Health Education and

Community involvement
The story of Cholera
AWD/CHOLERA
PREVENTION & TREATMENT
OBJECTIVE OF THIS TRAINING:
• To understand what causes AWD/Cholera, how to prevent, and what to do when
you see a person suspected of Cholera
• To learn proper handwashing & making ORS at home
• To remember the key messages and be able to train your key stakeholders.

RSMC RMO CSR

DSMC DMO, Health

DSR
workers

COMMUNITY
AT THE END OF THE WORKSHOP, YOU
WILL…

• Understand what AWD/Cholera is

• Know how AWD/Cholera spreads (“5 Fs”)
• Remember 6 critical times to wash hands
• What to do for food and water hygiene
• What to do when you suspect Cholera
• How to wash hands properly & make ORS at home
 Health Education
• An epidemic of cholera can be more
quickly controlled when the
• public understands how to help to limit the
spread. Health education
• is crucial to ensure the participation of the
community.

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 Health Education
• An epidemic of cholera can be more
quickly controlled when the public
understands how to help to limit the
spread.
• Health education is crucial to ensure the
participation of the community.

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WHAT IS AWD/CHOLERA? Waa maxay Daacuunku?
 Daacuunku waa cudur shuban ah oo Cholera is a diarrhoeal disease that
keena fuuqbax (iyada oo jirka qofka leads to dehydration (loss of water
ay dhamaadaan biyaha iyo cusbada) and salts from the body)

 Daacuunku saacado yar gudahood Cholera can kill within a few hours if
ayuu wax ku dili karaa haddii aan la not treated.
daaweyn. The symptoms are
 Calaamadaha lagu gartaa waa o watery diarrhoea several times
o Shuban biyo ah oo tiro badan maalin every day. The diarrhoea looks like
walba. Shubanku waxa uu u egyahay cloudy rice water.
fuudka bariiska oo kale. o vomiting
o Mantag

Cholera is caused by bacteria called Vibrio cholerae. Cholera germs are found in the faeces of
infected people.
HOW DOES CHOLERA SPREAD?
Sidee ayuu daacuunku ku faafaa?

 Jeermiska daacuunka sida

(wada) waxaa laga helaa
saxarada qof cudurku
asiibey ama ku dhacay.
 Daacuunka waxaa lagu
gudbiyaa gacmaha
wasakhda leh, biyaha iyo
cuntada ay saxaradu ku
bidday.
HOW TO PREVENT AWD/CHOLERA
Sida looga hortago Daacuunka
“CUT THE TRANSMISSION ROUTES”!!
5 Fs:
 Faeces
 Fingers
 Field
 Fluid
 Food
HOW TO PREVENT AWD/CHOLERA
Sida looga hortago Daacuunka
6 critical times to wash your hands:

1. Ka hor Intaadan cuntada cunin Before eating food

2. Ka hor intaadan cuntada dadka u qaybin Before serving food to the family
3. Isticmaalka Suuliga/Musqusha kadib After using toilet
4. Marka Caruurta saxarada laga dhaqo kadib After cleaning children from the
toilet.
5. Markaad shaqo wasakh leh faraha la geshid kadib. After handling any
dirty task.
6. Ka hor iyo ka dib marka aad taabatid/daryeeshid qof xanuusan.
Before and after taking care of a sick person.
HOW TO PREVENT AWD/CHOLERA
Sida looga hortago Daacuunka
Fayadhowrka Cuntada, iyo Biyaha Food and Water Hygiene and Sanitation

 Cun cuntada inta ay wali kulushahahay ama. Eat food while it is still warm.
 kululee cuntada qabowday ka hor inta aadan cunin. Warm up cold foods
before eating.
 Dabool cuntada bisil iyo khudaarta Keep cooked foods and vegetables covered.
 karkari ama dhaq khudaarta inta aadan cuninka hor. Boil or wash
vegetables before eating.
 Si fiican isaga dhaq Miraha la cuno,kana diir qolofta intaadan
cunin ka hor. Wash Fruits properly and peel the skin before eating.
HOW TO PREVENT AWD/CHOLERA
Sida looga hortago Daacuunka

Fayadhowrka Cuntada, iyo Biyaha Food and Water Hygiene and Sanitation

 Cab biyo Kalooriin leh ama la karkariyey. Drink chlorinated or boiled water
(boiled for 1 minute minimum)
 Kala saar weelasha ay ku jiraan biyaha la cabo iyo kuwa
howlaha kale loo isticmaalo. Separate containers for drinking water from the one for
domestic use.
 Ku nadiifi maacuunta kushiinka/Jikada oomo, biyo koloriin leh
ama la karkariyey Clean kitchen utensils with detergent, chlorinated water or boiling water.
HOW TO PREVENT AWD/CHOLERA
Sida looga hortago Daacuunka
Fayadhowrka Cuntada, iyo Biyaha Food and Water Hygiene and Sanitation

 Isticmaal suuliga, caruurtana ha u ogolaan inay bannaanka ku

saxaroodaan. Use latrine for human waste and do not allow children to defecate outside i.e.to avoid
open defecation
 Ku dadaal nadaafadda guriga iyo agagaarkiisa qashinkana iska
duug ama Gub. Keep clean in and around your house and dump or burn down the household Garbage
 Ka soo qaado xidhmo ORS ah xarunta caafimaad ee kuugu
dhow ama Baro sida guriga loogu diyaariyo milanka ORS si aad
uga hortagto fuuq-baxa. Get ORS packet/Sachets from the nearest health facility or learn to
make ORS at home to prevent dehydration.
WHEN CHOLERA IS SUSPECTED…
Haddii aad qof uga shakiso Daacuun …
Islamarkiiba … Immediately…

Bilow inaad siiso ORS (Dareeraha Milixda Fuuqcelinta ah)

Raadi daryeel caafimaad.Waayo daacuunku saacado yar
gudahood ayuu wax ku dili karaa. Daryeelka waxaa loo • Start giving
ORS
raadsan karaa goobaha caafimaadka ama Xarunta • Seek medical
Daaweynta Daacuunka ee degaanka ku yaalla. help!
• Continue giving
U sii wad inaad qofka siiso ORS inta loo sii wado goobta ORS on the
caafimaadka. way to HF
• Continue
U sii wad ilmaha la nuujiyo naaska haddii ay leeyihiin shuban breastfeeding
biyo ah, xitaa inta loo sii wado xarunta daaweynta. baby
 ACTIVE CASE-FINDING
• detection of cholera patients at an early
stage of the disease;
• advice to be given to family members and
the community about protecting themselves
from contamination.

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 KEY MESSAGES TO GIVE TO THE
COMMUNITY
• Come to the health care facility as
soon as possible in case of acute
watery diarrhoea.
• Start drinking ORS at home and
during travel to the health care
facility.

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 KEY MESSAGES TO GIVE TO THE
COMMUNITY

• COOK YOUR FOOD

• BOIL YOUR WATER
• WASH YOUR HANDS

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 KEY MESSAGES TO GIVE TO THE
COMMUNITY
PERSONAL HYGIENE
• Wash your hands Properly with soap,
ashes, or lime:
– before cooking,
– before eating and before feeding your children,
– after using the latrine or cleaning your children
after they have used the latrine.
• Use the latrine to defecate.

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 KEY MESSAGES TO GIVE TO THE
COMMUNITY
FOOD
• Cook raw food thoroughly.
• Eat cooked foods immediately.
• Store cooked food carefully in refrigerator.
• Reheat cooked food thoroughly.
• Avoid contact between raw food and
cooked food.
COOK IT – PEEL IT – OR LEAVE IT
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 KEY MESSAGES TO GIVE TO THE
COMMUNITY
SAFE DRINKING-WATER
• Even if it looks clear, water can contain
cholera germs.
• Boil, or add drops of chlorine to the water
before drinking.
• Keep drinking-water in a clean, covered
pot or bucket or other container

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 KEY MESSAGES TO GIVE TO THE
COMMUNITY
FOR PEOPLE WITH DIARRHOEA
• The biggest danger of cholera is loss of water
from the body.
• Do not panic, but act quickly.
• Drink a solution of oral rehydration salts made
with safe (boiled or chlorinated) water.
• Go immediately to the health centre. Continue
drinking as you go.

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ORS-Home preparation

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 Communication Element

1 1-Outbreak is EVERYONE responsibility

2 1-Prevention 2-Control

3 1-Health 2-WASH 3-NUTRITION

4 1-Host 2-Environment 3-Victor 4-Victum

5 1-Faces 2-Fingers 3-Field 4-Fluid 5-Food

6 1-Before 2-Before 3-After 4-After 5-After 6-before & after caring sick
eating Serving toilet Cleaning child Handling person
dirt

7 Clear Complete Concise comprehensive Credible Continuous Communication

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