Professional Documents
Culture Documents
PROMOTIG HEALTHY
BEHAVIORS THROUGH
HEALTH EDUCATIO I
DISTRICT VEHARI
PREFACE
This report is prepared and submitted as part of assignment awarded by
Public Private Partnership (PPP) between the Plan Pakistan and district health
department Vehari. PPP is basically just a different method of procuring public
services and infrastructure by combining the best of the public and private
sectors with an emphasis on value for money and delivering quality public
services. The attraction of forming such partnerships lies in the ability to mobilize
more capital than that purely held in the public account and to use private sector
expertise to help manage project expenditure more efficiently. Governments can
bring private sector into the modernization and management of projects, while
remaining responsible for public interest issues and ensuring delivery at specified
service levels. In short, PPPs enable governments to meet demands for the
development of modern and efficient services and provide value for taxpayers.
Vehari is one of the under developed districts of Southern Punjab with 2.4 million
population having 77 BHUs and 10 RHCs, two THQs (each with sixty Indoor
beds capacity ) and a DHQ Hospital with 125 beds.
Introduction:
While the words "information", "education", and "communication" have
individual meanings, when grouped together as "IEC", they are familiar to many
within the field of health communication. However, the definition and scope of
IEC can vary. In an effort to explore how IEC can be integrated into social
change efforts, this issue of the Drum Beat presents just a few examples of what
types of IEC strategies and resources are being used in diverse health contexts,
worldwide.
Design and develop IEC material and training manuals in consultation with
the relevant specialist medics/paramedics to address the needs of various
key stakeholders with diversified qualifications
Build the capacity of the master trainers in line with the developed strategy
to trickle down the training program
Consultancy was awarded initially till 30th June 2009 by a contract signed on
3rd June 2009 and received on 6th June 2009.
PHBHEP will focus developing IEC material to sensitize and educate people
for healthy behaviors and impart motivational strategies in order to transform
knowledge into desired health practices.
Approach:
A Consultative approach was adopted and a series of consultative meetings
were held for selection of topics with district health authorities and Plan Pakistan
PUM Vehari team. Minutes of meeting are attached as Annexure 1. For collection
and selection of material and; further modifications and development of
messages, various meetings with key stakeholders and experts were held in
order to accomplish this assignment. List of persons consulted and list of material
collected are attached as Annexure 2 & 3 respectively.
Strategy:
As MOU between Plan Pakistan and District Health Department Vehari was
signed for duration of 3 years for this project, it was decided to prepare the list of
topics for whole period of assignment. Some topics were selected to be focused
for current period of assignment i.e. till 30th June 2009. The rest of the topics
Methodology:
The awareness about health issues like hospital waste, anemia, deworming & personal hygiene, breastfeeding, hepatitis, STIs and environmental
issues affecting health and their relation with the preventive technologies as well
as the provisions of appropriate measures at a right time in emergency is
particularly low among the general public and the concerned agencies. Little are
they aware of the ill effects of hospital waste and insecticides on human health
and environment. It is with this background that Plan Pakistan and district health
department took up the task of Production of IEC (Information, Education and
Communication) material on most common issues and its Dissemination
throughout the district.
The activity would be effective with respect to generating awareness on
the issue among a wider audience; developing network among the various
stakeholders, including government officials and local authorities; and making the
information on health related issues widely available. The production of
educational material (i.e. video, audio, posters, leaflets) and its dissemination
through organizing a series of interaction programs has proved to be an effective
approach for creating awareness.
The video-spots and the other materials could be successful in terms of
raising awareness among the local authorities, medical practitioners, hospital
staff, non-governmental organizations (NGOs), community based organizations
(CBOs), health department, media and the general public, among others, about
the close linkage between the health issue and their prevention. This project will
bring together the concerned government departments on to a common forum to
7
ii.
iii.
iv.
Hepatitis
v.
vi.
Worm infestation
Scabies
viii.
Breastfeeding
ix.
STIs
x.
Adolescent Health
xi.
Self Medication
xii.
Quackery
xiii.
Traditional care
xiv.
xv.
Re-use of syringes
xvi.
Dental practices
xvii.
xviii.
Environment
xix.
Child care
As per understanding with all key stakeholders health education material for
those topics which never have been already touched like Quackery, self
medication, traditional healers, mal-practices by the qualified professionals will
be developed at some time during next part of assignment in forthcoming three
years as new messages would be developed through a consultative process in
order to avoid any controversy. Moreover, we will have to pre-test
messages prior to introducing those into community. Furthermore, we may need
approval from a specific agency for a specific message to introduce among
communities. Therefore It was decided to target first three topics and to look for
audio and/or video messages developed by health department and other health
organizations so that may be adopted for broadcasting on air before 30th June
2009. Moreover, all relevant collected material was handed over to the DOH II,
district Vehari to be used in future. It was also decided to conduct two trainings
on the following topics
1. Syndromic Management of STIs for health professionals i.e.
MOs, Medical Assistants, LHVs, Dispensers, etc.
Topic
Type of material
health)
Hepatitis
Anemia
Brochure
Breastfeeding
Worm infestation
Pamphlet
Scabies
Brochure
Child care
Dental practices
Re-use of syringes
STIs
Adolescent Health
Booklet
Environment
Poster by WHO
Additional
11
If approved for re-printing, then final version with logo will be presented well in
time.
5. Copy rights: it was discussed in details with all the experts including
Additional Director Health Education o/o DGHS Punjab and others, who
persistently opined that all of the IEC material prepared by those
organizations is public property and can be reprinted and used in the interest
of community provided it is acknowledged that whose original production it
was.
ii.
Alternatively EDO (H) advised to conduct seminar targeting not only health
personnel but also all segments society including lawyers, laborers, employees
from other district government departments like social welfare, finance, etc.
12
Annexure I
Project (PHBHEP)
Minutes of the meeting
A meeting was held in the office of Plan Pakistan Vehari regarding Health
Education material development under public private partnership agreement
between Plan Pakistan and District Health Department on 22nd June 2009.
Following members participated
Agenda of the meeting was to review the topics suggested; and progress and
material submitted by Dr. Tanvir Ahmad Zaver, and to provide comments. Dr.
Tanvir A Zaver distributed the lists of health professional consulted and list of
material collected. Following decisions were taken
1. Dr. Muhammad Jameel Chaudry commented on the topics selected and
advised to include Safe Health Care, Safe Water Supply and Safe Food
Practices as a first priority and also to exclude some managerial topics;
thus the final list of topics for the whole period of three years assignment
is as under
i.
ii.
iii.
iv.
Hepatitis
v.
14
Worm infestation
vii.
Scabies
viii.
Breastfeeding
ix.
STIs
x.
Adolescent Health
xi.
Self Medication
xii.
Quackery
xiii.
Traditional care
xiv.
xv.
Re-use of syringes
xvi.
Dental practices
xvii.
xviii.
Environment
xix.
Child care
ii.
iii.
2. It was decided to target first three topics and the consultant was advised
to look for audio and/or video messages developed by health department
and other health organizations so that may be adopted for broadcasting
on air before 30th June 2009. Moreover, all relevant material would be
collected for the topics to be handed over to the DOH II, district Vehari to
be used in future. DOH II was of the opinion to conduct two trainings and
topics to be decided later, while EDO (H) advised to conduct seminar
targeting not only health personnel but also all segments society including
15
Copy circulated to
1. Dr. Muhammad Jamil, EDO (H) Vehari
2. Dr. Ghulam Mohayyedin, DOH II, district Vehari
3. Mr. Khalid Pervaiz PUM, Plan Pakistan district Vehari
4. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari
16
A meeting was held in the office of DOH II District Vehari regarding Health Education
material development under public private partnership agreement between Plan Pakistan
and District Health Department on 8th June 2009 and 9th June 2009. Following members
participated
Agenda of the meeting was to finalize the list of topics to be included for whole three
years assignment and then prioritize topics for the current period till 30th June 2009.
After thorough discussion, keeping n view the current status of health education material
and activities in district Vehari, following topics were finalized for development of health
education material during 3 years
1. Self Health Care (Personal Hygiene & Health) (target population, whole
community) (SEMINAR FOR ALL PUBLIC AND COMMUNITY MEMBERS)
(Video spot) (self budget for health)
2. Safe Water Supply
3. Safe food practices including micronutrients)
4. Hospital Waste (to be excluded as taken over by PAIMAN)
5. Quality Health Care (Monitoring) (management issue excluded)
6. QMS (ISO Certification) (to be taken as separate assignment by Plan Pakistan)
7. Anemia
8. Worm infestation
9. Hepatitis
10. Scabies
11. Breastfeeding
17
Keeping in view time constraints, it was decided following three topics will be focused
till 30th June 2009 with training of the master trainers
1. Hospital Waste
2. Anemia
3. Worm infestation
In order to accomplish task well in time, apart from other following persons were
identified to be contacted immediately
1. Dr. Sabiha Khurshid, Project Director MNCH Punjab
2. Dr. Fazal Mehmood FOM PAIMAN, Punjab
3. Dr. Fawad, Shalimar Hospital Lahore
4. Dr. Muhammad Anwar Janjua, National Coordinator PAIMAN, Contech
International Lahore
18
Number
1. DHQ Hospital
2. THQ Hospital
3. RHCs
10
Total
16
In the meeting with EDO(H), it was advised by EDO(H) to keep liaison with DOH II and
to keep all collected material at the office of DOH II with using his office while visiting
district Vehari during the period of assignment
Copy circulated to
1. Dr. Muhammad Jamil, EDO (H) Vehari
2. Dr. Ghulam Mohayyedin, DOH II, district Vehari
3. Dr. Naila Yasmeen, Health Officer, Plan Pakistan PUM Vehari
19
Annexure II
List of experts consulted
Date: 10th June 2009
1. Dr. Sabiha Khurshid, Project Director MNCH, Punjab, Huma Block
Lahore
2. Dr. Hijab, Deputy Project Director, MNCH Punjab
3. Mr. Amjad, Procurement Officer MNCH, Punjab
4. Dr. Fazal Mahmood, FOM PAIMAN, Punjab, 69, Gulberg II M.M. Alam
Road, Lahore
5. Dr. Tahir Manzoor, Health Officer, UNICEF, Lahore
Date: 11th June 2009
1. Dr. Haq Nawaz Bharwana, Director PHDC, Lahore
2. Dr. Aamar PHDC, Lahore
3. Dr. Khalid, PHDC, Lahore
4. Dr. Rizwana Muzzaffar, Dean IPH Lahore
5. Mr. Zeeshan, WHO office, Lahore (Dr. Babar Alam was away)
6. Dr. Fida Ali, Director Medical Education o/o DGHC Punjab, Lahore
7. Dr. Azhar Masood Bhatti, add. Director EPI, Punjab Lahore
8. Mr. Shahid Pervaiz Additional Director Health Education o/o DGHS
Punjab Lahore
9. Mr. Zulifqar Nabi Malik, Jahandad Society, Shadman, Lahore
10. Dr. Akhtar Rashid, Save the Children US, 39-L Gulberg Lahore
11. Dr. Mukhtar Awan, Falah Project, Lahore
12. Dr. Naila, UNICEF, Lahore
Date: 12th June 2009
1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator
2. Dr. Qamar Salman, Deputy CEO, Contech International
3. Dr. Shehzad Awan, Contech International
4. Dr. Ahmad, Nadeem, Contech International
5. Mr. Naseem Ahmad Khan, ex-Planning officer Health Department
6. Mst. Sarosh Iqbal, Contech International
20
Consultations were made and health education material was collected from the
above-named experts
22
Annexure III
1. Brochure, Referral Guide with various messages (5) Maan aur bache
ka hafta by UNICEF & others
2. Leaflet Haamla Khwaateen kay liye Mufeed Mashwary by USAID &
others
3. News Letter (3) by Women Health Project.
4. Leaflet Hamari Sehet-Haqaiq kya hain? (2) by IPH.
5. Brochure Cure TB to stop TB by Health Department.
6. Counseling Cards for Taleem-e-Sehet by multiple organizations.
7. Nesaab for Trainers by National LHW Program
8. Book for Training of Trainers for Breast Feeding by National Council
for Breast Feeding.
9. Report of Internal Assesment of LHW Program 2007
10. Trainers Guide Refresher Course for LHWs Bachy ke Sehet by
National LHW Program.
11. Booklet Sehet ke Dastak by PAIMAN.
12. Annual Report 2006 by PLAN Pakistan.
13. Ghaza aur Sehet by Nutrition Wing, Ministry of Health Pakistan.
14. Diet Manual for Pakistan by Nutrition Wing, MoH Pakistan.
15. Leaflet Maan ka Doodh by UNICEF & others.
16. Leaflet Life Skills based Education by World Population Foundation
(WPF).
23
24
25
26
27
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
28
113.
114.
115.
Environment by WHO
116.
117.
118.
119.
120.
121.
122.
Calendars:
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
29
134.
135.
136.
137.
138.
139.
140.
AIDS by MoH
141.
142.
143.
144.
145.
146.
30