Presentation 5 approach hh- wb-2011

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  • 1. Approach the Household and Identify the Respondent
  • 2. Interview sequence
      • Approach the household
      • Identify the best respondent
      • Obtain informed consent
      • Conduct the interview
  • 3. Interview sequence – Approach the household
    • Pre-arrange the meeting
      • Work with a respected local person
    • Manage the scene
      • There may be many observers
      • Seek a quiet place and privacy
  • 4. Interview sequence – Approach the household
    • Gain trust and cooperation – in order to obtain complete and accurate data
      • Professional dress and ID badge
      • Polite and sensitive introduction
      • State the purpose of the interview
      • Emphasize confidentiality of information
      • Understand the project – answer any questions
  • 5. Interview sequence – Identify the best respondent
    • How to select the respondent(s)
      • Person who knows the most – was with the woman during her illness
      • Possible: husband, mother, mother-in-law, sister, sister-in-law, others
    • What if the best respondent is away
      • Make an appointment
      • May need to go to another village
  • 6. Interview sequence – Identify the best respondent(s)
    • Multiple respondents may be needed
      • For different stages of the illness
      • One, best respondent for each illness stage
    • Multiple respondents may be a problem
      • Persons who know about the illness
        • Must agree among themselves on one answer
      • Persons who don’t know about the illness
        • Seek a private location, ask some to leave, reschedule the interview
  • 7. Interview sequence – Conducting the interview
    • Obtain informed consent
      • Read the entire consent form
      • Complete a separate form for each respondent
      • Oral consent – Interviewer signs the form
    • Conduct the interview
      • We will practice and perfect our technique soon
  • 8. Re-arrange the tasks in the order they will occur
    • Obtain locating information from supervisor
    • Conduct the interview
    • Identify the best respondent(s)
    • Obtain informed consent
    • Introduce yourself to the household
    • Thank the respondents for their participation
  • 9. Communication issues – Approach the household
    • Approach to household sets the tone
      • Professional approach
      • Build trust, ensure confidentiality
      • Stress importance of information
      • Speak with respondent(s) to arrange a good time and place for interview
  • 10. Communication issues – Approach to the respondent
    • Positive approach
      • “ I would like to ask a few questions…”
      • Express condolences for the death
      • State the purpose of the interview
      • Stress confidentiality of the information
    • Interviewer should respond to:
      • Questions
      • Concerns
      • Reactions (anger, grief, suspicion )
  • 11. Communication skills
    • Communication methods
      • Build rapport
      • Same level + eye contact
      • Encourage speech, be attentive, do not rush
      • Non-judgmenta l
      • Sensitive to respondent’s needs
  • 12. Sensitivity issues – Emotional responses to death
    • Sadness, tearfulness
      • Express sympathy
      • Pause till the person regains their composure
    • Anger
      • At the health program, a relative or neighbor
      • Express your understanding ( never agree)
      • Explain the purpose of MDR is to help the community overcome problems together
  • 13. Sensitivity issues – Emotional responses to death
    • Suspicion (of you, the interview, etc.)
      • Expressed as anger or refusal to participate
      • Approach with a respected community leader
      • Explain the purpose of MDR
      • You may not be able to do the interview
    • Not wanting to answer certain questions
      • Painful memories, sensitivity, shame, etc.
      • Never demand a response (must consent)
      • Discuss many non-responses with supervisor