section 6.1: Who makes the decisions at different levels of health systems? 85 Section 6.2: Engaging parliaments in health 88 Section 6.3: From community to global level 91 MODULE 7: LESSONS LEARNED AND NEXT STEPS 93 Section 7.1: What are the common features of the PRA approaches in this toolkit? 95 Section 7.2: Where do we go from here? 98 i
Table of Activities CONTENTS: Participatory Methods for a People-Centred Health System MODULE 1: WHY A TOOLKIT OF PARTICIPATORY METHODS IN HEALTH? Activity 1: What do we mean by participatory methods? – Brainstorming 4 Activity 2: When is participation not top-down? – Role play 7 Activity 3: What are participants’ expectations and benefits from the toolkit 8 and the course? – Group discussion MODULE 2: UNDERSTANDING COMMUNITY Activity 4: To identify existing social groups and show their distribution 14 on a map. – Community mapping Activity 5: To identify wealth groups, their characteristics and distribution within 17 the community. – Wealth ranking Activity 6: To establish distribution of wealth in the community. – Transect walk 19 Activity 7: To identify the different types of power that exist within a community. 21 – Role plays Activity 8: To rank the different types of power within a community according 22 to their influence on health. – Spider diagram Activity 9: To identify which social groups might be involved or left out in a 24 given health activity. – Case studies Activity 10: Developing criteria for selection of representatives from various social 26 groups. – Story with a gap MODULE 3: UNDERSTANDING HEALTH Activity 11: To understand how health is defined across different social groups. 31 – Health pictures Activity 12: Identifying health needs in communities. – Rank and scoring 35 Activity 13: Identifying how and where information on community needs and 36 priorities in health should be used. – Picture case study Activity 14: What do communities think are the major causes of their health 39 problems? – Problem tree Source: CHESSORE, Zambia ii
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