1. SQUEAC COMMUNITY ASSESSMENT Bratislava, September 2014 Lenka BLANÁROVÁ

2. COMMUNITY ASSESSMENT DEFINITION A group or network of persons who share COMMON VALUES.  geographical location  cultural and linguistic origins  religious affiliation  political and social heritage  interests and aspirations  any beliefs, preferences, resources, needs, etc.

3. COMMUNITY ASSESSMENT PURPOSE & AREAS OF INTEREST Purpose: to understand community dynamics which may influence and/or have impact on CMAM program access and uptake.  demographic profile i.ethnicity/religious affiliation/ economic status, etc. ii.cultural and social norms, traditions, beliefs, attitudes, perceptions, taboos, etc.  social organisation (structure, institutions, leadership, etc.)  gender organisation and childcare  key community figures  communication channels

4. COMMUNITY ASSESSMENT PURPOSE & AREAS OF INTEREST  local understanding of malnutrition (symptoms, causes, effects, solutions, stigmatisation)  health seeking patterns  access and perceptions of health centres (distance, cost, quality and variety of care, admissions, interface, etc.)  volunteer networks (coverage, capacity, aptitude, activity frequency, planning & follow-up, etc.)  community sensitisation & screening (actors, themes, tools, frequency, variety, etc.)  BARRIERS and BOOSTERS to access and uptake

5. COMMUNITY ASSESSMENT STAGES SQUEAC & CA Stage I SQUEAC & CA Stage I SQUEAC Stage II SQUEAC Stage II SQUEAC Stage III SQUEAC Stage III CA Stage II CA Stage II Quantitative + qualitative data collection Small Area Survey Wide Area Survey

6. COMMUNITY ASSESSMENT TOOLS & METHODS  Observation  Mapping  Ranking  Seasonal calendar

7. COMMUNITY ASSESSMENT TOOLS & METHODS  Social mapping & relationship identification tool  Communication channel matrix

8. COMMUNITY ASSESSMENT TOOLS & METHODS  (Focus) group discussions  Semi-structured interviews  Informal interviews  Case studies  Analysis  Secondary sources

9. COMMUNITY ASSESSMENT SOURCES  Community members (M/F)  Carers of malnourished children (M/F)  Teachers  Traditional birth attendants  Traditional healers  Religious authorities  Local leaders (village chiefs)  Community-based organisations / associations / cooperatives  Community health workers/volunteers  Health centre personnel  Health district representatives  Etc.

10. COMMUNITY ASSESSMENT STAGE I Triangulation by source and by method AWARENESS ABOUT CMAM SERVICE - Screening by community volunteers - Self referral - Peer referrals M, W, T, TH, LL AB, BH, BO, AR, DJ, KB, ZK GD, SSI AWARENESS ABOUT MALNUTRITION - Lack of food, hunger - Breastfeeding during pregnancy, abrupt weaning TBA, LL, RA AB, AL, BO, DJ, HM, MO, KB, KJ GD, SSI

11. COMMUNITY ASSESSMENT STAGE II Weighting AWARENESS ABOUT CMAM SERVICE - Screening by community volunteers - Self referral - Peer referrals M, W, T, TH, LL AB, BH, BO, AR, DJ, KB, ZK GD, SSI AWARENESS ABOUT MALNUTRITION - Lack of food, hunger - Breastfeeding during pregnancy, abrupt weaning TBA, LL, RA AB, AL, BO, DJ, HM, MO, KB, KJ GD, SSI 3 3 5 5

12. COMMUNITY ASSESSMENT STAGE II

13. COMMUNITY ASSESSMENT STAGE II

14. COMMUNITY ASSESSMENT MIND MAP

15. COMMUNITY ASSESSMENT STAGE II

16. COMMUNITY ASSESSMENT STAGE II

17. COMMUNITY ASSESSMENT STAGE II

18. COMMUNITY ASSESSMENT PRACTICAL ADVICE

19. COMMUNITY ASSESSMENT PRACTICAL ADVICE  Contact community leaders upon your arrival and brief them on the activity. Seek their permission, if necessary.  Choose a place for your activity carefully. Make sure your interlocutors feel comfortable and safe and are not easily disturbed.  Face your interlocutors. Make sure they can see and hear you easily.  Introduce yourself, your team and the activity. Let your interlocutors present themselves. Acknowledge their availability, value their contribution.  Observe your audience. Sense how they might feel, what might keep them at distance and what might establish good relations.

20. COMMUNITY ASSESSMENT PRACTICAL ADVICE  Pay attention to individuals who keep silent. Try to include them in the conversation.  Show respect for your interlocutors, especially important community figures. Avoid interrupting them while they talk and listen attentively.  Recognize and document all contributions. Avoid displaying your opinion and/or disagreement. If beneficial to the exchange, challenge your interlocutors’ beliefs and perceptions honourably.  Thank your interlocutors for their time, assistance and hospitality.

21. COMMUNITY ASSESSMENT QUESTIONS ?