|Training Manual in Combatting Childhood Communicable Diseases Part I (Peace Corps, 1985, 579 pages)|
|Module 4: Health education|
|Session 16: Introduction to health education|
Your task is to use the steps of the health education process to work out a plan for solving the health problem described below. First decide roughly how to solve the problem then use the steps to develop a more systematic plan. Decide the order in which you will follow the steps and be prepared to explain why that is a good order.
The Problem Situation
A health Volunteer has recently arrived at her assigned health post. Her counterpart, a nurse-midwife in charge of the health post, is friendly and pleased to have help, since she is the only health worker in the community. The community has many health problems, particularly infant diarrhea. Many babies have died from dehydration resulting from the diarrhea. Mothers have never heard of mixing and giving sugar salt solution to children with diarrhea to prevent dehydration. Instead they tend to withold food and liquids, including breast milk, when diarrhea begins. Sanitation is poor. The water is collected from a stream in which people and animals walk and defecate. Women also do laundry in the stream. There are no latrines in the community and people see no reason to put scarce resources into building them. Since the water looks dirty, people frequently don't wash their hand before handling food. There is a school in the village. The school teacher is concerned about the health problems in the community and would like to help solve them. Community leaders also recognize the problem of many infant deaths but have never made a plan to do anything about it. Parents are also concerned and fearful that some bad spirits are living among them. The nurse midwife has been keeping records of the treatment and deaths of dehydrated children. There are no vehicle roads leading to the village. People with serious health problems must go to the regional health center (a two day walk) for treatment. There is no electricity. Sugar and salt are available but somewhat expensive. The health post has a few posters and the local school has paper, paint and scissors.
(Developed by: CHP international under Peace Corps Contract no. PC-284-1011.)