We are health and hope

COMMUNITY BASED VOLUNTEERS TRAINING

REPORT

MATERNAL & CHILD HEALTH AND WATER, SANITATION

AND HYGIENE PROJECTS IMPLEMENTED IN SUNYANI

WEST DISTRICT

@ Glammosay Hotel Sunyani

Prepared by:

Asante Gilbert, THV Program Coordinator MAP International Ghana

Kate Nana Asabea Ofe, Nutrition Officer, Sunyani West District Health Directorate.

MAY, 2015

Table of content

List of Acronyms

1.0 Introduction 2.0 Objectives of the Training

Objectives

Group Expectation for the Training

3.0. Participants and Facilitators

3.1. Facilitation

4.0 Methodology

5.1. Result of Pretest and Post Test on Water Sanitation and Hygiene

Pre/Post-Assessment: Maternal and Child Health.

Pre/Post-Assessment: Water Sanitation and Hygiene.

Appendix 1 Agenda

Topic Well Understood and Liked

Topics That Needs More Training / Refresher

Challenges

Recommendations

Photo Gallery

5.2 Summary of Evaluation

List of Acronyms

THV Total Health Village

WiFA Women in Fertility Age

WHO World Health Organization

NGO Non-Governmental Organization

MDGs Millennium Development Goals

MAP Medical Assistance Program

REPORT ON MATERNAL & CHILD HEALTH AND WATER, SANITATION AND

HYGIENE PROJECTS FOR COMMUNITY BASED VOLUNTEERS TRAINING.

13TH

15TH MAY, 2015

1.0 INTRODUCTION

Sunyani west District is one of the 27 Districts in the Brong Ahafo Region with a population of 93,392 and

women of reproductive age 23,162 expected pregnancies 3,736, expected deliveries of 3,736 and a

percentage WIFA of 24.8%. The district has five sub districts namely: Bofourkrom, Chiraa, Fiapre, Nsoatre

and Odumase.

Within the framework of WHOs definition of Health as a state of complete physical, mental and social

well-being and not merely the absence of diseases or infirmity reproductive health addresses the

reproductive processes, functions and system at all stages of life. Public health is to promote health, to

prevent diseases and to prolong the life through organized efforts of the society. Maternal Health care is a

concept that encompasses Antenatal, Delivery and postnatal care.

The health sector has a crucial role to play, through a range of actors, including governmental bodies, non-

governmental organizations (NGOs) and the private sector. The vision is to have well-informed community

Health Volunteers adopting healthy lifestyles physically and psychologically and supported by a responsive

health and health related sectors to serve as a link in their various communities to provide basic health care

to the people to improve the MDGs goal 4&5.

In view of this MAP International funded the three day intensive training full of practicals, group work

involving discussions and role plays.

2.0 OBJECTIVES OF THE TRAINING

The meeting started with an opening prayer by Mr. Stephen Tetteh, a Volunteer from Kobedi at 9: 45 am.

Welcome address was done by the Country Program Manager, Mr. Franklin Asou. He Welcomed and

thanked participants for honoring the call. He then briefed the house on the reason for the training and need

for all participants to fully commit themselves into the training to help achieve the organizational goals and

responsibilities.

OBJECTIVES:

It was intended that by the end of the training, Participants will be able to:

To equip participants with the knowledge and skills to be able to provide the required health care services. To help prevent maternal and child morbidity and mortality by providing early interventions. To enlighten participants on the role of an outreach worker

To imbibe in participants basic sanitation knowledge To equip participants with knowledge on proper water management.

GROUP EXPECTATION FOR THE TRAINING It was intended that by the end of the training, Participants will be able to:

To acquire knowledge on maternal and child health. To be equipped with new skills to manage pregnant issues. To acquire new skills to manage water and sanitation. To acquire knowledge on how to counsel clients. To get knowledge in caring for pregnant mothers and babies. To acquire knowledge on the type of food for pregnant women. To know the sickness and illness that can affect babies. To know more about water and effects of unclean water to human life. To know the benefits of hand washing and how to wash your hands.

3.0. PARTICIPANTS AND FACILITATORS

Below is the list of participants drawn from four communities in the Sunyani West District namely;

Tumiamayenko, Kobedi, Timber Nkwanta and Abronye. In all, ten community Health Volunteers were

drawn from these communities.

NO NAME SEX COMMUNITY CONTACT

1 Samuel Quaye M Timber Nkwanta 0203947812

2 Amu Paul M Timber Nkwanta 0547965639

3 Kwasi Asamoah M Tumiamayenko 0572804844

4 Augustina Pokuah F Tumiamayenko 0547081396

5 Acheampong Seth M Kobedi 0506714886

6 Tetteh Stephen M Kobedi 0276882378

7 Tang Isaac M Tumiamayenko 0243615100

8 Kwabena Kyere M Abronye 0244885383

9 John Allotey M Kobedi 0201984522

10 John Anabila M Tumiamayenko 0248375815

3.1. FACILITATION

The training was facilitated by

Ms. Constance Serwaa Peprah Ms. Jane Addae- Kyereme Mr. Daniel Nnebini N Mr. Kyei Asare Bediako

4.0 METHODOLOGY

This was a three day intensive training filled with practical and group work. Materials such as booklets,

counselling cards, flip charts, family planning samples etc were used. Methods used were:

Counseling cards Hand on hand practice Role play. Group work Discussions Visual aids Flip charts Power point Presentations

5.0. TRAINING OUTCOMES

A pretest was organized with participants writing two sets of questions on Maternal and child Health (10

questions) and twelve questions on Water Sanitation and Hygiene to test their knowledge.

Below is a table showing the results of the pretest assessment on Maternal and Child Health.

S.No. MARKS /10 PRE-TEST POST-TEST

1 10/10 0 4

2 9/10 1 5

3 8/10 5 1

4 7/10 3 0

5 6/10 1 0

TOTAL 10 Participants

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

10 9 8 7 6

PRE-TEST

POST-TEST

5.1. RESULT OF PRETEST AND POST TEST ON WATER SANITATION AND HYGIENE

Below is a table showing the results of the pretest assessment on Water Sanitation and Hygiene.

S.No. MARKS/12 PRE-TEST POST-TEST

1 12/12 0 1

2 11.5/12 6 7

3 11/12 1 2

4 10.5/12 2 0

5 9.5/12 1 0

TOTAL 10 Participants 10 Participants

0

1

2

3

4

5

6

7

12 11.5 11 10.5 9.5

PRE-TEST

POST-TEST

Cross section of participants in a pretest

Cross section of facilitators

Cross section of participants in a role play

Pre/Post-Assessment: Maternal and Child Health.

What do we know now????

1. Village health volunteers are trained to work in the communities from which they come from? TRUE/

FALSE.

2. Hemoglobin test should be checked for all pregnant women? TRUE/FALSE.

3. Breastfeeding should begin after the babys first bath? TRUE/FALSE.

4. Immunization prevents a child from all six killer diseases? TRUE/FALSE.

5. Community health worker serves as health counselors? TRUE/FALSE.

6. Community health worker is the link between the health care provider and the patient. TRUE/FALSE.

7. Pregnant womens Hb can be checked under the tongue. TRUE/FALSE.

8. Babys cord can be dressed with salt and Shea butter. TRUE/FALSE.

9. Pregnant women should not eat fruits. TRUE/FALSE.

10. Breastfeeding mothers can use family Planning. TRUE/FALSE.

Pre/Post-Assessment: Water Sanitation and Hygiene.

What do we know now????

1. Have you heard of sanitation before (a) yes (b) no

2. Have you of potable water? (a) yes (b) no

3. Have heard of water treatment? (a) yes (b) no

4. How many types of water treatment do you know

5. Do you wash your hands? (a)yes (b) no

6. Why do you wash your hands? ......................................................

7. Which of this insects can contaminate food (a) mosquito (b) house fly

8. Where do you disposed your excreta? (a) latrine (b) open

9. Have you heard of diarrhea? (a) yes (b) no

10. What is the result of poor sanitation (a) good health (b) sickness

11. Do we keep our water sources clean (a) yes (b) no

12. How do we keep our water sources clean? ............................................................................

5.2 SUMMARY OF EVALUATION

Below is the outcome of the end of training evaluation.

DESCRIPTION VERY GOOD GOOD UNSATISFACTORY

Training Objectives 9 1 -

Methods Used 10 - -

Materials Used 9 1 -

Demonstration 10 - -

0

2

4

6

8

10

very good

good

unsatisfactory

Topic well understood and liked

Family planning

Mother and child care

Hand washing

Water treatment

Basic communication skills.

Team work

Emergency delivery/care of the new born

Care of the pre-term

Topics that needs more training / refresher

Documentation

Danger signs in pregnancy

Care for the new born.

CHALLENGES

Training time/ days too short.

Inadequate time was spent on topic.

Work load too much

Insufficient breakfast.

RECOMMENDATIONS

More participation of female in volunteer work/ training.

Time frame should be extended.

Field practicals should be added in next training.

PHOTO GALLERY

Appendix 1 AGENDA

TIME

TOPIC RESPONSIBLITY

DAY 1, Wednesday, 13th

May, 2015

8:00am 8:40am Check-in Asante Gilbert

8:40am - 9:00am Registration of Participant Asante Gilbert

09:00am - 9:05am Opening Prayer Volunteer

9:05am 9:25am Introduction of Participants All

9:25am 9: 35am Welcome Address Franklin Asuo

(Country Program Manager )

9:35am 10:00am Pretest Survey Constance, Jane, Asare &Daniel

Maternal and Child Health:

Objective and Expectations

10:00am 10:45 am Roles and responsibilities of the

Village Health Volunteer

Basic Communication skills

Constance and Jane

10:45am 11:00 am Mobility Break All

11:00am-1:30pm

Introduction to picture

cards/guidelines

Hand washing

Ante Natal Care

Birth planning and preparedness

Danger signs in pregnancy

Care for the newborn

Cord care

Early, exclusive breastfeeding

Constance and Jane

1:30pm-2:30pm Lunch All

2:30pm-4:20pm

Water Sanitation and

Hygiene(WASH):

Objective and Expectations

Introductory activities

Making water safe to drink

Daniel and Asare

4:20pm 5:00pm Overview of the MNCH and WASH

Proposals and Expectations

Asante Gilbert

5:00pm Closing All

6:00pm Dinner All

DAY 2, Thursday 14th

May, 2015

7:00am 8:00am Breakfast All

8:00am 8:15am Registration of participant Asante Gilbert

8:15am 9:15 am WASH:

Hand washing

Daniel and Asare

9:15am 9:30am Mobility Break All

9:30am 11:30am WASH Cont,:

Handling feces

Daniel and Asare

11:30am 1:30pm

MNCH:

Brief review of activities done

Care of the low birth weight

Danger signs in the new born

Constance and Jane

1:30pm 2:30 pm Lunch Break All

2:30pm 5:00pm

MNCH Cont:

Postpartum care

Postpartum maternal self-care of the

baby

Postpartum danger signs

Immunization

Constance and Jane

Home visiting

Disease surveillance reporting

Role plays

5:00pm Closing All

6:00pm Dinner All

DAY 3, Friday 15th

May, 2015

7:00am 8:00am Break fast All

8:00am 8:15 am Registration Asante Gilbert

8:15 am 8:45am Capacity building

Team work

Asante Gilbert

8:45am 10:45 am

Maternal and Child Health:

Brief review of previous day

Documentation

Family planning

Role plays

Constance and Jane

10:45am 11:00 am Mobility break All

11:00am 12:30pm

WASH:

Way forward

Daniel and Asare

12:30pm 1:30pm Lunch All

1:30pm 2:30pm Surveillance (Reporting) Asante Gilbert

2:30pm 2:40pm Post-test Survey Constance, Jane, Asare &Daniel

2:40pm 2:50pm Closing Remarks Franklin Asuo

(Country Program )

2:50pm 3:15pm Evaluation Asante Gilbert

3:15pm 3:20pm Closing prayer Nana Ama Tiwaa-Boateng

3:20pm Departure All