WS07 REPORT.pdf - Training and Research Support Centre

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how these should function. He discussed the issues and challenges in resourcing the response to HIV and AIDS and how these are being met. 2.13 Mechanisms for community participation in health Ms Linda Mashingaidze and Mr Itai Rusike Community Working Group on Health (CWGH), presented the concepts and levels of organization of community and of participation in health, the mechanisms for community participation in PHC and district health systems, including for co-operation within wider intersectoral action for health and the issues, and challenges faced in implementing such participation. She talked about the role of civil society, of individuals and of households and the mechanisms for cooperation with health service providers and within wider intersectoral action for health. 2.14 Panel discussion: Non health sector roles in health: The panel discussion session was chaired by Dr J Chirenda UZ-DCM and papers were presented and discussed by Ms A Mukono, Clerk of the Parliamentary Committee on Health, Parliament of Zimbabwe on the role of parliament and Mrs E Masiiwa, Women’s Action Group on the role of womens organisations. Their presentations outlined the roles in intersectoral action for health, how they are linked to the health sector and health services and to district level health interventions. Across all the above sessions students raised questions to presenters and issues for discussion and some sessions had very active discussions on issues raised. 2.15 Assignment two: On Community diagnosis to improve health This exercise aimed to support a local community based exercise that applies the knowledge learned in the winter school. It used the knowledge learned in the sessions on public health and health systems to design a community based research exercise to • Make a community level diagnosis of a common health problem in the district and propose ways of acting on it, or • Assess the effectiveness of a health service or intervention in the district and propose ways of improving it, or • Identify the barriers that specific groups in the community have to access health care and identify ways of addressing these. It aimed to use the information shared in the course to apply to a local context. Students were asked to work in groups or as individuals. Participants chose to work in groups in the organizations they had come from with some cross fertilization across groups, as they wanted to be able to continue after the school to implement the work. The groups were mentored on their aims and methods and presented on programmes they designed for their selected rural and urban districts. The projects identified included the following The delegates from NAC proposed to assess the challenges preventing children (0-5) in Marondera Urban from accessing ART and within six months come up with recommendations to resolve the problem. Specifically they presented a programme to - establish the proportion of children (0-5) attending growths monitoring clinics out of the total children (0-5) within the catchments area - establish the number of children in need of ART and the proportion of the children showing clinical signs of HIV referred for treatment - identify the household factors demographical knowledge and social economic factors affecting use of growth monitoring services assessing uptake of children’s ART - increase accessibility to ART services amongst children (0-5). 7
Through this they hoped to improve the quality of life of HIV positive children (0-5) and to reduce infant deaths/illnesses due to AIDS in the area. A Group working on workplace issues outlined a programme to assess the effectiveness of condom distribution and information dissemination in the prevention of HIV/AIDS in the workplace at phosphate industrial companies in Harare. They aimed to - assess the adequacy and appropriateness of current interventions ie assessing whether workers are able to access other preventive services that is VCT, STI treatment - find out the attitude of workers on condom distribution and use - determine the knowledge of workers on the mode of transmission, treatment and care, prevention of HIV - make recommendations to improve the HIV/AIDS programmes - find out other available preventive interventions like STI treatment and VCT , and - identify barriers against the current HIV/AIDS prevention intervention The delegates from CWGH explored the reasons for diarrhea in Chikwaka area (Goromonzi) . Their programme sought to find out the hygiene practices of children under the ages of 3-16 years old in Chikwaka area in Goromonzi district, particularly their hand washing practices before eating food and after visiting the toilet. The programme sought to find out the environmental factors affecting this, including the hygiene enabling facilities in the children’s houses and school environment and the safety and quality of water supplies as well as the children’s knowledge and attitudes towards food hygiene, hand washing, use of safe water and sanitation. The group of students from UZ-UCSF aimed to identify the barriers that men and women aged 24 to 45 years living with HIV and AIDS have in accessing Anti-Retroviral Therapy (ART) in Chitungwiza District and to explore how to overcome these barriers. They presented work to find out the social, cultural, political, and economic factors hindering the accessibility of ART to men and women aged between 20 – 45 years and to find out if there are any myths and misconceptions associated with ART. The discussions on the assignments reviewed the presentations through group and facilitator feedback from Dr Loewenson. Follow up steps were agreed on to further develop and submit proposals for delegates to be included in follow up research training and mentoring for their projects. Delegates were asked to submit a concept note with information on the - Title - Names, institution and addresses - The problem statement and justification - The general and specific objectives - The methods, including how authorities / ethical permission will be obtained for the work - The resources needed. Projects included would be mentored as part of follow up field training to further develop skills and linked to research, ethics, and reporting training from UZ DCM and TARSC. 2.16 Presentation skills Ms Barbra Kaim TARSC, facilitated on presentation skills and key points for preparing and delivering presentations and for using visual aids. Participants responded positively to the session and requested that in the next course it be scheduled before students give their assignment presentations. 8
Page 1 and 2: TRAINING AND RESEARCH SUPPORT CENTR
Page 3 and 4: Executive Summary The University of
Page 5 and 6: An Introduction to public health 2.
Page 7: An Introduction to health systems 2
Page 11 and 12: Table 1: Distribution of responses
Page 13 and 14: Appendix 1: Training programme 1.1
Page 15: Appendix 2 : Student list # Name, i

WS07 REPORT.pdf - Training and Research Support Centre

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