Presentation on theme: "MUKAMUNANA Alphonsine"— Presentation transcript:
1MUKAMUNANA Alphonsine COMMUNITY BASED ENVIRONMENTAL HEALTH PROMOTION PROGRAMME (CBEHPP) IN RWANDAMUKAMUNANA AlphonsineMinistry of HealthTEL:
2What is CBEHPPCommunity Based Environmental Health Promotion Program uses a Community Health Clubs (CHC) Approach/Strategy to reach all communities and empower them to identify their personal, domestic hygiene, nutrition and environmental health related problems (including drinking water, appropriate utilization of latrines, handwashing, food safety etc.)Community Health Club during a CHC dialogue session (RUSIZI)
3SPECIFIC STRATEGIESThe Government of Rwanda launched CBEHPP in December 2009 with an objective of reducing significantly by 2017 the debilitating national disease burden (Diarrhea, Intestinal Parasites and Respiratory infections) and therefore contributing to poverty reduction through sustainable hygiene behaviour change through the following strategic interventions.Establishment of Community Hygiene Clubs (CHCs) in all villagesIncrease use of hygienic latrines in homes, schools and health facilitiesIncrease hand washing with soap at critical times in homes, schools and health facilities
4SPECIFIC STRATEGIESIncrease drinking of safe water in homes, schools and health facilitiesAchieve Zero Open Defecation in all villages through construction and use of improved toilets.Improve safe disposal of children’s faeces in all householdsIncrease households with bath shelters, rubbish pits, pot-drying racks and clean yards
5CBEHPP APPROACH Aims to reach all 15,000 villages in Rwanda Establish a Community Hygiene Club (CHC) in every villageAll households in each village will be CHC membersOne member represents the household in a Club sessionCHC Members required to meet every week for 2 hoursInformed decision making through good informationCreating a common unity/goal through activitiesAction oriented with weekly hygiene improvements(e.g. making existing toilets hygienic).
7CBEHPP IMPLEMENTATION STRUCTURE Ministry of Health(Environmental Health Desk)MINALOC, MINIFRA, MINEDUC, MINAGRI, MIGEPRO, MINECOFINDistrict(District Health Unit)District Hospital (EHO)Sector (Social Affairs)Health Center (EHO)CHC MEMBERS:1-President2- Vice President3- Secretary4- Vice Secretary5- Treasurer6- Vice Treasurer7- HH RepresentativesCell (Social Economic Development Officer)CHC CommitteeVillage (Head of village)Village ASOC (CHC Facilitator)CHC
8ROADMAP FOR IMPLEMENTATION OF CBEHPP Milestone Events2009201020112012Q4Q 1Q2Q3Q1Program LaunchProgram design & advocacy.Development of road mapPhase I Start-upStart-up in5 Districts /ProvincePhase II ConsolidateConsolidate & add 5 new DistrictsLaunch of HSPIPhase III Scale-UpRoll-out to all remaining 22 Districts
9CBEHPP TRAINING OF NATIONAL CORE TRAINERS Roll out of EHO Training in 5 Districts in December 2010, and 4 other districts in 2011.In November 2010 the core team was trained in order to scale up training
10CHC Approach: Key Implementation aspects The Community Health Club Methodology is facilitated by Village Social Affairs who in turn are supported and mentored by Environmental Health Officers located at Administrative District and Health Facility level.6 Months Community Health education Dialogue sessions.Target groupInclusiveStructuredParticipatoryGroup consensusHomeworkReinforcementCertificationQuantifying behavior change
11KEY LESSONS LEARNED DURING CHC DIALOGUE SESSIONS AND HOMEWORK 1IntroductionBring friends and family2Common DiseasesKnow common diseases3Personal HygieneFamily wash shelter4Hand washingHandwash facility/ soap5Skin diseasesChildren no skin diseases6DiarrhoeaKnowledge of SSS/ORS7Infant CareCorrect Immunization8Intestinal Parasites/WormsChildren no Worms9Food HygieneClean Drying Rack10NutritionGood Road to Health11Food Security/SafetyKitchen Garden12Water SourcesClean Water Source13Safe Drinking WaterSafe Storage and Usage14Adequate SanitationZOD/Clean Safe Toilets15The Model HomeWaste Management and Greening16Good ParentingClean Children17Respiratory DiseasesGood Ventilation18MalariaUse of Treated Bed Nets19BilharziaTreatment for Bilharzia20HIV/AIDSVCT and PMTCT
12CHC MEMBERS IN INTERACTIVE CLUB ACTIVITIES CHC Committee electionCHC Members during a village mapping session
13CHC MEMBERS IN INTERACTIVE CLUB ACTIVITIES Village WASH Mapping during a CHC sessionSanitation and hygiene Promotion Songs
14CHC APPROACH FACILITATING LIVE DISCUSSIONS Reinforcement: Peer pressure /home visitsHomework: Recommended PracticesMeasurable: Specific Targets Each Week
15HOMEWORK IMPLEMENTATION AT HOUSEHOLD AND VILLAGE LEVEL Construction of a pot/plate rackMaintaining their water source and cleaning up the solid waste to preserve a clean environment
16FAVORABLE ENVIRONMENT FOR CBEHPP Availability of political will - all levelsSupportive DPsAvailability of qualified personnel to implement CBEHPPCBEHPP Roadmap though a review is neededExistence of Health Clubs in all VillagesPositive involvement of the Media.
17CONCLUSIONWe are inviting all our partners to actively support the programme (CBEHPP). While the Village Social Affairs and Environmental Health Officers are already available, their capacity to achieve positive results through CHCs requires technical support and motivation.Appropriate training materials and financial resources for this noble cause are critical towards achieving effective implementation.