Presentation 5 approach hh- wb-2011

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Presentation 5 approach hh- wb-2011

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

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