ACREDITED LOCAL TRAINERS
Morgan Haiza: The first person to start Community Health Clubs in a field trial in Zimbabwe in 1995, Morgan is a tireless trainer of community and must have trained hundreds of community based facilitators and trainers.
Language: English and Shona
Andrew Muringaniza, the father of the famous Tsholotsho project in Zimbabwe which has international aclaim with some of the highest levels of behaviour change measured. Whatever he touches works and his quiet measured training of community is one of the core reasons for the success of Zimbabwe AHEAD.
Language: English, Shona, Ndebele.
Regis Matimati, Director of Programmes of Zimbabwe AHEAD, is a leading trainer internationally for the CHC approach and is guaranteed to get full participation from trainees in any country due to his natural ability for facilitation.
Languages: English and Shona
Joseph Katarbarwa has trained the core team of trainers in Rwanda and conceptionalised the CHC approach in the Community based environmental health Promotion Programme.
Justin Otai, Senior Environmental Health Officer at the Ministry of Health in Kampala, Justin is a legendary trainer with a deep understanding of the social psychology of the CHC Approach.
Albino dos Santos, main Programme Manager for a CHC programme in Guinea Bissau, Albino is an accomplished trainer and is able to conduct CHC training in Portuguese.
Manual for Environmental Health Officers.
This manual is for project managers who want to understand how to start up and monitor Community Health Clubs.
Manual for training Community Health Workers
This Manual is a practical guide as to how to run the 24 health sessions in Community Health Clubs.It is designed for use by Community Health Workers. This version in English is currently being translated into Kirwandese, and should be completed by April, 2011 .
Down load here: English version 9Mb
The Tool Kit of Visual Aids
This is a collection of 24 sets of visual aids which are needed for the participatory activities as per the instruction manual for Community Health Workers. There are over 400 cards with illustrations in colour, which have been pretested and are in the process of being altered so as to ensure high levels of comprehension of key messages.
A CD of this training material is available form Africa AHEAD: Contact: firstname.lastname@example.orgMinistry of Health, Head of Environmental Health:
Jospeph Katabarwa: email@example.com
A New Tool Kit and Manual for Training Community Health Workers
Africa AHEAD was commissioned to develop a Manual and the Toolkit for Ministry of Health, supported by Danida.
For more information contact: Mistry of Health, Department of Preventive Medicine and Environmental Health, Deputy Director: Tran Dac Phu. email: firstname.lastname@example.org Tel: (84) 4 373671
Waterkeyn J. (2006). District Health Promotion using the Consensus Approach. WELL/DFID/ London School of Hygiene and Tropical Medicine. Unpublished.
Summary: This 25 page manual is a guideline for those planners looking for a practical methodology for conducting a health promotion project at District Level. The focus is primarily on applying this approach to rural areas; however the approach is still applicable to an urban setting. The manual takes approximately 1 ½ hours to read and is divided into three main sections:
Section 1: Thinking Globally – Acting Locally looks briefly at international efforts to engage countries in health promotion and focuses on the Millennium Development Goals (MDGs) as a target for halving the number of people living without safe water and sanitation before 2015. Having identified the main problem as the difficulty of getting people to change their behaviour, the text then outlines the Consensus Approach; a well-tried solution to this problem. A definition is given of Community Health Clubs, which is the main ‘vehicle for development’ using in this approach. The remainder of this section outlines the conceptual framework of the Consensus Approach, summarising core concepts such as the importance of ‘common unity’ as opposed to individual action, and the creation of a ‘culture of health’. It shows how health clubs can empower women through information sharing and participatory activities, which according to research do meet an identified cognitive need. Having introduced the participatory PHAST approach, it describes how this training has failed to alter behaviour to any degree, but how the adaptation of this method combined with a more structured programme in Community Health Clubs has produced significant results. The importance of the membership card is emphasized and a brief description of the six month health promotion programme is given. The section ends with some frequently asked questions, which may also be answered in Section 3 with concrete examples.
Section 3 (Optional extra to this manual): Drawing on more than a decade of experience in the field in Zimbabwe, Sierra Leone and Uganda, this section presents 12 reasons why the Consensus Approach is a feasible health promotion strategy at District Level. It demonstrates that Community Health Clubs can prevent a range of diseases, address multiple risk practices and achieve high levels of behaviour change. The approach provides an effective way to disseminate knowledge and invariably produces a strong demand for sanitation. It can be extended to a further stage where water supply is managed by the health club, and if taken to its full potential can go on to alleviate poverty and deal with fundamental social needs such as illiteracy, social support networks and human rights. Extension workers have found the approach rationalises their work-load and provides an easy way to interact with the community. The Consensus Approach is particularly strong in measuring outputs in terms of hygiene behaviour change, as well as enabling performance monitoring of the facilitators in league tables, by their superiors at District Level. In areas where health clubs are densely concentrated and have been going for a decade, there are strong indications of reduction of diarrhoea, bilharzia, skin diseases, eye diseases and acute respiratory infections (ARI) as reported at local health centres. Most importantly, the Consensus Approach is able to prove its cost-effectiveness at between 35-66c per person over a two year programme, and can demonstrate value for money when compared to more vertical interventions.
Section 2: Acting Locally: District Health Promotion describes how to start up Community Health Clubs. It begins with a simple calculation to establish how to meet the MDGs in the district, halving the population without sanitation within 10 years. The four prerequisites to start the programme are then discussed in some length. This includes a discussion on which facilitators are the most suitable, the importance of mobility for field staff, the vital need for a pre-prepared toolkit of culturally appropriate visual aids, and the type of training that is needed to set up the programme. It then briefly describes the programme for a one year health promotion campaign. A final section is dedicated to the importance of monitoring and measuring behaviour change – given the dearth of well-reported studies available in the sector. It encourages districts to advocate at a National level using lessons learnt from the pilot project and provides rough guidelines to enable practitioners to publicise their findings internationally, so as to contribute towards more rigorous health promotion studies in the academic field.
For full manual in pdf, click here: District Health Promotion using the Consensus Approach
A Tool Kit of Visual Aids and Manual for Trainers
Waterkeyn, J & Mutandiro, J. (2010) The Community Health Club Approach: Training Manual for Workshop Participants, Zimbabwe. Africa AHEAD. ISBN 978-0-620-46626-4This Manual and the Toolkit can be brought directly from Zimbabwe AHEAD. Contact: Director of Programmes: Regis Matimati email@example.com
SOUTH AFRICA:Training Manual
Waterkeyn. J. (2007). Community Health Clubs in Informal Settlements: A Training Manual for Community Workers using Participatory Activities. Africa AHEAD. ISBN978-0-620-39734-6This training manual is designed to be used for training community workers in informal settlements in South Africa who are preparing to develop and implement Community Health Clubs (CHC) using the participatory toolkit of visual aids. This manual is divided into three modules:
- Module 1: FEASIBILITY: This module provides rationale for the CHC Approach.
- Module 2: PLANNING: This module provides guidance on how to start a CHC project.
- Module 3: TRAINING OF TRAINERS: This module provides guidance on how to train community workers how to use the participatory toolkit of visual aids (below).
For more information contact:Africa AHEAD (firstname.lastname@example.org) or City Health Department, Cape Town. (Tel 27 21 400210) Translations of Module 3 sessions are available in Zulu. Contact email@example.com
Participatory Toolkit of Visual Aids
This toolkit is comprised of the 13 sets of illustrated cards found below. These visual aids are used to guide the 24 CHC educational sessions and stimulate member participation.