The document summarizes a community-based intervention to reduce intestinal parasite transmission in Babo Kebele, Ethiopia. Students provided health information to the community on transmission and prevention of intestinal parasites through oral teaching and leaflet distribution. They educated community members on personal hygiene practices like hand washing and fingernail trimming. While the intervention reached over half of households and provided information to over 15% of the population, some challenges included language barriers, material limitations, and unavailability of some community members. Overall, the intervention aimed to increase community awareness on preventing intestinal parasite transmission.

1. JIMMA UNIVERSITY
FACULTY OF HEALTH SCIENCES
SCHOOL OF MEDICAL LABORATORY SCIENCES

2. WELL COME TO
CBTP PHASE III
SYMPOSIUM

3. Outline
 Title
 Introduction
 Objective
 Methods &Materials
 Work plan
 Action plan
 Result and discussion
 Conclusion and Recommendation
 Acknowledgement
3

4. TITLE
INTERVENTION ON THE
TRANSMISSION AND PREVENTION
OF INTESTINAL PARASITE IN
BABO KEBELE JUNE, 2017
4

5. Introduction
➢Community based Education, CBE is a means of achieving
educational activities relevant to community needs
➢ It gives benefits both students and the community since it is:-
 Community Based and problem oriented education
 Multi-disciplinary training
 Integrating training service and research
5

6. CBE has the following objectives:-
➢To train professionals in a community setting
➢To encourage a team approach in treating social problems
➢To work with local communities with greater conviction
➢To undertake problem based research activities
6

7. Strategies of CBE
 Community Based Training program (CBTP)
 Team Training program(TTP)
 Developmental Team Training
program(DTTP)
 Student Research program(SRP)
7

8. Cont…
➢ CBTP as one of the strategies is an integrated program which runs in phases
along with an in-built regular follow up
➢ The objectives of CBTP
▪Define demographic
▪Socio-economic , environmental aspects of a given community;
▪ Make community diagnosis and draw an action plan for intervention;
▪ Organize intervention utilizing community participation and multi sect
oral approach and
▪ Plan and conduct problem -oriented research.
8

9. con’t…
➢ Currently CBTP is a means of achieving the objective of the education which
is related to the community interest & try to implement community oriented
program
➢ CBTP phase three is an interventional activity on previously identified &
prioritized problem.
9

10. 10
Significance Of Intervention
1. For community
 Increasing awareness of community about intestinal parasite to reduce its
transmission by creating awareness of community on:-
 Mode of transmission of intestinal parasite
 Prevention and
 Control of intestinal parasites
2. For students
 To be active learners
 To implement the theoretical knowledge in solving community problem.
 It is important for the competency
 Practicing the habit of team work.
 Helps for higher research program

11. Statement of the problem
11
Parasitic infection has world wide distribution and considerable public
health problem
Globally two billion people are infected with IP
Majority of them were children in resource poor setting.
Intestinal parasites cause significant morbidity and mortality to
children
Particularly the major public health problem of sub -Saharan Africa.
The most common IP infections in the world are; Amebiasis,
Ascariasis, Trichiuriasis and Hookworm infection
In Ethiopia parasites are widely distributed most of them are :
A.lumbricoids, T.trichuria,Hookworm, shows wider distribution

12. Cont’d….
 Global prevalence:
➢ A.lumbricoides 1.2 billion
➢Hook worm 740 million
➢T.trichiura 795 million
➢Amoeba 300 million
➢ In Africa the distribution prevalent among children
Nigeria:-A.lumbricoides=33.2%
-Hook worm= 30.1%
-E.histolytica=9.3%
➢ In Ethiopia among pre school children :-
-A.lumbricoides=7.2%-12.17%
-T.trichiuria=2.6%
-Hook worm=9.7%
 Previous studies conducted to evaluate the prevalence of intestinal parasites in Jimma zone
showed high prevalence rate of intestinal infection in both urban and rural settings of the
zone.
12

13. Objectives
General objective
To create awareness on the reduction of the transmission and
increase prevention method of intestinal parasite through
intervention on June, 23-26, 2017.
Specific objectives
 To provide health information on transmission of intestinal parasite
 To aware the community how to prevent intestinal parasite
 To control the transmission of intestinal parasite
 To aware the community on the mode of transmission of intestinal
parasite
13

14. Method And Material
Study area:-
 Babo kabele is one of the kebele found in Jimma zone under Kersa woreda .
 It is 20Km away from Jimma University on the way to Addis Abeba.
 It is bounded by;
Tekur Balto and Sarbo kebele in East
Girma kebele in north
Ankeso kebele in south
Merewa kebele in West
This kebele lies at 1500-1800 meter above sea level.
The kebele has two streams named as Kalacha and Birbirsa.
14

15. con’t…
 The total population of Babo kebele is 2315.
 Out of the total population 1178 are male where as 1137 are
female.
 Educational facilities in Babo kebele is as follows.
 One kindergarten and one elementary school.
 There are 5 mosques with no other religious institution.
 In the kebele 78 hectares has been irrigated.
Source:- from Babo Kebele

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16. Source population:- All Babo kebele Household
Study population:-All population in household who were available
during intervention period.

17. cont.…
Strategies
 Verbal teaching
 Leaflet distribution
Intervention sites are:-
 House to house
 Water source(well)
17

18. Materials
➢ Materials
 Stationery materials
-Pen
-Paper
 Camera
 Personal Computer
 Gown
18

19. Problems Encountered & Solutions
Problems Encountered
➢ Unwillingness of some people to attend oral health information
➢ Inadequate supply of materials for demonstration
➢ Language barrier
Solutions
 Convincing them by telling about the aim of our study
▪ Using our own materials For example camera, Pen
▪ Pairing Afaan Oromoo speakers with others
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20. NO Problem Priority setting criteria Total Rank
Magnitude severity Feasibility Government
concern
Community
Concern
1 Prevalence of
intestinal parasite
infection
4 3 3 4 3 17 1
2 Lack of hand washing
before meal.
4 4 3 3 2 16 2
3 Poor waste disposal
pit
3 4 3 3 2 15 3
4 Lack of trimming
finger nail
4 3 3 1 1 12 4
5 Lack of shoe wearing
habit
2 3 3 1 2 11 5
6 Un proper usage of
latrine
2 3 2 2 1 10 6
Table 1:- problem prioritization of Babo Kebele from June 23-26, 2017

21. WORK PLAN
Table:- 2 work plan
21
ACTIVITIES DATE SITE STRATEGY RESPONSIB
LE BODIES
RESOURC
E
INPUT
INDICATO
R
OUTPUT INDICATOR
Tool development
June 22,2017
Jimma
university
preparing
teaching
methodology
The Team
members
Human
power
Pen
Papers
computer
Developed
notes
writing down notes in
short form
Situational
analysis and
mobilization
June 23,2017
House to
house
Kebele
Asking
permission from
responsible body
Mobilization of
the community
The team
members
Official
letter
Letter
submission
Getting permission
By giving oral
health
information
about IP
prevention
June 24,2017
Kebele,
Water
sources
House to
house
Teaching
Demonstration
The team
Members
Paper and
pen
camera
Human power
Number of attendants
SWOT Analysis June 26,207
Kebele
Discussion of the
by whole group
members
The team
members
Human
power, Paper
and pen
Human power
writing down notes in
short form

22. ACTION PLAN
Table 3:-Action plan for intervention on the reduction of intestinal parasite, babo kebele, june
2017
22
PRIORITIZED
PROBLEMS
OBJECTIVE TARGET
GROUP
STRATEGY ACTIVITIES SITE RESPONSIBL
E BODY
RESOURCE
High prevalence of
intestinal parasite
To aware people
about
transmission of
intestinal parasite
Community
of Babo
kebele
Health
information
Educating and
Discussion with
community
Community ,at
water source,
House to house
Students
Stationery materials
& Human resource
Habit of hand
washing before
meal
To increase
community
awareness about
hand washing
before meal
Community
of Babo
kebele
Health
information
Educating &
discussion with
community
Community ,
House to house,
water source,
Students
Stationery materials
Human resource
Lack of waste
Disposal pit
To increase
community
awareness about
waste disposal pit
Community
of Babo
Kebele
Health
information
Educating
Discussing with
the community
Community,
House to house,
water source,
Students
Human resource &
stationery materials
Lack of trimming
finger nail
To increase
community
awareness about
trimming finger
nail
Community
of Babo
Kebele
Health
information
Educating and
Discussion with
community
Community,
House to house,
water source,
Students,
Human resource
Lack of shoe
wearing habit
To increase
community
awareness about
shoe wearing
habit
Community
of Babo
Kebele
Health
information
Educating and
Discussion with
community
Community,
House to house,
water source,
Students,
Human resource
Unwise usage of
latrine
To increase
community
awareness about
usage of latrine
Community
of Babo
Kebele
Health
information
Educating and
Discussion with
community
Community,
House to house,
water source,
Students
Human resource

23. Ethical Consideration
➢ Official letter given from CBE office
➢ Permission gained from kebele chairman
➢ Objectives of the study explained
➢ Community norms respected
23

24. During Third Day Of The Intervention Period:-
SWOT analysis
 Strength
 Mobilization of the community of Babo kebele residents by using oral
communication and leaflet distribution.
 Respecting the norms and values of the community
 Solving language barrier by grouping the student under who speak Afan
Oromo
 Weakness
 Language barrier
 Limitation of material
 Opportunities
 Knowing the community norms, culture and values
 Understanding the communities problem
 Threats
 Unwillingness of some people
 Less response
 Some house was closed

25. 4 RESULT
Table 3: activities performed at Babo kebele in June, 2009
Number Activities Planed
household
Achieved
household
Achieved
population
1 Oral health
information
436 235 (54.0%) 360(15.55%)
2 Leaflets
distribution
120 120(100%) 120 (5.18%)
3 Drama
action
340 - -

26. Cont……….
 From the total household of population 436 were planned to got
health information through oral(verbal communication), but
235(53.89%) household got the health information how to
prevent the transmission of intestinal parasite.
 One hundred twenty leaflet distributed.

27. Discussion
 The objective of study was to aware the community on the
transmission and prevention of intestinal parasite. In this
intervention more than half of the household got health
information on intestinal parasite.
 When we compare our intervention with other kebele or
with the same area we investigate the following views;
 More than half of kebele household got health information
than other kebele.
Less leaflet was distributed than other kebele
More health information was given to the community.

28. CONCLUSION AND RECOMMEDETION
Conclusion
 The over all health information was given on the transmission of
intestinal parasite at different site to the community by oriented
group members.
 More than half of the keble’s household got health information.
 Health information that related within the transmission and the way to
prevent intestinal parasite by different method was given to the
community.
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29. Recommendations
To the community
• Management of pipe water should be encouraged
• Regular shoe wearing habit should be enhanced
• Habit of washing hand before eating and after defection should be enhanced
To health extension workers
• Creating awareness about water borne diseases in the community
• Creating awareness about standard water purification method
• Health information on prevention and control of intestinal parasites has to be provided
for the community
• Creating awareness should be given to the community on proper usage of latrine
• Further study should be made, so that the appropriate action should be taken.
29

30. Cont’d….
To the students
• Providing health information concerning personal hygiene to the
community
To the kebele administrators
• Awareness of the community about environmental health should
be improved to decrease the transmission of intestinal parasite.
• Sanitation of the community should be improved.
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31. Picture 1:-Intervention time at water source

32. Picture 2:- Intervention time at house to house in Babo
kebele on June 24,2017

33. Acknowledgment
 First of all we would like to express our deepest gratitude for JU who
were prepare such programs
 we would like to express our heart full thanks to our supervisors for
their valuable contribution
 We also give a great thanks for Babo kebele community who accepted
us with out any hesitation
 Lastly but not the least we would like to thank Babo kebele leaders for
their cooperation in our work by giving place for work and permitting
us to move with in the community
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34. Reference
 Manuals of previous surveys in CBE office
 WHO, UNAIDS (2009). FACT SHEET, Sub-Saharan Africa, Latest
epidemiological trends.
 Intestinal nematodes; Harrison’s principle of internal medicine, 17th
edition, 2008, chap 210.
 De Silva NR, Brooker S, Hotez PJ, Montresor A, Engels D, Savioli L. Soil
transmitted helminth infections: updating the global picture. Trends
Parasitol. 2003; 19:547–551(Medline).
 Evans AC, Stephenson LS. Not by drugs alone: the fight against parasitic
helminths.World Health Forum 1995;16:258 261 (Medline).
 Tesfamichael T, Kloos H. Intestinal Prasitism, In: Zein AZ and Kloos H.
(Eds). The Ecology of Health and Disease in Ethiopia, Addis Ababa:
Ministry of Health, 1988:214.
 WHO Technical Report Series 749. Prevention and control of intestinal
parasitic infections. WHO, Geneva, 1987.
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