Child Focused Health Education Fulfilling the right to children’s participation
Overview presentation History (Lucienne) Modules (Lucienne) Impact (Sohail) Afghanistan case study – focus on how to use CFHE for community mobilisation (Sohail)
History CRC Political rights – participation rights New sociology of childhood Behaviour change models Children exercise agency
Child to Child Principle of learning by discovery, changing other people’s behavior will change own behavior Children have access to younger siblings as well as mothers Labour intensive process
Afghanistan 80’s materials developed Need to focus on children not in school Illiterate Expose children/communities to other forms of learning Materials followed the principles of C-to-C 6 simple modules, one more elaborate nutrition module Afghan refugee program Since then new modules and improved existing modules
New Modules First aid Vaccinations Improved diarrhea (including pit latrine design) Mine/ROW module Girl and boy module (adolescent health) Avian Flu HIV/AIDS Cholera – emergency Use of modules in child friendly spaces
Process Develop and pilot materials Print materials Train facilitators (often illiterate – best facilitators – volunteers – have left school) Provide them with structure A series of sessions with a clear end, start and middle were developed whereby the same materials could be used in a range of ways. Often twice a week facilitators work with a group of children on the topic – often 8-12 activities – each session one activity Setting for the sessions informal in people’s homes, under a tree etc.
Impact Improve children’s participation in SC programs through access to appropriate information Improve the health situation of children and communities, through children (accept that children have agency) Reach as many children as possible – facilitators have often stopped school or never went to school Facilitators are volunteers (materials and status are their incentives)
Impact Yemen Anecdotal Acceptance of some communities for the school to have latrines instead of flash toilets Impact on self esteem of especially adolescent girls as facilitators
Impact Afghanistan Based on survey results: Knowledge/practice of balanced diet: from 9% to 38% Prevention of worms through washing hands: from none to 6% Knowledge micro nutrients: from hardly anything to 75% of the importance of iodine and iodised salt Iodised salt at home: from 19% to 56%
Afghanistan Child Focused Health Education Vitamin A Campaigns
Signing MOUs by all
Training for all committees
Training for all committees
Information for the adult committees on Vitamin A
Following the CFHE module - preparing for the event
Preparing for the event at the school
Spreading the word – inviting for the event
Spreading the word – inviting for the event
Spreading the word – inviting for the event
The event at the school for all
The event at the school for all
The event at the school for all
The event at the school for all
The event at the school for all
Children Activities in School
Song about Vitamin A
Vitamin A Song
Playing the games
Role plays
Vitamin A Natural Resources
Vitamin A for all
Vitamin A for all
Going home
Child Focused Health Education Inclusive Education Project in Yemen ( Aden, Lahj and Abyan ) from 2008-2012 Funded by Dubai Cares www.scsmena.org
Introduction • In late 2008 and early 2009 a baseline for an Inclusive Education project in three governorates of the South of Yemen (Abyan, Lahj and Aden) was identified for impact evaluation as well as providing information for detailed program implementation and school health component was one of the main target subject in that survey . • The results showed that Children had a low level of knowledge and awareness of health and nutrition related issues; especially the knowledge related to good practices. It is telling that knowledge was not related to if children attended school or not, indicating that knowledge is not obtained from school. • Especially knowledge in relation to the prevention of disease, such as hand washing and using the latrine was low and need to be addressed. Hand-washing practices are both affected by knowledge when it is most needed to wash hands and to the possibility to wash hands; although at school soap was not available, at home it was – despite this a very low number of children wash their hand after using the latrine. www.scsmena.org
• Schools show an absence of enough functional latrines, as well as a lack of latrines for girls separate from boys. Children reported that a large number of latrines, although available were not functioning or not open. Although water was often available, a majority of children said soap was never available at school, which has direct consequences for the effectiveness of hand-washing practices. To encourage an healthy school environment water and latrines need to be accessible for both boys and girls. Access to functional water taps and latrines is needed to prevent disease, but also to address basic needs of children while at school. In order to keep facilities functional and to make sure that children make good use of them, appropriate practices need to be promoted. • Based on this results IE program start implemented package of activities in CFHE aimed to increase awareness between children and encourage the practices of child to child method . www.scsmena.org
CFHE Activities • rehabilitate and construct toilets for girls, boys and disable children. • Providing schools with safe drinking water construct water basin with taps and water tanks. • Community-based, child-focused health education activities implemented in 35 school communities in Aden ,Lahj and Abyan. • Train 484 youth volunteers in health and Nutrition programs based on child to child approach to educate 2928 children (1350 boys and 1578 girls) . • train 23 health workers in 23 schools in Aden and Lahj on WASH and diarrhea modules. www.scsmena.org
• Train 50 youth volunteers and 8 DC project staff who trained 9,581 children on First aid and Diarrhea. 12 health campaigns implemented in 12 schools communities . • Trained parents councils in 25 schools in health community planning with school health department in Health offices . • Conduct global wash day activities in 25 schools . • Save the Children’s de-worming campaign comes as part of the activities under the second objective of the Inclusive Education Program for the year 2011; the Campaign targeted 6 schools’ students in Tuban district in Lahj governorate with facilitation from the Ministry of Education’s governorate office. • A total of 5290 students of school age were de-wormed (1800 boys and 3490 girls) www.scsmena.org
• Awareness sessions on personal hygiene and environment were conducted at schools for 288 participants including teachers, students and both mothers and fathers. • The governorate health office provided 700 tablets (400 mg) of Albendazol. • 8 health workers were trained on recording and administration of de- worming tablets to ensure appropriate knowledge and skills to implement the campaign • 1000 copies of brochures with information about the de-worming campaign were distributed during the awareness sessions. www.scsmena.org
Inclusive Education Program CFHE Activities www.scsmena.org
www.scsmena.org
www.scsmena.org
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www.scsmena.org
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