PATHS Final programme report: "Togetherness in Health" the Enugu ...
PATHS Final programme report: "Togetherness in Health" the Enugu ... PATHS Final programme report: "Togetherness in Health" the Enugu ...
Inter-Personal Communication and Counselling (IPCC)IPCC was introduced in the state in 2005 asa tool to equip health workers with relevantskills and techniques to relate better to theirclients. Initially IPCC training was delivered bynational consultants but, in 2006, eight SMOHstaff trained as master trainers and assumedresponsibility for the training, which was coordinatedthrough a state focal person. 554providers were trained on IPCC across both thepublic and private sectors .The IPCC training curriculum includes:i) Client centred approach and customerserviceii)iii)Values clarificationInterpersonal communication and stepsin behaviour change;iv)Counselling using the “GATHER” process“Before, the people who were here were notattending to people nicely. They were nottaking good care of me. You would comeand they would not meet you or they wouldtell you that they are not on duty. Now youcan come anytime and get good care.”Patient attending Ozalla Health Clinicv) Use of role-play to demonstrate somechallenging moments in counsellingvi)Role-play using the information andactivities in the Better Health Kit onhealth issues such as Safe Motherhood,DRF, Diarrhoea, TB, and Immunizationvii) Reaching out to the community (apractical guide on community outreach)“Whenever I came here for delivery, the nurseswere always harsh and not friendly, but nowthey are more friendly and humane.”Health providers at IPCC TrainingA patient62 PATHS Final Programme Report
Radio Distant Learning Programme (DLP)The Radio Distance Learning Programme aimed to share common health knowledge withcommunities and health providers. Twenty-six episodes were prepared by PATHS Abuja and thentranslated into Igbo language locally and field-tested. Radio Nigeria FM station Enugu was contractedto air the episodes. Listening groups were established and CBOs/NGOs followed up after the episodes.A total of 62 listening groups were formed, centred on the 56 Early Bird Clinics and six DistrictHospitals. Six CBOs were selected from the local catchment communities and one member fromeach CBO would join the listening group. Two facility staff also participated, bringing the RadioDistance Learning Group membership to eight. In total, 496 individuals were involved. Prior to thecommencement of the DLP programme in Enugu, preparation was undertaken of both the contractedNGOs and a number of CBOs which were to be members of the listening groups. This includedorientation on the use of the Health Kits previously prepared for use by the Community HealthExtension Workers (CHEWs) and other PHC workers in the State.The initiative was managed and monitored by NGOs whose role was to ensure full understanding ofthe content of the programmes.The first series of the DLP began in June 2007 and 13 episodes ran until early August 2007. At the endof the first series, all 62 listening groups were assessed based on:••••attendanceknowledge acquiredcommunity mobilization activities carried outevidence of community engagementA score was allocated and those not achieving 60% were disbanded. This resulted in a reduction from62 groups to 52 for the second series. The latter started in September and ended in December 2007,after which another assessment was carried out. Of the 52 listening groups, four (8%) scored less than60% on average. The overall score for the second series was 97% compared to 90% for the first series.Facility distancelearning group“Yes, our group is very efficient. The Chairman ofour town union is one of us so he makes sure thateverybody attends every class and carries out allwe have agreed to carry out. Before we leave heretoday we will agree on what to do and we will makesure that each representative does it in four of ourcommunities.”Officer In-charge Umuabi PHC“Togetherness in Health” the Enugu Experience in Health Sector Reform, 2002-2008 63
- Page 13 and 14: KEY FACTSHealth Indices: Comparison
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- Page 76 and 77: Abbreviations and AcronymsANCBCCBEO
- Page 78 and 79: AcknowledgementsThe PATHS programme
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Inter-Personal Communication and Counsell<strong>in</strong>g (IPCC)IPCC was <strong>in</strong>troduced <strong>in</strong> <strong>the</strong> state <strong>in</strong> 2005 asa tool to equip health workers with relevantskills and techniques to relate better to <strong>the</strong>irclients. Initially IPCC tra<strong>in</strong><strong>in</strong>g was delivered bynational consultants but, <strong>in</strong> 2006, eight SMOHstaff tra<strong>in</strong>ed as master tra<strong>in</strong>ers and assumedresponsibility for <strong>the</strong> tra<strong>in</strong><strong>in</strong>g, which was coord<strong>in</strong>atedthrough a state focal person. 554providers were tra<strong>in</strong>ed on IPCC across both <strong>the</strong>public and private sectors .The IPCC tra<strong>in</strong><strong>in</strong>g curriculum <strong>in</strong>cludes:i) Client centred approach and customerserviceii)iii)Values clarificationInterpersonal communication and steps<strong>in</strong> behaviour change;iv)Counsell<strong>in</strong>g us<strong>in</strong>g <strong>the</strong> “GATHER” process“Before, <strong>the</strong> people who were here were notattend<strong>in</strong>g to people nicely. They were nottak<strong>in</strong>g good care of me. You would comeand <strong>the</strong>y would not meet you or <strong>the</strong>y wouldtell you that <strong>the</strong>y are not on duty. Now youcan come anytime and get good care.”Patient attend<strong>in</strong>g Ozalla Health Cl<strong>in</strong>icv) Use of role-play to demonstrate somechalleng<strong>in</strong>g moments <strong>in</strong> counsell<strong>in</strong>gvi)Role-play us<strong>in</strong>g <strong>the</strong> <strong>in</strong>formation andactivities <strong>in</strong> <strong>the</strong> Better Health Kit onhealth issues such as Safe Mo<strong>the</strong>rhood,DRF, Diarrhoea, TB, and Immunizationvii) Reach<strong>in</strong>g out to <strong>the</strong> community (apractical guide on community outreach)“Whenever I came here for delivery, <strong>the</strong> nurseswere always harsh and not friendly, but now<strong>the</strong>y are more friendly and humane.”Health providers at IPCC Tra<strong>in</strong><strong>in</strong>gA patient62 <strong>PATHS</strong> <strong>F<strong>in</strong>al</strong> Programme Report