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Community Health Care Workers’ Manual Design 2 nd Iteration In collaboration with DesignInKind and the UN Millennium Village Project/Earth Institute Tues August 19, 2008

Meeting Overview Since we last met 2 nd Iterations of Style guide Comments and Questions

Since we last met MDG TrainersCHW Coordinators CHWs TOT Manual CHW Manual CHW Manual/Household CardsHouseholds CHW Coordinators CHWs

Since we last met: The CHW Manual MDG TrainersCHW Coordinators CHWs TOT Manual CHW Manual CHW Manual/Household CardsHouseholds CHW Coordinators CHWs

Since we last met: The CHW Manual MDG TrainersCHW Coordinators CHWs TOT Manual CHW Manual CHW Manual/Household CardsHouseholds CHW Coordinators CHWs Section of CHW CHW SideHousehold Side

Template Design: Initial Versions Template 1 Template 3Template 2 CHW Page is dedicated to algorithm Household pages use more graphics to show treatment and prevention methods Clear Start and End points Include all Content

Template Design: Illustration Examples

New Content: Child Health: A Healthy Environment LOOK at the children Are their bodies clean? Are their clothes clean? Are they wearing shoes or sandals? Are their fingernails trimmed short? Are they putting dirty things in their mouths? LOOK at the household Are there dogs, chickens, or pigs inside the house? ASK the mother Do you have soap? What kind of water do they drink? Do your children was their hands before they eat? And after they defecate [word choice?]? Where do your children defecate? Do they ever use a latrine? How often do your children bath? Do they use soap? Where do they sleep? If they are sick, do they sleep in the same place as the other children? Do your children brush their teeth? ADVISE the mother Point out her good hygiene habits and encourage her to continue them Explain how cleanliness can prevent illness, especially diarrhea Choose the 2 most important hygiene habits she could change Explain what to change Ask how she feels about these changes, and if there are any reasons she would not change (for example, not enough money, cultural or personal beliefs, etc.) Explain why these changes will help to keep her children healthier Give her specific suggestions on how to make the changes On the next visit, ask if she has been able make the changes HOUSEHOLD SHEET Fact Box Children are more likely to be healthy when they are clean and their homes are clean. Teach your children to: Always to wash their hands after they go to the bathroom [choice of term?] and before they eat [IMAGE – hand washing, with soap suds] Bathe with soap, and wear clean clothes [IMAGE – washing a child, with soap suds] Use latrines [when they defecate – term to use?] [IMAGE – child squatting over a hole] Wear sandals or shoes [IMAGE – foot with a flipflop on] Brush their teeth at least once a day [IMAGE – teeth being brushed] Do not put dirty things in their mouths [IMAGE – crossed out – child putting shoe or flipflop in mouth] To protect your children, you can: Only give them pure, boiled, or filtered water to drink [IMAGE – child drinking cup of water] Keep pigs, dogs, and chickens out of the house [IMAGE] Cut their fingernails very short [IMAGE – trimming fingernails with scissors] Make sure that a child who is sick does not sleep with other children or use the same clothing or towels [IMAGE – one child (sick-looking if possible) sleeping a few feet away from a group of 2-3 children] Treat sick children quickly so that other children do not get sick [IMAGE – medicine] Feed babies with a clean cup and spoon [IMAGE – ]

Template Design: 2 nd Iteration Template 1 Template 3 Template 2

Template Design: Template 1

Template Design: Template 1 CHW1 Fact Area Assessment Area Treatment Page Number Required tools/skills Header

Template Design: Template 1 CHW1 Manual Navigation Tabs

Template Design: Template 1 CHW1 Fact Area Page Number Required tools/skills Header

Template Design: Template 1 CHW1 Assessment Area Treatment

Template Design: Template 1 CHW1 Assessment Area

Template Design: Template 1 CHW1 Treatment Area

Template Design: Template 1 CHW2 Category Information Fact Area Assessment Treatment Page Number Header Required tools/skills

Template Design: Template 1 CHW2 Category Information Page Number Header Required tools/skills Fact Area

Template Design: Template 1 CHW2 Category Information

Template Design: Template CHW2 Assessment Treatment

Template Design: Template 1 CHW2

Template Design: Template 1 House Category Information Fact Area Teach Prevention Page Number Header Required tools/skills

Template Design: Template 1 House Category Information Fact Area Page Number Header Required tools/skills

Template Design: Template 1 House Teach Prevention Page Number

Template Design: Template 1 House Teach

Template Design: Template 1 House Prevent

Template Design: Template 2

Template Design: Template 2 CHW Category Information Fact Area Assessment Treatment Page Number Header Required tools/skills

Template Design: Template 2 CHW Category Information Fact Area Page Number Header Required tools/skills

Template Design: Template 2 CHW Assessment Treatment

Template Design: Template 2 CHW

Template Design: Template 2 Teach Category Information Fact Area Guidance Area Page Number Header

Template Design: Template 2 Teach Category Information Fact Area Page Number Header

Template Design: Template 2 Teach Guidance Area

Template Design: Template 2 Teach

Template Design: Template 2 Prevent Category Information Fact Area Guidance Area Page Number Header

Template Design: Template 2 Prevent

Template Design: Template 3

Key Icons

Template Design: Template 3 Broad Category

Template Design: Template 3 Specific Area

Template Design: 2 nd Iteration Template 1 Template 3 Template 2

Template Design: Template 1

Template Design: Template 2

Template Design: Template 3

More comments and Questions If there is something that we did not specifically address, this is your time to ask! All information is also available on the blog where you are encouraged to comment as well. Thanks for your Time.