Transcript Sierra Leone*s Health Assessment

Evan Sylvester
Walden University
01/25/2013



Access to clean water
Sanitation
Separate clinic survey
Image retrieved from Hydraid BioSand Water Filter http://www.hydraid.org/efficacy
Samaritan’s Purse International Relief http://www.samaritanspurse.org/index.php/articles/wells_for_nuba_churches/





Nearly 1.1 billion people worldwide lack
access to improved water
Nearly 2.4 billion do not have access to
improved water
WHO estimates that 2 million people die
every year from diarrheal disease
UN estimates that water related diarrheal
diseases result in 450 million days of school
and 5% of GDP loss in developing countries
Due to lack of finances, sustainability, water
treatment, hygiene and sanitation practices,
and education
Determine drinking water status
- water access
- water treatment/storage
- seasonal access issues
 Determine latrine status
- location/access
- proximity to water
- hygiene practice

Image retrieved from Times Magazine http://www.time.com/time/health/article/0,8599,1859878,00.html







Not just gathering information
Purpose is to implement social change
Builds the capacity for empower and health of
the community
Need to have local relevance
Collaboration or partnership
Building the capacity in the community
Get input by involving the community
1.
2.
3.
4.
5.
6.
7.
8.
9.
Identify target population
Create research question and goals
Is research observational/experimental
Select correct study design
What variables are measured
Select sampling method
Implement study
Analyze data
Answer research questions and show
findings


-
Active questionnaire in the surrounding
community
3 or 4 teams 2-3 people each
door to door in catchment area
household based questions
Passive questionnaire at the clinic
in clinic setting only
individual based questions



Use science based information so GGM can
better serve the community
Create a health intervention/program
simple educational poster
education during community meetings
provide resources or means
Change in behavior/attitudes towards water
and sanitations
1.
2.
3.
4.
5.
6.
7.
8.
During the dry/rainy season, what is the most common
source of drinking water for members of your household?
During the dry/rainy season, where is the most common
place that your household members get water?
During the dry/rainy season, how is the household water
stored?
How do people in your household clean the water storage
container?
Who within the household usually collects the water?
During the dry/rainy season, how often do they collect
water?
During the dry/rainy season how long does it take to get
drinking water and come back home without stopping?
What kind of water treatment does your household perform
to make the water safe to drink after collecting it?
1.
For adult members in your household what is the most
frequently used type of toilet?
2.
How do member in your household clean the toilet (feces)
out of the nappy (diaper) of infants?
3.
Do people in your household toilet (feces) in the same
location where the household drinking water is collected?
4.
Do people in your household wash in the same water they
drink from?
5.
Does your household have soap and water for washing
hands after toilet?
6.
Does your household have soap and water for washing
hands before eating?



Mckenzie, J., Neiger, B., & Thackeray, R. (2009).
Planning, Implementing, & Evaluating; Health
Promotion Programs (5th ed.). San Francisco, CA:
Pearson Education
World health Organization (2012). Water supply,
sanitation and hygiene development. Retrieved
from
http://www.who.int/water_sanitation_health/hygi
ene/en/
Kun, Y., LeJeune, J., Alsdorf, D., Bo, L., Shum, C., &
Song, L. (2012). Global Distribution of -Outbreaks
of Water –Associated Infectious Disease.PLoS
Neglected Tropical Diseases, 6(2), 1-9. doi:
10.1371/journal.pntd.0001483