Association for Applied Health Education And Development

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Sierra Leone:

Care International: In 2001, the Directors of Africa AHEAD did an evaluation of CARE emergency projects in Sierra Leone in order to convert the emergency programmes that had been in place for over a decade in war-torn Sierra Leone, into a more sustainable development model now that the country was returning to peace. CARE was in the process of assisting the resettlement of new villages in Bo and Moyamba Districts but needed a sustainable model. The recommendation to go the CHC Route was accepted and in 2002, a workshop was held and facilitators were trained in the CHC Approach. The Zimbabwean PHAST Tool kit was used as a preliminary stage but has since been replaced with a home grown manual developed by CARE International specifically for local issues including a focus on human rights. This is the trainers manual to accompany a comprehenive Tool kit of illustrations for using the PHAST participatory approach.

50 health clubs were started in the two districts of Bo and Moyamba, in 25 villages. A rapid rural appraisal conducted a year later indicated a very steep raise in sanitation coverage, from almost no latrines in the newly reconstructed villages to nearly 100% safe sanitation, with over 57% having constructed latrines and the balance practicing cat sanitation (Zero open Defecation). This project demonstrated how CHCs can be appropriate in post conflict situations and also the power of the strategy in Moslem villages where the Imam is the lead protagonist. In the past few years the CHC Methodology has become widely used amongst local NGOs and international agencies, and the CHC approach is now a well established methodology in Sierra Leone.

CARE CHC Facilitators trained by Dr. J. Waterkeyn (Africa AHEAD) 2002

INTERNATIONAL CONSULTANTS

Dr. Juliet Waterkeyn / Anthony Waterkeyn

PRACTISING ORGANISATIONS:
CARE International

TRAINING MATERIAL:
ISBN: 0-620-35178-0
Communicating Health, Communicating Rights:

A participatory Toolkit for Field Agents. (2005)

January 15th, 2010 | Tags: CARE, Community Health, Health Clubs, PHAST | Category: Countries, SIERRA LEONE | Leave a comment

HIDO is an indigenous NGO based in Gulu District in Northern Uganda . It was formed in 2004 by Ugandan medical practitioners and is comprised of an energetic group of recently qualified clinicians and health assistants. It is dedicated to serve internally displaced people caused by the Lords Resistance Army (LRA), which for the past 18 years has terrorised the local population and forced them to flee their rural homes and cluster in vast IDP Camps in the towns. HIDO have for the past two years been providing voluntary services in the improvised night shelters for the thousands of children who trek into town every night to sleep in safety. These children undertake this trek every day to avoid the LRA who have abducted over 20,000 children to work as slave labour in their bush camps and to brutalise them as child soldiers and concubines for their leaders.

HIDO was selected an the main implementing partner of CARE International in a substantial emergency programme working in 15 IDP Camps, to improve public health and sanitation through the introduction of Community Health Clubs. 25 Staff have been trained in the CHC Approach using the AHEAD Model and in 2004 formed 120 health clubs. Their target at that time was to reach 120,000 people with a health promotion campaign and construct 10,000 latrines (Funded by Bill Gates Foundation).  This programme is the first to use this methodology in an emergency context and as such provides a vital case study for future replication. The approach is now being extended into the neighbouring districts of Pader, Kitgum and Lira.

HIDO CHC Trainers Displaying their Certificates

January 6th, 2008 | Tags: CARE, Health Clubs, Health Promotion, HIDO, IDP Camps, Latrines, Training Materials | Category: Associates, HIDO, UGANDA | Leave a comment