Diarrhoeal Diseases Control - Examples of Health Education Materials
Transcripción
Diarrhoeal Diseases Control - Examples of Health Education Materials
W - -- - --- Diseases t o EXAMPLES OF HEALTH EDUCATION The major strategies for the treatment and prevention of diarrhoea1 diseases being promoted are: treatment of dehydration with oral rehydration therapy, proper feeding before and after diarrhoea episodes. 0 Clinical management - 0 Maternal and child care - Water supply and sanitation - correct use and maintenance breastfeeding, appropriate weaning foods, personal and domestic hygiene. of f a c ~ l ~ t ~ e s . 0 Epidemic control - prompt detection and control to reduce incidence. Introduction Health education plays a vital role In community acceptance of d~arrhoealdiseases control programmes. This collection of health education materials from all over the world shows how different groups have tried to transmit messages related to the treatment and prevention of diarrhoeal diseases. Some explanations of content are included but otherwise the materials speak for themselves. Many of these examples have been produced locally without access to sophisticated printing/production facilities. Their content and presentation may not be appropriate in everyone's particular circumstances. However, it is hoped they will give some idea of the range of material that can be developed -even with limited resources. Points to remember when developing materials: 1 . Determine clearly the target audience. This will affect all aspects of the content and presentation of the material. 2. Be as concise as possible. Posters particularly should not try to convey more than one message. 3. Materials should be as relevant as possible to the particular area where they will be used. The more a community can ~dentifywiththeir appearance and content, the greater the chance that messages will be understood and acted on. 4. Always pre-test health education materials before wide distribution 5. Once materials are being used on a widespread basis, try to evaluate their impact. Guidance for the technical content of such materials may be found in WHO documents: Gu~delinesfor the Trainers of Community Health Workers on the Treatment and Prevention of Acute Diarrhoea A Manual for the Treatment of Acute Diarrhoea Guidelines for Cholera Control Examples of similar health education materials related to the control of diarrhoeal diseases would be gratefully received by the CDD Programme. Contents Flash cards / CUIDADO CON LA DIARREA CONSULTE ENSEGUIDA AL MEDICO SIN HACPR CASO DE CONSEJOS D€' OTRAS PERSONAS 0 SIN INTENTAR REMEDIOS CASEROS 0 SIN PERDIDA DE TIEMPO 0 ARGENTINA : "Beware of diarrhoea. Take your child to the doctor immediately" . GAZA : Everything needs water to stay alive. I ESTAS HONDURAS: SENALES, LEVEL0 M SEGUIDA AL CENTRO DE SAWD. "Signs of dehydration ... if your baby shows two or more of these signs, take him to a health centre immediately". LA REHIDRATACIONORAL CON LITROSOL HONDURAS: Guide to oral rehydration therapy for health workers. * k 14 W- r L - U A-w . . d . l v PROGRAMA DE LUCHA CONTRA LAS DIARREAS COLOMBIA: Promotion of Oral Rehydration Salts for treating dehydration. l I CURANDOLE A TIEMPO LA DIARREA ' VENEZUELA: Signs of dehydration and treatment with Oral Rehydration Salts. It takes away their body water and body salts. Diarrhoea dries out babies' bodies. It can be very serious for your baby THE SIGNS OF WEAKNESS n Sunken eyes Thirst I m -4 . Loss of weight / Mow to treat the weakness Give Oralite to replace lost body water and body salts. ralite as ea starts. .hoes stops. BEECHAM PROPRIETARIES: ' flFjjpfh I , C. l Promotion of "Oralite" in Kenya by a commercial manufacturer of Oral Rehydration Salts. E nsn? UseI SCILVCIDORCI 10 sol w eb salvo a los nliios. Se lreport6 gratls en 10s Centros de Solud. Lo diarreo produce desfiidrotaclon Y La desfiidrotacion produce la muerte 1 Vle?a 2 el contenido de SALVADORA en u n htro o cuatro tazas de agua. PERU: 3 DBle el preparado despuds de cada d ~ a - rrea. 4 S1 el mlno vomlta cuando se le esr6 dando la rnezcle.espere 15 rnlnutos y slGa adrnln l s t r h d o l e SALVADORA S ! al I ~ I Odel tratarnlento el nlrio ttene d~arreasrnhs frecuentes se debe a que est.4 reclblend0 rnAs agua. Revuelva la rnezcla. No le agregue azucar. 5 DBle al niiio leche rnaterna y su alirnento ' [ - habitual seadn horario v cantidadns - - - - - da costurnbre i d e r n b s ~ d i l e ' a g u a sola. h e w da y t ~ b ~ segdn a 10s deseos del n ~ A o 6 NO olvide llevar al nifio al CENTRO DE SA1 !In rnAe ear.-nnn C"." ~ n '" m r m l"' -I dla siguiente;oantes,si notaque empeora. Treatment of dehydration with "Salvadora" Oral Rehydration Salts. l HONDURAS: Treatment of dehydration at home with "Litrosol" Oral Rehydration Salts. INDONESIA : Treatment-of t JORDAN: Series of posters on better infant nutrition. A. 6 weeks to 13 months. C: 15 months to 18 months. ' B. 8 months to 1 1 months. D. One year old. JORDAN : Promotion of personal hygiene. USSR: "Wash fruit and vegetables. Fruit and vegetables may be contaminated with bacteria and parasites which cause diarrhoea." JORDAN: Promotion of careful washing of fruit and vegetables to prevent diarrhoea. CHINA (SHANXI PROVINCE): Promotion of washing of fruit before eating it. 'IRAQ: The dangers of poor food hygiene. " T ~ F number of water taps per 1,000 persons is a better indication of health than the number of hosp~talbedsy' ---~-S-- H I WHO: Promotion of clean, accessible water supplies. -- l JORDAN: "Water which may appear clean is not always safe to drink. 8oil it if you are in doubt." -CHINA (SHANXI PROVINCE): Protect the water supply from contamination. Hollow blocks, adobe or firebricks HORIZCUTALDRUM I ELEVATED DRUM CONTAINER PREPARATION h:' . " I PIT PREPARATION FLOOR PREPARATION Use Sawali or banana leaves to hold cement EVERY HOME BASIC QUALITIES OF A STANDARD TOILET SITE: 1.n s H w L D BE LOCATED AT LEAST 30 METERS CWAV FROM THE SOURCE OF WATER USED FOR 1 ITS LEVEL SHOULD BE MUCH LOWER rnlw rnrr OF r n a SOURCE OF WATER. .LL MEASUREMENTS ARE SUGGESTFDONLV l ' . , FT$c- , . -. ,, " ',*. '2 FT.''~' DRUM OR CULVERT 'I CEMENT BAMBOO PIT LININGS BOWL & VENT INSTALLATION R SIMGLE M U M PHILIPPINES : WUBLEDRUU Series on toilet construction. .a6eq~e6pue sleuJ!ue 'lal!o1 ' p n ay16u!uo!ysod uayM Jaqoue auo pue asnoy ay1 uaanniaq palaadsa~aq 01 samemp Lunw!u!yy :H S S ~ CHINA (SHANXI PROVINCE) : Promotion of environmental sanitation. NEPAL: Promotion of environmental sanitation. ED WATER 'ZAMBIA: Promotion of drinking boiled water in the fight against cholera. USSR: How the boy "Unknowledge" got diarrhoea. He ate unwashed berries, drank unboiled water, and wound up in the hospital. PENYAKIT INDONESIA : Prevention of diarrhoea. INDIA: Teaching cards on the treatment and prevention of diarrhoea (Samples from the set). COLUMBIA : Examples from a presentation for use by health workers in a small group. A tape cassette provides lively narration and music while the health worker turns the pages and emphasizes points. MEXICO: Promotion of the use of "Oralyte" Oral Rehydration Salts at home (16 pages). CUANDO SE M B E COMENZAR LA LACTANCIA MATERNA La forma m& rmtural, en que se alimentan 10s nifioa ss la al~rnentaldn del pecho de la d r e por eeto se de be comenzar a dar de mamar dnl60 inmed~stamente&pu& de nacer. Esto permite : ESTABLECE UN ADECUACC VIPCU L 0 P61COL001CO ENTRE MADRE E HlJO RECOMENWIONES PARA PROTEGER LA S4LW DEL NIRO 1) 5mng l i m M p a l m antes y despu. de demerrsr. 2) Noqetoqus l o a p z a n s r m b s d . d s 5UCIOS. 3) Ismnoe,cca bys y jabdn cads w z que de dP mamer. heae 4) Mantmqa 51 . u b s c ~ t y alirnpias. - Que la leche baje m& ripido. - Dkminucidn de sangrado en L el puerperio - La m a t r ~ zvuelve mu's rdpido a su tamafb normal La mejor manera de producir mucha leche es ~oniendoa r m m ~ al nifio. No le de pachas a menos de que sea absobtamente vtecesetrio y SIlo hsce que sea despuds de que haya mamado. M ienfras mds se le plde al p e cho, m& produce. Asi nunca e le secard la leche SUI EM1 LA I * ALl l 845 Q\ LLA' R ECORDEMOS + Toda rnujer estd apta pare d w &a mmw a su hGo. por lo que debe preparsne pam este terea k d s que m b ernbarezada. * * El "(60 altmcntado a\ de dlarne y mma && reapmtma. o aufre La rradve que dd & nvlnmr debe to mar UM al~menteudnque la a udea m e p r a r la calldad de su leek # La bche &m no cues* rada. no t ~ e n emivobios. siempre esti hsta pars slmentw al n i k . t La k t a n c i a awrcs mds h afcctividsd e d r s msdre y nir7o. Nicaragua. Ubre LAVESE L% MACON PGUA Y JABON ANTES C€ DE M A M A R LlMPlE CUlCAC05AMENTE SUS PECHOS CON F U A F " c S F Z!E'. l;li '~'i'ili reSP'UE 'L'BQ~ ','E;rTE r O u t EL P E W 2 NO LE $40 M 10 A l 5 MINUTOS EN CADA PECHO. NIENDO SU CABE=p, EN EL BRA- FlNALlZO CON UN E C H O C m - ESTO % E M ; HAR%LL CON CAAIFO,MIENTRAS M A M E ARRUYELO. TAN PRONTO EL N 160 W E C E Y LA LECME DEL f - ., CnoDEiA MADRE FLUYE AL :+mn EL NlNO E L PEZON MSPVES SE LE DA DE M A M A R EL OTRO PECHO BEWARE OF CHOLERA PREVENT CHOLERA HLOKOMELA LEFU LA CHOLERA THIBELA LEFU LA CHOLERA Drinking water is t h e main source o f Cholera infection. The germs responsible f o r Cholera are found i n t h e stools o f human beings. Because o f lack o f hygiene these germs get i n t o t h e drinking water. 1 . Use only boiled. clean or treated water. 1. Sebedisa f eela metsi a bedisitsweng. a h l w e kileng kapa a sebeditsweng. A f t e r drinking o r handling this water, t h e p a t i e n t develops a large number of liquid stools. Because of severe fluid loss shock and also death can occur. TO PREVENT CHOLERA: M e t S i a nowang ke sona s e s o s a se s e h o l o sa tshwaetso ya cholera. Dikokwana-hloko t S e j a r a n g cholera di fumanwa m a n t leng a batho. Ka baka la tlhokeho ya bophelo bo hlwekileng dikokwana-hloko tsena d i kena metsing a nowang. Kamora hore a n w e kapa a tshware metsi ana, mokudi o ba le mantle a m e t s i (letshollo). Ka baka la ho lahlehelwa ho hoholo, h w a mekedikedi mmeleng, mokudi a ka t l e l w a ke ho tshoha kapa a shwa. H 0 THIBELA CHOLERA: Eng I S SothO G P b 1980 SOUTH AFRICA : 2. Wash your hands before handling food 2 Hlatswa n i a t soho pele o tshwara dmjo. 3. Wash r a w f o o d w i t h clean or treated water. 3. Hlatswa dijo tme tala ha metmi a hlwekileng kapa a rebeditrweng. 4. Ume a toilet or a proper place far from wells. rivers and streams, and not t h e open field. 4. lthomele n t l w a neng kapa tulong e nngwe e hole le didiba, dinoka le melatswana empa eseng lepalapaleng feela. Prevention of cholera through clean drinking water, better domestic hygiene and improved sanitation. Come 8e prodmce? Came r e reernreet RECUERDE ECUADOR: Treatment and prevention of diarrhoea (8 pages). -l SUDAN: Treatment and prevention of diarrhoea (17 pages). PERU : Treatment and prevention of diarrhoea1 diseases (1 2 pages). POR QUE L A DIARREA ES PELlGROSA) I - Porque con la 'diarrea' el nirio ~ i e r d emucha DESHIDRATACION y puede ocasiomr la MUERTE del niiio. i NO ESPERES! .- puede ser demasiado tarde! L A DIAPQEA? 10s microbios ' Lava bien tus rnanos, rus u b s . \ La llmpleza ss la prlmera ...y tus pezones . anres de dare1 pecho al be&. Ldvate clespds de carnbiarle 5us pdridles. , iCUlDAD0 Ouo este Lava el chupdn wr antra y por Fuers CON EL BIBERON! detensa contra la enfennedad No pennlta qw la dlarrea ponga en pellgro la salud de sus hijos. Ara:,r;rr el - -C bhp & e 'h*' ?S gY( obk dtuutr las p e . p l ~ i . nibs S. w+rman de h a ? sm &ferutTes hr dw en @ vhrn d o s *?.OS 7 2 NICARAGUA: Causes of diafrhoea and how to prevent it (sample pages). Serie de conseils loratiaues Faire passer un message Un programme d'education sanitaire qui se veut efficace a I'echelon national ou local doit utiliser plusieurs faqons pour faire passer son message. Des posters, des marionnettes, des bandes dessinees, de simples tracts et mgme la prestidigitation ne sont que quelques-unes des methodes qui peuvent etre utilisees pour transmettre des messages sanitaires de base. En ce qui concerne la rehydratation-orale, fournir des sachets de sels de rehvdratation ou des cuilleres de mesure sans le mode d'emploi approprie peut faire plus de mal que de bien. Cette page montre trois moyens faciles de parler aux gens de la rbhydratation. PIATA PIATA-Mexico a mis au point une brochure sur les sels de retrydratation orale qui sont utilises dans le Programme Je SantC National. Elle a CtC tesree dans des zones mralcs, surtout p r m i des femmes illett&s. Elle est U& lis&epar le personnel de sant6 auxiliaire pour expbquer aux rntres la facon de prGprircr la solution. quand la donner, c l combien de fois. O n insiste beaucoup sur I'imprtance de conrinuer & allairer I'enfant pendant le trailement. Bandes dessinees Le profeweur C.Y. Chen de In facult& de Mgdecine de l'Univerrit6 de. Mnlairic. ;I; ~ d ; ~ pI'hi\roirs li d'Ahdul er Seri de Jon Rohde p u r e n faire UI illuslr2 local. L ' h ~ \ w i r cmonlre cornmeor dec fr>re\ er ccwrs plus 'igc's er des grand+pnrcnrr pcubelir t o w participer Iorsque de\ memhres pluc jeunec de la famillc doivenr &re soipnCs pour unc diarrhCe. I.'hi,roire a acrrsiCtC adaptCe cn monrapc audio-visuel utilisable en ,.-'2 '-I::----.--=---=--= blalairie. Abdul er Seri. =z sur lee maladies couranres produir par le Programa Promotores de Salud de Des brochures locales Norre dccrin qui monrre la fason de melancer la solurion de rehydraration oralc provienr d'un cours L'ICmenraire 4 - m m TAT.\ OE ~(;l'\ HERVD I.I rB Huehuelcnanpo. Guaremala. prime conrient aus*i dcc conceilsL'impraliquec sur lee infcctionc respiraroires rf pasrriques et un d o 4 e r qui serr it enrcgiqrrcr I'Crat de w n r i d " patient, I,--I~~RAD~ C R ~ S D E Y4S 1.A CAMIDAD DE %%l. QLW SE PLZDE IE V 4 M A R EN J DEDOS. DE AILCAR. \UP W DesGn de IPbrochure du PlATA qui transniet de bqon comprehensible le mrsage de In &hydratation orde. Un exemplaire de la brochure est donnC aux rncres ainsi qu'un paquet de sels ds rShydralnfion orale er elle sert de rappel aux inetrucrions verbales donnie. version de parla ahrochure g e n t saniraire. de la meme une taille que les paquets de sels de rChydraratiun oralr est maintenant d i s ~ o nihle. Si vous sot~hai~ezobrenir davant a w J, renseicnemenrs sur ie dcsiin. lee ecsnir ou Iqadapl:~tion de ce materiel, veudlez conracrer PlATA (Pro- 6 Dlarrhbe-Dlalogue numero 3 novembre 1981 Publ~cat~on lrlrneslr~ellepar AHRTAG. B5 Maylebone Hlgh Street. London WIM ?OE DIARRHOEA DIALOGUE (SENEGAL): Different ways of promoting health education messages (Sample page). BHUTAN: Examples from a locally produced slide set on treatment and prevention of diarrhoea. Examples from a slide set on clinical management of diarrhoea. Other sources of information on health education materials: Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG) 85, Marylebone High Street, London WIM 3DE. United Kingdom. British Life Assurance Trust (BLAT) Centre for Health and Medical Education BMA House, Tavistock Square, London WC 1H 9JP, United Kingdom. British Council Media Group, 10 Spring Gardens, London S W l A 2 BN, United Kingdom. Development Education Officer UNICEF Office for Europe Palais des Nat~ons 12 1 1 Geneva l 0 Switzerland Teaching Aids at Low Cost (TALC) Tropical Chdd Health Un~t, Institute of Ch~ldHealth, 30 Guilford Street, London WC 1 N 1 EH, United Kingdom. Bureau d'Etudes et de Recherches pour la Promotion de la Santb BP 1977, Kangu-Mayombe, Zaire. Hesperian Foundation Box 1692, Palo Alto, Ca 94302, U.S.A. PlACT de Mexico Shakespeare no. 27, Mexico 5, DF, Mexico Voluntary Health Association of India (VHAI) C1 4 Commun~tyCentre, Safdarjung Development Area, New Delhi 1 10 0 1 6, India. For further information or additional copies contact: Diarrhoea1 Diseases Control Programme Programme Manager World Health Organization Ch - 121 1 Geneva 27 Organisat~onmondlale de la Sant6 Bureau regional de I'Afrique Boite postale 6 Brazzaville Congo World Heakh Organization Regional Office for the Americas Pan American Sanitary Bureau 525, 23rd Street, N.W. Washington, D.C. 2 0 0 3 7 Unrted States of America World Health Organization Regional Office for the Eastern Mediterranean P.O. Box 15 1 7 Aexandrla Egypt World Health Organization Regional Office for Europe 8, Scherfigsvej DK - 2 1 0 0 Copenhagen 0 World Health Organization Regional Office for South-East Asia World Health House lndraprastha Estate Mahatma Gandhi Road New Delhl - 1 1 0 0 0 2 India World Health Organization Regional Office for the Western Pacific P.O. Box 2932 1 2 1 15 Man~la Philippines