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, nongovernmental 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

CONTACT

Timber Nkwanta

0203947812

Samuel Quaye

Amu Paul

Timber Nkwanta

0547965639

Kwasi Asamoah

Tumiamayenko

0572804844

Augustina Pokuah

Tumiamayenko

0547081396

Acheampong Seth

Kobedi

0506714886

Tetteh Stephen

Kobedi

0276882378

Tang Isaac

Tumiamayenko

0243615100

Kwabena Kyere

Abronye

0244885383

John Allotey

Kobedi

0201984522

10

John Anabila

Tumiamayenko

0248375815

3.1. FACILITATION
The training was facilitated by

SEX COMMUNITY

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
10/10
0
4
1
9/10
1
5
2
8/10
5
1
3
7/10
3
0
4
6/10
1
0
5
TOTAL
10 Participants

5
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0

PRE-TEST
POST-TEST

10

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
12/12
1
11.5/12
2
11/12
3
10.5/12
4
9.5/12
5
TOTAL

PRE-TEST
0
6
1
2
1
10 Participants

POST-TEST
1
7
2
0
0
10 Participants

7
6
5
4

PRE-TEST
POST-TEST

3
2
1
0

12

11.5

11

Cross section of participants in a pretest

10.5

9.5

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.

6.

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.

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
Training Objectives
Methods Used
Materials Used
Demonstration

VERY GOOD
9
10
9
10

GOOD
1
1
-

UNSATISFACTORY
-

10
8
6
4
2
0

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

DAY 1, Wednesday, 13th May, 2015

8:00am 8:40am
Check-in
8:40am - 9:00am
Registration of Participant
09:00am - 9:05am
Opening Prayer
9:05am 9:25am
Introduction of Participants
9:25am 9: 35am
Welcome Address
9:35am 10:00am

Pretest Survey
Maternal and Child Health:
Objective and Expectations

RESPONSIBLITY

Asante Gilbert
Asante Gilbert
Volunteer
All
Franklin Asuo
(Country Program Manager )
Constance, Jane, Asare &Daniel

10:00am 10:45 am

10:45am 11:00 am

11:00am-1:30pm

1:30pm-2:30pm

2:30pm-4:20pm

4:20pm 5:00pm
5:00pm
6:00pm

Roles and responsibilities of the

Village Health Volunteer
Basic Communication skills
Mobility Break
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
Lunch
Water
Sanitation
and
Hygiene(WASH):
Objective and Expectations
Introductory activities
Making water safe to drink
Overview of the MNCH and WASH
Proposals and Expectations
Closing
Dinner

Constance and Jane

All

Constance and Jane

All
Daniel and Asare

Asante Gilbert
All
All

DAY 2, Thursday 14th May, 2015

7:00am 8:00am
8:00am 8:15am
8:15am 9:15 am

9:15am 9:30am
9:30am 11:30am

11:30am 1:30pm

1:30pm 2:30 pm

2:30pm 5:00pm

Breakfast
Registration of participant
WASH:
Hand washing
Mobility Break
WASH Cont,:
Handling feces
MNCH:
Brief review of activities done
Care of the low birth weight
Danger signs in the new born
Lunch Break
MNCH Cont:
Postpartum care
Postpartum maternal self-care of the
baby
Postpartum danger signs
Immunization

All
Asante Gilbert
Daniel and Asare
All
Daniel and Asare

Constance and Jane

All

Constance and Jane

5:00pm

Home visiting
Disease surveillance reporting
Role plays
Closing

6:00pm
Dinner
th
DAY 3, Friday 15 May, 2015
7:00am 8:00am
Break fast
8:00am 8:15 am
Registration
8:15 am 8:45am
Capacity building
Team work
Maternal and Child Health:
Brief review of previous day
8:45am 10:45 am
Documentation
Family planning
Role plays
10:45am 11:00 am
Mobility break
WASH:
11:00am 12:30pm
Way forward
12:30pm 1:30pm
Lunch
1:30pm 2:30pm
Surveillance (Reporting)
2:30pm 2:40pm
Post-test Survey
2:40pm 2:50pm
Closing Remarks
2:50pm 3:15pm
3:15pm 3:20pm
3:20pm

Evaluation
Closing prayer
Departure

All
All
All
Asante Gilbert
Asante Gilbert

Constance and Jane

All
Daniel and Asare
All
Asante Gilbert
Constance, Jane, Asare &Daniel
Franklin Asuo
(Country Program )
Asante Gilbert
Nana Ama Tiwaa-Boateng
All