community health volunteer's handbook stitch in time saves a net community health...

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Community Health Volunteer's

Handbook Developed for

by

USAIDFROM THE AMERICAN PEOPLE

SA ET TS A GD EE NTI C

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, EPEAC &H PIT RAF O& GY RT ESI SNU

Towards amalaria freecommunity

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Table of Contents

Page No.

Title Page Table of Contents 2 Introduction 3 - 4 Overview of Community mobilization 5 Strategies for community mobilization 6 Basic Interpersonal Communication skills 7 - 9 Dos and Don’ts for the CHVs 10 Basic information on Malaria 11 - 12 Prevention of Malaria 13 Key messages 14 Care and repair of nets 15 The Kokona net care and repair campaign 16 - 21 Netcare BCC campaign tools and materials 22 - 24 Project indicators 25 Annexes Annexe 1 26 - 31 Annexe 2 32 - 33 Annexe 3 34

3

Introduction The community health volunteer refers to an individual who lends his/her hands to support community based health initiatives on a volunteer basis. The most critical role played by the CHV is to promote net care and repair knowledge and skills among the community. Role of Community Health Volunteers The Community Health Volunteer will carry out the following tasks as required by these terms of reference:

The CHV will serve as a link between the community members

and NetWorks/CCPN, therefore the CHV will be the most

important source of information from the community

The CHV will focus on promoting messages on bednet care

and repair

The CHV will conduct at least two (2) Community Dialogues in

their assigned settlement

The CHV will conduct at least one (1) Road Show in their

assigned settlement

The CHV will conduct at least one (1) Market storm in one

major market in their assigned settlement

The CHV will be responsible for the distribution and effective

use of the campaign’s messages and BCC materials to the

target audience and sites

The CHV will be responsible for the distribution of all of the

campaign’s messages and BCC materials to the target sites

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(Health Facilities, Homes of Community Leaders and

Ambassadors)

Will communicate with community leaders to request their

support and advocacy for the campaign

The CHV will liaise with community drama group and facilitate

at least one drama performance in each settlement

The CHV will look for opportunities in community events to

spread care and repair messages

The CHV will initiate discussions when they hear radio spots

and jingles and will use these materials in their daily work and

events

The CHV will submit a bi-weekly report to the Campaign

Coordinator

The CHV will have a monthly meeting with the Campaign

Coordinator

The CHV will have two meetings with the Project Manager

through the life of the project

The CHV will collect at least one success story every month the

from the community people who have adopted the care and

repair behaviour

The CHV will report any challenge and or Success stories

immediately to the Campaign Coordinator for appropriate action

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OVERVIEW OF COMMUNITY MOBILIZATION What is Community Mobilization? Community Mobilization is the deliberate process through which action is stimulated by a community itself or by others such as, health workers or policy makers that is planned, carried out and evaluated by a community’s individuals, groups and organizations on a participatory and sustained basis to improve health or broadly, to achieve community development goals When community mobilization is well planned and effectively carried out several benefits accrue.

The people are moved for action Goals and objectives are actualized Production of good services and security increases People become more aware, alert and more skilled Negative habits, attitudes are dropped for positive ones People are able to undertake self help projects which will ultimately

promote development There is improved communication between community workers and

community members Programs are made relevant to local situation There is strong community motivation and support Programs emphasis is on community rather than individuals Generates empowerment, self-help and self-reliance Creates ownership and involvement through shared decision making

and communal action It ensures a sense of belonging, ownership and sustainability Stimulates institutionalisation of indigenous groups, of formal and

informal community structures Capacity building is enhanced It gives room for conflict resolution before implementation of projects It enhances mobilization and management of resources Felt needs are identified It brings about popular participation Communities are healthier and happier

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Strategies for Community Mobilization There are various strategies that can be employed in mobilizing Communities

Advocacy (as an entry for successful mobilization), Community dialogues Road shows/walk a thons Market storms Celebration of special events Media engagement, Use of simple, user friendly, BCC materials

CM sometimes requires soliciting the support of organised groups and professionals like health workers, associations etc

Approaches: Visits to stakeholders, use of media (print and electronic), use of (BCC) materials example posters, stickers, leaflets, film shows etc. The rest include; use of festivals and august meetings, demonstrations, community rallies, talk/lectures, training workshops and organising competitions (sports, debates etc) others are the use of drama, songs, durbars, photo contests, child-to-child, community outreach, peer education, use of community/opinion leaders, community dialogue, etc. Challenges and Barriers in Community Mobilization might come up. Should you come across such challenges and barriers while conducting your community work, please contact the campaign coordinator as soon as possible to discuss how to best overcome the situation.

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BASIC INTERPERSONAL COMMUNICATION SKILLS Listening Skills Listening is the most important skill for communication and community mobilization. Active Listening enables one to really understand what another person is saying. They include new ways of responding so that the other person feels his problems and feeling have been understood.

Attending skills allows you to give physical attention to another person. It is like listening with your body. Attending skills includes a posture of involvement, appropriate body motion, eye contact and no distracting environment (do your best to minimize distractions). They are silent. An important aspect of listening is not to interrupt. Following skills allow you to invite the other person to talk. You do it by saying words like “please go on” or you provide minimal encourages such as “nodding of the head”. Other words are:

Tell me more What else? Oh? Yes? Go on I see Right

Notice that these are statements that encourage the other person to keep talking so you can keep listening! Listening skills can be summarized with acronym ROLES; R – RELAX – This makes the community at ease and encourages them to discuss issues freely. Make the atmosphere light and relaxed O – OPEN MIND – do not be biased and do not judge your audience L – LEAN FORWARD when listening to comments or feedback. Do not maintain a laid back posture E – EYE CONTACT – maintain eye contact with your audience S – Summarize the discussion and elicit feedback

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A CHV is the facilitator for discussions and events at community level. For a successful interaction he should;

Establish a friendly atmosphere Handle questions with respect Don’t be distracted or dragged into needless arguments Be truthful. When you can’t answer a question, say so. Not harass participants who fail questions Not use unauthorized names for participants Not use jargons or acronyms; use words that they are FAMILIAR

with Not turn his/her back on participants while teaching Encourage active participation and tell them every one’s

contribution is very important for learning

At the end of every interaction with community members it is important for the CHV to summarize the presentation.

This helps to emphasize points. Use them regularly You may ask for a volunteer to wrap up the session or meeting Always seek to know whether participants’ expectations were met Quickly assess their level of understanding Don’t go above stipulated time and when you do always apologize

for it Ask volunteers to make attempt at outlining the way forward. Make notes of observations as you go along

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Key steps in facilitating a community meeting; Starting up:

Get your materials ready at least 10 minutes before time Read through them and master them. Welcome participants warmly and ensure good seating

arrangement Appoint a participant or call for a volunteer to offer an opening

prayer Introduce yourself (give a short easy name for participants to use) Ask for general introduction (give format for introduction – names,

address, vocation, expectations from the workshop, workshop name -preferably a short easy-to call name)

Introducing the meeting/dialogue: The Introduction may be done in different styles such as involving Humour, questions, and Shocking statement, Quotation etc. Ensuring participation:

Participants to make ground rules – each should suggest, all ratify before writing on a flip chart

Appoint a provost for the workshop Maintain eye contact (don’t stare) Ask questions and indicate the area you expect answers from. Request for questions don’t allow a questioner to be booed

instead commend questioner. Remain silent while participants read a slide or quote Ask for a show of hands Always stop side meetings and side talks Study to identify when participants need break and use one of the

provided break activities

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Dos and Don’ts for the CHVs: Establish a friendly atmosphere Express yourself. Use some gesture Handle questions with respect Always see what is right in every comment or question Don’t be distracted or dragged into needless arguments Be truthful. When you can’t answer a question, say so. Don’t harass participants who fail questions Don’t use unauthorized names for participants Don’t use jargons or acronyms Don’t back participants while teaching

Wrapping Up:

Summaries help to emphasize points. Use them regularly You may ask for a volunteer to wrap up the session or meeting Always seek to know whether participants’ expectations were met Don’t go above stipulated time and when you do always apologize

for it Make attempt at outlining the way forward.

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BASIC INFORMATION ON MALARIA

Introduction to Malaria

Malaria is a disease caused by little germs in the body called “plasmodium”

The germs are too small to be seen with the naked eye. When they are inside the body they can make you sick. Symptoms of malaria are:

Fever, Body aches, Headache, Sometimes vomiting and abdominal pain.

Malaria is common in Nigeria and most fevers (hot body) in under five children can rightly be called and treated as malaria. The germ causing malaria is transmitted by the bite of an infected

female mosquito of the type called “anopheles” When the germs enter the body they feed on blood cells, multiply

inside them and eventually destroy them.

Rumors and incorrect information abound about malaria.

As a CHV, you are a respected source of information in your community. Therefore, you need to provide correct information about malaria. Here are some key facts about malaria and why it should be taken seriously:

Malaria can be deadly and needs to be taken seriously. Everyone is at risk of getting malaria Pregnant women and children under five years of age are more

vulnerable

It is the main reason why most people go to hospital (more than 6 out of 10)

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Out of 4 deaths of young children, malaria is the cause of one. Out of the death of 10 women during childbearing, malaria is responsible for one.

Malaria causes poverty and reduces the money families use to raise their children because one must pay for treatment.

Children who become sick with Malaria do not to go to school regularly and thereby may be less educated and miss important lessons or fall behind

Adults must miss work if they or their child become sick with malaria

NOTE: Malaria is a serious illness and should no longer be called “ordinary malaria”

TREATMENT OF MALARIA.

Malaria can be prevented. It can also be treated. CHVs, should inform community members to go to the health facility if they think they or their family is sick with malaria.

Usually caregivers notice malaria in their children within a few hours after onset.

Caregivers MUST begin treatment IMMEDIATELY she/he notices the symptoms of the illness.

It is important for caregivers to be able to get these medicines immediately they need them.

The treatment of malaria must be completed even when the illness seems to have gone.

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PREVENTION OF MALARIA

The good news is that malaria can be prevented:

We can prevent malaria by:

Preventing contact with mosquitoes Sleeping inside Long Lasting Insecticidal Nets (LLINs) [LLINs are

nets that are treated with insecticide in a special way that the insecticide remains potent for 4-5 years]

Many other methods, such as keeping the environment clear of the breeding sites of mosquitoes, accepting indoor residual spraying in our houses.

This project will focus on LLINs for malaria prevention

How long to LLINs last and why does it matter?

LLINs can protect them for 4-5 years. CHVs will now be responsible for promoting the care and repair of LLINs in the community to make sure that these nets last as long as possible.

For what purpose should we care for and repair LLINs? So that they may last longer and give users the maximum benefit!

LLINs are one of our most IMPORTANT tools to prevent malaria.

Tell: Neighbours and friends, that If they care for and repair their LLINs, they will last long and protect them from malaria for up to 4 years DID YOU KNOW? That Long Lasting Insecticidal Nets do NOT need re-treatment with insecticide or any chemical. This is because the insecticide on the nets is long-lasting, and can withstand about 18 – 20 washes in its life. Also the insecticide can last for between 3 and 5 years. Therefore, no re-treatment is needed at all! However, it is very important not to wash nets too frequently: they should be washed only once in 3 months and with mild soap. However, if families do not take care of their nets, they will not last long.

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Key messages: Caring for and repairing your LLIN will:

Protect you from mosquitoes for up to 4 years Make the LLIN last long and protect you from malaria (for up to 4

years) Will save you costs for treating malaria Will save you costs for buying a new net Will prevent cases of malaria in your household Will prevent your children getting malaria and missing school Keep your net looking good and tidy and so will your home Make you feel confident that your sleep will be free of mosquito bites Give you peace of mind that your family is protected from the

mosquitoes that spread malaria Other important messages Malaria is serious and it kills Nets are fragile; handle them with care. They will last and protect you

from malaria Caring for your net, guarantees you protection from malaria LLINs do not need to be retreated, and washing them according to the

indications does not render the insecticide ineffective A net is very valuable because of the protection and peace of mind that

it offers. Value your net accordingly, even though it was received at no cost. By giving nets to families, the state invested many funds to ensure families are protected from malaria by giving you nets.

It is easy to repair your torn nets…by stitching, patching and tying Repairing your torn nets is not time consuming nor difficult

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CARE AND REPAIR OF NETS Net care Some household behaviours that can prevent damages to the fabric of the LLIN. Hanging carefully Handling carefully Storing when not in use Keeping away from sources of damage amongst others.

Net repair Damages to LLIN are often easy due to several household activities. It is important that when these damages occur members of the households should be able to repair them Some of the ways to repair nets:

Closing holes by sewing Tying holes into knots Tying with string or elastic bands Placing a patch over a hole

Reasons for promoting care and repair of LLIN: Caring for and repairing your LLIN will:

Protect you from mosquitoes for up to 4 years Make the LLIN last long and protect you from malaria (for up to 4

years) Will save you costs for treating malaria Will save you costs for buying a new net Will prevent cases of malaria in your household Will prevent your children getting malaria and missing school Keep your net looking good and tidy and so will your home Make you feel confident that your sleep will be free of mosquito bites Give you peace of mind that your family is protected from the

mosquitoes that spread malaria

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THE KOKONA NET CARE AND REPAIR CAMPAIGN Introduction to net care and repair campaign. Community activities form a very important element of the communication strategy for a net care campaign. Key community events in net care campaign; Market Storms Market Storms are high profile events organised in a market place that allow for visual and IPC messages to be shared with the community. The events are designed to attract attention and engage the audience in an entertaining way. CHVs will address the audience and answer questions they might have. Road Shows Road Shows are mobile (moving from place to place), high profile events that allow for visual, audio and IPC messages to be shared with the community. The events are designed to attract attention and engage the audience in an entertaining way. Community leaders and honorary guests can be present to give endorsements/support. The CHV is the moderator for the road show. During the show: there should be

Information provision and feedback, Music, Drama and Comedy/humor

These activities should raise the campaign profile and visibility such that everyone in the community talks about it. How to organize a rally or road show. Step 1: Contact individuals and groups Contact every person or group that is affiliated with your cause. You want to spread the word and enlist all the help you can. If your rally could be

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affiliated with an area group, contact their office and let them know your plans — they may offer to help organize. Step 2: Hold a planning meeting Invite everyone to a planning meeting. Brainstorm how to Make your rally focused and successful. The organizing meeting should be inspiring and organized. Find volunteers to spearhead tasks like cleanup, posters, media, crowd control, speakers, flyers, and anything else that needs to happen. Step 3: Choose the best location and date During the organizing meeting decide on an appropriate location. You want a place that is very visible and speaks to your cause. Make sure there aren’t similar rallies to yours or other major events happening around the same time. You don’t want a small, diluted turnout. Step 4: Logistics Take care of logistics as soon as you can, such as directions, sound systems, food and water, shade tents, etc. Step 5: Get a permit Some rallies will require a permit. You will need to comply with rules so as to be within security and safety limits. Step 6: identify spokesperson (s) Contact who needs to speak at the public event. Health workers, community leaders etc. Confirm your speakers the day before the rally — and put the best person last. Step 7: Go along with your BCC materials or support troupe remember the best way to use the BCC materials. Use them to elicit or evoke discussions. Take note of critical points being made by the audience Step 8: invite the local media This could be the town announcer/LG information official or social mobilization personnel and give him/her 2 or 3 highlights you would want shared widely.

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Step 9: Spread the word Contact everyone you know to come to the rally. Even those people whom you don't think will be interested at first. This helps spread the action to more people by word of mouth--by far the most effective recruitment tool. Then ask them to contact everyone they know. Step 10: Hold your rally/event If you’ve followed the steps above, you should be well prepared for a successful event. Check out the rally logistics list to help you stay organized the day of the rally. Step 11: Report back As soon as your rally is over, be sure to select your best photo and video footage and send them out to the groups you’ve been working with or share with the community to evaluate the success or other wise of the rally. Community Dialogue Community Dialogues are events with a relatively smaller and more organised audience that allow for in-depth IPC messages to be shared with the community. Organizing and Conducting Community Dialogue Inform: that the paramount ruler if present can preside as the chairman at the forum. The main activities should include:

Introduction and acknowledgement of dignitaries present The purpose of the gathering The topic of discussion, including what the issues are, what is being

done about the issues, progress being made, expectations of community members, roles and responsibilities of various groups, next steps, etc.

Open Forum, where leaders of the various groups represented are given opportunity to seek clarification on issues

o Comment on new areas of the program-expressing their fears and anxieties and

o Suggest ways by which communities could contribute to implementing the new program.

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The paramount ruler should be given the opportunity to air the views of the traditional authority on the implementation of program

Setting up of a committee/task force to work with officials and local members in implementing the said projects

Efforts should be made to document all decisions and discussions Community members are thanked for their efforts and participation

Home visits The primary purposes of the house visits will be to: To answer questions on a one-to-one basis that may be too detailed for

discussion at the community level.

To provide one-on-one trouble shooting with care and repair behaviors

To capture community members who may have been missed by the Road Shows, Market Storms, and Community Dialogues

Audience The intended audience is people living in selected settlements of the wards, primarily adult users of LLINs, and especially household members who are the “primary caretakers of nets” The house visits will take place in each of our target settlements. The 2 CHVs from each will probably divide the houses in the settlement between them to ensure coverage of the entire settlement. The following strategies can be used to reinforce any of the above events: Songs and dances These approaches can also be used effectively in community sessions. They may help to bridge language barriers and incorporate very traditional methods of passing information. They require special expertise to utilize effectively

Story telling When using storytelling, participants are presented with a scenario using some of the Campaign Materials and asked to say what they see in the picture and tell what they think is happening.

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Group discussion Group discussion is an active learning process that involves the use of questions and answers.

Role play Role-play is a training approach in which participants act out problems or situations. It can be a powerful and exciting way to help participants become aware of the feelings of others and see a situation through the eyes of others. The NETCARE campaign community drama This offers an opportunity to use a combination of entertainment and education to pass the messages across on net care and repair. CHVs must take advantage of the humor and relaxed atmosphere to ask for feedback from the audience to be sure the messages are well understood. Demonstration - Torn net repairs One of the creative ideas during the campaign is to announce during community dialogue that one of the meetings will be a practical session and the CHV will demonstrate how to repair a torn net by stitching, knotting and patching. Demonstration - Net washing The CHV can demonstrate how to wash a dirty net. This session must be attended by health workers, leaders, campaign senior officials and as much as possible, the media. During all community events, the messages and benefits MUST be reinforced and emphasized. Key materials and indeed messages for community events may include;

a. Your net is your shield or defence against malaria. A broken shield does not protect

b. Nets are fragile, care for them like you would your new born baby

c. Mosquitoes are armed robbers, robbing you of your health, and protection from malaria so repair your torn nets

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d. When you care for and repair your nets they last long and protect you and your family from mosquitoes that spread malaria

Others Make adequate reference to the campaign radio jingles /spots,

programmes and talks at the health facilities. Show/display the print materials. Take advantage of the photos that are on the print materials to help

explain the concepts.

Care and repair campaign army

CHV at the end of each session should ask for new ‘recruits’ into the care and repair campaign army.

Appreciate them publicly as they are the people who will now commit to taking care of the nets in their homes and to encourage their friends, relatives and neighbours to do so too.

The goal of the CHV is to convince everyone attending the community events to take immediate action as soon as they get home: To inspect their LLINs to see if there are any holes and close them up immediately

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NETCARE BCC CAMPAIGN TOOLS AND MATERIALS It is important that CHVs understand the NetCaRe BCC materials and their content as well as demonstrate the use of these BCC tools and materials in community events. Visual aids are teaching materials that assist people to learn better. There are various types of visual aids that CHVs can use in their work. These include ;

Posters Flip charts Pamphlets Newsletter Models and samples Videos Cue cards /job aids

The selection of Visual aids is critical to presenting malaria information at the community level. The materials to be used in the project have been pretested with the audience to ensure cultural appropriateness and comprehension. Use of visual aids People understand more from what they see than what they hear. So, the need to use visual aids becomes imperative if our community mobilization efforts are to achieve the desired goals.

The following tips on use of visual aids are important: Display the materials whenever it will help to clarify, explain, or highlight

an important point. Put materials out of sight when not being used to avoid distractions. Speak to the audience, not to the material. Use material to as a reminder of the important points Participants need time to internalize the information presented on the

materials If visibility is a problem, take the materials closer to the audience. This

also allows the worker to mingle with the audience. Organize materials so that they can be located easily. Store them

properly. Keep an inventory or stock of how you have used the materials

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Invite participants to touch and hold selected visual aids, especially where there are samples

When presenting information bear the following points in mind:

Avoid information overload Select just a few main points and discussion questions to present. Keep information clear and simple. Use words everyone understands. “A picture is worth a thousand words”; use visual materials whenever

possible. Repeat important points and summarize them again at the end of the

session. Take time to explain an important point. Watch for non verbal signs of confusion or boredom and provide an

appropriate intervention. For example, you can ask a person who appears confused to share a question they might have. You can try to engage the person who appears bored into the discussion by asking them questions or asking them to share an experience from their own life.

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The following types of campaign materials will be used in the NetCaRe campaign Posters Poster 1 – PO1- Repair poster Poster 2- PO2- Wash Poster Poster 3 – PO3- Care Poster Poster 4- PO4 – Responsible Man Poster Poster 5- PO5 – New born baby Care Poster Radio Radio spot 1 –RS1- Leader Testimonial Radio spot 2- RS 2a – Armed Robber Radio spot 2 – RS2b- Armed Robber (extended version) Radio spot 3 – RS3- Nets on Strike Radio spot 4- RS4 – Nets like a baby Radio spot 5 – RS5 – Care*** Logo Logo - Blue and orange (with net image) Leaftlet LO1- Frequently asked questions on net care and repair

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PROJECT INDICATORS The project will be monitored and evaluated. Accordingly, CHVs must understand some of these questions that will be asked and indicators that will be measured. Some of the key questions to be asked in monitoring the project:

How are things going? How well are we progressing along a path or paths that we predicted

or expected the program implementation to follow? Basically, monitoring also asks – are we on track with our

expectations and plans? Any of the following can be evaluated under the project.

Level of impact Behaviour change Health seeking behaviour Progress made Use of resources Use of health facilities etc.

Indicators linked to community volunteers’ actions.

Number of People caring for their nets Number of people that have repaired their nets Number of community health volunteers trained Number of People that attended community dialogue session, road

show or market storm. How many community leaders attended? Number of community leaders approached by CHVs for their support,

and how many pledged their support. Number of print materials distributed Number of health facilities approached by CHVs for their support

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Annex 1 Description of Community Activities

Community activities form a very important element of the communication strategy for this campaign. What follows is the concept brief for the 4 different types of community activities that will take place.

Road Shows Concept and Purpose

There will be 1 Road Show in each of the 11 wards, for a total of 11 Road Shows over the campaign. Road Shows are high profile events that allow for visual, audio and IPC messages to be shared with the community. The events are designed to attract attention and engage the audience in an entertaining way. The road shows will consist of a vehicle that will move around the settlement over the course of 1 day. Community leaders and honorary guests can be present to give endorsements. The vehicle can make a stop near the home or office of a community leader and make public contact with them. This will require advance preparation and ensuring that the leader agrees to be involved.

Intended Audience

The intended audience is people living in our selected settlements of that ward, primarily adult users of LLINs. Community leaders are a secondary audience, as we hope this high profile event will garner their support.

Location where it will be held

The Road Shows will take place in one of our target settlements of each ward. CHVs will have to agree on which of their settlements will host the Road Show. They may choose the location that is most convenient to the other selected settlements in that ward. The CHVs will plan a route for the vehicle in advance to be sure that it stops at the most appropriate locations within the settlement

Materials required for BCC and monitoring

Discussion guide

FAQ leaflet

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Radio spot audio files

Equipment to play the audio spots

Megaphone (?)

Colorful banner/posters

Demonstration nets, sewing and patching materials

CHV process documentation log

Who will plan and organize?

The CHVs from settlements in the same ward will work together to plan and organize all logistics. There are 1-3 selected settlements per ward, therefore, there will be between 2-6 CHVs supporting each Road Show. Support from CBO/NGOs in the community/area

Who will facilitate?

The CHVs from all settlements that belong to that ward will share facilitation duties among them. Each one will have a role assigned.

Who will record process data and document the activity?

The CHVs will record data in their logs on: # of people invited # of attendees One of the campaign supervisors (Aboki/Alfred) will also attend to ensure quality delivery of messages, record process data in their logs and to support the CHVs should any issues arise.

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Market Storms This is directed at markets and special events venues. Concept and Purpose

There will be 1 Market Storm in each of the 11 wards, for a total of 11 Market Storms over the campaign. Market Storms are high profile events that allow for visual and IPC messages to be shared with the community. The events are designed to attract attention and engage the audience in an entertaining way.

Intended Audience

The intended audience is people living in our selected settlements of that ward, primarily adult users of LLINs. We expect this activity will mostly capture the household members who typically attend the market. It is important to choose a market that is attended mostly by people in our selected settlements.


The Market Storms will take place in the market of one of our target settlements of each ward. CHVs will have to agree on which of their settlements will host the Market Storm. They may choose the location that is most convenient to the other selected settlements in that ward. If possible, it will be preferred to hold the Market Storm in a different settlement than the Road Show.


Discussion guide

FAQ leaflet

Megaphone



CHV process documentation log (need to create this!)

Others?


The CHVs from settlements in the same ward will work together to plan and organize all logistics. There are 1-3 selected settlements per ward, therefore, there will be between 2-6 CHVs supporting each Market Storm.

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Support from CBOs/FBOs volunteers? They will receive support from Campaign Coordinator/Manager




The CHVs will record data in their logs on: # of people invited # of attendees # of persons directly engaged in IPC One of the campaign supervisors (Aboki/Alfred) will also attend to ensure quality delivery of messages, record process data in their logs and to support the CHVs should any issues arise.

Community Dialogues Will include the drama show and the come sew your nets part Concept and Purpose

There will be 2 Community Dialogues per settlement for a total of 40 Community Dialogues over the campaign. Community Dialogues are relatively smaller events that allow for in-depth IPC messages to be shared with the community. The events are designed to address FAQ and How Tos, especially as concerns washing. At one of the Community Dialogues, the drama troupe will perform

Intended Audience

The intended audience is people living in our selected settlements of that ward, primarily adult users of LLINs.


In each settlement, the Community Dialogues can take place in a location where roughly 100 people can be accommodated.

Materials required for BCC and

Discussion guide (one for each of the 2 Community Dialogues)

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monitoring FAQ leaflet




Drama troupe (for one Community Dialogue)

Others?


The 2 CHVs from each settlement will work together to plan and organize all logistics. YOU will receive support from the campaign coordinator and manager Support from CBOs/FBOs volunteers?




The CHVs will record data in their logs on: # of people invited # of attendees One of the campaign supervisors (Aboki/Alfred) will also attend to ensure quality delivery of messages, record process data in their logs and to support the CHVs should any issues arise.

House Visits Concept and Purpose

The primary purposes of the house visits will be to: To answer questions on a one-to-one basis that may be

too detailed for discussion at the community level.

To provide one-on-one trouble shooting with care and repair behaviors

To capture community members who may have been

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missed by the Road Shows, Market Storms, and Community Dialogues

Intended Audience

The intended audience is people living in our selected settlements of that ward, primarily adult users of LLINs, and especially household members who are the “primary caretakers of nets” We also hope to reach people who may have been missed by the other community events.


The house visits will take place in each of our target settlements. The 2 CHVs from each will probably divide the houses in the settlement between them to ensure coverage of the entire settlement.


Discussion guide

FAQ leaflet


Others


The CHVs from settlements in the same ward will work together to plan and organize all logistics of the home visits. Each CHV will make visits on their own They will receive support from Alfred, Aboki.


The CHVs will work on their own to do the house visits, so each CHV will facilitate during this activity.


The CHVs will record data in their logs on: # of houses approached # of people reached with IPC messages

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Annex 2

GENERAL Discussion Guide

Introduction of the facilitator and the organization Greetings. I am (state CHV name) and I live in (state CHV settlement) . I am talking here today on behalf of NetWorks and the Nasarawa State Government, but most importantly, as a member of our community. The topic of what I would like to share with you is how to maintain your mosquito nets to make them last long. We are meeting because this is an important topic that will affect your money, your health, your family and your peace of mind. Brief Overveiw Of Malaria And LLIN Malaria is a dangerous disease in Africa and Nigeria. It is known to be the cause of many deaths especially among children under five and pregnant women. It should be prevented at all cost within our communities. The most effective way of preventing it is the use of LLINs correctly and consistently. Every member of the household should always sleep inside the nets every night. The Federal and State Government has provided mosquito nets to us to help us prevent the spreading of malaria by mosquito bites.

Why We Should Take Care And Repair Our Nets Since we all know that LLINs help prevent malaria in our communities, we should all make sure that we care for and repair our nets when they are torn. These will help us make sure that mosquitoes are always kept away from our homes and we can live a very healthy and malaria free lives. If you care for and repair your nets, they will last long and save you costs for treating malaria. They will protect you from the mosquito that spreads malaria, and will make you feel confident that your sleep will be free of mosquito bites.

How Do We Care For Our Nets

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To make our nets last long, we should wash with mild soap when they are dirty – not more than once in three months. It is also important that we spread our nets under a shade whenever we wash them. We can also take care of our nets when we do the following:

Roll up and folding our nets when not in use to protect it from being damaged by children

Tucking in the edges gently when we want to sleep inside the net and making sure it is not tucked in too tightly to prevent tear.

Avoid soiling it with food When you want to wash your net, do so very gently and with mild

soap, and not more than once in 3 months. Do not dry it on rough surfaces or in the sun.

How Do We Repair Our Nets

It is possible for nets to tear or have holes in them. However, it is important for us to repair them. We can do this by stitching, patching and tying it and by following these instructions:

Using thread and needle to stitch the holes Taking it to the tailors to help you mend it Tying up the holes on the net.

Demonstration

A clean net that is properly hanged A net with small holes (this would be an excellent opportunity to

demonstrate the act of sewing or patching, and a volunteer from the audience can practice).

A net with many big holes damaged and without hope (a word of caution: this will require caution not to indicate to the audience when we believe that a net must be replaced. Net replacement will not be addressed in this campaign. Therefore showing this very torn net can be done if we use it to show what will happen if you don’t maintain your nets.

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Annex 3 WARDS AND COMMUNITIES UNDER THE KOKONA NET CARE AND REPAIR PROJECT Ward Settlement

AGWADA GENTA

AMBA Kandere Mada

BASSA ANGWAN JOS ANGWAN AJEGANA ANGWAN YUSUF

DARI WADATA

AMAHA

GARAKU Angwan Takwa Angwan Gimba

HADARI

BAZARIYE JANJALLA R/ TANKO

KOFAR GWARI DOKA DAYI

KOKONA Angwan Kade Angwan Pah

KOYA EGBE

NINKORO ANG. FADE

YELWA

Angwan Afo Aforami Angwan Anduwa

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