HANDWASHING WITH SOAP AT CRITICAL TIMES...• Any fruit (ie Mango) Procedure ... o Flies o...
Transcript of HANDWASHING WITH SOAP AT CRITICAL TIMES...• Any fruit (ie Mango) Procedure ... o Flies o...
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HANDWASHING WITH SOAP AT CRITICAL TIMES
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SOME OF THE CRITICAL HANDWASHING WITH SOAP TIMES
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• ToprovideknowledgeandskillsonhandwashingwithsoappracticetoCaregiverssothattheycanprovidenecessarycaretochildrenandpreventDiarrhoealdiseasesBytheendofthismodule,participantsshouldknow:1. whatdiseasecausingorganismsareandhowtheycanbespread2. ThetransmissionroutesofDiarrhoeacausingorganisms3. Handwashingwithsoapcriticaltimes4. Benefitsofhandwashingwithsoap5. Outcomesofnotwashinghandswithsoap6. Stepsofhandwashingwithsoap7. Typesofhandwashingfacilities
Aim of the module
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FIRST CLUSTER MEETING
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Activity1:Paintgame-DiseasespreadMaterialsneeded• Atinofwaterpaint(anybrightcolor)• Soap• Jugandbasinwithwater• Aplate• Spoon• Anyfruit(ieMango)Procedure• Askcaregiverstodiptheirrighthandinatinofpaintandletthewholegroupknowthat(paintwillsymbolizepathogenicfaecalmatter)• Askthecaregiverstowanderaroundtheroomshakinghandswithfellowcaregiversanddosomethingstheyusuallydointheirdailylife(touchingplates,touchingthenose,child’shand,spoonetc.)
DISEASE CAUSING ORGANISMS
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• Thisactivityshouldnottakemorethan5minutes• ThenaskcaregiversthefollowingquestionsQuestions• Whatdoyouthinkwashappening?• Whatdoyouthinkdiseasecausingorganismsare?• Whathaveyouobservedregardingdiseasetransmission?• Howarediseasesspread?• HowquicklycandiseasesspreadSummaryEmphasizethefollowingissuesinadditiontowhattheyhavesaid:Whatarediseasecausingorganisms?• Manyinfectionsanddiseasesarecausedbymicroorganisms• Theyareverysmallorganismsthatcannotbeseenbynakedeyesbutcausesillnesswhentheyenterandinfectthesusceptiblehost.• Therearemanymicroorganismsintheenvironmentthatcausesdiseases.ForexampleabacteriumcalledVibriocholeracausesCholera.Diarrhoeaiscaused
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byvariousorganisms.Typesofdiseasecausingorganisms• Askparticipantsfirstiftheyknowanytypeofdiseasecausingorganisms?• Fromtheirresponsesemphasizethefollowing:o Diseasesarecausedbyvariousorganismssomeoftheminclude:
TRANSMISSION OF DISEASE CAUSING ORGANISMS
• Germs• Worms• Remember:Microorganismscannotbeseenwithnakedeyesratherwithamicroscope.
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• WiththeknowledgeandideasobtainedfromActivity1:Paintgame-Diseasespread–applytheminthefollowingactivity• ConducttheactivitybelowwithparticipantsActivity2:DrawingtheFaecal-OralTransmissionrouteMaterialsneeded• Flipcharts• Pentalmarkersofdifferentcolors• Locallyavailablematerials(relatingtotheactivity)-caregiverswillidentifythemselvesastheyaredoingtheactivityProcedure• Gooutsidetheroomwithparticipants• Dividetheminto2groups• Askthefirstgroupofparticipantstogooutsidetheroomanddrawonthegroundthefaecal-OralTransmissionrouteofDiarrhoeacausingorganisms.Tellthemtobefreetouseanymaterialsaroundtopresenttheirideasandtheyshouldreflectonwhattheyhavelearntfromtheotheractivity.
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• Askthesecondgroupofparticipantstodrawonflipchartsthefaecal-OralTransmissionrouteofDiarrhoeacausingorganisms.• Remindparticipantstobecreativeenoughanduselocalsimplematerialsaroundthemtorepresentelementsinthepathways• Eachgroupshouldtakemaximumof10minutestodotheactivity• Whenbothgroupsaredone,thewholeteamshouldgoandappreciatetheworkdonebytheoutsidegroupfirst.Askonemembertoexplaintotherestofthegroup.DothesamewiththeothergroupthengobackintheroomQuestions• Whatarethecommonfaecal-oralroutesforspreadingDiarrhoea?• Whatcanwedotopreventspreadingofvariousdiseasecausingorganismsthroughthewayswhichwehavementioned?• Whatcanhappenifyouarenotwashinghandswithsoap?•
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Explain this to caregivers to emphasize their responses:
• Thefirststepininfectionisthemicrobeenteringthebody.Diseasecausingorganismscanbespreadindifferentwaysandeachisspecifictothepathogen.• Diarrhoeacausingorganismsarespreadthroughthefecal–oraltransmissionroutewherepathogensinthefaecalparticlespassfromonepersontothemouthofanotherperson.• Thecommonfecal-oralroutesthatdiseasecausingorganismsspreadamongpeople:o Fingersofdirtorunwashedhandso Flieso Unhygienicfoodandunsafewatero Feaceso Eatingunwashedfoodlike:vegetablesandfruits• Anddiseasescausedbyfecal-oraltransmissionincludeDiarrhoea,typhoid,cholera,polioandhepatitis.
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Tizilombo toyambitsa matenda tosiyanasiyana timafala kudzera: zala za maja osasamba, ntchentche, kudya chakudya chosasa-malika ndi kumwa madzi osatetezedwa
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HANDS WASHING WITH SOAPQuestion:• HowcanwebreakthepathwaysortransmissionroutestopreventdiseaseslikeDiarrhoea?Emphasizetheirresponsesbyexplainingthistothecaregivers:• Handwashingwithsoapisonewayofbreakingthepathwayoftransmis-sionofDiarrhoeacausingorganismsassomeparticlesinthesoapkillsmicroor-ganisms.• Adequatesanitationandhygienepractices• Assuchcaregiversneedtobesensitiveoftheseissuesandputcontrolmeasurestoprotecttheirchildrenandfamilies.Summary• VariousdiseasecausingorganismslikeDiarrhoeacausingorganismscanbespreadthroughhands• Handsareonequickervehicleofdiseasetransmission• Diseasescanbespreadtomanypeopleinashortperiodoftime• WashyourhandswithsoaptoprotectyourchildfromDiarrhoeadiseasesActivity3:Howtowashhandswithsoap
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Materialsneeded• Soap• Jugandbasinwithwater
Procedure• Chooseanumberofcaregiverstodemonstratehowtowashhandswithsoapproperly• AskthewholegrouptobeobservantandtakenoteofstepswhichtheyfeellikewerenotdoneproperlyQuestions• Cansomeonebrieflymentionthehandwashingwithsoapstepsthattheyweredemonstrating?• Isthereanystepwhichyouthinktheymissed?Ifsomentionitanddemon-strateit.Summary• Handwashingwithsoapisnotjustrinsinghandsinwater.Thereisatech-niqueofwashinghandswithsoapproperly.
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• InthenextclustermeetingwewilllearnmoreabouthandwashingwithsoapActivity4:Handwashingwithsoapcommitment-Paperplatehandpainting• Fromwhatyouhavelearntandthepubliccommitmentyoumadetomakeyourfamilyahygienicfamily,don’tyouthinkcommittingtohandwashingwithsoapisonewayofachievingit?• Askparticipantswhattheyaregoingtobedoingtoachievethis?• Giveeachcaregiverapaperplateandamarker• Askthecaregiverstowriteontheirpaperplatethecommitmentmessagewhichisonthechalkboard.Commitmentmessage“Iwillbewashingmyhandswithsoapalways”• Thenafterwritingaskcaregivertodiptheirhandintothetinofpaintandpasteitonthepaperplate• Thenaskthecaregivertodipthehandoftheirchildinthepaintandpasteitonthesamepaperplate• AskallthemtowashtheirhandswithsoapandmakesurenopaintremainsintheirhandsQuestions• Isthereanymeaningindoingthisactivity?
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• Whatisthemeaningofthehandpaintedpaperplate?• Doesitreflectsomething?Summary• HandwashingwithsoapprotectsyourchildfromgettingDiarrhoea• ItisyourresponsibilityandallothercaregiverstopreventyourchildfromhavingDiarrhoea• Washinghandswithsoapatallcriticaltimesbyyouprotectsyourchildfromgettingsick.• Thereforepromisewashyourhandswithsoapalwaysandprotectyourchild.• Thenaskcaregiverstoplacethepaperplateataplacewhereitcanalwaysremindthemofwashinghandswithsoap(kitchen,sittingroom,verandaetc.)Activity5:HandingoutHandwashingwithsoapscorecards• Giveeachcaregiverahandwashingscorecard• Tellcaregiversthatthescorecardwillhelptotracktheirsuccess• Explainhowitwillbeusedo WhenCommunityKeyInformanthasobservedthatthehouseholdhasachievedsomethingasputonthescorecardshewilltickandstampandreporttoGroupcoordina-torwhowilllaterverifyandawardthehousehold.
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KHADI KALONDOLONDO NDI KAPAMBANIDWEDWE KA KHALIDWE LOSAMBA M’MANJA NDI SOPO MU NTHAWI ZOFUNIKA
“ Banja la ukhondo umoyo wabwino”
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Questions •Doyouthinkyouwillmanagetowashhandswithsoap? •Ifnotwhatwouldbethechallenges?
Assignment •Whenyougobackhomethinkaboutasong,poemetc.whichyouthinkyou canusetoremindyourselfabouthandwashingwithsoapsteps.
Reminders •Thenextclustermeetingison_____________________ •CommunityKeyInformantsVolunteers(CKI)willconducthouseholdsvisit
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FIRST HOUSEHOLD VISIT
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Community Key Informant (CKI) should visit each caregiver’s household. Make sure it is a surprise visit to avoid behaviour pretense.
Aims of the Household Visit1. Discussionsaimingatfindingchallenges2. Remindandencourageabouthandwashingwithsoap3. Demonstrategoodpractice4. Developingaworkplanonhandwashingwithsoappracticeto ensure each caregiver meets the public commitment (Ask thecaregiverwhattheyaredoingandplantobedoing).
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Use the Checklist like the one below to record your observation during the household visit
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SECOND CLUSTER MEETING
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• Askparticipantstosharewhattheylearntinthefirstclustermeeting• Askparticipantsiftherewereanychallengesinwashinghandswithsoapandhowtheyarego-ingtoaddressthem• RemindthemagainabouttheFaecal-Oraltransmissionpathwaysandhowthepathwayscanbebroken• Bringoutthepathwayswhichcanbebrokenbyhandwashingwithsoapandemphasizethatthemodulewilldwellonthisandotherpathwayswillbeaddressedinothermodules.
QuestionAskparticipantsthefollowingquestionandaftertheyhaveansweredconductthepaintgametoem-phasizehowthetransmissionroutecanbeinterrupted• HowcantheDiarrhoeadiseasetransmissionroutebeinterrupted?Activity6:Paintgameishereagain!!Materialsneeded• Atinofwaterpaint(anybrightcolor)• Soap• Jugandbasin
RECAP OF THE PAST CLUSTER MEETING
HANDWASHING WITH SOAP
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Procedure• Askcaregiverstodiptheirrighthandinatinofpaintandletthewholegroupknowthat(paintwillsymbolizepathogenicfaecalmatter)• Askthecaregiverstowanderaroundtheroomshakinghandswithfellowcaregivers• Thisactivityshouldnottakemorethan5minutes• Thenaskcaregiverstowashhandswithoutsoap• Askthemthefollowingquestionsaftertheyhavewashedhandswithoutsoap:o Howdoesitfeelwashinghandswithoutsoap?o Whathashappenedintheirhandswhentheywashedhandswithoutsoap?• Askthemthefollowingquestionsaftertheyhavewashedhandswithsoap:o Howdoesitfeelwashinghandswithoutsoap?o Whathashappenedintheirhandswhentheywashedhandswithoutsoap?o Isthereanydifferencebetweenwashinghandswithsoapandwithoutsoap?o Whichoneisbetter
What is washing hands without soap?
HANDWASHING WITH SOAP
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• Involvescleaninghandswithwateronly• Washinghandswithoutsoapisnoteffectivebecauseitdoesnotremovemicroorganisms
Whatishandwashingwithsoapandwhyishandwashingwithsoapimportant?
• Handwashingwithsoapistheactofcleaninghandswithsoapandwaterforthepurposeofremovingsoil,dirt,andmicroorganisms.• WashinghandswithsoapandwateristhebestwaytogetridofgermsandiseffectiveforthepreventionoftransmissionofDiarrhoeapathogens.Keepinghandscleanisoneofthemostimportantstepswecantaketoavoidgettingsickandspreadinggermstoothers.Manydiseasesandconditionsarespreadbynotwashinghandswithsoapandcleanwater.Diarrhoeaisoneofthediseaseswhichisinfluencedbynotwashinghandswithsoap• Washinghandswithsoapandwaterisnecessarybecauseitremovesdiseasescausingorganisms.Washinghandswithsoapwillremovesubstantiallymorediseasecausingorganismsthanwashinghandswithwateralone.
Hand washing with soap critical timesHandswashingcriticaltimesaretimeswhichareextremelyimportanttowashhandswithsoap
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toremovegermswhichmightbeavailableinthehands.Therearemanycriticaltimeswhichrequirewashinghandswithsoaptoreducefecal-oraltransmissionofdisease.QuestionsAskcaregiversthefollowingquestionandthendiscusswiththemabouthandwashingwithsoapcriticaltimes• Whatdoyouthinkarethecriticaltimeswhichrequirehandwashingwithsoap?Summary Someofthecriticaltimesrequiredforhandwashingwithsoap:• Afterusinglatrine• Afterchangingachildnappy• Beforefoodpreparation,beforeeatingandaftereating• Beforeandafterfeedingachild• Afterhandlinganimals• ChildrenlikeplacingfingersintheirmouthsoitisnecessaryforchildrentowashhandsregularlyCriticalhandwashingtimesforsickpeoplecaregiversandchildcaregivers• PeoplewhoareHIVpositiveandchildrenareatahighriskofDiarrhoeadiseases• Caregiversforchildrenandsickpeoplearesupposedtowashhandswithsoapasthey
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aredoingtheirchores;weshouldpromotehandwashingwithsoapinthesetimes:beforetheygiveanycaretothechildorsickperson,beforefeedingthemandalsoaftergivingcaretothem.
Remember• Itisimportanttousesoapwhenwashinghands.Soapprovidestwofunctions:itisalubricantandmaycontainagentsthatdisinfectorneutralizebacteria.Thelubricantinsoapiswhatwillcausethedirttobeliftedormovedofftheskinwiththehelpofwater.• Washbothhandswithsoapafterusingthetoilet,cleaningthebaby’sbottom,beforefeedingchildrenandbeforehandlingfoodandpreventdiseases,suchasDiarrhoea.
Benefits of hand washing with soap
QuestionAskparticipantsthefollowingquestion• Whatdoyouthinkarethebenefitsofhandwashingwithsoap?
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Following their responses share with them the following:Washinghandswithsoapregularlyisveryessential:• Itshowsrespecttoourselvesandothers• Itpreventsspreadingofdiseasewhichcanbetransmittedthroughcontaminatedhandstoourchildren,familyandfriends• Itpreventstheswallowingofvariousdiseasecausingorganismsfromfeacesasweareeating• ItmakeshandsnottohavebadodorConsequencesofnotwashinghandswithsoapQuestion
Ask participants what the following question• Whatdoyouthinkaretheconsequencesofhandwashingwithsoap?
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If you do not wash your hands with soap you are putting your child & family at risk of getting sick
Following their responses, discuss with them the following images:
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If you do not wash your hands with soap you are putting your child & family at risk of getting sick
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If you do not wash your hands with soap you are putting your child & family at risk of getting sick
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Questions• HowcanDiarrhoeaaffectthelifeofyourchild?• HowcanDiarrhoeaaffectyourhousehold?• HowcanDiarrhoeaaffectyourcommunity?Summary• Diarrhoealdiseaseisthesecondleadingcauseofdeathinchildrenunderfiveyearsoldbutitisbothpreventableandtreatable.• Itcanleadtothespreadofdiarrhoealdiseaseatahousehold(Children,parentsetc.)• Diarrhoeaisaleadingcauseofmalnutritioninchildrenunderfiveyearsold.• MoremoneyinthefamilyislostaswearehandlingDiarrhoeacases(transportcoststohospital,moretiespentinhandlingcasesandlossoftimeinotherincomesourcingactivities)• Poorcommunitydevelopment• Overcrowdinginhospitals• Notrespectingothersandyourself• Badodorremaininginthehands• Asignificantproportionofdiarrhoealdiseasecanbepreventedthroughadequatesanitationandhygiene.• ThereforepreventDiarrhoeawashhandsatallcriticaltimesprotectyourchild
Ask care givers the following questions
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Remember to wash hands with soap every time before you start preparing food
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Remember to wash hands with soap before you start feeding a child
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Remember to always wash hands with soap after changing baby a nappy
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Remember to wash your hands with soap after using the latrine
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Remember to wash your hands with soap after handling animals
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Activity 7: Hand washing with soap stepsMaterialsneeded:• Soap• Jugandbasin• WaterProcedure• Askanumberofcaregiverstodemonstratehowtheywashtheirhandswithsoap?• AskthewholegrouptoidentifyanddemonstrateifthereareanystepshavebeenmissedThenexplainthefollowingtocaregiverswhileshowingthemtheillustrationbelow:
Hand washing with soap steps
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•Rememberinthefirstclustermeetingyouwereassignedtothinkofasongorcreatesomethingwhichcanbeusedalonghandwashingwithsoapprocess. If theyalreadyhaveasongtellthemtosingastheydemonstratehandwashingwithsoap.Ifnotmaytheydevelopone.It’snotcompulsorytocreateasongitcanbeapoemoranythingcreativetoalwaysremindcaregiversthehandwashingprocess.•TellparticipantsthatthesongtheycreatewillbeusedoftenintheirmeetingsActivity9:Assignment•Informcaregiverstopreparetoshareinthenextmeetingthetypesofhandwashingfacilitiesthey have at their household. If they don’t have they can share the types of hand washingfacilitiesavailable in theircommunity?Andalsowhich typesofhandwashing facilities theylikeandwhy?RemindersBeforeclosingthemeetingsinformparticipantsthefollowing:•TheCKIwillconducthouseholdvisitstoempowerthem•Thenextclustermeetingdate•Caregiversshouldcomewiththeirhusbandsandchildinthenextmeeting
Activity 8: Hand washing with soap song
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Community Key Informant (CKI) should visit each caregiver’s household. Make sure it is a surprise visit to avoid behaviour pretense.
Aims of the Household Visit5. Identifyingperformers(thosewashinghandswithsoap)byobservingexistingpractices6. Discussionsaimingatfindingchallenges7. Remindandencourageabouthandwashingwithsoap8. Demonstrategoodpractice9. Developingaworkplanonhandwashingwithsoappracticetoensureeachcaregivermeetsthepubliccommitment(Askthecaregiverwhattheyaredoingandplantobedoing)10. Askcaregiverstobringtheirchildtothenextclustermeeting11. Remindcaregiverstocomewiththeirhusbandstothenextclustermeeting
SECOND HOUSEHOLD VISIT
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Use the Checklist like the one below to record your observation during the household visit
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THIRD CLUSTER MEETING
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Recap on previous cluster meeting lesson• Askparticipantstosharewhatwaslearntinthepastclustermeetingandhouseholdsvisit• Askparticipantswhatwaseasyandhardaboutwashinghandswithsoap• Facilitator announces performers as observed during household visits and asks theperformertosharetipstofellowcaregiversonhowtheymanageandalsohowotherscanadoptandmaintainthebehaviour• Remindthemaboutthegroupcommitmentwhichtheymade
Activity 10: Hand washing with soap Dazzy game Materials needed• Water• Jugandbasin• Soap
Procedure • Askallcaregiverstowashhandsfirstwithoutsoap(dependingontimeallcandoitalljustafew)• Andafterthehandsaredry,askthemtowashhandsagainbutnowwithsoap• Theyshoulduseabasinandjugforhandwashing
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Questions• Askcaregiverswhattheyfeltafterhandwashingwithoutsoapandafterhandwashingwithsoap?• Isthereadifference?• Askthemtoconcludewhatisbest
Summary • Handwashingwithsoapbringsagoodfeelingapartfromremovingdirtandkillinggerms.WashhandswithsoaptopreventDiarrhoeaandtoprotectyourchildfromDiarrhoea.Afterthisactivityintroducetoday’slesson:HowtowashhandswithsoapproperlyActivity11:HandwashingwithsoapprocessdemonstrationsMaterialsneeded:• Soap• Water• Jugandbasin
Procedure• Ask2or3participantstodemonstrateproperhandwashingwithsoapprocessQuestions• Havetheydonehandwashingwithsoapproperly?
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•Ifnotmaytheoneswhorespondedsocorrectwheretheyfeelitwasn’tdoneproperlyActivity12:handwashingwithsoapsongRememberlasttimeyoumadeasong,poemetc.toremindyouofthehandwashingwithsoapprocess.Mayyousingitandifthereisaneedformodifyingitpleasedo.
How to wash your hands with soap properly•Whatdoesitmeantohave“goodhandwashingtechnique”?Asyoumighthaveguessedalready,washingyourhandsmeansmorethanslappingonabitofsoap,latheringupandthenrinsingoff.Anyonecan“washtheirhands”withsoapandwaterandstillcomeawaywithevenmorebacteriathanwhentheystarted.Therealsecrettocleanliness,itseems,isnotonlywhetheryouusesoap,buthowhardyouscrub,andforhowlong.•Thewayyoursoapisstoredanddispensedalsomatters,althoughinpublicenvironments,that’smuchlessunderyourcontrol.•Healthofficialsrecommendwashingforanywherefrom20to30secondsStepstofollowforhandwashingwithsoap
Explain this to caregivers while showing them the image below:• Rinseyourhandswithwater• Applysoapinyourallhandsandallfingers
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• Rubyourhands• Rinseyourhandswithwater• Dryyourhandswithacleanwiperifavailableorshakeyourhandssothattheygetdriedwithair.ThismakesyourhandsnottocontaindiseasecausingorganismsEmphasizethehandwashingprocessbyshowingthemthehandwashingstepsbelow:Handwashingwithsoapsteps
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Questions•Istheproperhandwashingwithsoapprocesseasytofollow?•reanystepyouweremissing
Summary• handwashingwithoutsoapisincomplete• Handwashingwithsoapisnotjustmakingyourhandswet• Whenwashinghandswithsoapmakesurethatyouhavewashedbothhandsusingbyusingthestepsshowerinthefiguresothatalldiseasecausingorganismsareremoved• Itisverygoodtowashhandswithsoapbecausesoapkilldiseasecausingorganismsandremovedbutodourandalsomakeshandssoft.Itisnotgoodtowashyourhandswithoutsoapbecausedirtanddiseasecausingorganismsarenotremoved.
Ntchito 13: zotsatira za zipangizo zosambira m’manja ndi sopoKumbukani kuti mumkumano wathu wambuyomu tinapatsidwa ntchito yoti tizagawana zazipangizozosambiram’manja
Zipangizo zosambira m’manja
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Funsani osamalira ana mafunso otsatirawa:• Perekenimitunduyazosambiram’manjazomwemumagwiritsantchitokapena mukuzidziwandipochimakusangalatsanikapenasichikusangalatsanipazosambiram’manjazondichani?• Perekanimitunduyazosambiram’manjayomwemumagwiritsantchitokapenamumadziwakutizimagwiritsidwantchitomunthawiizi:• Akachokakuchimbuzi• Asanadyetsemwanachakudya• Asanakonzechakudya• Akathakusinthamwanathewera• Awonetsani osamalira ana mitundu ya zosambira m’manja zomwe zilipo ndipo afunsenimafunsopamtunduuliwonsewachosambiramanja:o Ndichosambiram’manjachitichomwemumakonda?Chifukwachiyani?o Nangandichosambiram’manjachitichomwesimukonda?Chifukwachiyani?o Ngatialindimitundu inayazosambiramanjayomweakudziwaafunsenikutiagawanendigulundipoaphunzitsemmeneamapangirachosambiram’manjacho.o Kambirananindiotengambalimitunduyazipangizozosambiram’manjayomweamagwiritsantchitoposambamanjandisopomunthawizonsezofunikirakusambamanja:• Akachokakuchimbuzi• Asanadyetsemwanachakudya• Asanakozechakudzandikusithamwanathewera
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Hand washing facilities Activity 13: Hand washing with soap facilities assignment feedback• Rememberinthelastclustermeetingyouwereassignedthattodayyouwillshareabouthandwashingfacilities.• Askcaregiversthefollowingquestions:o Sharethetypesofhandwashingfacilitieswhichtheyuseorknowo Sharethetypesofhandwashingfacilitiestheyuseorknowfor:• Afterlatrineuse• Beforefeedingchild• Beforefoodpreparation• Afterchangingchildnappy• Then show caregivers the existing hand washing facilities and ask them the followingquestionsforeachhandwashingfacility:o WhatdoyoulikeaboutthishandwashingfacilityandWhatdon’tyoulikeaboutthishandwashingfacilityo Iftheyhaveadifferenthandwashingfacilitywhichtheyusetheyshouldsharetothegroupandteachhowtoconstructito Discusswithparticipantstypesofhandwashingfacilitieswhichtheyaregoingtobeusinghandwashingwithsoapinthefollowingcriticaltimes:• Afterlatrineuse• Beforefeedingchild• Beforefoodpreparationandafterchangingchildnappy
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Types of hand washing facilities:
Tippy tap
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Pail with a tap
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Jug and basin
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Scooping cup
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• Thetippytapisahandsfreewaytowashyourhandsthatisespeciallyappropriateforareaswherethereisnorunningwater• Itisoperatedbyafootleverandthusreducesthechanceforbacteriatransmissionastheusertouchesonlythesoap• Itusesonly40millilitersofwatertowashyourhandsversus500millilitersusingamug• Additionally, the used “waste” water can go to plants or back into the watertable.• AtippytapisnothardtobuildanditrequireslocallyavailableresourcesActivity14:Buildingatippytap• Together with caregivers construct a tippy tap at a latrine near the meetingplacetrineusingthefollowingsteps
• Usetheguidebelow:Materials needed• 2mforkedsticksx2
How to build your own tippy tap
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• 1mstraightsticksx2• Toolstodig• Gravel• String• Nail&candle• Soap• Watercontainer
Procedure 1. Digtwoholes18indeepandabout2ftapart2. Placetheforkedsticks,ensuretheyarelevel3. Fillholeswithsoil&rocks,andpacktightly4. Heatthenailandmakeholesinthewatercontainer5. Makeaholeinthesoapandthreadstring6. Hangcontainer&soapandfillwithwater7. Attachstringtowatercontainer8. Andtofootleverstick
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9. Usegravelasbasintocapturewater
Questions• Wasthereanythinghardtodoinbuildingourtippytap?• Whatmaterialsarehardtofindhereandwhatalternativematerialswouldweuse?• Arewegoingtobuildatippytapatourhouseholds?
Summary• TheTippyTapisasimpledeviceforhandwashingwithrunningwater• Only thesoap is touchedwith thehands, thedevice isveryhygienic.Agravelbedisusedtosoakawaythewaterandpreventmosquitos• buildyourowntippytapmakehandwashingwithsoapeasyandpreventdiarrhoeal
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Guide for building a tippy tap
Zipangizozofunika
M a c h i t i d weake
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PLEASE DO NOT FORGET TO WASH YOUR HANDS WITH SOAP IN ALL CRITICAL TIMES
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nBeforeclosingthemeetingannounceagainthehandwashingwithsoapperformersandawardthemwitha(jugandbasin)
nAndthenintroducehandwashingfacilityconstructionandusecompetition
nBelowisthedescriptionforthehandwashingwithsoapfacilityconstructionandusecompetitionguideline
nBuildahandwashingfacilityataplacewhichwillhelpeasyhandwashingwithsoapatcriticaltimes
nThosewhowillconstructhandwashingfacilityandusetheirhandwashingfacility
AND REMEMBER HANDWASHING WITHOUT SOAP IS INCOMPOLETE!!!!
REMEMBER!!
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THIRD HOUSEHOLD VISIT
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TheCommunityKeyInformantsshouldvisiteachhouseholdinthecluster
Aims of the Household visit
• Identify hand washing with soap performers by observing and takingphotographs-UsetheHouseholdvisitchecklist• Remindaboutcostsandbenefitsofhandwashing-Usesomeofthepicturesinthistool• Identifythosewhohaveconstructedhandwashingfacilitiesandtakephotographs-UseHouseholdvisitchecklist• Assesthelevelofknowledgeandskillsregardinghandwashinginfrastructure(constructionofhandwashingfacilityanduseofsoap)andtakeaphotographs-UsetheHouseholdchecklistbelow• Assessthosewhohaveconstructedhandwashingfacilitieswellandarepracticinghandwashingwithsoapandtakephotographs-Usetheobservationchecklistbelow
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Third Household Visit Checklist
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FOURTH CLUSTER MEETING
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• Askparticipantsthisquestion:whatcanwesayabouthandwashingwithsoap?• Remindabouttheimportanceofhandwashingwithsoap• Askcaregiverstoshareexperienceandaskperformerstoalsoencourageothers• Askcaregiversifthereareanyissueswhichtheyneedmoreclarification
Activity 14: Hand Washing with Soap Glo Germ Experiment Materials • Powderorgelthatsimulatesthepresenceofgermsonstudents(GloGerm)• Blacklightorultravioletlight• Handwashingfacility• Soap
Procedure
1. Spreadsomeofthegermsimulatingpowderorgeloncaregiver’shands.Spreaditevenlyoverbothhands,includingthebacksofthehandsandtheskinnext
Recap of the past meetings
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toandunderthefingernails.2. ThenplacetheCaregivershandsundertheUVlight.Underthelight,the“germs”willshowup.askcaregiverstodeterminethecleanlinessofthewasher’shand3. Askthecaregiverstowashtheirhandswithoutsoap4. ThenplacetheCaregivershandsundertheUVlight.Underthelight,the“germs”willshowup.Askcaregiverstodeterminethecleanlinessofthewasher’shand.Anyremaininglotionwillshineblue(fluoresce)undertheUVlampandshowtheareasthattheymissedwhentheywashedtheirhands.5. Explainanddemonstratethecorrecthandwashingwithsoaptechnique6. ThenplacetheCaregivershandsundertheUVlight.Askcaregiverstodeterminethecleanlinessofthewasher’s
Questions • Whathaveyouobserved?• Andwhatisyourconclusion?• Doyouthinkhandwashingwithsoapistherightwaytogo?Why?
Summary• Cleanhandsmaynotbesocleanafterall.Microorganismswhichcause
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diseaseslikeDiarrhoeacannotbeseenwithnakedeyesandhencethecriticalimportanceofwashinghandswithsoaptopreventDiarrhoea.
Activity 15: Benefits of Hand washing with Soap-VideoMaterials needed1. Projector2. Laptop3. Generator4. UNICEFVideo
Procedure 1. Playthevideoforcaregiverstowatch2. Afterthevideoaskthecaregiversthefollowingquestionsa. Fromthevideo,whatarethebenefitsofHandwashingwithsoap?b. Whatwillhappenifcaregiversandhouseholdsmembersdon’tpracticehandwashingwithsoap?
Questions• Whathaveyoulearntfromthevideo?• HowcanweprotectourchildrenfromDiarrhoea?
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• Whatcriticaltimesforhandwashingwithsoaphaveyouseeninthevideo?
Summary• Handwashingwithsoapatcriticaltimesisessential.Itprotectsyourchildandyourfamily.Washyourhandswithsoapatallcriticaltimes.
Activity 16: Clusters Hand washing with soap experience sharing • Eachclustertopresenttheirhandwashingwithsoapprocessmemorysong,poemetc.
• Caregivers from each cluster to share hand washing with soap experience. It can be regarding the following:o Howeasyisittowashhandswithsoap?o Arethereanychallengesofwashinghandswithsoapalways?o Howweretheyareaddressingandhowaretheygoingtodealwiththem?Activity17:makinghandwashingwithsoapstreamers
Materials needed• Plaincolouredpaperstreamers
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• Markers• Crayons
Procedure• Giveeachcaregiverastreamerofabout6colouredpapers• Askthemtowritesomethingregardinghandwashingwithsoapwhichtheywanttoalwaysrememberandtheywantthestreamertoalwaysactasareminder• Theycanputmessagesordraw• Askthemtoidentifyaplaceattheirhouseholdwheretheycanhangit
Before closing the session do the following:• AwardHouseholdswhichhaveconstructedhandwashingfacilitiesandarepracticinghandwashingwithsoap–showtheclustermembersthephotographoftheperformers• Askthecompetitionwinner(rolemodels)toencourageothers-emphasizethatrelapsedohappensbuttheyhavetoalwaysgetupwhentheyfall• Caregiversmakeagroupcommitmenttosustainthepracticeofhandwashingwithsoapandprintphotographsofperformers• Awardcaregiverswhohaveachievedrequiredpointsonthescorecard.
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