Manual for Trainees
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INTRODUCTORY TRAINING MANUAL 1 African Field Epidemiology Network (AFENET) Public Health Participatory Epidemiology Introductory Training Module MANUAL FOR TRAINEES Developed in collaboration with the Participatory Epidemiology Network for Animal and Public Health (PENAPH) V1 24 June 2011 Participatory Epidemiology Network for Animal and Public Health PUBLIC HEALTH PARTICIPATORY EPIDEMIOLOGY 2 Acknowledgments The information presented in this manual is based on the work of a network of participatory epidemiology practitioners and trainers. It is for use in teaching the basic principles of participatory epidemiology, with a focus on public health. Although not exhaustive, this training, developed in collaboration with PENAPH and AFENET, does give interested practitioners the background and experience they need to plan and implement participatory epidemiology activities. The PENAPH managing partners are ILRI, OIE, FAO, AU-IBAR, RVC, VSF-B, VSF-C, USCDC and AFENET. Further information can be obtained from: Participatory Epidemiology Network for Animal and Public Health C/O International Livestock Research Institute PO Box 30709 00100 Nairobi, Kenya Tel: +254 20 422 3435 Email: [email protected] This is a participatory manual, and includes materials from many different sources. It can be downloaded from the PENAPH website: http://penaph.net/ This manual is provided under the terms of a Creative Commons Public License. You are welcome to copy, change and distribute this manual for non-commercial use provided that you credit the sources (PENAPH and AFENET) and share your results with us. For more information on how to use, share and attribute non-commercial publicly available materials please see: http://creativecommons.org/licenses/by-nc-sa/1.0/ INTRODUCTORY TRAINING MANUAL 3 African Field Epidemiology Network (AFENET) Public Health Participatory Epidemiology Introductory Training Module MANUAL FOR TRAINEES Developed in collaboration with the Participatory Epidemiology Network for Animal and Public Health (PENAPH) 24 June 2011 Editors Heather Hannah and Christine Jost Contributors Aluma Ameri Samuel Letereuwa Bernard Bett Stacie Lawson Heather Hannah Jeffery Mariner Saskia Hendrickx Purvi Mehta Christine Jost Cyrille Pissang Special thanks to: Steven Becknell Eric Gogstad Peter Bloland Monica Musenero Monday Busuulwa Joseph Sserugga PUBLIC HEALTH PARTICIPATORY EPIDEMIOLOGY 4 Table of Contents Acknowledgments ................................................................................................................. 2 Table of Contents .................................................................................................................. 4 Objectives, Priorities & Considerations .................................................................................. 6 Day One ................................................................................................................................ 8 1. Welcome and Introductions ........................................................................................................8 2. Introduction to Participatory Epidemiology ............................................................................... 11 3. National Public Health Surveillance Systems.............................................................................. 37 4. Tools: Semi-structured Interviews ............................................................................................. 42 5. Communities .......................................................................................................................... 56 Day Two .............................................................................................................................. 65 6. Tools: Ranking & Scoring 1 ....................................................................................................... 65 7. Tools: Visualization Techniques 1 ............................................................................................. 83 8. Communicable Diseases of Adults ............................................................................................. 94 9. Behavior Change Communication ............................................................................................. 97 Day Three .......................................................................................................................... 103 10. Field Practice 1 ..................................................................................................................... 103 11. Tools: Visualization 2 ............................................................................................................ 106 Day Four ............................................................................................................................ 114 12. Global Positioning System (GPS) Tutorial Guide ..................................................................... 114 13. Tools: Ranking & Scoring 2 .................................................................................................... 131 14. Tools: Visualization 3 ............................................................................................................ 138 15. Non-communicable Chronic Diseases of Adults...................................................................... 154 Day Five ............................................................................................................................ 156 16. Field Practice 2 ..................................................................................................................... 156 17. Study Design, Analysis and Reporting ................................................................................... 157 Day Six .............................................................................................................................. 179 18. Field Practice 3 ..................................................................................................................... 179 19. Childhood Morbidity and Mortality ....................................................................................... 181 Day Seven ......................................................................................................................... 184 20. Tools: Ranking & Scoring 3 .................................................................................................... 184 21. Field Practice 4 ..................................................................................................................... 187 Day Eight ........................................................................................................................... 188 INTRODUCTORY TRAINING MANUAL 5 22. Participatory Disease Surveillance ......................................................................................... 188 23. Field Practice 5 ..................................................................................................................... 194 Day Nine ........................................................................................................................... 197 24. Planning a Participatory Epidemiology Study or PDS Activity .................................................. 197 25. Field Practice 6 ..................................................................................................................... 198 Day Ten ............................................................................................................................. 200 26. Review of all field practice exercises ..................................................................................... 200 Appendixes ....................................................................................................................... 201 Handout 1: Basic Epidemiological Principles ................................................................................ 202 Handout 2: Summary guidelines for Semi-structured Interviews ................................................. 205 Handout 3: Disease Impact Matrix Scoring ................................................................................. 207 Handout 4: Proposal Format for a Participatory Epidemiology Study or PDS Activity .................... 211 Handout 5: Local Language Lexicon Table .................................................................................... 213 Handout 6: Table for Recording Recommendations from Field Practice Days ............................... 214 PUBLIC HEALTH PARTICIPATORY EPIDEMIOLOGY 6 Objectives, Priorities & Considerations The goal of this training is to increase your awareness and use of participatory epidemiology. The training will also provide you with a valuable opportunity to become a public health advocate. Integrating data for action into your work comes with the responsibility to act on the information gathered. While responding to community needs is not within the scope of the training module, it is the responsibility of certain key stakeholders. In order to make the greatest use of the training and the participation of the communities, please share the findings and recommendations obtained during our field visits with individuals and agencies positioned to respond effectively. Please keep a log of the names and locations of the villages you visit, their health concerns and your recommendations. Observations not discussed with the community may be included as appropriate (e.g. school aged children not in school). At the end of this