Rapid Assessment Procedures (RAP) to Improve the Household Management of Diarrhea (Methods for Social Research in Disease) (International Nutrition Foundation for Developing Countries - INFDC, 1993, 90 pages)

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Acknowledgments

Introduction

Part I. Overview

1. What is RAP?

2. How does RAP differ from KAP?

3. Who should use this manual?

4. Wow to use this manual

5. What is needed?

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Key points

References

Part II. Background

1. Diarrhea case management

2. Oral rehydration and feeding

3. Appropriate referral

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Key Points

4. The cultural context of diarrhea

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Words

Locally recognized types

Perceived causes

Actions taken

Relationship with other childhood diseases

Significant characteristics

Relationships among beliefs

Key Points

References

Part III. Field Guide

Step 1. Meet CDD program or project personnel

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1. Identify CDD advisors

2. Ask questions about the program or project

3. Identify information needs

4. Explain ethnographic research

5. Discuss the scope and plan of the research

6. Develop a medical referral plan

7. Arrange further working sessions

Step 2. Prepare the study

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1. Brief the field workers

2. Prepare a list of priority questions

3. Review existing information

4. Prepare interview guide(s)

5. Train the field workers

Step 3. Collect basic information

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1. Approach the community

2. 'Map' the community

3. Identify key informants

4. Conduct unstructured interviews

5. Check Lists

6. Organize the information

7. Summarize belief system ''pieces''

Step 4. Understand the belief system

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1. Conduct card sorting with key informants

2.Take detailed case histories

3. Test decision models

4. Summarize relationships

Step 5. Identify possible approaches

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1.Make lists of beliefs and practices

3. Review findings and possible approaches with CDD advisors

4. Develop a list of additional questions

Step. 6 Assess and improve the approaches

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1. Select key informants for additional questioning

2. Use appropriate methods to obtain additional information

3. Explore possible images and proverbs

4. Revise your assessment of possible approaches to promote AHM

5. Choose the most useful approaches

Part IV. Options for applying the results

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Option 1. Test the generalizability of the results and recommendations through additional ethnographic studies

Option 2. Test the generalizability of the results and recommendations through a structured interview format

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1. Select questions for the structured interview

2. Plan and conduct a structured interview

Option 3. Test the generalizability of the results and recommendations through focus group discussions

Option 4. Develop and pretest messages and materials

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1. Draft scripts to present the approaches

2. Present the scripts to small groups of caregivers

3. Develop illustrations for the scripts

Annex A. Summary of research findings and recommendations: South Sumatra, Indonesia

1. Information obtained from unstructured key informant interviews

2. Key Informant interviews on focused topics

3. Possible approaches to promote AHM

4. Development and administration of the structured interview

5. Choice of a recommended approach

6. Choice of an educational image