sspace
space
COMMUNITY HEALTH PROGRAM.
In the project area living standards are very low, particularly at the higher elevations where agricultural production is poorest. Families typically live in crowded adobe buildings with the most rustic of furnishings, poor smoke ventilation, no running water, no telephone, frequent access by domestic animals, and, in many cases, no latrines. Drinking water sources at streams, springs, or shallow wells are frequently contaminated by fecal coliform bacteria, parasites, and other pathogens.
These adverse living conditions coupled with limited access to health care services have produced very high rates of illness and mortality, especially for under-five children, mothers, and the elderly. To address these issues DESEA Perú has implemented a comprehensive water treatment and community health program in the project communities. Since 2008, DESEA has been conducting bi-weekly health clinics in each project community and providing hygiene and sanitation instruction in all homes, schools, and community kitchens.
In September 2009, DESEA significantly expanded the community health program by initiation of training of a network of community health workers in each community. With DESEA’s support, each community selected two women for for intensive, year-long training in community health practices. At the end of their one-year training program, each Qhali - from the Quechua term ‘qhali’kaypac llank’asun’ meaning ‘working for health’ – will be able to:
- teach hygiene and sanitation practices to families, groups, and schools;
- instruct families and schools in biosand water filter operation and maintenance;
- provide emergency first aid;
- monitor basic health conditions of patients;
- measure and interpret basic vital signs;
- supervise use of medications;
- know when to seek medical assistance;
- support community members who need hospital services; and
- advocate for better health services for her community.
With the direct involvement of the Qhalis, DESEA Perú nursing and teaching staff will be providing on-going instruction to families, schools, and community groups in water filter use, hygiene and sanitation, nutrition, and healthcare practices. As well, to accommodate this expanded role, scheduled health clinics will be held in each community on a weekly basis.