Cover Image
close this bookOral Rehydration Therapy and the Control of Diarrheal Diseases (Peace Corps, 1985, 566 pages)
View the document(introductory text...)
View the documentAcknowledgments
View the documentIntroduction
View the documentApproach to training
close this folderModule One: Climate setting and assessment
close this folderSession 1 - Diarrhea dialogue: Assessing our knowledge, needs and skills
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View the documentHandout 1A: Pre-test
View the documentHandout 1B: Training objectives
View the documentTrainer Attachment 1A: Pretraining questionnaire for volunteers
View the documentTrainer Attachment 1B: Pretraining questionnaire for counterparts
View the documentTrainer Attachment 1C: Trainer pretest guide
View the documentTrainer Attachment 1D: ORT Pretest answer sheet
close this folderSession 2 - Training program evaluation
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View the documentHandout 2A: Training evaluation
close this folderModule Two: Diarrhea, dehydration and rehydration
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close this folderSession 3 - Prevention and control of diarrheal diseases
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View the documentHandout 3A: Sanitation, water quality and the spread of disease
View the documentHandout 3B: Common causes of diarrhea
View the documentHandout 3C: Methods of controlling enteric diseases
View the documentHandout 3D: Water, excrete, behaviour and diarrhoea
View the documentHandout 3E: Primary health care
View the documentTrainer Attachment 3A: The global impact of diarrhea
View the documentTrainer Attachment 3B: A story about diarrhea
View the documentTrainer Attachment 3C: Suggestions for using the picture story
close this folderSession 4 - Dehydration assessment
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View the documentTrainer Attachment 4A: Pictures of children with signs of dehydration
View the documentTrainer Attachment 4B: Guidelines for presentation of the who diarrhea treatment chart
View the documentTrainer Attachment 4C: Answers for exercises
View the documentTrainer Attachment 4D: Creating a case study
View the documentTrainer Attachment 4E: Adaptation of the treatment chart
close this folderSession 5 - Rehydration therapy
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View the documentHandout 5A: ORT preparation worksheet
View the documentTrainer Attachment 5A: Materials and equipment needed for ORT stations
View the documentTrainer Attachment 5B: Using models to show why rehydration is important
View the documentTrainer Attachment 5C: Suggestions for a lecturette on the hows and whys of ORS
View the documentTrainer Attachment 5D: Oral rehydration therapy: the scientific and technical basis
View the documentTrainer Attachment 5E: Storing and maintaining supplies of oral rehydration salts (ORS)
View the documentTrainer Attachment 5F: Oral rehydration with dirty water?
View the documentTrainer Attachment 5G: A pinch of salt' a handful of molasses...
View the documentTrainer Attachment 5H: Cautious prescription
close this folderSession 6 - Practicing ort in the village
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View the documentTrainer Attachment 6A: Problem situations - ORT in the home
close this folderModule Three: Nutrition and diarrhea
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close this folderSession 7 - Nutrition during and after diarrhea
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View the documentHandout 7A: The diarrhoea-malnutrition complex
View the documentHandout 7B: Carry on feeding
View the documentHandout 7C: Breast to family diet
View the documentHandout 7D: Persuading children with diarrhoea to eat
View the documentTrainer Attachment 7A: Problem poster activity
View the documentTrainer Attachment 7B: Nutrition counseling demonstration
View the documentTrainer Attachment 7C: Therapy begins at home
View the documentTrainer Attachment 7D: Enriched ORT
View the documentTrainer Attachment 7E: Child description and recommended diet
close this folderSession 8 - Recognizing malnutrition
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View the documentHandout 8B: Weight for height (stature) for both boys and girls
View the documentHandout 8C: Weight for age chart
View the documentHandout 8D: How to measure weight-for-length
View the documentHandout 8E: Recording the weight on a growth chart
View the documentHandout 8F: Measures recording sheet
View the documentTrainer Attachment 8A: Comparison of anthropometric measures
View the documentTrainer Attachment 8B: Growth monitoring
View the documentTrainer Attachment 8C: Growth chart exercise
close this folderSession 9 - Preventing malnutrition
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View the documentHandout 9A: Multimixes as village level weaning foods
View the documentTrainer Attachment 9A: Ali's story
View the documentTrainer Attachment 9B: Case studies
View the documentTrainer Attachment 9C: Nutritional rehabilitation centers
View the documentTrainer Attachment 9D: Guide for multimix preparation stations
close this folderModule Four: Working with the health system
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close this folderSession 10 - National health policy and programs for controlling diarrheal diseases
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View the documentTrainer Attachment 10A: National health policy and oral rehydration therapy
close this folderSession 11 - Encouraging collaboration among services for treatment, control and prevention of diarrhea
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View the documentHandout 11A: Coordinating activities
View the documentTrainer Attachment 11A: Discussion guidelines on collaboration
View the documentTrainer Attachment 11B: Examples of services and organizations with which volunteers and counterparts can collaborate
View the documentTrainer Attachment 11C: Case studies
close this folderSession 12 - Monitoring and follow up for controlling diarrheal diseases
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View the documentHandout 12B: Monitoring worksheet
View the documentHandout 12C: Ways to do monitoring
View the documentHandout 12D: Steps in problem solving
View the documentHandout 12E: Problem situations
View the documentTrainer Attachment 12A: Examples of items to monitor
View the documentTrainer Attachment 12B: Home visits
View the documentTrainer Attachment 12C: Useful tool: diary
View the documentTrainer Attachment 12D: Suggestions for a diary on ORT/CDD
View the documentTrainer Attachment 12E: Sample problem solution
close this folderModule Five: Working with the community
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close this folderSession 13 - The impact of culture on diarrhea
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View the documentHandout 13A: Sample diarrhea questionnaire
View the documentHandout 13B: Methods for gathering information
View the documentHandout 13C: Identifying helpful and harmful practices
View the documentHandout 13D: Role of traditional healing in diarrheal diseases control
close this folderSession 14 - Working with the community to prevent and control diarrheal diseases
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View the documentHandout 14A: Questions to ask about involving the community in a project
View the documentHandout 14B: Skills for development facilitators
View the documentHandout 14C: A checklist for use in identifying participatory components of projects
View the documentHandout 14D: Helping the people to organize
View the documentHandout 14E: Meetings
View the documentHandout 14G: Ways to involve women in health projects
View the documentTrainer Attachment 14A: Factors affecting participation in rural development projects
View the documentTrainer Attachment 14B: Examples of problem situations
close this folderModule Six: Community health education
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close this folderSession 15 - Planning and evaluating health education projects in ort for controlling diarrheal diseases
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View the documentHandout 15A: Planning a community health project
View the documentHandout 15B: Example of project evaluation
View the documentHandout 15C: Health education project planning worksheet
View the documentTrainer Attachment 15A: The bamboo bridge activity
View the documentTrainer Attachment 15B: Important concepts for evaluation
View the documentTrainer Attachment 15C: Guide to the health education project planning worksheet
close this folderSession 16 - Selecting and using non-formal education techniques to promote the control of diarrheal diseases
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View the documentHandout 16A: Training techniques
View the documentHandout 16B: Using pictures to stimulate discussion
View the documentHandout 16C: Guidelines for using group discussion
View the documentHandout 16D: Guidelines for demonstration
View the documentTrainer Attachment 16A: Can puppets be effective communicators?
View the documentTrainer Attachment 16B: Love him and mek him learn
View the documentTrainer Attachment 16C: Some thoughts on the use of non-formal education in the real world
close this folderSession 17 - Selecting and using visual aids to promote CDD
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View the documentHandout 17A: Ways visual aids help people learn and remember
View the documentHandout 17B: Why pictures fail to convey ideas
View the documentHandout 17C: Design considerations
View the documentHandout 17D: Using pictures to communicate effectively
View the documentTrainer Attachment 17A: Why use visual aids?
View the documentTrainer Attachment 17B: Villagers teaching us to teach them
View the documentTrainer Attachment 17C: Examples of a teaching situations
close this folderSession 18 - adapting and pretesting health education materials on ORT for controlling diarrheal diseases
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View the documentHandout 18A: Spreading good ideas: adapting illustrated materials
View the documentHandout 18B: Child to child health booklet
View the documentHandout 18C: Visual aids: do they help or hinder?
View the documentHandout 18D: Pretest report form
View the documentTrainer Attachment 18A: Rainy season feeding messages
View the documentTrainer Attachment 18B: Tracing techniques to adapt visual aids
View the documentTrainer Attachment 18C: How to pretest
View the documentTrainer Attachment 18D: Role play on pretesting pictures
close this folderSession 19: Designing and evaluating health education sessions on ORT for CDD
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View the documentHandout 19A: The experiential learning cycle
View the documentHandout 19B: Session assessment sheet
View the documentHandout 19C: Guidelines for session presentations
View the documentHandout 19D: Session plan worksheet
View the documentHandout 19E: Evaluation of practice session
View the documentHandout 9F: Session preparations checklist
View the documentTrainer Attachment 19A: Role play on ways people learn best
View the documentTrainer Attachment 19B: Deciding when to use experiential learning
View the documentTrainer Attachment 19C: Sample session plan
close this folderSession 20 - Health campaigns for oral rehydration and prevention of diarrhea
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View the documentHandout 20A: Delivering the goods
View the documentHandout 20B: Radio learning group campaign
View the documentHandout 20C: To drink or not to drink
View the documentHandout 20D: Educational mini-campaigns
View the documentHandout 20E: Pakistan: ORT promotion
View the documentTrainer Attachment 20A: Educating the public about oral rehydration therapy
close this folderSession 21 - Resources for health education on controlling diarrheal diseases
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View the documentHandout 21B: Filling the information gap
View the documentHandout 21C: Networking
View the documentTrainer Attachment 21A: Linking the community with outside resources
View the documentSession 22 - Practicing and evaluation health education sessions
View the documentBibliography
View the documentPeace Corps overseas offices

(introductory text...)

TOTAL TIME

3 hours

OVERVIEW

Pictures and other visual aids make communication and learning about diarrheal diseases control easier and more interesting by translating abstract ideas into more concrete familiar forms that relate to the experience of the learners. In Session 16 (Selecting and Using Nonformal Education Techniques) participants practiced combining visual aids with nonformal techniques. In this session they focus on visual aids, looking at different ways that they can use these aids in health education to promote the control of diarrheal diseases, particularly through ORT. They review cultural, educational and design criteria for selecting visual aids. They use these criteria to select visual aids for health education sessions in the project plans developed in Session 15 (Planning a Health Education Project on CDD).

OBJECTIVES

· To describe ways that visual aids can be used to help learning and understanding.
(Step 1, 2)

· To select appropriate visual aids to promote activities to control diarrheal diseases, using criteria stated during the session.
(Steps 3-5)

RESOURCES

- Teaching and Learning With Visual Aids
- Audiovisual/Communications Teaching Aids Teaching Aids Resource Packet P8
- Helping Health Workers Learn, Chapter 11
- Bridging the Gap
- On the People's Wavelengths Communications for Social Change, (UNICEF News 114/4)

Handouts:

- 17A Ways Visual Aids Help People Learn and Remember
- 17B Why Pictures Fall to Convey Ideas
- 17C Design Considerations
- 17D Using Pictures to Communicate Effectively

Trainer Attachments

- 17A Why Use Visual Aids?
- 17B Villagers Teaching Us to Teach them
- 17C Examples of Teaching Situations

MATERIALS

Examples of as many different kinds of visual aids as possible. Newsprint, markers, pencils, paper.

PROCEDURE

Trainer Note

Prior to the session ask participants to look through Chapter 11 of Helping Health Workers Learn (Making and Using Teaching aids. and identify at least one new use of visual aids. that they would like to try out during this training course.

Ask three participants to work with you to prepare and demonstrate effective uses of visual aids. In the demonstration focus one creative uses of visual aids; appropriate selection of visual aids. and showing skill in the actual handling of the material, such as timing (when to show a visual) and making sure it can be seen.

Prior to the training, ask participants to bring visual aids. that they have developed and used. Also ask a few people to locate examples of different kinds of visual aids. on topics related to the control of diarrheal diseases and to arrange or display them in the training room. Include in the display all the visual aids. used in the training program thusfar. Assign this task enough in advance to enable them to visit local agencies to collect or borrow visual aids. If the location of the training site is too far from such agencies, collect these materials yourself prior to the training. Get as many locally designed and produced materials as possible and, where available, get multiple copies to give to the participants for their health education activities.

If you plan to use the Optional Step on Selecting Nell Designed Pictures (located at the end of the Procedure section) ask two people to help you find or prepare visual aids. that illustrate the design considerations shown in Handout 17C (Design Considerations). Ask for one good and one bad example for each consideration.

Trainer Attachment 17A Includes a short activity that you can use to introduce this session if time allows.

Step 1 (60 min)

Ways Visual Aids Help People Learn and Remember

Introduce the session by reviewing the objectives and pointing out the display of visual aids. With the help of the participants who prepared with you, demonstrate at least three different uses of visual aids. for specific teaching situations dealing with the control of diarrheal diseases. For each demonstration, state the objective, and describe the target group. After each one, discuss questions such as the following:

- What did you like best about the ways visual aids. were used here?
- What did you like least?
- What different ways could you use this visual aid?
- Has the timing (when the visual aids were used in the session) and handling skillful and effective?

After all the demonstrations are finished, facilitate a discussion using the following kinds of questions:

- What kinds of information are best communicated using visual aids?
- How can visual aids. strengthen nonformal education techniques?
- Can visual aids. stand on their own for communicating health messages?
- What are some examples of effective use of visual aids. during this training program? How have you used visual aids.

Trainer Note

You may want to begin this session with the activity described in Trainer Attachment 17A (Why Use Visual Aids?).

Be sure that you demonstrate the use of visual aids. when they are needed and not Just added because someone wants to use a visual aid. The visual aids. should be appropriate for the objectives, the learners, and communicate effectively (applying the Design Considerations in Handout 17C). Do short, focused demonstrations.

Include combinations of visual aids and nonformal education techniques to increase the participation of the learners, to identify and solve problems, evaluate projects and learning-by-doing as well as communicating health information. Handout 17A (Nays Visual Aids Help People Learn and Remember) and Helping Health Workers Learn offer many ideas.

The outcome of the discussion should be answers to the questions: - Why use visual aids? When should I use visual aids?

You can also write and discuss this Chinese proverb: "I hear I forget' I see I remember; if I do it I know it".

Step 2 (15 min)

Gallery Tour of Visual aids.

Give participants 15 minutes to make a "gallery tour" of the visual aids. arranged in the display. Ask then to choose a partner for the "tour". Have the partners discuss ways to use these materials in their work in controlling diarrheal diseases and share creative ways that they have used visual aids. In the past. Encourage them to pick up the visual aids. and think about the ideas for using visual aids. that they read about in Helping Health Workers Learn. At the end of tints activity give them Handout 17A (Ways Visual Aids Help People Learn and Remember) as a reference.

Step 3 (20 min)

Selecting Visual Aids for the Local Community

Briefly summarize and discuss Trainer Attachment 17B (Villagers Teaching Us to Teach Thea) or a similar example to highlight the importance of involving the community in selecting (or developing) and using pictures for health education.

Ask the participants to agree on three or four main criteria to use in selecting visual aids. Ask someone to summarize these on newsprint for future use. After the discussion Distribute Handout 17B (Why Pictures Fall to Convey Ideas) as a reference,

Trainer Note

Some of ideas that should come out of the discussion include:

- Consider local beliefs, customs, design preferences, meaning associated with colors, and familiar things such as clothing, houses, and household goods.

- Use a variety of visual aids. when possible.

- Use the real thing rather than a picture whenever possible. - Select media that involve the learners in the session.

- Involve the learners in selecting and making visual aids.

The following are the most important criteria for selecting visual aids.

- Skills, knowledge, attitudes, or organization stated in your health education objectives are accomplished more effectively and easily using visual aids.

- The visual aid is culturally appropriate.

- The visual aid is well-designed; it communicates the intended message clearly and simply.

- The visual aid works well with the health education techniques that you have chosen.

If participants have a special interest in developing visual aids. you may want to use the Optional Step on Selecting Nell Designed Visual Aids after Step 3.

Step 4 (30 min.)

Practice Selecting Visual Aids

Divide into the pairs that developed project plans. Ask each pair to apply what they have Just learned about cultural and design considerations for visual aids and techniques, along with their project objectives, to decide and discuss how they would select visual aids for their target group for one health education session in that project.

Ask them to select visual aids if appropriate, from those displayed in the room and be prepared to explain their choice to the other groups. If the visual aids in the room are inappropriate, ask them to suggest what, if any, visual aids they plan to make for the session and explain why they need them.

Trainer Guide

It you find that participants need some practice in selecting visual aids before starting their own sessions, divide them into three or more groups and assign teaching situations such as those described in Trainer Attachment 17C (Examples of Teaching Situations). Have each group select visual aids and nonformal education techniques for the assigned situations and present the session to the other groups. Allow additional time for this alternative.

Step 5 (40 min.)

Sharing Visual Aids Selections

Reconvene the large group. Ask each small group to describe their project objective, target group and the session during which they will use the visual aids. Then have them show the visual aids selected and explain why they were chosen.

After each report have the others assess the criteria used to select the visual Aids and how well the visual aids fit the criteria. Encourage suggestions for other possible combinations of nonformal education techniques and visual aids for each session. At the end of the discussion distribute Handout 17D (Using Pictures to Communicate Effectively) as supplementary reading.

Close the session by explaining that they will be applying these skills in selecting and using visual aids in Session 19 (Designing and Evaluating Health Education Sessions) and in their final project presentations (Session 22).

Optional Step (20 min)

Selecting Well Designed Visual Aids

Show the group the pairs of pictures prepared earlier to illustrate the design considerations in Handout 17C (Design Considerations). For each pair of pictures, ask the group which picture is better? When they decide, ask them what makes one picture better than the other. Ask someone to make up a simple rule for choosing well-designed visual aids based on each comparison.

Distribute Handout 17C (Design Considerations) as a summary. Briefly discuss how the list on the wall is similar to the list of considerations in the handout.

Trainer Note

Use this optional step after Step 3.

The outcome of the discussion should be a list of rules about what makes a visual aid communicate well. Hake sure that the points on Handout 17C (Design Considerations) come out in the discussion.

Emphasize the importance of simplicity. Note that the most common error in visual Aids is including too much information. A good guideline is to include only one main idea in a picture. Also make it clear that the rule of thumb, "Use simple visual messages", does not assume a simple minded target audience. Nor does it imply omitting important information. Instead it means to identify what is necessary, as opposed to "nice" to know and to present that information step-by-step, one idea at a time.

If participants have already covered these concepts in preservice or other training, simplify this step as follows. Ask one of the participants to summarize what makes a visual aid communicate effectively. Have them demonstrate by comparing a picture that communicates effectively with one that does not, pointing to the parts of the pictures that illustrate their "rules of thumb" for communicating with pictures.