Guide Working Session 1
Workshop Cholera UNICEF– OMS

Working Session1Identify 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

Lack of water of good quality

Lack of sanitation

Inadequate personal hygiene

Inadequate food safety

Inadequate health services

Health services not accessible

Inappropriate funeral practices

Situations

Situation 1: In a given country, cholera annuallyhits more and more vulnerable groups, each time sooner in the year and in an increasing number of districts.

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.

Group A: consider that cholera mainly occurswhen there is mass gathering of populations and is spread from hot spots in both rural andurban areas;

Group B: a focus will be put on the difficulties to control cholera in urban areas ;

Group C: a focus will be put on the difficulties to control cholera in rural areas ;

  1. In each group, set up two sub-groups that will separately draw problem trees

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.

To identify the causes that jeopardize the establishment of a good preparedness and response strategy (situation 2) andif possible the effects of a deficient responseto cholera outbreaks.

  1. 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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