3rd RECORDED COMMUNITY DIALOGUE MEETING - MALARIA IN PREGNANCY!

  1. Before the talk show.

The health assistant with the Assistance of the Records Assistant retrieve data from the health facility so as to have facts before the recording.

Data to be collected is as follows:

- No. of mothers that received IPTp 1 in the previous 2 quarters.

- No. of mothers that IPTp 2 i.e completed the 2 doses.

(Aug, Sep, Oct Nov, Dec, Jan)

Cases / October / November / December / January / February / March
IPT1 / IPT2 / IPT1 / IPT2 / IPT1 / IPT2 / IPT1 / IPT2 / IPT1 / IPT2 / IPT1 / IPT2
  1. Day of the recording.

The Health Assistant’s role is to facilitate the session and encourage discussion from all members

Agenda

  1. Opening prayer
  1. Introduction. (all members to introduce themselves)
  1. Welcoming remarks Health Assistant. (Recording starts from here)
  1. Health Assistant opens the session by:

 Thanking participants for turning up for the meeting.

 Encourages everyone to participate for each and every issue put forward.

  1. Shares the objectives of the meeting which include
  • To share and freely discuss malaria in pregnancy in our community.
  • To find solution to the challenges that mothers face in preventing Malaria especially completing the two doses of fansidar?
  1. Health Assistant gives statistics as per the table above.
  1. Health Assistant opens discussion. (Most of the studies conducted show that only a small percentage of pregnant women complete the two doses of fansidar and yet this is very important in prevention of Malaria in pregnancy. Today we want to discuss this issue and possibly come up with possible solutions)

Probe for the following;

  • What makes pregnant women so vulnerable to Malaria?
  • The consequences/effects of a Malaria attack to a pregnant woman?
  • The preventive measures of Malaria in our community especially among pregnant women?
  • What reasons make it difficult for pregnant women to attend ANC at least for the four times as required by the Ministry of Health?
  • Does the community know about fansider/IPTp
  • What reasons make it difficult for pregnant women to complete the two doses of fansidar as required?
  • Why is it that some pregnant women do not want to take fansidar when offered by the health workers?
  1. What’s the way forward as a community? What can we do as community members to unsure that all the pregnant mothers attend ANC at least four times and receive the two doses of fansidar?
  • Leaders
  • Health Workers including VHTs members.
  • Households
  • Individuals

(Use action plan template)

THE HEALTH ASSISTANT GIVES CONCLUSIVE INFORMATION:

  • The WHO/MHO policy requires that all pregnant mothers take two doses of fansidar during pregnancy to prevent Malaria during pregnancy.
  • IPTp / Uptake of fansider is a Ministry Of Health Policy in which all pregnant women are given prophylaxis/preventive treatment against malaria at 4 & 6 months of pregnancy. It presumed that all pregnant women harbour malaria parasites and therefore need to be treated / given the preventive drug under the supervision of a mid wife
  • Although the woman has no symptoms of malaria, the Malaria parasite disturbs the nutrients and oxygen flow to the baby growing inside her womb. This can cause miscarriage, stillbirths, and sickly babies.
  • Fansidar is completely safe for a woman to take during pregnancy

We can Stop Malaria in our Community.

- Closing remarks from Chairperson Health Unit Management committee/Health Unit In-Charge/Community Leader

Action plan (this should be done collectively. One action plan to be developed)

Areas for improvement / Actions to be taken to reach the desired practice / Timeline / Venue / Resources (this is mainly based on their own local resources including their time) / Who will be responsible?

Stop Malaria needs a copy of this action plan.