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Refresher Training for Frontline Health Workers in Expanded ... - RHO

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Role play #2<br />

HW:<br />

Almaz:<br />

HW:<br />

Almaz:<br />

HW:<br />

Almaz:<br />

HW:<br />

Almaz:<br />

HW:<br />

Almaz:<br />

HW:<br />

Baby Yonas, please, come this way.<br />

Yes Nurse (she stands up and moves towards the procedures table with her<br />

baby)<br />

Please sit down. How are you and how is your baby today? May I see your<br />

card?<br />

F<strong>in</strong>e sister! (Sits down and gets her baby ready <strong>for</strong> vacc<strong>in</strong>ation). I do not<br />

have a card. Today is my first day.<br />

Don’t worry. I will give you a card. (<strong>Health</strong> worker takes the card out and<br />

records all the necessary <strong>in</strong><strong>for</strong>mation and directs Wro. Almaz to get her child<br />

ready <strong>for</strong> vacc<strong>in</strong>ation).<br />

Wro. Almaz can I confirm that your child’s name is Dele, and he is 4 weeks<br />

old.<br />

Yes, Nurse. Thank you.<br />

I am go<strong>in</strong>g to give your child a vacc<strong>in</strong>e on his left upper arm and some drops<br />

<strong>in</strong>to his mouth. The vacc<strong>in</strong>e <strong>in</strong> the upper arm protects your child aga<strong>in</strong>st<br />

tuberculosis, which give children a chronic cough. The drops prevent polio,<br />

that disease which can make children lame. The small <strong>in</strong>jection does not<br />

cause much pa<strong>in</strong>. It may give a small lump that will last only a few weeks.<br />

You should keep the <strong>in</strong>jection site dry and do not dress it (HW gives the<br />

<strong>in</strong>jection on the left upper arm of the child). The drops do not cause any<br />

problems.<br />

Thank you Nurse. I am so happy you are not angry with me.<br />

Wro. Almaz, why would be angry with you?<br />

Ah! You know the other mothers told me that because I did not br<strong>in</strong>g my child<br />

immediately after birth, the nurses were go<strong>in</strong>g to shout at me. Thank you<br />

very much.<br />

Records the vacc<strong>in</strong>e given and tells Wro. Almaz the date, place and time of<br />

the next vacc<strong>in</strong>ations. The HW also expla<strong>in</strong>s that to be fully immunized the<br />

child needs to complete several visits be<strong>for</strong>e the child’s first birthday. Your<br />

next visit will on this same day, Monday, <strong>in</strong> four weeks time.<br />

Do you have any questions or anyth<strong>in</strong>g, which you would like me to expla<strong>in</strong><br />

further?<br />

Almaz:<br />

HW:<br />

Almaz:<br />

HW:<br />

Yes, Nurse. What should I do if I miss my child’s immunization appo<strong>in</strong>tment?<br />

Wro. Almaz, I know it is not always easy to keep all the appo<strong>in</strong>tments, but<br />

you should try as much as possible to keep the immunization appo<strong>in</strong>tments.<br />

Immunizations are very important <strong>for</strong> protect<strong>in</strong>g your children aga<strong>in</strong>st<br />

dangerous childhood diseases. But if you fail to keep an appo<strong>in</strong>tment, just<br />

come on the next immunization day even if the child is sick. We give<br />

immunizations every Monday <strong>in</strong> this cl<strong>in</strong>ic.<br />

Thank you Nurse, (smil<strong>in</strong>g). I will make sure I do not miss any immunization<br />

appo<strong>in</strong>tment.<br />

Bye-bye Wro. Almaz, see you <strong>in</strong> 4 weeks time.<br />

57

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