Table 3.
Content and delivery of health promotion and hygiene kit demonstrations at two Cholera Treatment Units (CTUs)
| Observation site | Content of health promotion and hygiene kit demonstration | Comments on the delivery of session, approach and activities | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hygiene kit component demonstrated | Health promotion messages included | Total components of a session | |||||||||||||
| Jerrycan (20 l (L)) | P&G Purifier of Water™ (flocculant disinfectant) | Aquatabs™ (chlorine tablets) | Soap (1 kg bar soap) | Handwashing device (10-L bucket with tap) | Cholera transmission (e.g. F-diagram) | Encouraging care-seeking behaviour to HCFs | Treatment at MSF facilities is free | Increase water stored in the household (by using the jerrycan) | Boil or treat drinking water | Limit open defecation | Practice safe corpse preparation | Wash hands at key times (before eating, before food preparation, after toilet, after changing a baby’s nappy, after caring for the ill/contact with a cholera case) | |||
| Nsenga Nsenga CTU | ✓ | ✓ | × | ✓ | × | ✓ | × | × | ✓ | ✓ | × | × | ✓ | 6 | Demonstrations were conducted with a picture board but were often didactic and attendees were not able to ask questions or demonstrate recall of the messages or demonstration |
| Nsenga Nsenga CTU | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | × | × | × | ✓ | × | × | ✓ | 8 | CHWs instigated a question and answer game to check respondents understanding. |
| Lukalaba CTU | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | × | ✓ | × | × | ✓ | 10 | Demonstration of the hygiene kit was conducted through a picture board; CHWs responded to questions and encouraged use of the kits by households as soon as possible |
| Lukalaba CTU | ✓ | × | ✓ | ✓ | × | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 11 | CHWs repeatedly explained that the kit is only given to those with cholera patients in the house; and that households should start using them immediately |
| Lukalaba CTU | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | × | × | × | ✓ | × | × | ✓ | 8 | CHWs paused to take questions, ask the attendees to repeat the demonstrations and pauses to check any responses; CHWs emphasised the use of the kit by all household members. |
| Frequency among sessions | 5 | 4 | 4 | 5 | 3 | 5 | 2 | 2 | 2 | 5 | 1 | 1 | 5 | – | – |
CHWs Community Health Workers, CTU Cholera Treatment Unit, HCF Healthcare Facility, MSF Médecins Sand Frontières