Design and Planning of PHCs

Goal: This project aims to reduce the mortality and morbidity of diarrheal diseases among maternal, neonatal, and children under five, particularly amongst the rural-poor and socially-excluded communities in Ghana.

Indicators

Means of verification

Assumptions

Purpose:

The increased utilization of preventative and treatment measures for diarrheal diseases especially amongst the rural-poor communities in Ghana.

% of population seeking treatment for diarrhea symptoms.

Proportion of MNCH having received ORS

# of households with a toilet

% of population attending WASH training events

Survey data Test results

Community members will have knowledge of prevention methods and be empowered to seek treatment for diarrheal diseases.

Output 1: Increased number of CHW’s trained to provide knowledge on causes, control & prevention of Diarrheal disease.

Pre-test & post tests

Number of CHW’s trained

Test results

Survey data

There will be CHWs readily accessible to community members.

Output 2: Increased amount of literature & methods available for CHW’s to share with the community.

Number of education materials distributed

Number of CHW lead workshops

Survey data

CHW records

CHW’s will be comfortable enough with the material to teach the material to community members.

Output 3: Reduce exposure to diarrheal diseases by improving behaviors and processes related to feces disposal management in rural-poor communities.

Proportion of houses with a constructed toilet

% of communities declared ODF

Household surveys on feces disposal practices

Public records

Communities will utilize sanitary processes for waste management.

Output 4: Increased access to healthcare services

Number of health clinics within 10 mile radius

% of population seeking treatment at health clinics

Proportion of CHWs to population

Survey data

CHW records

There will be more healthcare clinics/providers within an accessible distance from community members.

Activities:

Timing in project

Estimated Cost or agency resp.

Output 1: Output 1: Increased number of CHW’s trained to provide knowledge on causes, control & prevention of diarrheal disease.

Identify current CHW’s and establish relationship, while doing this learn what is working and what is not and what they would like to see improved.

B: within first month

Conduct Pre-test to assess level of knowledge on diarrheal diseases.

B: within first 3 months (giving time to establish relationships)

Conduct focus groups with CHW’s to gather thoughts on best interventions to best tailor the training.

B: within first 3 months

Create training and materials based on knowledge gaps and interventions discussed.

B: after pre-tests are completed & analyzed

The project manager for that community conducts training- closing knowledge gap & providing ways to teach to the community.

B: within first 6 months of the project.

Conduct training for CHW in the community.

B: ideally within 6 months

Provide literature and skills for CHW’s to share information with the community.

B:

Output 2: Reduced exposure to diarrheal diseases due to improved behaviors and processes related to feces disposal management in rural-poor communities.

Conduct surveys on feces disposal behaviors at the household and community level.

B: within first month

Research data to determine country level policies and feces disposal practices.

B:

Analyze data to determine problem areas and host focus groups with local CHW’s and other health workers to determine the best behavior modifications and how to implement them.

B: 6-8 months in

Meet with MoH to discuss strengthening their role in feces disposal in rural areas.

B: Within the first year

Activities to promote safe fecal disposal.

Ongoing based on progress

Output: Improved community WASH procedures.

Community surveys to determine current WASH practices.

B

Test current water.

B

Distribute WASH kits.

M

Improve community water source.

M

Improvement of latrines.

M

Activities to promote better hygiene practices.

Ongoing

Activities to promote use of safe water.

Ongoing

Activities to promote sanitation practices.

Ongoing

Conduct community trainings to teach and model WASH practices.

B-M