Community Based Education 1 1
Community Based Education 1 1
Definition
Information: A collection of useful briefs or detailed ideas, processes, data and theories that
can be used for a certain period of time.
Education: A complex and planned learning experiences that aims to bring about changes in
Cognitive (knowledge), affective (attitude, belief, value) and psychomotor (skill) domains of
behavior.
Communication: the process of sharing ideas, information, knowledge, and experience
among people using different channels.
Social mobilization is a term used to describe a campaign approach combining mass media and
working with community groups and organizations.
2. Nutrition education is education directed at the promotion of nutrition and covers choice
of food, food-preparation and storage of food.
3. Family Life Education refers to education of young people in a range of topics that
include family planning, child rearing and childcare and responsible parenthood.
4. Patient education is a term for education in hospital and clinic settings linked to
following of treatment procedures, medication, and home care and rehabilitation
procedures.
Aims
Motivating people to adopt healthy behaviors by providing appropriate knowledge and helping
to develop positive attitude.
helping people to make decisions about their health and/ or and acquire
The necessary confidence and skills to put their decisions into practice.
Basic Principles
The educator has to adjust his talk and action to suit the group for whom he has to give
education.
E.g. when the educator has to deal with illiterates and poor people, he has to get down to their
level of conversation and human relationships so as to reduce any social distance.
Community Education should provide an opportunity for the clients to go through the
stages of identification of problems, planning, implementation and evaluation.
This is of special importance in the health education of the community where the identification
of problems and planning, implementing and evaluating are to be done with full involvement of
the community to make it the community’s own program.
The community educator should use terms that can be immediately be understood.
Highly scientific jargon should be avoided.
Health Education should start from the existing indigenous knowledge and efforts
should aim at small changes in a graded fashion and not be too ambitious. People will learn
step by step and not everything together. For every change of behavior, personal trail is required
and therefore the community educator should provide opportunities for trying out changed
practices.
The persuasion approach deliberate attempt to influence the other persons to do what we
want them to do (DIRECTIVE APPROACH)
the informed decision making approach
Giving people information, problem solving and decision making skills to make decisions but
leaving the actual choice to the people.
E.g. family planning methods-Many health educators feel that instead of using persuasion it is
better to work with communities to develop their problem solving skills and provide the
information to help them make informed choices. However in situations where there is serious
threat such as an epidemic, and the actions needed are clear cut, it might be considered justified
to persuade people to adopt specific behavior changes.
What is community?
Community could be defined as organized groups of people who share a sense of belonging,
beliefs, norms, and leadership and who usually interact within a defined geographical area.
E.g. People living in a “Kebele” or Woreda” People organized under one religion etc.
What is Training?
Training is the process of education in which both the mind and body are brought under exercise
and discipline. It is the act of acquiring necessary qualification or occupation or feat of physical
skill or endurance.
Phases of Training
Preparation (pre-training/planning) phase
Training phase/implementation
Post-training (follow-up component/ evaluation)
In the actual training phase training curriculum is to be followed and the necessary arrangements
have to be made for concurrent monitoring and evaluation. The training curriculum should be
modified now and then by making mid course correction and change to suit the objectives and
needs. The training phase must insure the opportunities for learning by doing and also creating
necessary climate or environment in which learning can take place effectively.
c. Evaluation of Training
NEEDS ASSESSMENT
A needs assessment is a systematic process for determining and addressing needs, or "gaps"
between current conditions and desired conditions or "wants". The discrepancy between the
current condition and wanted condition must be measured to appropriately identify the need. The
need can be a desire to improve current performance or to correct a deficiency
History
Kaufman argues that an actual need can only be identified independent of premature selection of
a solution. To conduct a quality needs assessment according to Kaufman, first determine the
current results, articulate the desired results, and the distance between results is the actual need.
Once a need is identified, then a solution can be selected that is targeted to closing the gap.
1. Shelter
2. Murder, rape, or crimes of violence, robbery, or destruction of property
3. Substance abuse
4. Disease
5. Pollution
6. Starvation and/or malnutrition
7. Child abuse
8. Partner/spouse/elder abuse
9. Discrimination based on irrelevant variables including color, race, creed, sex, religion,
national origin, age, and location
10.Poverty
Community needs assessments are generally executed in four steps:
Community needs assessment I – This type of needs assessment seeks to evaluate the strengths
and weaknesses within a community and create or improve services based on the identified
weaknesses. Organizing this type of needs assessment is primarily structured around how to best
obtain information, opinions, and input from the community and then what to do with that
information.
Community needs assessment III - This final type of needs assessment is based within an
organization which serves the community at large, is currently addressing a need within the
community, or is dedicated to an under-served population within the community. This type of
needs assessment centers on improving the efficiency or effectiveness of such organizations.
CURRICULUM DEVELOPMENT
The word curriculum generally refers to a series of courses that help learners achieve specific
academic or occupational goals. A curriculum often consists of general learning objectives and a
list of courses and resources. Some curricula are more like lesson plans, containing detailed
information about how to teach a course, complete with discussion questions and specific
activities for learners. Here are some strategies for developing a curriculum.
The goal may be to help adults prepare for the General Education Development (GED)., the
main objective might be to provide specific skills or knowledge necessary for completion of a
program. Being specific about the curriculum objective will assist with its development.
Depending on the learning objective, titling the curriculum may be a straightforward process or
one that requires greater thought. A curriculum for GED adults can be called "GED Preparation
Curriculum." A program designed to assist adolescents with eating disorders might require a
carefully thought-out title that is attractive to teenagers and sensitive to their needs.
This is an outline of key skills and information that learners need to achieve the main curriculum
objective. The scope and sequence might be a list of courses that a they must complete. The
outline for a software training curriculum might be a more detailed list of software operations,
such as creating new records, saving information, deleting records and merging files.
Allow room for flexibility to meet learners' needs. Curriculum development must prioritize the
needs of learners.
Determining how to assess the knowledge of learners is dependent on the main curriculum
objective. If learners are preparing for a standardized action/implementation, implementing
practice tests is an effective way to simultaneously prepare them for the testing process and
identify weaker skills and knowledge areas.
The first step is to determine what you want the community to learn and be able to do at the end
of the lesson. To help you specify your objectives for community learning, answer the following
questions:
Once you outline the learning objectives, rank them in terms of their importance. This step will
prepare you for managing time and accomplishing the more important learning objectives in case
you are pressed for time.
Now that you have your learning objectives in order of their importance, design the specific
activities you will use to get the people to understand and apply what they have learned. Because
you will have a diverse body of people with different academic and personal experiences, they
may already be familiar with the topic. That is why you might start with a question or activity to
gauge their knowledge of the subject.
Develop a creative introduction to the topic to stimulate interest and encourage thinking. You
can use a variety of approaches to engage them (e.g., personal, historical event, thought-
provoking dilemma, probing question, etc.
(3) Plan the specific learning activities (the main body of the lesson)
Prepare several different ways of explaining the material (real-life examples, visuals, etc.) to
catch the attention of more people and appeal to different learning styles. As you plan your
examples and activities, estimate how much time you will spend on each. Build in time for
extended explanation or discussion, but also be prepared to move on quickly to different
applications or problems, and to identify strategies that check for understanding. These questions
would help you design the learning activities you will use:
When planning your lesson, decide what kinds of questions will be productive for discussion and
what questions might sidetrack the process. Think about and decide on the balance between
covering content and ensuring that learners understand.
Go over the material covered in by summarizing the main points of the lesson. You can do this in
a number of ways: you can state the main points yourself (“Today we talked about…”), you can
ask a one person to help you summarize them, or you can even ask all of them to write down on
a piece of paper what they think were the main points of the lesson.
A list of ten learning objectives is not realistic, so narrow down your list to the two or three key
concepts, ideas, or skills you want the community to learn. Your list of prioritized learning
objectives will help you make decisions on the spot and adjust your lesson plan as needed. A
realistic timeline will reflect your flexibility and readiness to adapt to the specific learning
environment.
Letting your trainees know what they will be learning and doing in class will help keep them
more engaged and on track. You can outline on the board or on a handout the learning objectives
for the class. Providing a meaningful organization of the class time can help them not only
remember better, but also follow your presentation and understand the rationale behind in-class
activities. Having a clearly visible agenda (e.g., on the board) will also help you and the stay on
track.
Conclusion
To be effective, the lesson plan does not have to be an exhaustive document that describes each
and every possible classroom scenario. Nor does it have to anticipate each and every learner’s
response or question. Instead, it should provide you with a general outline of your teaching goals,
learning objectives, and means to accomplish them. It is a reminder of what you want to do and
how you want to do it. A productive lesson is not one in which everything goes exactly as
planned, but one in which both the learner and instructor learn from each other.
Teaching Aids
"Teaching materials/ aids is a generic term used to describe the resources teachers use to deliver
instruction, they support learning. Teaching aids illustrate key points in lessons and rouse
learners' interests.
Educators ought to know that people learn in a variety of different ways. Some are visually
oriented and more prone to acquire information from photographs or videos. Others do best
when they hear instructions rather than read them. Educators use teaching aids to provide these
different ways of learning as well as to improve or reinforce skills and to make instruction
interesting and fun. Always remember that you have many choices, but you do not want to use
too many bells and whistles just for the sake of it. You want to make sure that these techniques
enhance the materials, provide more information or a different viewpoint, rather than just be
repetitive. Also, too many teaching aids can be very confusing.
Key points
1. Rather than just standing in front of the people and lecturing when discussing a topic,
community educators often use flip charts.
Need of Teaching Aids
1) Every individual has the tendency to forget. Proper use of teaching aids helps to retain more
concepts permanently.
2) People can learn better when they are motivated properly through different teaching aids.
3) Teaching aids develop the proper image when the learners see, hear taste and smell properly.
5) The teaching aids create the environment of interest for the learners.
7) Teaching aids helps the educator get sometime and make learning permanent.
2) Audio Aids
The aids that involve the sense of hearing are called Audio aids. For example: - radio, tape
recorder, gramophone etc.
Teaching aids play an very important role in Teaching- Learning process. Importance of
Teaching aids is as follows:-
1) Motivation
Teaching aids motivate people so that they can learn better.
2) Clarification
Through teaching aids, the educator clarifies the subject matter more easily.
3) Discouragement of Cramming
Teaching aids can facilitate the proper understanding to the learners which discourage the act of
cramming.
7) Avoids Dullness
8) Direct Experience
Teaching aids provide direct experience to the learners
Planning a health education program is like planning a journey. In planning a journey, you know
where you are and have to decide where to go. Then you must decide the best way of getting to
your destination. If you do not arrive at the place you wanted to go, you realize that you are lost.
Likewise, the starting point for health education program is the present health situation, e.g. level
of immunization, family Planning coverage, malnutrition status, or sanitation that you would like
to improve to a better level, which is your destination. To do this, you must decide on a strategy
– the methods you must use to improve the situation. At the end, you evaluate your program to
find out if you have reached your target – or have got lost!
Steps in Planning
1. Information gathering
A good way of finding out the present situation is to carry out community profile or diagnosis.
Following are some types of information, which may be helpful in understanding the community
and its health problems.
Learn the existence of various social groups and the nature of relationships both within and
between those groups. E.g. Ethnic class, religious groups etc.
How people define good health and disease. Some people may believe that prevention of illness
is impossible, or very difficult
The first requirement in bringing about change is to agree that there is a problem and that
something should be done about it. Defining of specific health problems must involve the
community members. Ask questions in an attempt to find out how they view the health
Situations.
For a program to succeed, we must know clearly what we want to do and how we are going to do
it. After people have decided upon their priority needs, they must spell out exactly what they
want, i.e. their objectives. An Objective is a statement of proposed change over a fixed time
period. It should be measurable, relevant and possible to achieve. It has to describe:
If resources within are not adequate one may seek from outside:
Some agencies and ministries can donate funds
People with special skills, such as finding underground water for wells, may come from
outside.
Educational materials such as films and posters could be given from outside agencies.
It is not enough to decide what will be done, by whom and when, we also need to decide how it
will be done. Once a health worker understands the reason behind behavior that is causing a
health problem, he or she can use many different methods to encourage a change in that
behavior. Generally, there are some basic issues to consider before choosing health education
methods:
How fast do people change?
How many people are involved?
Is the method appropriate to the local culture?
What resources are available?
What combined methods are needed?
What methods fit the characteristics (age, sex, religion etc) of the target group?
After having analyzed the situation, define problems, prioritize and set objectives, identify
resources, and design strategy, the health extension workers and health committee should be able
to develop an action plan. A plan of work is a picture or “map” of what to do, when to do it, who
will do it, and at what cost each step of activities
Evaluation is the process of looking back over what has been done to be sure that things were
done the way they should. Evaluation is not a one-time event. It is a continuous process how the
program is progressing according to a set time table in the action plan. Information for
evaluation program would be obtained from observations, interviews, and records.
Definition
Ethics is the philosophical study of the moral value of human conduct and the rules that govern
it. It is the right thing to do for society and self. Moral refers to those beliefs about how people
ought to behave.
This principle means that people, being individuals with individual differences must have a
freedom to choose their own ways and means of being moral with the framework of the other
four principles.
Beneficence means doing or promoting good as well as preventing, removing and avoiding evil
or harm. E.g. provide information about emergency first aid to reduce the risks of HIV infection
or accident.
Non-malfeasance holds a central position in the tradition of medical ethics and guards against
avoidable harm to subjects. In short, it refers to non-infliction of harm to others. E.g. use of
sterile needles.
4. Justice (fairness)
This principle states that human being should treat other human being fairly and justly in
distributing goodness and badness among them.
Provide people with relevant and accurate information and resources to make their
choices freely and intelligently.
Support change by freedom of choice and self-determination, as long as these decisions
pose no threat to the health of others.
Be advocates for healthful change and legislation, and speak out on issues deleterious to
public health.
Avoid and take appropriate action against unethical practices and conflict of interest
situations
Respect the privacy, dignity and culture of the individual and community and use skills
with these values.
Share their skills, experience and vision with their clients and colleagues.
Observe principles of informed consent and confidentiality of individuals.
Maintain their highest levels of competence through continued study, training and
research.
Adult; a person who has reached the maturity level where a personal assumption of
responsibility for self and sometimes for others take place
Adult learning; the acquisition of knowledge, attitudes and skills often resulting in behavioral
change of some sort in an adult.
During adult learning session, you should undertake the following activities,
Do the participants look like they are following well; are they nodding, volunteering,
commenting or asking questions?
Stop from time to time to ask questions and ask how everyone is doing
If the participants are tired or disengaged, you need to slow down. Turn the material into
question and generate a discussion or switch to a different activity or take a short break/
introduce a brief fun activity
5. Be flexible
Be aware that some activities may take longer or shorter as planned
Explain to the participant if you need to deviate from the schedule you have laid out
If participant do not seem to engage in a given activity be prepared to adjust; stretch,
shrink or eliminate activities as necessary.
7. Conclusion
End each session with a summary and a chance for participants to share their last thought.
Ask everyone to share one thing that really stood out from the session.