Bishop (Head Pastor) Titus with Dr. Otis and Mickey Stanley. Below, Agnes shares information presented to Community Health Workers in our community.
On Monday the students continued with practicals
we want them to know well the keyboard and parts of the window. And then we
filled the assessment test you requested us to do it was fun. The same Monday
Otis and Mickey came to visit us. On Tuesday we had a meeting with Frank as the
students watched a video tutorial on the basics of word while Mickey and Otis
went to Ebulechia. On Wednesday we continued to have a meeting but this time Frank,
Imelda, Judith and I on what we do exactly in the field. We deal with the
sponsored children, guardians, staff, students, front runners and the community
as a whole. In other words Frank has the whole report as to what is done. On
Thursday we attended a seminar which was hosted by Mickey and Otis and it was
as follows:
COMMUNITY HEALTH WORKER
PURPOSE,
GOAL AND OBJECTIVE
What
is the duty of a community health worker?
Ø To provide basic health services to the community or Village
health worker(VHW)
Ø Educate and advice the community and individuals or training
Ø Should know the basic first aid and give people medication i.e.
Provide first aid and emergency
Ø Demonstrating a healthy diet
Ø Providing guidance and cancelling
Ø Demonstrating personal hygiene
Ø Help access of water
How does the Community Health Worker support the
community and the individual?
1.
Serves
as an observer of community and the individual on matters relating to health
and advice to improve it.
2.
Serves
as an advocate in seeking health services and projects
3.
Is
the primary interface of health system
4.
Provide
potential conduct for house hold and community leaders to help them solve their
problems like Safe water, Nutrition and Sanitation
GUIDING PRINNCIPALS
1.
Make
clean water available to all (protected from contamination and bacteria and
should be chlorinated if contaminated
2.
Ensure
access to healthy and safe foods i.e. Fruits should be washed before eating and
the food should come from inspected places
3.
Provide
education for safe disposal of human waste i.e. water should be protected from
animals and human waste. Latrines should be protected from insects and vermin
to prevent cross contamination of food and water.
4.
Give
mothers and babies good nutrition and care i.e. children to receive vaccines
5.
Provide
access to healthcare for the sick and old
6.
Encourage
healthy behavior to the young i.e. taught on the importance of hygiene and
against smoking
7.
Encourage
abstinence and loyalty to avoid AIDS. Use of condoms to prevent spread of ads
and the only way to abstain is to be faithful
8.
Protect
people from disease carrying disease carrying pests i.e. dwellings should be
made insect proof like garbage which can serve as harborage for disease carrying rodents and other pests
should be buried
9.
Work
for a safe environment free of harmful agents
like minimizing sources for air pollution like engine exhaust will
reduce asthma
New
Mother, Early Childhood, Late Childhood Adolescent, Adult and Elderly
COHORT
1:
Pregnancy,
Delivery and New Born
1.
Importance
for all pregnant mothers and their household to have a birth plan and to
organize resources for getting skilled assistance like during delivery they
should be under the care of midwife, nurse or the doctor.
2.
The
couple should plan who will take care of the children the mother has given
birth
3.
They
should receive confidential counseling Test for HIV. If positive precautions
taken to prevent baby form getting infection like when breast feeding no for
aids but there is prevention
4.
The
pregnant mothers to be given ant malaria to prevent malaria and getting anemic
5.
Blood
pressure to be controlled
6.
Pregnant
mothers need the best food available to the family like fruits- mangoes, guavas, oranges, vegetable- kale, meat, fish-
dry and fresh, eggs, grains and
beans, ion giving foods. They are safe
to eat
7. Pregnant mothers
are particularly usceptible to malaria which can cause serious problems.
8. Pregnancy before
18 and after 35 or within 2 years of the precious delivery increases health
risk for the mother and her baby and child birth
9. Family planning
is the responsibility of both men and women
10. Physical of women and children is a serious
public health problem and is inacceptable. Abuse during pregnancy is dangerous
to the mother and the child.
11. Every woman has the right to health care
especially during pregnancy and child birth. Health care providers should be
available
12. Pregnant mothers and new born should be screened
for disabilities and impairment in order
to plan for any in corrective measure to address the problem
13. All new born babies need to be protected need to
be protected from infections that may interfere with their growth and
development measure body temperature for baby on mother
Early
Childhood 2 weeks to 5 years
1.
Care
and affection during the earliest years help the child to thrive. Bottle
feeding can lead to illness and death of the baby if the mother cannot breast
feed her infant the baby should be breast fed with milk or a substitute from a
clean cup
2.
Weigh
your baby regularly from birth to the age of 2 years if the child has not
gained the weight for 2 weeks then something is wrong
6
weeks to 2 years
1.
The
child needs to feed five times a day in addition to ustained breast feeding
there after the child can be fed on family foods five times daily without
breast feeding
2.
During
illness children need to continue to eat and drink regularly. After an illness
children need at least one extra meal everyday
3.
Immunization
is urgent every child needs a series of immunization during the 1st
year of life. A child who is not immunized is likely to suffer illness and
become permanently disabled.
4.
Diarrhea
kills children by draining water from the body. Give extra fluids as soon as
diarrhea start.
5.
Wash
your hands thoroughly with soap and water or ash with water after contact with
stool and before touching food or feeding children
6.
Child
with cough and cold should be kept warm and encouraged to eat and drink as much
as possible if the child is breathing rapidly is dangerous
7.
Child
with fever should be examined immediately
8.
Families
and communities can prevent spread of mosquito by cutting grass, keeping bushes
away from homes, draining stagnant water, keeping battery acid and medicines
away from reach of children
9.
Young
children need more food to develop. It is good to nature their growth. Children
learn how to behave and adults set as their role model
10. All children
should be wormed at least twice every year
11. Parents should
talk to their children on the issue and sexual act. Early childhood is unsafe,
abortion and STDS are threatening. They should also advice them on drug abuse
too.
12. Everyone who is
active should contact VCT (counseling)
13. . They need sufficient
nutrition especially more proteins
25-59
years are at risk of getting AIDS and transmitted diseases
1.
Need
check up of Blood pressure, blood sugar, and regular check ups
2.
They
are at risk of Tuberculosis and it is curable
Over
60 years. They have the risk of getting blood pressure, stroke, and
diabetes. Advice is that they should try to be physically active every day
When to refer to medical facility: (conditions
that warrant immediate attention)
Vomiting, Convulsions Not alert, Not responding,
Not able to drink or eat, Coughing seriously, Difficulty in breathing,
Diarrhea, Fever.
With breathing problem check for:
Chest in-drawing, strange sounds (strider) fast
breathing.
With diarrhea look for:
Not alert, not responding uninterested slow
return of skin pinch, not able to drink or eat (breast feed), severe
dehydration irritable or restlessness, thirsty drinks eagerly.
When you want to know one is suffering from the
following you check for: malaria they have stiff neck, hot body, higher
temperature, .When one has measles one feels hot, felt hot in past 3 days. With
Ear problem, one feels pain, swelling, rubs, pulls ear frequently. With
malnutrition, visible wasting or oedema of both feet. Anemia, severe Palma
Baby born and has not visited health center has
rigidity, bulging, fontanel, pus draining from the eye
ABCD (basic first aid)
A – Airway
B -Breathing
C- Circulation
D- Dressing the wound
We are eagerly waiting to see you next week and
praying for safe journey to Kenya. Be blessed
Agnes
Here is my little namesake, Baby Stephanie. Hasn't she gotten big? She looks a bit grouchy here but I am sure she loved her new green dress and her little bunny toy. 
