Encouraging action and follow-through
If you have been following the steps described so far, you
should have a strong foundation for your health education work. You know the
problems, the priorities, the objectives, the resources. Now, all of this must
be put together into a specific plan of action that will show what will be done,
by whom, and when. In other words you need to prepare a timetable.
Preparing a timetable
Suppose your community feels that its most important health
problem is the lack of a convenient drinking-water supply. The timetable on page
73 is an example of how to set out the timing of tasks and responsibilities. One
thing to remember when setting target dates for various tasks is to be
realistic. It takes time for people to get organized and it takes time to find
resources. People will be disappointed if they set a schedule that is too short
for the actual completion of the assigned tasks. A timetable is also useful in
checking whether the programme is progressing as scheduled.
A copy of the timetable can be put up in the town hall or in
another place where people will see it.
The timetable reproduced opposite was set up for a community
programme, to improve the water supply. You can adapt the timetable and
activities to your own community protects.
A timetable may even be drawn up for an individual; this would
be less complicated than one for a community. An example is the case of a mother
whose child is underweight. Together with the mother, you could work out a
timetable showing the foods that might be prepared for the child each day. This
might look like a one-week menu. On the same timetable you would also note
follow-up clinic appointments.
If the mother could not read, you would not be able to write out
a timetable for her, but you would discuss the schedule to help her remember.
Also she might have a child or relative who is able to read. A timetable could
then be written that someone could read to her.
Assigning tasks
When a programme involves more than one person, it is important
to make sure as many people participate as possible.
In the timetable there is a column headed 'people responsible'.
We used general terms like 'leaders', 'volunteers', and 'local people'. In a
real timetable you would list the names of the people who have agreed to take
responsibility for one task or another.
For example, with the community water supply project: Who will
be on the fund-raising committee? Who will get the cement? Who will find the
shovels? Who will be the volunteer workers? Who will be in charge of the
volunteers?
Follow-through action
This involves the steps listed below:
- Set a specific date on which to start your main
action.
Sample timetable for the provision of a community water
supply |
Tasks |
Completed by |
People responsible |
1 Community leaders discuss the problem of waterborne diseases
|
1st week |
community health workers |
2. Leaders trained on cause and prevention |
3rd week |
community health workers |
3. Public information activities begin, using local media and
home visits |
4th week |
leaders, community health workers, schoolteachers |
4. All sick people report for treatment |
5th week |
leaders, community health workers, local people |
5. People boil and filter their water |
6th week |
leaders (one for each town/village/section) |
6. Funds raised for well construction |
12th week |
fund-raising committee, leaders |
7. Voluntary labour recruited |
12th week |
leaders |
8. Well sites selected |
12th week |
leaders and local people |
9. Materials obtained |
15th week |
materials committee |
10. Construction begins |
15th week |
volunteer labourers, community health workers |
11 Maintenance committee selected for each well |
15th week |
leaders |
12. Maintenance committee members trained in maintenance of
wells |
16th week |
health worker |
13. Wells completed |
20th week |
volunteer labourers |
14. People use water only from wells; maintain wells
hygienically |
20th week onwards |
leaders and local people |
- Be sure each person knows his or her duties: Can
each person tell you from memory what he or she must do and when he or she will
do it?
- Keep in contact with people; provide encouragement; answer
questions; help solve problems.
- Hold regular meetings to review progress: at these meetings
each responsible person can report on what he or she has done; the group can
then compare each report with the timetable and see if the work is progressing
according to schedule.
- If there is some delay in the schedule the group should look
into the problem immediately: Can it be corrected at once? What are the needs?
More materials? More volunteers? More time? More funds?
Remember that it is better to correct problems early, before
they spoil the
programme.