A Model for Population's Involvement in Healthcare Management

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A Model for Population's Involvement in
Healthcare Management
Ruzanna Melyan Public Education Team
Leader Primary Health Care Reform
Project USAID/Armenia
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Outcomes

• Local communities mobilizing to promote healthy
  lifestyles
• Building rural NGO capacity to increase
  health-seeking behavior/promote healthy behaviors

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Creating Health Ownership

• Empowering a person with the knowledge and tools
  to manage and improve their health status
• Espousing a preventive outlook on personal health
  issues
• Strong health ownership creates empowerment an
  individual owns his or her health
• Behavior change individuals must evaluate their
  own actions, habits, behaviors.

Health Ownership a Common thread through top
down and bottom up HE activities
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Three Tenets of Health Behavior Change
Skills How to
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Utilizing Participatory Approach
Tell me and I forget Teach me and I may
remember Let me DO and I will learn Confucius
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Utilizing Principles of Peer Education
What is Peer Education? In the content of this
model, it is the process whereby well-trained
and motivated community members undertake
informal or organized educational activities
with their peers (other members of the same
community)
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Components of Community Mobilization Program

• Community assessments and Participatory Rural
  Appraisal (PRA)
• Identifying the health issues and behaviors
  affecting communities
• Form Community Health Committees (CHC)
• Village leaders and motivated individuals
• Create TOT capacity building and health training
  modules for CHC
• Enable CHC to work as group (Phase 1)
• Training in health issues (Phase 2)
• Select and Train NGOs to train CHCs
• Competitive selection for grant funding
• TOT in Phase 1 and Phase 2 modules
• CHCs trained by NGO
• CHC-led health education initiatives in their
  communities

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Capacity Building and Health Education Modules
CHC Health Education ToT Modules
CHC Capacity BuildingToT Modules

• PHC Services
• Child Nutrition and Hygiene
• Child Injury Prevention
• Child Immunization
• Safe Sexual Behavior
• Diabetes prevention and management
• Calcium and healthy bones
• Hypertension prevention and management

• The Role of CHC in Community Development Process
• Adult Learning Strategies
• Participatory Methods
• Interactive Teaching
• Cooperative Teaching and Team Building
• Conflict management
• Behavior Change Communication
• Project Design and Management
• Advocacy

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Using PRA Methodology for Community Health Risk
Behavior Assessment
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PRA Sessions in Rural Communities
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NGOs Trainings
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CHC Health Education Training Results
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CHC Health Education Training Results
Knowledge, Attitudes, and Practices Survey, by
intervention and comparison group
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CHC Health Education Training Results
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Thank you
Be the Owner of Your Health