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Traditional Practitioners as Primary Health Care Workers
(1995; 146 pages) View the PDF document
Table of Contents
View the documentI. EXECUTIVE SUMMARY
View the documentII. INTRODUCTION AND NEED FOR THE STUDY
View the documentIII. OBJECTIVES
View the documentIV. METHODOLOGY
View the documentV. REVIEW OF THE LITERATURE
Open this folder and view contentsVI. DESCRIPTION OF PROJECTS
View the documentVII. RESULTS
View the documentVIII. LESSONS LEARNED AND RECOMMENDATIONS
Open this folder and view contentsIX. SUMMARY OF GUIDELINES FOR TRAINING
View the documentREFERENCES
View the documentAPPENDICES
 

APPENDICES

Appendix 1

QUESTIONNAIRE FOR HEALTH AGENCY STAFF

Name of Health Organization ____________________ Date _____________

Location __________________________

Name of Interviewer______________________________

Introduction

The (Health Agency) wants to find out how effective its services are to the communities. You can help improve these services by giving us some information about your work in this programme. This information will also be used to help other countries develop better health programmes for their communities.

1. What is your name?

2. Age ____

3. Note sex: M F

4. Title of position _____________________

5. How long have you worked in this position?

6. What is (has been) your responsibility or function in this job (project)?

7. How do you think traditional practitioners can be most useful to help communities prevent illness and promote health?

8. Do you think the training programme for traditional practitioners was effective in increasing their health knowledge and skills? Yes__ No __

9. If yes, how?

10. How well do you think the traditional practitioners are performing the duties for which they were trained? Probe for specifics, such as, their ability, responsibility, dedication.

11. Do you believe the traditional practitioners need any support in their day-to-day work? Yes__ No __

12. If yes, what do you suggest?

13. How has the community benefitted from the traditional practitioners who were trained?

14. After the traditional practitioners started working have you noticed any changes in people's behaviour, such as specific actions they do to prevent illness or promote their health? Yes__ No __

15. If yes, what specific activities are they doing differently?

16. What kind of collaboration exists between the traditional practitioner and the health agency staff?

17. How has the health agency benefitted from the project?

18. Have the health agency staff accepted the new roles of the traditional practitioner? Yes__ No __
In what ways?

19. Have there been difficulties in planning or implementing this project? Yes __ No __

20. If so, what were they

• regarding the training programme?
• regarding the services to the community?

21. What could be done to correct these difficulties?

22. What do you think are the main strengths or advantages of using traditional practitioners to provide primary health services to communities?

(If you are interviewing a health agency staff member who does not work directly with traditional practitioners in a clinic, hospital or community, omit questions 23 through 31 and go to question 32.)

23. During the last 6 months have any traditional practitioners referred cases to you for treatment or other health service? Yes__ No __

24. If so, how many cases?

25. What kind of referrals were they?

26. Do you refer any cases to traditional practitioners? Yes __ No __

27. If so, what kind of referrals do you make?

28. Have you been able to communicate effectively with traditional practitioners? Yes __ No __

29. If no, how could that be improved?

30. Have you encountered any other difficulties working with traditional practitioners? Yes __ No __

31. If yes, what were they?

32. What is your vision in the future for how Western and traditional practitioners might collaborate to provide a better health system for improving the quality of life in communities?

33. Do you have any other suggestions about how to use traditional practitioners in providing health services to communities?

Thank you very much. This is the end of the interview.

Appendix 2

QUESTIONNAIRE FOR TRADITIONAL PRACTITIONERS

Name of Health Organization _________________ Date _____________

Location _______________

Name of Interviewer ________________________

Introduction

The (Health Agency) wants to find out how effective its services are to communities. You can help improve these services by giving some information about your work in this programme. This information will also be used to help other countries develop better community health programmes.

Do you mind if I ask you some questions? Please give us your honest opinions and views. This information is confidential and your name will not be used.

1. What is your name?

2. Age ___

3. Note sex: M __ F __

4. How many years did you go to school?

If no school can he/she read & write? Yes __ No __

5. What kind of healer do you call yourself, ie.:

herbalist
spiritual healer
TBA/midwife
bone setter
other

6. How many years have you worked as a traditional practitioner?

7. What do you consider to be the most serious health problems of the people you serve?

8. What did you learn from the training programme for traditional practitioners?

9. Which things were most helpful to you?

10. Did you have any difficulties understanding the training?

Probe about:

• understanding the information presented;
• the methods used.

11. Can you suggest any ways to improve the training?

12. How are you using the things you learned in training? Probe for specific tasks.

13. After training and you started working in the communities, did you notice any changes in people's behaviour? Probe for things that they did differently to promote their health.

14. What kind of collaboration do you have with nurses and doctors that work in the clinics or hospital? Probe for specifics.

15. Do you refer any patients to the clinic or hospital? Yes __ No __

16. If yes, what land of patients?

17. Do the nurses or doctors refer any patients to you? Yes __ No __

18. What kind of patients?

19. Do you get enough assistance from health workers in the clinic or other health staff? Yes __ No __

20. If not, what kind of assistance would you like to get?

21. Can you suggest any ways to improve cooperation between traditional practitioner and other health staff?

22. Do you conduct meetings or do other activities with traditional practitioners in your area? Yes __ No __

23. If yes, what kind of activities?

24. Do you participate in any community meetings or community activities? Yes __ No __

25. What kind of meetings or activities?

26. If you could have more training, what would you like to learn to help communities improve their quality of life?

27. How has this training helped you as a traditional practitioner in your own practice?

28. Do you have any other comments or suggestions about how to improve the training of traditional practitioners to improve the health of communities?

Thank you very much. This is the end of the interview.

Appendix 3

QUESTIONNAIRE FOR CLIENTS AND COMMUNITY

Name of Health Organization ____________________ Date _______________

Location _______________

Name of Interviewer _________________

Introduction

The (Health Agency) wants to find out how effective its services are to your community. You can help improve these services by telling us how you like or do not like these services. This information will also be used to help provide better services to other communities.

Do you mind if I ask you some questions? Please give your honest opinions and views. This information is confidential and your name(s) will not be used.

 

If individual:

If group:

 

1. What is your name?

Number of adults

 

2. Age

Estimate age range

 

3. Note sex M __ F __

# of M __ # of F __

4. What is your occupation? ie, mother, farmer, shop keeper, etc.

5. Have you or your family obtained health services from a traditional practitioner within the last year? Yes No

6. If yes, what services did the traditional practitioner provide?

7. How satisfied were you with these services? Probe for details

8. How was the attitude or manner of the traditional practitioner when he/she provided the service? ie, friendly, unfriendly, etc.

9. Did you dislike anything about the service? Probe for details

10. Can you suggest any ways the traditional practitioner can improve services?

11. Have you learned anything new from the traditional practitioner about how to prevent illness or to keep you and your family healthy? Probe for details.

12. Can you suggest any ways your community could work together to improve the quality of life?

Thank you very much. This is the end of the interview.

Appendix 4A

DIFFERENT POSITIONS OF THE BABY IN THE WOMB

Flip chart for TBAs and Mothers

THIS ILLUSTRATION SHOWS

• A baby in the womb with head downwards.

• A baby in the womb with buttocks downwards.

• A baby in the womb placed sideways.

POINTS FOR DISCUSSION

• How can the position of the baby in the womb be recognized?

• At which stage should this be checked?

• What are the different positions a baby may take in the womb?

• When should a TBA refer the pregnant woman for management of abnormal position of the baby?

POINTS TO REMEMBER

By feeling the abdomen for the position of foetal parts and locating the place of foetal heart sound, the TBA can have a rough Idea of the position of the baby In the womb. This can also be done by checking where the head of the baby Is located.

• Checking for the position of the baby should be done only during the last two weeks of pregnancy since the baby can change positions before this.

• A baby may be born head first (which Is normal) or buttocks first or may be placed In the womb sideways.

• Always refer a woman who has her baby sideways In the womb since this baby cannot be delivered at home. It will require an operation. If the TBA suspects that the baby will be born with buttocks first she must consult a midwife or doctor to confirm and to decide about the place of delivery.

Appendix 4B

EATING MORE DURING PREGNANCY

Flip chart for TBAs and Mothers

THIS ILLUSTRATION SHOWS

• A pregnant woman eating more of what she normally eats.

POINTS FOR DISCUSSION

• Why should women eat more food during pregnancy?

• What are the foods that pregnant women should eat?

• Should any restrictions in food intake be observed?

POINTS TO REMEMBER

A pregnant woman must eat extra food every day to meet the needs of the rapidly growing baby In the womb.

A pregnant woman should eat more of the foods that she normally eats at home. If she cannot eat large amounts of food at one time, she should eat several times during the day.

No special foods are required.

• A pregnant woman should not restrict foods since any restrictions may reduce her total food Intake. This will affect the growth of the baby adversely.

Appendix 4C

EDUCATING THE COMMUNITY

Flip chart for TBAs and Mothers

THIS ILLUSTRATION SHOWS

• A TBA discussing the importance of women's nutrition in her community.

POINTS FOR DISCUSSION

• What role can a TBA play to increase community involvement in improving MCH and family planning services?

• Whose assistance should the TBA seek for the success of her work?

POINTS TO REMEMBER

In addition to providing nutrition education during pregnancy, TBAs must help families to obtain appropriate services. This will help In pregnancy spacing, Immunizations, treatment of Illnesses and promote safe motherhood and child survival.

TBAs should utilise all resources available In the community such as community leaders, women's groups and other agencies concerned with community development. This can be done by Interacting with people and groups frequently.

TBAs should Interact with people and educate them about the essentials of health care.

Appendix 5

BIRTH CHECKLIST

A Visual Aid for TBAs


1. Prepare a clean bed.


2. Wash your hands well with soap.


3. Use the delivery kit.


4. Tie the umbilical cord.


5. Immediately after birth, encourage the mother to nurse the baby.

Appendix 6

HOW TO GROW AN HERB GARDEN

Visual Aids for Herbalists

A COMMUNITY PHARMACY OF MEDICINAL PLANTS

(Knowing and practising that which you have learned, look around for a place that will serve to protect our plants and arrange them in order for when you need them.)

FARMACIA COMUNITARIA DE PLANTAS MEDICINALES

CONOCIENDO Y PRACTICANDO LO QUE SE HA DICHO, PODEMOS BUSCAR ENTRE TODOS UN LUGAR QUE SIRVA PARA GUARDAR NUESTRAS PLANTAS Y TENERLAS ORDENA DAS Y A MANO PARA CUANDO SE NECESITEN.

Appendix 7

PREGNANCY PROGRESS CHART

A Graphic Record Card for TBAs

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