Guide Working Session 1
Workshop Cholera UNICEF– OMS
Working Session 1Identify risk factors, their causes and their effects
Duration 2 h, 15 min
Objectives
- Identify risk factors associated to a cholera outbreak in an existing situation.
- Establish the causal relationships leading to risky situations and determine a relative ranking.
- Use the «problem tree» tool to show the different analysis and perspectives of stakeholders involved in the fight against cholera.
Problem tree
The analysis is presented in a diagram where, for a specific given problem, the effects are located above and the causes are located below. This diagramme is called a «problem tree» and it enables us to show problems in order to help establish their causal relationships.
Risk Factors to study
Ø Lack of water of good quality
Ø Lack of sanitation
Ø Inadequate personal hygiene
Ø Inadequate food safety
Ø Inadequate health services
Ø Health services not accessible
Ø Inappropriate funeral practices
Situations
Ø Situation 1: In a given country, cholera annually hits more and more vulnerable groups, each time sooner in the year and in an increasing number of districts.
Ø Situation 2: in a given country, cholera is spreading although the measures of response have been set up by partners.
Méthodology
1. Set up three groups A, B et C based on the sheets that have been given to you.
Ø Group A: consider that cholera mainly occurs when there is mass gathering of populations and is spread from hot spots in both rural and urban areas;
Ø Group B: a focus will be put on the difficulties to control cholera in urban areas ;
Ø Group C: a focus will be put on the difficulties to control cholera in rural areas ;
2. In each group, set up two sub-groups that will separately draw problem trees
Ø To identify the causes that jeopardize the establishment of a good prevention strategy (situation 1) and if possible the effects of a deficient prevention strategy.
Ø To identify the causes that jeopardize the establishment of a good preparedness and response strategy (situation 2) and if possible the effects of a deficient response to cholera outbreaks.
3. Consolidate the problem trees and subsequent conclusions on the causes and effects for both situations 1 and 2.
Attention!
Results of your working sessions will be used for future sessions. Please keep them !
Chronogram
1. Explanation of working session – 10 min.
2. Review of the documents – 15 min.
3. Group work – 60 min.
4. Consolidation of group work – 20 min.
5. General discussion – 30 min.
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