Cholera Risk Conditions Vulnerable Groups Unsafe rumours and beliefs Safer Behaviours Existing Initiatives Opinion/Natural Leaders Social networks Communication Channels Mass Media Access Referral and Case Management Communication Action Responsible Deadline Inadequate sanitation facilities Night Soil Men Preferring quack medical practitioners to authorised ones for fear of cost, ignorance, easy access Proper disposal of refuse/excreta Mothers Groups (Wi Pikin Groups) (Naming, Marriages, Funerals, Awujor) School Health Clubs Erratic mobile phone coverage Interpersonal discussion Finalise and implement the draft MoH cholera preparedness and response plan Cholera Task Force Before end September 2011 Poor water sources Street food eaters People think that the faeces of babies are free of infection Drinking water from safe sources INGO Programmes Social gatherings Focus Group Discussions Poor internet connection Community meetings This should include prepositioning of cholera kits/supplies and identification of Cholera Treatment Sites and preparation of CTC job descriptions at district level. Before end September 2011 Open defecation by the sea (where fishing occurs) Health workers Home based management for days (stabilisation with ORS & referral is recommended) Properly wash vegetables/fruit before eating Mass Media Finalise key cholera messages and communication materials Before end September 2011 Flooding: poor change Cleaners/garbage collectors Witchcraft: That eating food in a dream can cause looseness Cook food thoroughly and eat hot Institutions (Police, Military, Schools, University) Radio Integrate cholera awareness into existing WASH messages and health promotion; especially through CLTS and School Sanitation Hygiene Education interventions. MOHs/ Partners By end 2011 Poor personal hygiene: not washing hands at critical times HIV/AIDS affected persons Predestination: God predestines someone to have a running stomach Cover all foods Peer Groups Jingles Conduct cholera preparedness and response training at district level – prevention, control and case management. By end October 2011
Cholera Risk Conditions Vulnerable Groups Unsafe rumours and beliefs Safer Behaviours Existing Initiatives Opinion/Natural Leaders Social networks Communication Channels Mass Media Access Referral and Case Management Communication Action Responsible Deadline Harmful traditional practices: Palm Wine (Poyo) drinkers If you go to Government hospitals you may not have quality treatment due to lack of drugs Re-heat cooked food until hot (Naming, Marriages, Funerals, Awujor) Flyers Conduct cholera communication training and response planning at district level By end October 2011 Food preparation during burials (Fura) Plumbers Funeral rites Television spot Refresher medical, communication and WASH training for Cholera preparedness On-going Preparation of traditional herbs with unsafe water & dirty containers Mining communities Under reporting of outbreaks by Government for economic & social reasons Print/electronic media Shallow burial in some communities close to water sources Travellers Fear of vilification by medical practitioners Television discussion Eating and sharing of unwashed Kola Nuts Communal eating Death of two or more family members in a row is a curse Bill boards/leaflets Multiple handshaking without washing hands afterwards Nursing mothers Failure to perform traditional rites/ceremonies might anger the gods to afflict the community SMS messages Cholera Risk Conditions Vulnerable Groups Unsafe rumours and beliefs Safer Behaviours Existing Initiatives Opinion/Natural Leaders Social networks Communication Channels Mass Media Access Referral and Case Management Communication Action Responsible Deadline People who drink water from streams in rural areas Phone in programme People living in coastal areas Public address system
Prisoners (poor sanitation Role models to influence community behaviour Care takers of dead bodies Traditional Scavengers of dump sites Drama Mortuary attendants Songs People who drink well water in urban settings Comedians Care givers Story Telling Fish handlers Gardeners using human compost