Hygiene Promotion In Emergencies


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Hygiene Promotion In Emergencies

  1. 2. Question 1 Why promote hygiene in emergencies ? <ul><ul><li>lt helps people in emergency situations to adjust to their new environment by engaging in practices that will contribute to breaking the faecal-oral disease transmission routes. </li></ul></ul><ul><ul><li>It aims at (temporarily) changing certain behaviour or practices required to reduce the spread of an epidemic (only achievable with the participation of the population) </li></ul></ul><ul><ul><li>It aims to ensure that the potential benefits are maximised and sustained </li></ul></ul>
  2. 3. Question 2 <ul><li>FALSE: Only a limited number of hygiene practices are likely to be responsible for most diarrhoeal episodes. Getting people to change the habits of a lifetime is extremely difficult; the effort should not be diluted by targeting too many practices. </li></ul>TRUE or FALSE: All risky hygiene practices should be addressed and targeted when promoting hygiene
  3. 4. Diarrhea morbidity Fluids New host Faeces Foods Fingers Flies Fields
  4. 5. Messages <ul><li>Handwashing with soap at all critical times (after defecation, before food preparation, before eating) </li></ul><ul><li>Safe disposal of adults’ and children’s stools </li></ul><ul><li>Safe water collection, storage and use </li></ul><ul><li>Frequently washing of children’s eyes </li></ul><ul><li>Personal hygiene </li></ul><ul><li>Food preparation </li></ul><ul><li>Domestic waste mgt. </li></ul><ul><li>Proper use and maintenance of facilities </li></ul><ul><li>…… </li></ul>
  5. 6. Question 3 <ul><li>FALSE: Knowing how germs spread does not make people change their behaviour if that brings a lot of inconvenience or social or economic hardships. Many people adopt good hygiene practices without knowing germ theories. Self-respect, appreciation from others, learning from parents, friends and in school, a better life, and good facilities are more important motivating factors than academic knowledge. </li></ul>TRUE or FALSE: Teaching families how germs spread disease is the most effective way to change their hygiene behaviour
  6. 7. Motivation Improved health is seldom considered a benefit (enough) to motivate change of behaviour. 1. facilitating (making life easier) e.g. addressing problems of distance, bad smell, flies, privacy 2. understanding within their own hygiene perceptions 3. influence (dis)approval from respected people, status, sanctions (positive or negative)
  7. 8. Question 4 <ul><li>TRUE, but: </li></ul><ul><ul><li>participation is not by definition the provision of labour, construction material etc.; it can also mean consulting or informing the community </li></ul></ul><ul><ul><li>people in emergencies (may) have other priorities </li></ul></ul><ul><ul><li>facilities are possibly communal, and (thus) people may feel uncomfortable/ may be unwilling to maintain them </li></ul></ul>TRUE or FALSE: Community participation is essential in WHS programming as it increases the sense of ownership and (thus) sustainability
  8. 9. Question 5 TRUE or FALSE: Hygiene promotion should always be interpersonal; e.g. using theatre or focus group discussion
  9. 10. Question 5 <ul><li>FALSE: </li></ul><ul><li>communicating hygiene can be one way, two way or all way </li></ul>TRUE or FALSE: Hygiene promotion should always be interpersonal (two/all way); e.g. using theatre or focus group discussion
  10. 11. Communicating Hygiene <ul><ul><li>television (advert, announcement, news, documentary, soap opera, interview, …) </li></ul></ul><ul><ul><li>radio (idem) </li></ul></ul><ul><ul><li>newspaper/magazine (advert, article, letter, …) </li></ul></ul><ul><ul><li>poster, leaflet </li></ul></ul><ul><ul><li>printed T-shirt, cap/hat </li></ul></ul><ul><ul><li>Mass/mini media </li></ul></ul><ul><ul><li>(one way) </li></ul></ul>
  11. 12. Communicating Hygiene <ul><li>(peer) education (interactive; with visual aids) </li></ul><ul><li>(focus) group discussion </li></ul><ul><li>play/theatre (interactive) </li></ul><ul><li>puppet show (interactive) </li></ul>lnterpersonal (two/all way)
  12. 13. Communicating Hygiene <ul><ul><li>Mass/mini media </li></ul></ul><ul><ul><li>rapid </li></ul></ul><ul><ul><li>not selective re. audience </li></ul></ul><ul><ul><li>universal/not context specific </li></ul></ul><ul><ul><li>high accuracy </li></ul></ul><ul><ul><li>one-way </li></ul></ul><ul><ul><li>indirect feedback only (i.e. survey) </li></ul></ul><ul><ul><li>main effect/aim: increased knowledge and awareness </li></ul></ul><ul><ul><li>lnterpersonal </li></ul></ul><ul><li>slow </li></ul><ul><li>highly selective re. audience </li></ul><ul><li>context specific/local needs </li></ul><ul><li>easily distorted </li></ul><ul><li>two-way </li></ul><ul><li>direct feedback possible </li></ul><ul><li>main effect/aim: changes in attitudes and behaviour </li></ul>