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

4.4 Exercises (with answers) in Module
Case Study: The immunization calendar
The nurse at the local health center looks at the immunization calendar posted on
the wall of the office. He sees that tomorrow outreach is scheduled for Wanja
Kebele. The next day, he arrives at the center early and prepares the vaccines for
transport. He then takes a motorbike to Wanja. When he arrives he sends a small
boy to ask the Kebele chairman for chairs and a table. The boy soon returns with
the Kebele chairman who expresses his surprise at the arrival of the nurse. He
explains that no one knew that today was the day for outreach. The nurse looks at
the Kebele chairman in disbelief and says: “But the date for outreach was clearly
posted on the wall of the health center!”
1. What behavioral stage best describes the nurse’s situation? Why?
Pre-Awareness. Having the immunization schedule is posted on the wall at the
health facility does not mean that the community has been notified of
outreach. The nurse does not realize this.
2. What is needed to ensure the community is better prepared for outreach?
The health worker needs to work with the Kebele to plan outreach and identify
ways with the community as to how to inform women that they outreach will
come on a given day.
Case Study: Tigist brings her baby for the first time
Tigist has brought her 4–month-old child to the immunization session. She hasn’t
brought her baby for immunizations before. She has heard rumors that children
become sick after getting vaccinated and she wanted to protect her child. A friend,
who is also the Kebele CBRHA, told Tigist that a little illness after the immunization
is nothing compared to getting the disease itself. So she decided to bring her baby
for immunizations.
1. What behavioral stage best describes this woman’s situation? Why?
Trial. She is trying something that she has not done before.
2. What is needed to ensure this child completes the full immunization series?
The health worker needs to praise Tigist for bringing her child to outreach.
The health worker will also need to explain what side effects to expect, but that
it is nothing to worry about—certainly a small thing compared to getting the
disease! She will need to be encouraged to bring the child to the next visit.
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