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HANDWASHING WITH SOAP AT CRITICAL TIMES
SOME OF THE CRITICAL HANDWASHING WITH SOAP TIMES
• ToprovideknowledgeandskillsonhandwashingwithsoappracticetoCaregiverssothattheycanprovidenecessarycaretochildrenandpreventDiarrhoealdiseasesBytheendofthismodule,participantsshouldknow:1. whatdiseasecausingorganismsareandhowtheycanbespread2. ThetransmissionroutesofDiarrhoeacausingorganisms3. Handwashingwithsoapcriticaltimes4. Benefitsofhandwashingwithsoap5. Outcomesofnotwashinghandswithsoap6. Stepsofhandwashingwithsoap7. Typesofhandwashingfacilities
Aim of the module
FIRST CLUSTER MEETING
Activity1:Paintgame-DiseasespreadMaterialsneeded• Atinofwaterpaint(anybrightcolor)• Soap• Jugandbasinwithwater• Aplate• Spoon• Anyfruit(ieMango)Procedure• Askcaregiverstodiptheirrighthandinatinofpaintandletthewholegroupknowthat(paintwillsymbolizepathogenicfaecalmatter)• Askthecaregiverstowanderaroundtheroomshakinghandswithfellowcaregiversanddosomethingstheyusuallydointheirdailylife(touchingplates,touchingthenose,child’shand,spoonetc.)
DISEASE CAUSING ORGANISMS
• Thisactivityshouldnottakemorethan5minutes• ThenaskcaregiversthefollowingquestionsQuestions• Whatdoyouthinkwashappening?• Whatdoyouthinkdiseasecausingorganismsare?• Whathaveyouobservedregardingdiseasetransmission?• Howarediseasesspread?• HowquicklycandiseasesspreadSummaryEmphasizethefollowingissuesinadditiontowhattheyhavesaid:Whatarediseasecausingorganisms?• Manyinfectionsanddiseasesarecausedbymicroorganisms• Theyareverysmallorganismsthatcannotbeseenbynakedeyesbutcausesillnesswhentheyenterandinfectthesusceptiblehost.• Therearemanymicroorganismsintheenvironmentthatcausesdiseases.ForexampleabacteriumcalledVibriocholeracausesCholera.Diarrhoeaiscaused
byvariousorganisms.Typesofdiseasecausingorganisms• Askparticipantsfirstiftheyknowanytypeofdiseasecausingorganisms?• Fromtheirresponsesemphasizethefollowing:o Diseasesarecausedbyvariousorganismssomeoftheminclude:
TRANSMISSION OF DISEASE CAUSING ORGANISMS
• Germs• Worms• Remember:Microorganismscannotbeseenwithnakedeyesratherwithamicroscope.
• WiththeknowledgeandideasobtainedfromActivity1:Paintgame-Diseasespread–applytheminthefollowingactivity• ConducttheactivitybelowwithparticipantsActivity2:DrawingtheFaecal-OralTransmissionrouteMaterialsneeded• Flipcharts• Pentalmarkersofdifferentcolors• Locallyavailablematerials(relatingtotheactivity)-caregiverswillidentifythemselvesastheyaredoingtheactivityProcedure• Gooutsidetheroomwithparticipants• Dividetheminto2groups• Askthefirstgroupofparticipantstogooutsidetheroomanddrawonthegroundthefaecal-OralTransmissionrouteofDiarrhoeacausingorganisms.Tellthemtobefreetouseanymaterialsaroundtopresenttheirideasandtheyshouldreflectonwhattheyhavelearntfromtheotheractivity.
• Askthesecondgroupofparticipantstodrawonflipchartsthefaecal-OralTransmissionrouteofDiarrhoeacausingorganisms.• Remindparticipantstobecreativeenoughanduselocalsimplematerialsaroundthemtorepresentelementsinthepathways• Eachgroupshouldtakemaximumof10minutestodotheactivity• Whenbothgroupsaredone,thewholeteamshouldgoandappreciatetheworkdonebytheoutsidegroupfirst.Askonemembertoexplaintotherestofthegroup.DothesamewiththeothergroupthengobackintheroomQuestions• Whatarethecommonfaecal-oralroutesforspreadingDiarrhoea?• Whatcanwedotopreventspreadingofvariousdiseasecausingorganismsthroughthewayswhichwehavementioned?• Whatcanhappenifyouarenotwashinghandswithsoap?•
Explain this to caregivers to emphasize their responses:
• Thefirststepininfectionisthemicrobeenteringthebody.Diseasecausingorganismscanbespreadindifferentwaysandeachisspecifictothepathogen.• Diarrhoeacausingorganismsarespreadthroughthefecal–oraltransmissionroutewherepathogensinthefaecalparticlespassfromonepersontothemouthofanotherperson.• Thecommonfecal-oralroutesthatdiseasecausingorganismsspreadamongpeople:o Fingersofdirtorunwashedhandso Flieso Unhygienicfoodandunsafewatero Feaceso Eatingunwashedfoodlike:vegetablesandfruits• Anddiseasescausedbyfecal-oraltransmissionincludeDiarrhoea,typhoid,cholera,polioandhepatitis.
Tizilombo toyambitsa matenda tosiyanasiyana timafala kudzera: zala za maja osasamba, ntchentche, kudya chakudya chosasa-malika ndi kumwa madzi osatetezedwa
HANDS WASHING WITH SOAPQuestion:• HowcanwebreakthepathwaysortransmissionroutestopreventdiseaseslikeDiarrhoea?Emphasizetheirresponsesbyexplainingthistothecaregivers:• Handwashingwithsoapisonewayofbreakingthepathwayoftransmis-sionofDiarrhoeacausingorganismsassomeparticlesinthesoapkillsmicroor-ganisms.• Adequatesanitationandhygienepractices• Assuchcaregiversneedtobesensitiveoftheseissuesandputcontrolmeasurestoprotecttheirchildrenandfamilies.Summary• VariousdiseasecausingorganismslikeDiarrhoeacausingorganismscanbespreadthroughhands• Handsareonequickervehicleofdiseasetransmission• Diseasescanbespreadtomanypeopleinashortperiodoftime• WashyourhandswithsoaptoprotectyourchildfromDiarrhoeadiseasesActivity3:Howtowashhandswithsoap
Materialsneeded• Soap• Jugandbasinwithwater
Procedure• Chooseanumberofcaregiverstodemonstratehowtowashhandswithsoapproperly• AskthewholegrouptobeobservantandtakenoteofstepswhichtheyfeellikewerenotdoneproperlyQuestions• Cansomeonebrieflymentionthehandwashingwithsoapstepsthattheyweredemonstrating?• Isthereanystepwhichyouthinktheymissed?Ifsomentionitanddemon-strateit.Summary• Handwashingwithsoapisnotjustrinsinghandsinwater.Thereisatech-niqueofwashinghandswithsoapproperly.
• InthenextclustermeetingwewilllearnmoreabouthandwashingwithsoapActivity4:Handwashingwithsoapcommitment-Paperplatehandpainting• Fromwhatyouhavelearntandthepubliccommitmentyoumadetomakeyourfamilyahygienicfamily,don’tyouthinkcommittingtohandwashingwithsoapisonewayofachievingit?• Askparticipantswhattheyaregoingtobedoingtoachievethis?• Giveeachcaregiverapaperplateandamarker• Askthecaregiverstowriteontheirpaperplatethecommitmentmessagewhichisonthechalkboard.Commitmentmessage“Iwillbewashingmyhandswithsoapalways”• Thenafterwritingaskcaregivertodiptheirhandintothetinofpaintandpasteitonthepaperplate• Thenaskthecaregivertodipthehandoftheirchildinthepaintandpasteitonthesamepaperplate• AskallthemtowashtheirhandswithsoapandmakesurenopaintremainsintheirhandsQuestions• Isthereanymeaningindoingthisactivity?
• Whatisthemeaningofthehandpaintedpaperplate?• Doesitreflectsomething?Summary• HandwashingwithsoapprotectsyourchildfromgettingDiarrhoea• ItisyourresponsibilityandallothercaregiverstopreventyourchildfromhavingDiarrhoea• Washinghandswithsoapatallcriticaltimesbyyouprotectsyourchildfromgettingsick.• Thereforepromisewashyourhandswithsoapalwaysandprotectyourchild.• Thenaskcaregiverstoplacethepaperplateataplacewhereitcanalwaysremindthemofwashinghandswithsoap(kitchen,sittingroom,verandaetc.)Activity5:HandingoutHandwashingwithsoapscorecards• Giveeachcaregiverahandwashingscorecard• Tellcaregiversthatthescorecardwillhelptotracktheirsuccess• Explainhowitwillbeusedo WhenCommunityKeyInformanthasobservedthatthehouseholdhasachievedsomethingasputonthescorecardshewilltickandstampandreporttoGroupcoordina-torwhowilllaterverifyandawardthehousehold.
KHADI KALONDOLONDO NDI KAPAMBANIDWEDWE KA KHALIDWE LOSAMBA M’MANJA NDI SOPO MU NTHAWI ZOFUNIKA
“ Banja la ukhondo umoyo wabwino”
Questions •Doyouthinkyouwillmanagetowashhandswithsoap? •Ifnotwhatwouldbethechallenges?
Assignment •Whenyougobackhomethinkaboutasong,poemetc.whichyouthinkyou canusetoremindyourselfabouthandwashingwithsoapsteps.
Reminders •Thenextclustermeetingison_____________________ •CommunityKeyInformantsVolunteers(CKI)willconducthouseholdsvisit
FIRST HOUSEHOLD VISIT
Community Key Informant (CKI) should visit each caregiver’s household. Make sure it is a surprise visit to avoid behaviour pretense.
Aims of the Household Visit1. Discussionsaimingatfindingchallenges2. Remindandencourageabouthandwashingwithsoap3. Demonstrategoodpractice4. Developingaworkplanonhandwashingwithsoappracticeto ensure each caregiver meets the public commitment (Ask thecaregiverwhattheyaredoingandplantobedoing).
Use the Checklist like the one below to record your observation during the household visit
SECOND CLUSTER MEETING
• Askparticipantstosharewhattheylearntinthefirstclustermeeting• Askparticipantsiftherewereanychallengesinwashinghandswithsoapandhowtheyarego-ingtoaddressthem• RemindthemagainabouttheFaecal-Oraltransmissionpathwaysandhowthepathwayscanbebroken• Bringoutthepathwayswhichcanbebrokenbyhandwashingwithsoapandemphasizethatthemodulewilldwellonthisandotherpathwayswillbeaddressedinothermodules.
QuestionAskparticipantsthefollowingquestionandaftertheyhaveansweredconductthepaintgametoem-phasizehowthetransmissionroutecanbeinterrupted• HowcantheDiarrhoeadiseasetransmissionroutebeinterrupted?Activity6:Paintgameishereagain!!Materialsneeded• Atinofwaterpaint(anybrightcolor)• Soap• Jugandbasin
RECAP OF THE PAST CLUSTER MEETING
HANDWASHING WITH SOAP
Procedure• Askcaregiverstodiptheirrighthandinatinofpaintandletthewholegroupknowthat(paintwillsymbolizepathogenicfaecalmatter)• Askthecaregiverstowanderaroundtheroomshakinghandswithfellowcaregivers• Thisactivityshouldnottakemorethan5minutes• Thenaskcaregiverstowashhandswithoutsoap• Askthemthefollowingquestionsaftertheyhavewashedhandswithoutsoap:o Howdoesitfeelwashinghandswithoutsoap?o Whathashappenedintheirhandswhentheywashedhandswithoutsoap?• Askthemthefollowingquestionsaftertheyhavewashedhandswithsoap:o Howdoesitfeelwashinghandswithoutsoap?o Whathashappenedintheirhandswhentheywashedhandswithoutsoap?o Isthereanydifferencebetweenwashinghandswithsoapandwithoutsoap?o Whichoneisbetter
What is washing hands without soap?
HANDWASHING WITH SOAP
• Involvescleaninghandswithwateronly• Washinghandswithoutsoapisnoteffectivebecauseitdoesnotremovemicroorganisms
Whatishandwashingwithsoapandwhyishandwashingwithsoapimportant?
• Handwashingwithsoapistheactofcleaninghandswithsoapandwaterforthepurposeofremovingsoil,dirt,andmicroorganisms.• WashinghandswithsoapandwateristhebestwaytogetridofgermsandiseffectiveforthepreventionoftransmissionofDiarrhoeapathogens.Keepinghandscleanisoneofthemostimportantstepswecantaketoavoidgettingsickandspreadinggermstoothers.Manydiseasesandconditionsarespreadbynotwashinghandswithsoapandcleanwater.Diarrhoeaisoneofthediseaseswhichisinfluencedbynotwashinghandswithsoap• Washinghandswithsoapandwaterisnecessarybecauseitremovesdiseasescausingorganisms.Washinghandswithsoapwillremovesubstantiallymorediseasecausingorganismsthanwashinghandswithwateralone.
Hand washing with soap critical timesHandswashingcriticaltimesaretimeswhichareextremelyimportanttowashhandswithsoap
toremovegermswhichmightbeavailableinthehands.Therearemanycriticaltimeswhichrequirewashinghandswithsoaptoreducefecal-oraltransmissionofdisease.QuestionsAskcaregiversthefollowingquestionandthendiscusswiththemabouthandwashingwithsoapcriticaltimes• Whatdoyouthinkarethecriticaltimeswhichrequirehandwashingwithsoap?Summary Someofthecriticaltimesrequiredforhandwashingwithsoap:• Afterusinglatrine• Afterchangingachildnappy• Beforefoodpreparation,beforeeatingandaftereating• Beforeandafterfeedingachild• Afterhandlinganimals• ChildrenlikeplacingfingersintheirmouthsoitisnecessaryforchildrentowashhandsregularlyCriticalhandwashingtimesforsickpeoplecaregiversandchildcaregivers• PeoplewhoareHIVpositiveandchildrenareatahighriskofDiarrhoeadiseases• Caregiversforchildrenandsickpeoplearesupposedtowashhandswithsoapasthey
aredoingtheirchores;weshouldpromotehandwashingwithsoapinthesetimes:beforetheygiveanycaretothechildorsickperson,beforefeedingthemandalsoaftergivingcaretothem.
Remember• Itisimportanttousesoapwhenwashinghands.Soapprovidestwofunctions:itisalubricantandmaycontainagentsthatdisinfectorneutralizebacteria.Thelubricantinsoapiswhatwillcausethedirttobeliftedormovedofftheskinwiththehelpofwater.• Washbothhandswithsoapafterusingthetoilet,cleaningthebaby’sbottom,beforefeedingchildrenandbeforehandlingfoodandpreventdiseases,suchasDiarrhoea.
Benefits of hand washing with soap
QuestionAskparticipantsthefollowingquestion• Whatdoyouthinkarethebenefitsofhandwashingwithsoap?
Following their responses share with them the following:Washinghandswithsoapregularlyisveryessential:• Itshowsrespecttoourselvesandothers• Itpreventsspreadingofdiseasewhichcanbetransmittedthroughcontaminatedhandstoourchildren,familyandfriends• Itpreventstheswallowingofvariousdiseasecausingorganismsfromfeacesasweareeating• ItmakeshandsnottohavebadodorConsequencesofnotwashinghandswithsoapQuestion
Ask participants what the following question• Whatdoyouthinkaretheconsequencesofhandwashingwithsoap?
If you do not wash your hands with soap you are putting your child & family at risk of getting sick
Following their responses, discuss with them the following images:
If you do not wash your hands with soap you are putting your child & family at risk of getting sick
If you do not wash your hands with soap you are putting your child & family at risk of getting sick
Questions• HowcanDiarrhoeaaffectthelifeofyourchild?• HowcanDiarrhoeaaffectyourhousehold?• HowcanDiarrhoeaaffectyourcommunity?Summary• Diarrhoealdiseaseisthesecondleadingcauseofdeathinchildrenunderfiveyearsoldbutitisbothpreventableandtreatable.• Itcanleadtothespreadofdiarrhoealdiseaseatahousehold(Children,parentsetc.)• Diarrhoeaisaleadingcauseofmalnutritioninchildrenunderfiveyearsold.• MoremoneyinthefamilyislostaswearehandlingDiarrhoeacases(transportcoststohospital,moretiespentinhandlingcasesandlossoftimeinotherincomesourcingactivities)• Poorcommunitydevelopment• Overcrowdinginhospitals• Notrespectingothersandyourself• Badodorremaininginthehands• Asignificantproportionofdiarrhoealdiseasecanbepreventedthroughadequatesanitationandhygiene.• ThereforepreventDiarrhoeawashhandsatallcriticaltimesprotectyourchild
Ask care givers the following questions
Remember to wash hands with soap every time before you start preparing food
Remember to wash hands with soap before you start feeding a child
Remember to always wash hands with soap after changing baby a nappy
Remember to wash your hands with soap after using the latrine
Remember to wash your hands with soap after handling animals
Activity 7: Hand washing with soap stepsMaterialsneeded:• Soap• Jugandbasin• WaterProcedure• Askanumberofcaregiverstodemonstratehowtheywashtheirhandswithsoap?• AskthewholegrouptoidentifyanddemonstrateifthereareanystepshavebeenmissedThenexplainthefollowingtocaregiverswhileshowingthemtheillustrationbelow:
Hand washing with soap steps
•Rememberinthefirstclustermeetingyouwereassignedtothinkofasongorcreatesomethingwhichcanbeusedalonghandwashingwithsoapprocess. If theyalreadyhaveasongtellthemtosingastheydemonstratehandwashingwithsoap.Ifnotmaytheydevelopone.It’snotcompulsorytocreateasongitcanbeapoemoranythingcreativetoalwaysremindcaregiversthehandwashingprocess.•TellparticipantsthatthesongtheycreatewillbeusedoftenintheirmeetingsActivity9:Assignment•Informcaregiverstopreparetoshareinthenextmeetingthetypesofhandwashingfacilitiesthey have at their household. If they don’t have they can share the types of hand washingfacilitiesavailable in theircommunity?Andalsowhich typesofhandwashing facilities theylikeandwhy?RemindersBeforeclosingthemeetingsinformparticipantsthefollowing:•TheCKIwillconducthouseholdvisitstoempowerthem•Thenextclustermeetingdate•Caregiversshouldcomewiththeirhusbandsandchildinthenextmeeting
Activity 8: Hand washing with soap song
Community Key Informant (CKI) should visit each caregiver’s household. Make sure it is a surprise visit to avoid behaviour pretense.
Aims of the Household Visit5. Identifyingperformers(thosewashinghandswithsoap)byobservingexistingpractices6. Discussionsaimingatfindingchallenges7. Remindandencourageabouthandwashingwithsoap8. Demonstrategoodpractice9. Developingaworkplanonhandwashingwithsoappracticetoensureeachcaregivermeetsthepubliccommitment(Askthecaregiverwhattheyaredoingandplantobedoing)10. Askcaregiverstobringtheirchildtothenextclustermeeting11. Remindcaregiverstocomewiththeirhusbandstothenextclustermeeting
SECOND HOUSEHOLD VISIT
Use the Checklist like the one below to record your observation during the household visit
THIRD CLUSTER MEETING
Recap on previous cluster meeting lesson• Askparticipantstosharewhatwaslearntinthepastclustermeetingandhouseholdsvisit• Askparticipantswhatwaseasyandhardaboutwashinghandswithsoap• Facilitator announces performers as observed during household visits and asks theperformertosharetipstofellowcaregiversonhowtheymanageandalsohowotherscanadoptandmaintainthebehaviour• Remindthemaboutthegroupcommitmentwhichtheymade
Activity 10: Hand washing with soap Dazzy game Materials needed• Water• Jugandbasin• Soap
Procedure • Askallcaregiverstowashhandsfirstwithoutsoap(dependingontimeallcandoitalljustafew)• Andafterthehandsaredry,askthemtowashhandsagainbutnowwithsoap• Theyshoulduseabasinandjugforhandwashing
Questions• Askcaregiverswhattheyfeltafterhandwashingwithoutsoapandafterhandwashingwithsoap?• Isthereadifference?• Askthemtoconcludewhatisbest
Summary • Handwashingwithsoapbringsagoodfeelingapartfromremovingdirtandkillinggerms.WashhandswithsoaptopreventDiarrhoeaandtoprotectyourchildfromDiarrhoea.Afterthisactivityintroducetoday’slesson:HowtowashhandswithsoapproperlyActivity11:HandwashingwithsoapprocessdemonstrationsMaterialsneeded:• Soap• Water• Jugandbasin
Procedure• Ask2or3participantstodemonstrateproperhandwashingwithsoapprocessQuestions• Havetheydonehandwashingwithsoapproperly?
•Ifnotmaytheoneswhorespondedsocorrectwheretheyfeelitwasn’tdoneproperlyActivity12:handwashingwithsoapsongRememberlasttimeyoumadeasong,poemetc.toremindyouofthehandwashingwithsoapprocess.Mayyousingitandifthereisaneedformodifyingitpleasedo.
How to wash your hands with soap properly•Whatdoesitmeantohave“goodhandwashingtechnique”?Asyoumighthaveguessedalready,washingyourhandsmeansmorethanslappingonabitofsoap,latheringupandthenrinsingoff.Anyonecan“washtheirhands”withsoapandwaterandstillcomeawaywithevenmorebacteriathanwhentheystarted.Therealsecrettocleanliness,itseems,isnotonlywhetheryouusesoap,buthowhardyouscrub,andforhowlong.•Thewayyoursoapisstoredanddispensedalsomatters,althoughinpublicenvironments,that’smuchlessunderyourcontrol.•Healthofficialsrecommendwashingforanywherefrom20to30secondsStepstofollowforhandwashingwithsoap
Explain this to caregivers while showing them the image below:• Rinseyourhandswithwater• Applysoapinyourallhandsandallfingers
• Rubyourhands• Rinseyourhandswithwater• Dryyourhandswithacleanwiperifavailableorshakeyourhandssothattheygetdriedwithair.ThismakesyourhandsnottocontaindiseasecausingorganismsEmphasizethehandwashingprocessbyshowingthemthehandwashingstepsbelow:Handwashingwithsoapsteps
Questions•Istheproperhandwashingwithsoapprocesseasytofollow?•reanystepyouweremissing
Summary• handwashingwithoutsoapisincomplete• Handwashingwithsoapisnotjustmakingyourhandswet• Whenwashinghandswithsoapmakesurethatyouhavewashedbothhandsusingbyusingthestepsshowerinthefiguresothatalldiseasecausingorganismsareremoved• Itisverygoodtowashhandswithsoapbecausesoapkilldiseasecausingorganismsandremovedbutodourandalsomakeshandssoft.Itisnotgoodtowashyourhandswithoutsoapbecausedirtanddiseasecausingorganismsarenotremoved.
Ntchito 13: zotsatira za zipangizo zosambira m’manja ndi sopoKumbukani kuti mumkumano wathu wambuyomu tinapatsidwa ntchito yoti tizagawana zazipangizozosambiram’manja
Zipangizo zosambira m’manja
Funsani osamalira ana mafunso otsatirawa:• Perekenimitunduyazosambiram’manjazomwemumagwiritsantchitokapena mukuzidziwandipochimakusangalatsanikapenasichikusangalatsanipazosambiram’manjazondichani?• Perekanimitunduyazosambiram’manjayomwemumagwiritsantchitokapenamumadziwakutizimagwiritsidwantchitomunthawiizi:• Akachokakuchimbuzi• Asanadyetsemwanachakudya• Asanakonzechakudya• Akathakusinthamwanathewera• Awonetsani osamalira ana mitundu ya zosambira m’manja zomwe zilipo ndipo afunsenimafunsopamtunduuliwonsewachosambiramanja:o Ndichosambiram’manjachitichomwemumakonda?Chifukwachiyani?o Nangandichosambiram’manjachitichomwesimukonda?Chifukwachiyani?o Ngatialindimitundu inayazosambiramanjayomweakudziwaafunsenikutiagawanendigulundipoaphunzitsemmeneamapangirachosambiram’manjacho.o Kambirananindiotengambalimitunduyazipangizozosambiram’manjayomweamagwiritsantchitoposambamanjandisopomunthawizonsezofunikirakusambamanja:• Akachokakuchimbuzi• Asanadyetsemwanachakudya• Asanakozechakudzandikusithamwanathewera
Hand washing facilities Activity 13: Hand washing with soap facilities assignment feedback• Rememberinthelastclustermeetingyouwereassignedthattodayyouwillshareabouthandwashingfacilities.• Askcaregiversthefollowingquestions:o Sharethetypesofhandwashingfacilitieswhichtheyuseorknowo Sharethetypesofhandwashingfacilitiestheyuseorknowfor:• Afterlatrineuse• Beforefeedingchild• Beforefoodpreparation• Afterchangingchildnappy• Then show caregivers the existing hand washing facilities and ask them the followingquestionsforeachhandwashingfacility:o WhatdoyoulikeaboutthishandwashingfacilityandWhatdon’tyoulikeaboutthishandwashingfacilityo Iftheyhaveadifferenthandwashingfacilitywhichtheyusetheyshouldsharetothegroupandteachhowtoconstructito Discusswithparticipantstypesofhandwashingfacilitieswhichtheyaregoingtobeusinghandwashingwithsoapinthefollowingcriticaltimes:• Afterlatrineuse• Beforefeedingchild• Beforefoodpreparationandafterchangingchildnappy
Types of hand washing facilities:
Tippy tap
Pail with a tap
Jug and basin
Scooping cup
• Thetippytapisahandsfreewaytowashyourhandsthatisespeciallyappropriateforareaswherethereisnorunningwater• Itisoperatedbyafootleverandthusreducesthechanceforbacteriatransmissionastheusertouchesonlythesoap• Itusesonly40millilitersofwatertowashyourhandsversus500millilitersusingamug• Additionally, the used “waste” water can go to plants or back into the watertable.• AtippytapisnothardtobuildanditrequireslocallyavailableresourcesActivity14:Buildingatippytap• Together with caregivers construct a tippy tap at a latrine near the meetingplacetrineusingthefollowingsteps
• Usetheguidebelow:Materials needed• 2mforkedsticksx2
How to build your own tippy tap
• 1mstraightsticksx2• Toolstodig• Gravel• String• Nail&candle• Soap• Watercontainer
Procedure 1. Digtwoholes18indeepandabout2ftapart2. Placetheforkedsticks,ensuretheyarelevel3. Fillholeswithsoil&rocks,andpacktightly4. Heatthenailandmakeholesinthewatercontainer5. Makeaholeinthesoapandthreadstring6. Hangcontainer&soapandfillwithwater7. Attachstringtowatercontainer8. Andtofootleverstick
9. Usegravelasbasintocapturewater
Questions• Wasthereanythinghardtodoinbuildingourtippytap?• Whatmaterialsarehardtofindhereandwhatalternativematerialswouldweuse?• Arewegoingtobuildatippytapatourhouseholds?
Summary• TheTippyTapisasimpledeviceforhandwashingwithrunningwater• Only thesoap is touchedwith thehands, thedevice isveryhygienic.Agravelbedisusedtosoakawaythewaterandpreventmosquitos• buildyourowntippytapmakehandwashingwithsoapeasyandpreventdiarrhoeal
Guide for building a tippy tap
Zipangizozofunika
M a c h i t i d weake
PLEASE DO NOT FORGET TO WASH YOUR HANDS WITH SOAP IN ALL CRITICAL TIMES
nBeforeclosingthemeetingannounceagainthehandwashingwithsoapperformersandawardthemwitha(jugandbasin)
nAndthenintroducehandwashingfacilityconstructionandusecompetition
nBelowisthedescriptionforthehandwashingwithsoapfacilityconstructionandusecompetitionguideline
nBuildahandwashingfacilityataplacewhichwillhelpeasyhandwashingwithsoapatcriticaltimes
nThosewhowillconstructhandwashingfacilityandusetheirhandwashingfacility
AND REMEMBER HANDWASHING WITHOUT SOAP IS INCOMPOLETE!!!!
REMEMBER!!
THIRD HOUSEHOLD VISIT
TheCommunityKeyInformantsshouldvisiteachhouseholdinthecluster
Aims of the Household visit
• Identify hand washing with soap performers by observing and takingphotographs-UsetheHouseholdvisitchecklist• Remindaboutcostsandbenefitsofhandwashing-Usesomeofthepicturesinthistool• Identifythosewhohaveconstructedhandwashingfacilitiesandtakephotographs-UseHouseholdvisitchecklist• Assesthelevelofknowledgeandskillsregardinghandwashinginfrastructure(constructionofhandwashingfacilityanduseofsoap)andtakeaphotographs-UsetheHouseholdchecklistbelow• Assessthosewhohaveconstructedhandwashingfacilitieswellandarepracticinghandwashingwithsoapandtakephotographs-Usetheobservationchecklistbelow
Third Household Visit Checklist
FOURTH CLUSTER MEETING
• Askparticipantsthisquestion:whatcanwesayabouthandwashingwithsoap?• Remindabouttheimportanceofhandwashingwithsoap• Askcaregiverstoshareexperienceandaskperformerstoalsoencourageothers• Askcaregiversifthereareanyissueswhichtheyneedmoreclarification
Activity 14: Hand Washing with Soap Glo Germ Experiment Materials • Powderorgelthatsimulatesthepresenceofgermsonstudents(GloGerm)• Blacklightorultravioletlight• Handwashingfacility• Soap
Procedure
1. Spreadsomeofthegermsimulatingpowderorgeloncaregiver’shands.Spreaditevenlyoverbothhands,includingthebacksofthehandsandtheskinnext
Recap of the past meetings
toandunderthefingernails.2. ThenplacetheCaregivershandsundertheUVlight.Underthelight,the“germs”willshowup.askcaregiverstodeterminethecleanlinessofthewasher’shand3. Askthecaregiverstowashtheirhandswithoutsoap4. ThenplacetheCaregivershandsundertheUVlight.Underthelight,the“germs”willshowup.Askcaregiverstodeterminethecleanlinessofthewasher’shand.Anyremaininglotionwillshineblue(fluoresce)undertheUVlampandshowtheareasthattheymissedwhentheywashedtheirhands.5. Explainanddemonstratethecorrecthandwashingwithsoaptechnique6. ThenplacetheCaregivershandsundertheUVlight.Askcaregiverstodeterminethecleanlinessofthewasher’s
Questions • Whathaveyouobserved?• Andwhatisyourconclusion?• Doyouthinkhandwashingwithsoapistherightwaytogo?Why?
Summary• Cleanhandsmaynotbesocleanafterall.Microorganismswhichcause
diseaseslikeDiarrhoeacannotbeseenwithnakedeyesandhencethecriticalimportanceofwashinghandswithsoaptopreventDiarrhoea.
Activity 15: Benefits of Hand washing with Soap-VideoMaterials needed1. Projector2. Laptop3. Generator4. UNICEFVideo
Procedure 1. Playthevideoforcaregiverstowatch2. Afterthevideoaskthecaregiversthefollowingquestionsa. Fromthevideo,whatarethebenefitsofHandwashingwithsoap?b. Whatwillhappenifcaregiversandhouseholdsmembersdon’tpracticehandwashingwithsoap?
Questions• Whathaveyoulearntfromthevideo?• HowcanweprotectourchildrenfromDiarrhoea?
• Whatcriticaltimesforhandwashingwithsoaphaveyouseeninthevideo?
Summary• Handwashingwithsoapatcriticaltimesisessential.Itprotectsyourchildandyourfamily.Washyourhandswithsoapatallcriticaltimes.
Activity 16: Clusters Hand washing with soap experience sharing • Eachclustertopresenttheirhandwashingwithsoapprocessmemorysong,poemetc.
• Caregivers from each cluster to share hand washing with soap experience. It can be regarding the following:o Howeasyisittowashhandswithsoap?o Arethereanychallengesofwashinghandswithsoapalways?o Howweretheyareaddressingandhowaretheygoingtodealwiththem?Activity17:makinghandwashingwithsoapstreamers
Materials needed• Plaincolouredpaperstreamers
• Markers• Crayons
Procedure• Giveeachcaregiverastreamerofabout6colouredpapers• Askthemtowritesomethingregardinghandwashingwithsoapwhichtheywanttoalwaysrememberandtheywantthestreamertoalwaysactasareminder• Theycanputmessagesordraw• Askthemtoidentifyaplaceattheirhouseholdwheretheycanhangit
Before closing the session do the following:• AwardHouseholdswhichhaveconstructedhandwashingfacilitiesandarepracticinghandwashingwithsoap–showtheclustermembersthephotographoftheperformers• Askthecompetitionwinner(rolemodels)toencourageothers-emphasizethatrelapsedohappensbuttheyhavetoalwaysgetupwhentheyfall• Caregiversmakeagroupcommitmenttosustainthepracticeofhandwashingwithsoapandprintphotographsofperformers• Awardcaregiverswhohaveachievedrequiredpointsonthescorecard.