RURAL HEALTH CARE SERVICES Riya Tanwar final 2.pptx
WEEKLY RPORT FROM 20TH-26TH APRIL 2015
1. WEEKLY SOCIAL MOBILIZATION REPORT ON THE ‘ZERO EBOLA CAMPAIGN’
DISTRICT: PUJEHUN
SOCIAL MOBILIZATION OFFICER: MONJAMA A TUCKER
20th
-26th
April 2015
Places visited
Persons met
1. Yakemu Krim Chiefdom (YKK)-Karlu (headquarter town) and
surrounding villages which are, Kpetema,Manjama, and Gandorhun.
2. Malen Chiefdom-Kortumahun, Bendu Malen.
3. Kpanga Kabonde Chiefdom-Gbondapi.
Met with the CHO and nurses.
Met the community people and engaged them about the Maternal and
child health week.
Met with a cross section of Soldiers at the checkpoints (borders with
other districts like Bonthe district which borders with Pujehun through
Kortumahun, and Bo district through Bendu Malen).
Met with the CHO and the patients (lactating mothers, pregnant women
and children) at the PHU in Gbondapi.
Actions taken/need to be taken Actions/ activities/ approach/ channel
Social mobilization officer played a supervisory/monitory role with my
Field Coordinator/Epidemiologist at the PHU in Karlu.
Social mobilization officer engaged the communities in the villages
(Kpetema and Manjama) asking them in the local dialect which is
Mende about the process and how they’ve been accessing medical
emergencies in the past and presently. What were they taught during the
MCH week campaign and asked them to show me or teach me what they
learnt?
Engaged the Soldiers about how they were coping with the
disadvantages they were facing at these borders and the communities
they were living with.
Social mobilization officer supervised/monitored the phone distribution
activity to these borders in the 3 checkpoints which should be use for
rapid response and alert (RRA) in case of emergency for either breakout,
sick or death alert. And also the distribution of zincs, nails, daily
subsistence allowance (DSA) for workers to remake the makeshift tents
that were available at the checkpoints as it is rainy season now.
Held a very short meeting with the District Situation Analyst (DSA),
Communication Liaison Officer in the burial alert room in the DERC in
Pujehun, CHO, nurses and patients to discuss how the teams will be
divided to go into the communities to continue the maternal child health
care week for a better and safer environment as there are other villages
2. which are using that PHU but are on the riverine areas.
Key
observations/Recommendations
The PHU do not have enough staffs to carry out the daily
activities of all medical issues in the chiefdom.
The communities should be properly taught on the basic
medical approaches and the reasons why they were being given
marklates and vitamin A supplements.
The hand washing principle has been abandoned due to
complacency.
The community should give support to the soldiers at these
borders in order to get a corporative consistent alert in those
areas as the rains will be heavier very soon.
Collaboration and participation of enough health workers in the
field.
Community response on the distribution.
Staffs should be sent to these PHU’s.
The PHU was using a big bowl for all babies during the
weighing process. As we are trying to stop infection from one
person to another, so the social mobilizer gave cognisance
reason as to why it should be changed to control infection or any
recurrence.
Challenges
Expectation of community members on marklates/immunization and
vitamin A supplements distribution per child and pregnant women was
in the increase.
Correct marking of household houses remains a challenge
Inadequate measurement of upper arm circumference (MUAC) logistics.
Understaff in the PHU led to late arrival in most communities, so the
people went to do farming and fishing activities.
The portion of land given in Kortumahun bordering Bonthe district was
too small and very close to the river, which will be overflown by water
when the rains are heavy.
Actions taken
Contacted the PHU in-charged and all team members within the
chiefdoms to address the issues.
Coax the communities to be using soap and ordinary water to wash their
hands and to also make it a routine after using the toilets, leaving their
farms, before eating, before and after caring for their babies, etc.
Engaged the community heads to see reasons and help the soldiers to get
a bigger and better space to rebuild their post.
Suggested to the CHO to use the lappa’s (clothing that they use to carry
their babies) of the parents to avoid using the same bowl to weigh the
babies.