Health education on hygiene and sanitation at Bolifamba, mile 16-Buea.

Group members: Buh Amos W.

Katte Ivo Joso Mbella

Genevieve Anyianawung Akumengwa Neba

Outline Introduction• Description of the community• Entry into the community

Objective of visit Health problem diagnosed Health education on priority problem in the

community• Objective for health education• Target groups• Method• Health education message & Language• Health education materials

Introduction • Bolifamba is found in Muea health area in Buea health

District along the Buea- Mutengene road.• 9207 Inhabitants ,cosmospolitan• Community is divided into 11 quarters and inhabitants are

mostly farmers.• Most of the quarters are in swampy areas and people live in

slums.• Most houses in this community are constructed with planks

(‘carabot’ houses).• Two major streams flow across the community• Community has 8 primary schools, some churches, a

market and many small drinking bars.

Entry into the Community• Permission to visit community was gotten

through the help of the chief of centre of Bolifamba health centre.

• A member of the dialogue structure and the chief of centre accompanied the MPH students round the community.

• Some inhabitants were randomly interviewed on hygiene and sanitation practices and diseases present in community.

• We also reviewed the registers in the H/C

Objective of visit

• To identify health problems in the community that can be addressed using health education.

Problems diagnosed

• Settlement area is swampy with poor drainage• Stagnant water nearly everywhere• Poorly constructed houses• Bushes around houses(confer pictures below)• Interviewed members say they don’t use

mosquito nets• All the above predisposes to malaria.

Problems diagnosed cont’d

• Poor waste disposal, most compounds lack toilets• Interviewed inhabitants say some people use bushes

and the main streams as toilet• Most domestic waste is disposed in bushes around

houses or in the main streams which is also used in bathing and washing dresses.(pictures below)

• All these predisposes to feco-oral transmission of diseases

• Most inhabitants look dirty and children move bare feet; personal hygiene not observed

Sample pictures from community

Sample pics cnt.

Health centre records

• Health Centre records showed malaria, diarrhoea diseases, bacterial and skin infections as common diseases suffered by inhabitants.

• This is quite eminent looking at the problems the health team identified.

Overall diagnosis

• Looking at all the above mentioned problems, the team concluded that the problem of concern in the community is poor hygiene and sanitation.

Topic for Health Education

• Health education on hygiene and sanitation for the Bolifamba community.

• Goal:• To improve the hygiene and sanitation

practices of the community that will help curb the prevalence of malaria, bacterial infection, diarrhoea and skin diseases.

Objectives

• To educate the community on proper hygiene and sanitation practices.

• To educate the community on the risk of not adhering to proper hygiene and sanitation practices.

Target groups /materials

• Traditional council, churches, schools, women groups, youth groups, social groups found in the community.

• Materials:• Flip charts, audiovisual materials, posters• Language- pigin english

Method

• Health talk with groups.• Demonstration • Group discussions• Role play.

Definition of terms

• Hygiene – set of practices associated with preservation of health and healthy living.

• Focuses on personal hygiene ie cleanliness of the hair, body, hands, fingers, feet, clothing and menstrual hygiene.

• Safe hygiene practice include healthy behaviours like hand washing before and after eating, after using the toilet and safe faeces disposal.

Definition of terms cont’d

• Sanitation – The prevention of human contact with waste or hazards associated with the lack of healthy food, clean water, healthy houses, control of vectors and a clean environment.

• Focuses on the management of waste produced by human activities.

message

• For hygiene; inhabitants should bathe daily with soap, observe oral hygiene, trim nails, bathe children and wear them clean clothes, wash hands with soap under running water before and after eating and after visiting toilet

• And should avoid walking bare feet.

Message cont’d• For sanitation; inhabitants should clear bushes

around compounds, provide drainage and remove things that can retain water around compounds, should construct pit toilets and use them, use of stream to dispose faeces and gabbage from home should be prohibited, house waste should be disposed in gabbage bins for easy collection by HYSACAM.

Message cont’d

• Construct good kitchens, prepare, store and serve food under hygienic conditions

• Domestic animals should be confined• Inhabitants should endeavour to sleep under

mosquito treated bed nets.

Risk of not practicing good hygiene and sanitation.

• Skin infection (scabies, ring worm, lice)• Worms infestation• Diarrhoea• Malaria• Typhoid fever• Cholera• Death• All of these will lead to increase in health care bills

Monitoring /evaluation

• Dialogue structure members will ensure the monitoring hygiene and sanitation practices in their respective quarters.

• The health education will be ongoing in the community by the health staff and dialogue structures members

• Questions and answers

Thank you for listening

Good hygiene and sanitation makes you healthy and cleanliness is next to Godliness