Appendix 20. Job descriptions – Health promotion at community level

Health promotion manager

– Analyses the situation and the context:
• Socioeconomic and cultural aspects: e.g. standard of living, sources of income, religion, local customs (particularly hygiene habits), knowledge and perception of cholera (mode of transmission, treatment), attitude towards sick persons, usual treatment used, perception of cholera treatment facilities, handling of corpses and organisation of funerals;
• Activities already set up by other organisations: by whom (e.g. ministries, NGOs), where, how;
• Meetings with religious, traditional and administrative authorities and the community;
• Exploration of the area and observation (water points, markets, defecation areas, etc.).

– Defines the strategies and objectives (with the medical teams, the water and sanitation teams, the Ministry of Health, partners) according to the context, including in case of specific concerns (e.g. rumours, community rejection of a CTC project).

– Plans and organises the setting up of activities: human resources, choice of intervention sites depending of the evolution of the outbreak, schedule and transport of teams, etc.

– Recruits, trains and supervises health promotion teams.

– Makes or gathers together health promotion tools (messages and materials) and ensures they are used and distributed.

– Monitors daily activities.

– Drafts the teams’ monthly activity reports.

– Evaluates activities.

Depending on the size of the project, the manager may be assisted by a health promotion supervisor.

Health promoters

– Explains to the public basic general information on cholera:
• Prevention measures (e.g. hand-washing, food hygiene, water treatment methods; precautions concerning defecation);
• Symptoms of cholera and action to be taken in the event of “rice water” diarrhoea;
• Measures to control the outbreak and use of services: location of nearest CTC/CTU/ORP, opening times, free care, water points, organisation of funerals, etc.

– Explains to the public targeted information depending on the context:
• Place and date of distributions (soap, jerrycans, water disinfection products, ORS, etc.);
• How to use distributed products (e.g. water disinfection products, ORS);
• Place and date of vaccination in the event of a mass vaccination campaign and information on the vaccination (who? how? advantages and limits, etc.).

– Demonstrates the use of products:
• Preparation of oral rehydration solution;
• Disinfection of water using a water disinfection product.

– Listens and answers the public’s questions and concerns. Depending on the context:
• Sensitive subjects (e.g. changing funeral rites);
• Rumours that complicate the measures set up to eradicate the outbreak;
• Other general or specific concerns of the population (e.g. implementation of a new cholera facility in a neighbourhood).

– Manages materials for health promotion activities.

– Regularly reports to the health promotion manager on routine activities carried out and the difficulties encountered.

– Participates in health promotion team meetings.

– Attends certain in-service training courses at the request of the health promotion manager.