Report Promting Healthy Behavior

8/18/2019 Report Promting Healthy Behavior

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PPuu b blliicc PPr r iivvaattee PPaar r ttnneer r sshhii p p ((PPPPPP))

FFIIRRSSTT DDRR A AFFTT RREEPPOORRTT

PROMOTIG HEALTHY

BEHAVIORS THROUGH

HEALTH EDUCATIO I

DISTRICT VEHARI

D D R R . . T T A A V V I I R R A H H M M A A D D Z Z A AV V E E R R


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PPRREEFFAACCEE

This report is prepared and submitted as part of assignment awarded by

Public Private Partnership (PPP) between the Plan Pakistan and district health

department Vehari. PPP is basically just a different method of procuring public

services and infrastructure by combining the best of the public and private

sectors with an emphasis on value for money and delivering quality public

services. The attraction of forming such partnerships lies in the ability to mobilize

more capital than that purely held in the public account and to use private sector

expertise to help manage project expenditure more efficiently. Governments can

bring private sector into the modernization and management of projects, while

remaining responsible for public interest issues and ensuring delivery at specified

service levels. In short, PPPs enable governments to meet demands for the

development of modern and efficient services and provide value for taxpayers.

Vehari is one of the under developed districts of Southern Punjab with 2.4 million

population having 77 BHU’s and 10 RHC’s, two THQ’s (each with sixty Indoor

beds capacity ) and a DHQ Hospital with 125 beds.

IEC material developed by various organizations including Punjab Health

Department, UNICEF, WHO and other organizations was collected andreviewed. Consultations with Key stake holders were held in context of current

health situation of district Vehari. EDO(H) and DOH II and Additional Director

Health Education o/o DGHS Punjab were the key persons to provide technical

inputs.

This project is an endeavor to identify issues which could adversely affect

populations in district Vehari and to study and intervene through Health

Education Material in order to change un-health behaviors so that to reduce or

prevent poor health outcome.


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““PPrroommoottiinngg HHeeaalltthhyy BBeehhaavviioorrss tthhrroouugghh HHeeaalltthh EEdduuccaattiioonn iinn ddiissttrriicctt VVeehhaarrii””

PPrroo j jeecctt ((PPHHBBHHEEPP))

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IInnttr r oodduuccttiioonn::

While the words "information", "education", and "communication" have

individual meanings, when grouped together as "IEC", they are familiar to many

within the field of health communication. However, the definition and scope of

IEC can vary. In an effort to explore how IEC can be integrated into social

change efforts, this issue of the Drum Beat presents just a few examples of what

types of IEC strategies and resources are being used in diverse health contexts,

worldwide.

"Information, education and communication (IEC) combines strategies,

approaches and methods that enable individuals, families, groups, organizations

and communities to play active roles in achieving, protecting and sustaining their

own health. Embodied in IEC is the process of learning that empowers people to

make decisions, modify behaviors and change social conditions....The influence

of underlying social, cultural, economic and environmental conditions on health

are also taken into consideration in the IEC processes. Identifying and promoting

specific behaviors that are desirable are usually the objectives of IEC

efforts....Channels might include interpersonal communication (such as individualdiscussions, counseling sessions or group discussions and community meetings

and events) or mass media communication (such as radio, television and other

forms of one-way communication, such as brochures, leaflets and posters, visual

and audio visual presentations and some forms of electronic communication)"

Communication involves the transfer of information between people

including ideas, emotions, knowledge, and skills. The components of

communication include the sender, receiver, educational factors, sociocultural

factors, patterns of communication, perception, and understanding (Hubley,

1993). In health communication, the sender affects the receiver (Hubley, 1993;

Olsson, Sandman, & Jansson, 1996); educational factors affect both the sender

and the receiver (Abraham, Rubaale, & Kipp, 1995); and sociocultural factors


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(such as attitudes, beliefs, and significant others) affect both the sender and the

receiver (Hubley, 1993). Research is needed to identify such “disturbing factors”

and to recommend how to minimize the effects of these factors or to use them to

enhance communication.

Health education is one of the most important factors in preventing illness

(Ess´en, 2001). Many women lack information on their own health and risk

factors. Women are often the main health providers in the family and are eager to

get health information that is relevant to their needs and experience and will help

in taking care of their family. Health communication must therefore be adapted to

the varied conditions and cultural constraints under which women live and seek

health care (Galloway, et al., 2002; World Health Organization [WHO], 1997).

For message effectiveness, information ideally should be delivered to

women through groups that they are comfortable with and that already exist

(Ingram, Johnson, & Hamid, 2003) and in a way that women find appropriate, as,

for example, face-to-face dialogue (Laitinen, Olsson, & Karlberg, 1999; Xihn,

Binh, Phuong, & Goto, 2004). Preventive care and health education during

pregnancy is of great importance, both for the health of the mother and the child

(Van Ginneken, Lob-Levyt, & Gove, 1996; Pallikadavath, Foss, & Stones, 2004),

what women actually learn from health education, however, has not received

much attention (Renkert & Nutbeam, 2001).

In some communities pregnant women have access to some kind of

health information during pregnancy and birth, but the professionals delivering

the information and its quality can vary. One problem is that we as health staff do

not know if the women in our care understand and act on the information they

receive. From the perspective of a midwife, it is also important during antenatal

care that communication between the midwife and the woman flows smoothly

and creates a sense of security (Bredmar, 1999).


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One of the health problems in pregnancy where health education can in

theory make a big impact is iron deficiency anemia. Iron deficiency anemia is one

of the most severe and important nutritional deficiencies in the world (WHO,

2001). Low iron levels during pregnancy can increase the risk for intrauterine

growth retardation and premature delivery, resulting in an increased perinatal

mortality. Severe anemia, often largely due to iron deficiency, is associated with

increased maternal mortality, and reducing anemia during pregnancy is a key

component of safe motherhood programs (Massawe, 2002; Pallikadavath, Foss,

& Stones, 2004; WHO, 2001).

In most low-income settings it is not possible to discriminate between

types of anemia and likely causes, but iron deficiency in pregnancy is nearly

always a substantive problem and the measures taken to prevent it will not harm

the women even if they are not anemic. Simple ways of preventing anemia thus

should be included in the information health workers convey on a regular basis to

pregnant women, including the importance of taking iron tablets regularly during

pregnancy, sometimes with a combination of folic acid tablets; the need to eat

iron-rich foods on a daily basis during and after pregnancy; and the value of

prolonging the interval between pregnancies. All of these behaviors can assist

women in restoring their iron stores (WHO, 2001). Thus the purpose of this

assignment is to prepare IEC material which can promote health behaviors

among communities in district Vehari.

In May, 2009, Plan Pakistan signed an MOU with department of Health;

district Vehari to launch the above-named project as a typical example of Public

Private Partnership. Plan Pakistan provided core funding for the consultancyregarding development of Health Education material in an electronic version and

training of staff for using the material developed, while district government is

responsible for the printing of material and supervision of the project activities.

PHBHEP has three principal objectives:


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• Design and develop IEC material and training manuals in consultation with

the relevant specialist medics/paramedics to address the needs of various

key stakeholders with diversified qualifications

• Develop a strategy and methodology to disseminate the messages

throughout the district with the involvement of Health department

administration, Medics/Paramedics

• Build the capacity of the master trainers in line with the developed strategy

to trickle down the training program

Consultancy was awarded initially till 30th June 2009 by a contract signed on

3rd June 2009 and received on 6th June 2009.

PHBHEP will focus developing IEC material to sensitize and educate people

for healthy behaviors and impart motivational strategies in order to transform

knowledge into desired health practices.

AAppppr r ooaacchh::

A Consultative approach was adopted and a series of consultative meetingswere held for selection of topics with district health authorities and Plan Pakistan

PUM Vehari team. Minutes of meeting are attached as Annexure 1. For collection

and selection of material and; further modifications and development of

messages, various meetings with key stakeholders and experts were held in

order to accomplish this assignment. List of persons consulted and list of material

collected are attached as Annexure 2 & 3 respectively.

SSttr r aatteeggyy::

As MOU between Plan Pakistan and District Health Department Vehari was

signed for duration of 3 years for this project, it was decided to prepare the list of

topics for whole period of assignment. Some topics were selected to be focused

for current period of assignment i.e. till 30th June 2009. The rest of the topics


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would be included step-wise in later period of project especially those topics

which were either sensitive and/or needed development of new messages for

which pre-testing and/or formal approval of the authorities was required to

disseminate among community.

MMeetthhooddoollooggyy::

The awareness about health issues like hospital waste, anemia, de-

worming & personal hygiene, breastfeeding, hepatitis, STIs and environmental

issues affecting health and their relation with the preventive technologies as well

as the provisions of appropriate measures at a right time in emergency is

particularly low among the general public and the concerned agencies. Little are

they aware of the ill effects of hospital waste and insecticides on human health

and environment. It is with this background that Plan Pakistan and district health

department took up the task of “Production of IEC (Information, Education and

Communication) material on most common issues and its Dissemination

throughout the district.”

The activity would be effective with respect to generating awareness on

the issue among a wider audience; developing network among the various

stakeholders, including government officials and local authorities; and making the

information on health related issues widely available. The production of

educational material (i.e. video, audio, posters, leaflets) and its dissemination

through organizing a series of interaction programs has proved to be an effective

approach for creating awareness.

The video-spots and the other materials could be successful in terms ofraising awareness among the local authorities, medical practitioners, hospital

staff, non-governmental organizations (NGOs), community based organizations

(CBOs), health department, media and the general public, among others, about

the close linkage between the health issue and their prevention. This project will

bring together the concerned government departments on to a common forum to


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openly discuss the health issue in the district and arrive at a consensus to think

beyond a typical technology. The availability as well as access to information and

current situation of health problems is currently restricted to a few. It is therefore

assumed that the information will reach far and wide with all participants being

supplied with basic Information.

IEC material containing information relating to public health issues and

highlighting the necessity for the promotion of preventive technology as a long

term strategy will be widely disseminated through cable, television, FM radio and

the wide circulation of posters among the various stakeholders. Urgent need for a

more elaborate program with elements of capacity building for the health care

professionals as well as for personnel involved in various disciplines is also felt.

Thus two principal types of activities will be supported by PHBHEP: public

information and awareness campaigns, training and awareness workshops.

Following methodology was therefore adopted in order to accomplish assignment

successfully.

1. IIddeennttiif f iiccaattiioonn oof f iissssuueess aanndd ttooppiiccss:: A series of consultative meetings

were held with all key stakeholders. Minutes of meetings are annexed. Plan

Pakistan and district health department Vehari had signed MOU for the period

of three years i.e. three months a year. Therefore following topic/issues were

identified to cover under this assignment during whole period of assignment

for the period of three years.

i. Self Health Care (Personal Hygiene & Health) (target population,

whole community);

ii. Safe Water Supply;

iii. Safe food practices

iv. Hepatitis

v. Anemia of Reproductive age women

vi. Worm infestation


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vii. Scabies

viii. Breastfeeding

ix. STIs

x. Adolescent Health

xi. Self Medication

xii. Quackery

xiii. Traditional care

xiv. Mal-practices by qualified professionals

xv. Re-use of syringes

xvi. Dental practices

xvii. Insecticides complications and prevention

xviii. Environment

xix. Child care

As per understanding with all key stakeholders health education material for

those topics which never have been already touched like Quackery, self

medication, traditional healers, mal-practices by the qualified professionals will

be developed at some time during next part of assignment in forthcoming three

years as new messages would be developed through a consultative process in

order to avoid any controversy. Moreover, we will have to pre-test

messages prior to introducing those into community. Furthermore, we may need

approval from a specific agency for a specific message to introduce among

communities. Therefore It was decided to target first three topics and to look for

audio and/or video messages developed by health department and other health

organizations so that may be adopted for broadcasting on air before 30th June

2009. Moreover, all relevant collected material was handed over to the DOH II,

district Vehari to be used in future. It was also decided to conduct two trainings

on the following topics

1. Syndromic Management of STIs for health professionals i.e.

MOs, Medical Assistants, LHVs, Dispensers, etc.


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2. Hospital Waste Management for the First Level Care Facility

level staff.

2. CCoonnssuullttaattiivvee MMeeeettiinnggss wwiitthh tthhee EExxppeer r ttss:: A series of consultative

meeting was held with experts at the provincial level from health department,

international and national NGOs, other organizations working on developing

IEC material for health education of the communities. List professionals

consulted is annexed too.

3. CCoolllleeccttiioonn oof f mmaatteer r iiaall:: All the available channels including telephone,

email, peer networks, personal contacts were used to contact the

organizations who had developed IEC material especially on the selected

topics. The most effective channel was personal contact and opportunity at

the time of consultative meeting was availed for this purpose. More than150

items were collected directly and about 100 items were collected from the

internet. List of material collected is annexed and all material was handed

over to the office of DOH II so that it may be used in future for the same and

also other projects.

4. SShhaar r iinngg oof f ccoolllleecctteedd mmaatteer r iiaall aanndd sseelleeccttiioonn f f oor r r r ee--ppr r iinnttiinngg aanndd

aaddooppttiioonn:: Draft version of selected material is being presented for

preparation of soft copies with logo of both the partners. As far as Adolescent

Health & STIs is concerned, it was decided to take those up at a later stage in

order to avoid any stigma which may be associated to this topic. Department

of Health is only working on safe water and sanitation aspect of Environment,which are already included in the list. Insecticide complications are being

dealt by department of Agriculture; however material will be sought in future

to be used under this project. Following material given in a table format has

been selected and sample soft copies attached for approval of both the

partners.


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TTooppiicc TTyyppee oof f mmaatteer r iiaall

Video clip & audio spot on personal hygiene

Video clip & audio spot on hand washing

Video clip & audio spot on safe blood transfusion

Video clip & audio spot on safe sex

Video clip & audio spot on hair dresser & use of barbar

Safe Health Care

(Personal hygiene &

health)

Posters on No Smoking (4)

Safe drinking water Video clip, audio spot on clean drinking water

Video clip, audio spot on healthy livingSafe food practices

Video clip & audio spot on safe food practices

Video Clip & audio spotHepatitis

Posters (6) + (6)

Anemia Brochure

Video clip & audio spotBreastfeeding

Leaflet

Worm infestation Pamphlet

Scabies Brochure

Video clip & audio spot on immunizationChild care

Brochure on nutrition

Video clip & audio spotDental practices

Posters

Re-use of syringes Video clip & Audio spot

STIs Flow charts for Syndromic management

Adolescent Health Booklet

Environment Poster by WHO

Video clips (2) on Dengue fever

Video clip on Gastro

Additional

Brochure on school health promotion


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If approved for re-printing, then final version with logo will be presented well in

time.

5. CCooppyy r r iigghhttss:: it was discussed in details with all the experts including

Additional Director Health Education o/o DGHS Punjab and others, who

persistently opined that all of the IEC material prepared by those

organizations is public property and can be reprinted and used in the interest

of community provided it is acknowledged that whose original production it

was.

6. TTr r aaiinniinngg WWoor r kksshhooppss:: Two training workshops were part of the current

assignment and district health department suggested to train master trainers

on the following two topics

i. Syndromic management of STIs for health practitioners in the public

sector

ii. Hospital waste management for first level care facility staff

However, district health authorities requested to conduct training within 1-2

weeks after 30th June 2009 because all the officers were busy as a result of

closing on June 30th.

Alternatively EDO (H) advised to conduct seminar targeting not only health

personnel but also all segments society including lawyers, laborers, employees

from other district government departments like social welfare, finance, etc.


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SSuummmmaar r yy && CCoonncclluussiioonn:: In changing behavior, acquisition of knowledge is

the first step; this project has successfully taken the first step in BCC. Changing

behavior requires sustained education and role modeling. An effort is being made

in this regard. An incremental change in attitude and behavior would be apparent

after a while. Health education programs need be conducted on regular basis

and can be made attractive through skits, plays, songs etc by the children. The

participation of mothers and families in such activities may be encouraged.

A collaborative effort by both the partners has been very effective in

achieving desirable results. Undoubtedly such collaborations hold a great

potential to bring the various stakeholders on board to discuss the issue and look

at possible solutions. It has been realized that this partnership should be

extended toward other programs in the health sector but also with other

departments like education and community welfare, etc.


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Minutes of the meeting

A meeting was held in the office of Plan Pakistan Vehari regarding Health

Education material development under public private partnership agreement

between Plan Pakistan and District Health Department on 22nd June 2009.

Following members participated

1. Dr. Muhammad Jameel Chaudri, EDO(H) district Vehari

2. Dr. Ghulam Mohaydin DOH II, district Vehari

3. Dr. Naeemullah Consultant, UNICEF

4. Mr. Khalid Pervaiz, PUM Plan Pakistan Vehari

5. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari

6. Dr. Tanvir Ahmad Zaver, Health Education Consultant

Agenda of the meeting was to review the topics suggested; and progress and

material submitted by Dr. Tanvir Ahmad Zaver, and to provide comments. Dr.

Tanvir A Zaver distributed the lists of health professional consulted and list of

material collected. Following decisions were taken

1. Dr. Muhammad Jameel Chaudry commented on the topics selected and

advised to include Safe Health Care, Safe Water Supply and Safe Food

Practices as a first priority and also to exclude some managerial topics;

thus the final list of topics for the whole period of three years assignment

is as under

i. Self Health Care (Personal Hygiene & Health) (target population,

whole community);

ii. Safe Water Supply;

iii. Safe food practices

iv. Hepatitis

v. Anemia of Reproductive age women

Annexure I


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vi. Worm infestation

vii. Scabies

viii. Breastfeeding

ix. STIs

x. Adolescent Health

xi. Self Medication

xii. Quackery

xiii. Traditional care

xiv. Mal-practices by qualified professionals

xv. Re-use of syringes

xvi. Dental practices

xvii. Insecticides complications and prevention

xviii. Environment

xix. Child care

Thus following topics were excluded form the previous list

i. Hospital Waste (to be excluded as taken over by PAIMAN; however

training may be scheduled for those health personnel working in

BHUs as they were not included in PAIMAN trainings.)

ii. Quality Health Care (Monitoring) (managerial issue to be excluded)

iii. QMS (ISO Certification) (excluded to be taken as separate

assignment by Plan Pakistan)

2. It was decided to target first three topics and the consultant was advised

to look for audio and/or video messages developed by health department

and other health organizations so that may be adopted for broadcasting

on air before 30th June 2009. Moreover, all relevant material would be

collected for the topics to be handed over to the DOH II, district Vehari to

be used in future. DOH II was of the opinion to conduct two trainings and

topics to be decided later, while EDO (H) advised to conduct seminar

targeting not only health personnel but also all segments society including


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lawyers, laborers, employees from other district government departments

like social welfare, finance, etc.

Copy circulated to

1. Dr. Muhammad Jamil, EDO (H) Vehari

2. Dr. Ghulam Mohayyedin, DOH II, district Vehari

3. Mr. Khalid Pervaiz PUM, Plan Pakistan district Vehari

4. Dr. Naila Yasmeen, Health Officer, Plan Pakistan Vehari

For information and feedback

Dr. Tanvir Ahmad Zaver

Health Education Specialist,

39-D Jinnah Market Wahdat Road, Lahore

Cell: 0300 4749039

Tel: 042 7524402

Email: [email protected]


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Minutes of the meeting

A meeting was held in the office of DOH II District Vehari regarding Health Education

material development under public private partnership agreement between Plan Pakistan

and District Health Department on 8th

June 2009 and 9th

June 2009. Following members

participated

7. Dr. Ghulam Mohaydin DOH II, district Vehari

8. Dr. Tanvir Ahmad Zaver, Health Education Consultant

Agenda of the meeting was to finalize the list of topics to be included for whole three

years assignment and then prioritize topics for the current period till 30th

June 2009.

After thorough discussion, keeping n view the current status of health education material

and activities in district Vehari, following topics were finalized for development of health

education material during 3 years

1. Self Health Care (Personal Hygiene & Health) (target population, whole

community) (SEMINAR FOR ALL PUBLIC AND COMMUNITY MEMBERS)

(Video spot) (self budget for health)

2. Safe Water Supply

3. Safe food practices including micronutrients)

4. Hospital Waste (to be excluded as taken over by PAIMAN)

5. Quality Health Care (Monitoring) (management issue excluded)

6. QMS (ISO Certification) (to be taken as separate assignment by Plan Pakistan)

7. Anemia

8. Worm infestation

9. Hepatitis

10. Scabies

11. Breastfeeding


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12. STIs

13. Adolescent Health

14. Self Medication

15. Quackery

16. traditional care

17. mis-practices by qualified professionals

18. re-use of syringes

19. dental practices

20. Insecticides complications and prevention

21. Environment

22. child care

It was decided messages will be developed with special emphasis on training for health

staff and preparation of guidelines for first three topics, while messages will be developed

for general community for rest of all topics. All communication strategies and methods

including pamphlets, banners, calendars, audio-visuals, etc will be used for community

targeting messages.

Keeping in view time constraints, it was decided following three topics will be focused

till 30th

June 2009 with training of the master trainers

1. Hospital Waste

2. Anemia

3. Worm infestation

In order to accomplish task well in time, apart from other following persons were

identified to be contacted immediately

1. Dr. Sabiha Khurshid, Project Director MNCH Punjab

2. Dr. Fazal Mehmood FOM PAIMAN, Punjab

3. Dr. Fawad, Shalimar Hospital Lahore

4. Dr. Muhammad Anwar Janjua, National Coordinator PAIMAN, Contech

International Lahore


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5. Dr. Shahid Ahmed, Public Health Specialist, Contech International Lahore

6. Health Education Officer o/o DGHS Punjab

List of persons to be trained as master trainer would be as under:-

Institution Number

1. DHQ Hospital 2

2. THQ Hospital 4

3. RHCs 10

Total 16

In the meeting with EDO(H), it was advised by EDO(H) to keep liaison with DOH II and

to keep all collected material at the office of DOH II with using his office while visiting

district Vehari during the period of assignment

Copy circulated to

1. Dr. Muhammad Jamil, EDO (H) Vehari

2. Dr. Ghulam Mohayyedin, DOH II, district Vehari

3. Dr. Naila Yasmeen, Health Officer, Plan Pakistan PUM Vehari

For information and feedback


Health Education Specialist,39-D Jinnah Market Wahdat Road, Lahore

Cell: 0300 4749039

Tel: 042 7524402



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List of experts consulted

Date: 10th June 2009

1. Dr. Sabiha Khurshid, Project Director MNCH, Punjab, Huma Block

Lahore

2. Dr. Hijab, Deputy Project Director, MNCH Punjab

3. Mr. Amjad, Procurement Officer MNCH, Punjab

4. Dr. Fazal Mahmood, FOM PAIMAN, Punjab, 69, Gulberg II M.M. Alam

Road, Lahore

5. Dr. Tahir Manzoor, Health Officer, UNICEF, Lahore


1. Dr. Haq Nawaz Bharwana, Director PHDC, Lahore

2. Dr. Aamar PHDC, Lahore

3. Dr. Khalid, PHDC, Lahore

4. Dr. Rizwana Muzzaffar, Dean IPH Lahore

5. Mr. Zeeshan, WHO office, Lahore (Dr. Babar Alam was away)

6. Dr. Fida Ali, Director Medical Education o/o DGHC Punjab, Lahore

7. Dr. Azhar Masood Bhatti, add. Director EPI, Punjab Lahore

8. Mr. Shahid Pervaiz Additional Director Health Education o/o DGHS

Punjab Lahore

9. Mr. Zulifqar Nabi Malik, Jahandad Society, Shadman, Lahore

10. Dr. Akhtar Rashid, Save the Children US, 39-L Gulberg Lahore

11. Dr. Mukhtar Awan, Falah Project, Lahore

12. Dr. Naila, UNICEF, Lahore


1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator

2. Dr. Qamar Salman, Deputy CEO, Contech International

3. Dr. Shehzad Awan, Contech International

4. Dr. Ahmad, Nadeem, Contech International

5. Mr. Naseem Ahmad Khan, ex-Planning officer Health Department

6. Mst. Sarosh Iqbal, Contech International

Annexure II


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1. Dr. Muhammad Anwar Janjua, PAIMAN-Contech National Coordinator

2. Dr. Shahid Ahmad, Public Health Consultant, Contech International

Health Consultants

3. Dr. Shehzad Awan, Contech International

4. Dr. Ahmad, Nadeem, Contech International

5. Mr. Ali Murtaza, Jahandad Society Jauhar Town, Lahore

6. Mr. Muhammad Jaffary, Jahandad Society Jauhar Town, Lahore


1. Mr. Babar Alam, WHO office, Lahore

2. Mr. Zeeshan, WHO office, Lahore

3. Mr. Shahid Pervaiz, Additional Director Health Education, o/o DGHS,

Lahore

4. Mr. Haq Nawaz Bharwana, Director PHDC

5. Mr. Shahid Sharif, Assistant Liberarian PHDC

6. Dr. Siddique Padhiar Deputy Provincial Coordinator National Prgram

7. Mr. Nabi Batt UNICEF, Lahore


1. Dr. Junaid Habibullah, Director Hospital Waste Management, Shalimar

Hospital, Lahore

2. Mr. Imran Yousaf, Shalimar Hospital, Lahore

3. Dr. Sohail Safdar, DMS, Jinnah Hospital, Lahore

4. Dr. Shahid Ahmad, Public Health Specialist, Contech International,

Lahore


1. Mr. Imran Yousaf, Assistant Librarian, PHDC, Lahore



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1. Mr. Shahid Pervaiz, Additional Director Health Education o/o DGHS

Punjab, Lahore

2. Mr. Babar Alam, WHO Operational Officer, Lahore

3. Dr. Mukhtar Awan, Falah project, Lahore

4. Dr. Muhammad Arshad Usmani, Director Headquarter, o/o DGHS

Punjab, Lahore

Date: 19th & 20th June 2009

1. Mr. Shahid Pervaiz, Additional Director Health Education o/o DGHS

Punjab, Lahore

Date: 22nd

June 2009

Meeting was held with district health authorities and Plan Pakistan PUM

Vehari for finalization of topics and sharing of the material.

Consultations were made and health education material was collected from theabove-named experts


Health Education Specialist,

39-D Jinnah Market Wahdat Road, Lahore

Cell: 0300 4749039

Tel: 042 7524402



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List of material collected

1. Brochure, Referral Guide with various messages (5) “Maan aur bache

ka hafta” by UNICEF & others

2. Leaflet “Haamla Khwaateen kay liye Mufeed Mashwary” by USAID &

others

3. News Letter (3) by Women Health Project.

4. Leaflet “Hamari Sehet-Haqaiq kya hain?” (2) by IPH.

5. Brochure “Cure TB to stop TB” by Health Department.

6. “Counseling Cards for Taleem-e-Sehet” by multiple organizations.

7. “Nesaab for Trainers” by National LHW Program

8. “Book for Training of Trainers for Breast Feeding” by National Council

for Breast Feeding.

9. Report of “Internal Assesment of LHW Program 2007”

10. Trainers Guide Refresher Course for LHWs “Bachy ke Sehet” by

National LHW Program.

11. Booklet “Sehet ke Dastak” by PAIMAN.

12. “Annual Report 2006” by PLAN Pakistan.

13. “Ghaza aur Sehet” by Nutrition Wing, Ministry of Health Pakistan.

14. “Diet Manual for Pakistan” by Nutrition Wing, MoH Pakistan.

15. Leaflet “Maan ka Doodh” by UNICEF & others.

16. Leaflet “Life Skills based Education” by World Population Foundation

(WPF).

Annexure III


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17. Leaflet “Imtezaaj” by Pakistan Rural Workers Social Welfare

Organization (PRWSWO)

18. Card “Hero” by WPF

19. “Aurtoon ke Sehet ke Kitaab” by Jahandaar Society.

20. Card “Bahadur Ladki” by WPF.

21. Card “I Love my Life Now” by WPF

22. “Pocket Calendar” by PLAN RHIA

23. “Community Health Workers Training Manual” by PLAN Pakistan.

24. Guideline “Mamta ke Hefazat” by UNFPA & NCMH

25. “National Food based Dietary Guidelines” by Nutrition Wing, MoH.

26. “National Study of Reproductive Tract and STIs” by FHI & DFID

27. Brochure “National Learning Forum 2007” by WPF

28. “National Plan of Action” by Nutrition Wing, MoH

29. “Trainers Manual for RHIA” by SACHET Paksiatn.

30. “Training Manual for Parents/Service Providers ARH” by WPF

31. Brochures “One & Two Years after Earthquake” by PLAN Pakistan.

32. “10 Years Review” by WPF

33. “Mamta ke Hefaazat” instructions for use by UNFPA & NCMH

34. Booklet “Iodine ke Kami” by UNICEF

35. “Training 2000” Instruction Manual by Department of Health.

36. Brochure “Bachpan Poori Zindage ka Aaina-Daar” by Zahanat

Foundation

37. Brochure “Empowering the Adolescents” (5) by SACHET


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38. Leaflet “Nojawan aur Balooghat” by PLAN RHIA

39. Brochure “Universal Salt Iodization” by UNICEF & others.

40. Brochure “Maan aur Bachay ke Negeh-Daasht” by RAASTI

41. “Trainers Manual Injection Safety etc.” by PM Program for Prevention

& Control of Hepatitis.

42. “Training Manual for Sanitary Workers” by PM Program for Prevention

& Control of Hepatitis.

43. “Training Manual for Doctors and Administrators” by Health

Department.

44. “Training Program for Para-Medical Staff” Health Department.

45. “SOPs Hospital Waste Management” by Health Department

46. “Plan for Health Care Establishment for Hospital Waste Management”

by Health Department.

47. “Hospital Waste Management Plan” by PM Program for Prevention &

Control of Hepatitis.

48. “Training Manual for Para-Medical Staff” by PM Program for

Prevention & Control of Hepatitis.

49. “Training Manual for Managers and Doctors” by PM Program for

Prevention & Control of Hepatitis.

50. “National Guidelines on Hospital Waste Management” by PM Program

for Prevention & Control of Hepatitis.

51. “IMCI Introduction” by WHO, UNICEF & Ministry of Health.(6)

52. “IMCI Identification” by WHO, UNICEF & MoH.


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53. “Treating the Child” by WHO, UNICEF & MoH.

54. “Assess & Classify Sick Child” by WHO, UNICEF & MoH.

55. “Birth Spacing for Healthier Families” by FALAH

56. “Supportive Supervision” by USAID & PAIMAN

57. “Child Week Health and Cleanliness” by UNICEF

58. “Iodized Salt” by Jahandaad Society.

59. “Maan kay Doodh kay Sath” by Multiple Organizations.

60. “Immunization for Children” by Multiple Organizations.

61. “Sasti Flush Latrines” by Multiple Organizations.

62. “Women’s Health Book” by Jahandaad Society.

63. “Tool Kit for Teachers” by UNICEF.

64. “Maan” by Jahandaad Society

65. “Sehet Maan aur Bachay ke Zemadaari”(8) by PAIMAN.

66. “EMNOC Manual” by UNICEF

67. “Paper Guidelines” by UNICEF.

68. Leaflet “Maan ka Doodh” by Health Department

69. leaflet “Ashaal ya Dast” by Health Department

70. Leaflet “Hath Safai” by Health Department

71. Leaflet “Daant Achay Sehet Achi” by Health Department

72. Leaflet “Hepatitis B” by Health Department

73. Leaflet “ Saaf Paani” by Health Department

74. Leaflet “Dil ke Bemariyaan” by Health Department

75. Leaflet “Hepatitis B, C and Hamal” by Health Department


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76. Leaflet “Hamal kay Doraan Khoraak” by Health Department

77. Leaflet “Thodi se Ahteyaat Bohat Saara Sukh” by Health Department

78. Leaflet “Hifzaan-e-Sehet kay Asool” by Health Department

79. Leaflet “Sehet Baksh Adaat-o-itwaar” by Health Department

80. Leaflet “Maan ka Doodh Ahmeyaat-o-Zaroorat” by Health Department

81. Leaflet “Diabetes and Care” by Health Department

82. Leaflet “Exercise” by Health Department

83. Leaflet “Hefaazti Teekay” by Health Department

84. Leaflet “Hepatitis Guidelines for Patients” by Health Department

85. Leaflet “Typhoid Prevention” by Health Department

86. Leaflet “Barsaat Care” by Health Department

87. Leaflet “Hepatitis A & E Care” by Health Department

88. Leaflet “Hepatitis C Care” by Health Department

89. Leaflet “Mutwazan Ghaza” by Health Department

90. Leaflet “10 point National Breast Feeding Policy” by Health Department

91. Leaflet “Help line” by PAIMAN

92. “Induction Training Curriculum for Nurses” by Health Department

93. “Handout for Participants for Lactation Management” by UNICEF

94. “Communication & Supervision Curriculum for Outreach Workers

Supervisors” by Health Department

95. “CDC & Information, Education, Communication Facilitators Guide” by

Health Department


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96. “CDC & Information, Education, Communication Curriculum for

Outreach Workers” by Health Department

97. “Laboratory Techniques Curriculum” by Health Department

98. “Reproductive Health Training for LHVs” by Health Department

99. “Hospital Management Training Course” by Health Department

100. “Strengthening of MCH Services in Punjab” by Health Department

101. “Trainers Curriculum on Danger Signs of Pregnancy” by Health

Department

102. “Training of Trainers Curriculum” by Health Department

103. “Training of Trainers Workshop Supporting Material” by Health

Department

104. “MCH Curriculum for LHVs Additional Supporting Material” by

Health Department

105. “Session Outline Financial Management Training Course” by Health

Department

106. “Health System Strengthening Component” by Second Family

Health Project

107. “Taleem-e-Sehet Guide for Health Workers” by PHDC

108. “Health Services Utilization” An Article by Prof. Amman Ullah Khan.

109. “Utilization of Rural Basic Health Services in Pakistan” a Research

Study by Mohammad Akram Pervaiz et. al.

110. “Taaleem-e-Bilamal” (booklets 6, units 22) by WHO

111. Brochure “Tobacco free youth” with leaflets by WHO


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112. Leaflet “Sehat Afza Shehron ka Project” by WHO

113. Leaflet “Epilepsy” by WHO

114. Leaflet “Nasha ek Baimari” by WHO

115. Environment by WHO

116. “Khoon ki kami” a brochure by Health Department Punjab

117. “Zindagi ki dor” PAIMAN

118. TV Talk shows by PAIMAN

119. Media Products: a repository by PAIMAN

120. Booklet on “Maan aur bache ki sehat” by PAIMAN

121. “Sehat ki Dastak” a pictorial booklet by PAIMAN

122. “Bachon ki Ghaza” by Health Department Punjab

Calendars:

123. “Nozaida Bachy ke Dekh Bhaal” by WHP

124. “Hamal kay Doraan Khatarnaak Alamaat” by WHP

125. “Hamal kay Doraan Mamooli Alamaat” by WHP

126. “Zachgi kay liy Tayyari” by WHP

127. “Smoking Warning” by Health Department

128. “Hepatitis Care” (6) by Health Department

129. “Vaccination Schedule” by Health Department

130. “Hospital Waste” by Health Department

131. “Blood Transfusion” by Health Department

132. “Sehet-mand Maan, Sehet-mand Bacha” by Health Department


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133. “Wall Calender” by PAIMAN.

134. “Table Calendar” by PAIMAN

135. “World No Tobacco Day” (3) by WHO

136. “Hifazti teekon ka schedule” by WHO

137. “Thank you for not smoking” by WHO

138. “our Health our Environment” by WHO

139. “Maina; beti ya beta barabar” by UNICEF

140. “AIDS” by MoH

141. “Hifazti teeke” by MoH

142. “Children diarrhea” by UNICEF

143. “Our safe Heaven” by WHO

144. “Disaster early warning Device” byWHO

145. “Our Life Saver” by WHO

146. “A real disaster” by WHO

Electronic versions (about 100) and hard copies of the above-mentioned

material handed over to DOH II

Report Promting Healthy Behavior

Documents

Transcript of Report Promting Healthy Behavior