Design and Planning of PHCs
Diarrheal Disease Control & Management
Specifically among Maternal, Neonatal and Children under-five in Rural-Poor Communities
Presented by:
Problem Statement:
In Ghana, diarrheal diseases are
among the leading causes of
morbidity and mortality in children
under-five, accounting for
approximately 25% of deaths (Binka,
Vermund, & Armah, 2011). While
many children are affected, diarrheal
diseases have a greater presence in rural areas. These diseased not only
affect overall Maternal, Neonatal, and Child Health (MNCH) but are a burden
to the economy. The Ghana government spends over US$33 million
annually as a result of diarrheal diseases (Ameyaw, Ameyaw, & Acheampong,
2017).
Izzy: This is a great problem statement, just a little long. Try to get it down to 2-3 sentences.
GOAL:
To reduce the mortality and morbidity of diarrheal diseases among maternal, neonatal, and child populations, particularly amongst the rural-poor and socially- excluded communities in Ghana.
Izzy - Fantastic goal!
Objectives & Indicators:
Indicator(s):
CHWs training needs assessment.
Pre & Post-test/survey for CHWs.
CHW training evaluations & outcome reports.
Number of community members who complete training.
Number of targeted trainers.
Objective 1: Community Based Outreach- CHW's
Engage and train community health workers (CHWs) on causes, control and prevention of diarrheal diseases in maternal, neonatal and under-five children and ways to educate the community.
Potential Activities: Distribute literature, host community classes, health events, train CHWs.
Izzy - your objective 1 starts sounding like an activity (the doing part to get to your goal). You want to phrase it in a more SMART format. THink “Increase by X% the number of
CHWS trained in XYZ in X years
Objectives & Indicators:
Objective 2: Educate Rural-Poor families on treatment options.
Inform rural-poor families of causes and available treatment options for diarrheal diseases and their benefits through community- based training events.
Indicator(s):
Percentage of MNCH with diarrhea sought care from an appropriate healthcare provider.
Proportion of MNCH received oral rehydration therapy (ORS) or recommended home fluids.
Number of community members (families) informed on available treatments.
Potential Activities: Distribute literature, CHW's host community classes and training events.
Izzy - These are great indicators but you need to change your objective to be more SMART
Izzy - Similar to objective 1, this sounds more like an activity.
Objectives & Indicators:
Indicator(s):
Number of MNCH diarrheal disease cases.
Number of WASH kits distributed.
Household surveys on WASH practices.
Number of WASH community training events hosted.
Percentage of community members who attended the event.
Objective 3: WASH improvement
Provide the knowledge and tools necessary to improve WASH practices at the household level.
Potential Activities: Host training sessions on WASH practices, give hygiene kits to all community members with soap, water tablets, water storage containers, etc and literature teaching best practices.
Objectives & Indicators:
Objective 4: Strengthen policies
related to safe disposal of feces.
Collaborate with MOH and in-country health partner to strengthen national guidelines and policies related to safe feces disposal management and
the caregiver behaviors.
Indicator(s):
Household surveys on feces disposal practices.
Percentage of communities declared ODF
Proportion of households with a constructed toilet
Potential Activities: Integrate Open defecation free verification (ODF) protocols and national sanitation policies, strategies, or monitoring mechanisms.
Implement raising awareness program to change the behavior of caregivers in safe disposal of child feces
both a community and household level.
US/Ghana Private & Voluntary Organizations (PVOs) Partners:
(USAID, 2017)
(ECHO, 2018)
(MOH_Ghana, 2018) (Path, 2018)
References:
Ameyaw, R., Ameyaw, E., Acheampong, A.O., & et al. (2017). Diarrhea among Children Under Five Years in Ghana. Global Journal of Research and Review, 4:2.
Binka, E., Vermund, S.H., & Armah, G.E. (2011). Rotavirus as a cause of diarrhea among children under 5 years of age in urban Ghana: Prevalence and serotypes/genotypes. Pediatric Infectious Disease Journal, 30: 718-730.
USAID. (2017). 2016 VolAg Report: Report of Voluntary Agencies Engaged in Overseas Relief and Development. https://www.usaid.gov/sites/default/files/documents/1866/Volag2016.pdf
ECHO, 2018. Project ECHO® Right Knowledge. Right Place. Right Time. UNM. https://echo.unm.edu/wp- content/uploads/2017/09/ECHO_One-Pager_08.17.2017.pdf
MOH, Ghana (2018). Ministry of Health, Ghana. Welcome Page, http://www.moh.gov.gh/
Path (2018). NGO, About. Diarrheal Diseases. https://path.org/diarrheal-disease/