HIV/AIDS Educational Seminar Programs

Project Summary

The HIV Awareness Program is run by Art in Tanzania and the goal is to educate and support the local communities regarding health and social matters. The program involves teaching seminars to schools, groups and individuals in the local area to provide information and advice about HIV and AIDS, about its cause, effects, prevention, medication, treatment, and its social stigma. The groups typically include youths and adults and the size of the group varies from seminar to seminar.

Activities

Each seminar takes 2 days to complete. You will work with our HIV Coordinator, who will assist in teaching the seminars as well as provides translation when needed. You will be providing information and advice on HIV and AIDS as well as listening to and answering questions from the participants. It is important that you have an understanding of the causes, transmission, effects and treatments for HIV and AIDS and are comfortable discussing this in an open and honest environment. There is a training packet to ensure that you are prepared to conduct the seminars, but previous knowledge is useful.

Schedule

The program will vary, but may take place from Monday to Friday.

Getting There

As the program involves visiting different locations up to 4 or 5 times a week, the locations vary. You will travel to the locations by AIT car, daladala or on foot depending on the distance.

Number of Volunteers

Typically 1 to 3 volunteers work on conducting the seminars.

Resources & Additional Needs

AIT provides all resources necessary for this project, though these are limited. Any extra information or material is greatly appreciated. Most important though is to bring your commitment and dedication.

Art in Tanzania Medical Program

Overview

Tanzania is the largest country in East Africa; it has a population of more than 35 million people. More than three quarters of the population lives in rural areas of the country. With per capital income of only 320USD, the country suffers high levels of malnutrition and food poverty. More than one fifth of Tanzania’s people are underweight and 39% live below the poverty line. Tanzania’s public health care system is based on a referral system extending from national, specialized hospitals through regional and district hospitals to more than 3,000 local dispensaries and clinics. With only 822 doctors and 13,292 nurses for the entire country, Tanzania’s health care system suffers chronic personnel shortages.

Tanzania health care system history

For a period of almost 30 years, health services delivery has been largely a prerogative of the state. Only a limited number of private for-profit health services were provided in major towns of the country. After independence, health care facilities were re-directed towards rural areas and free medical health services were introduced. The distribution of Health Facilities has a heavy rural emphasis because more than 70% of the population live in rural areas. Plans for the establishment of health facilities have in the past taken into consideration the facility/population ratio, but with time this has in some areas been seriously overtaken by the high population growth-rate.

Health Services System (Structure) 

The health system and especially the Governments referral system assumes a pyramidal pattern of a referral system recommended by health planners, that is from dispensary to Consultant Hospital (Better Health In Africa, 1993). The structure of health services at various levels in the country is as follows:

  1. Village Health Service: This is the lowest level of health care delivery in the country. They essentially provide preventive services which can be offered in homes. Usually each village Health post have two village health workers chosen by the village government amongst the villagers and be given a short training before they start providing services.
  2. Dispensary: This is the second stage of health services. The dispensary will cater for between 6,000 to 10,000 people and supervise all the village health posts in its ward.
  3. Health Centre Services: A health Centre is expected to cater for 50,000 people which is approximately the population of one administrative division.
  4. District Hospitals: The district is a very important level in the provision of health services in the country each district is supposed to have a district hospital. For those districts which donate have Government normally negotiates with religious organizations to designate voluntary hospitals get subventions from the Government to contract terms.
  5. Regional Hospitals: Every region is supposed to have a hospital. Regional Hospitals offer similar services like those agreed at district level, however regional hospitals have specialists in various fields and offer additional services which are not provided at district hospitals.
  6. Referral/Consultant Hospitals: This is the highest level of hospital services in the country presently there are four referral hospitals namely, the Muhimbili National Hospital which cater the eastern zone; Kilimanjaro Christian Medical Centre (KCMC) which cater for the northern zone, Bugando Hospital which cater for the western zone; and Mbeya Hospital which serves the southern Highlands.
  7. Treatment Abroad: Other diseases and cases require special treatment whose facilities and equipment are not available in the country. Depending on the foreign exchange position, some patients have to be sent for treatment abroad.

Public Education

Public Health Education mainly is concerned with identifying prevailing health problems and disseminating to the public methods of preventing and controlling them. This is an integral part of community involvement in Primary Health Care (PHC). It is assumed that, the health of an individual, the family and community at large is dependent upon factors as environment, social cultural traditions and life styles, hence public health education focuses to strengthen and address issues related to agricultural development, child up-bringing, environmental sanitation and development in general. For instance school children are special target group for health education through the school health programme. Public health education is provided by a variety of methods including mass media, continuous development and dissemination of health education materials and through dialogue with communities.

Art in Tanzania

Art in Tanzania offers placements in a range of health services varying from public education through dispensaries and clinics to district and regional hospitals. Volunteers will work alongside health facilities’ staff to provide medical assistance including: primary health care, emergency services, laboratory assistance, information about HIV/AIDS prevention, care and treatment. Based on the volunteers’ experience and skills, they provide different services based on one’s qualifications. In collaboration with health facilities in the region, Art in Tanzania help prepare the volunteers for the type of tasks that they would be responsible for. Additionally, AIT works in collaboration with the facility staff to ensure that the volunteers respect the cultural sensitivity of the services they provide.

Placements and programmes

Public education programme: The public education programme is designed for volunteers to educate the local community regarding important health issues. Infectious bacterial diseases such as diarrhea, pneumonia, tuberculosis and meningitis are the main causes for attendance at health facilities. Diarrhea, cholera, dysentery and typhoid are transmitted due to inadequate clean water supply, poor sanitary practices, food handling and child feeding. As such, to reduce the number of people having to attend the health facilities, volunteers educate the community regarding these practices. For example, teaching young children how to wash their hands, clean their teeth etc. Attending schools and teaching older children about better sanitary practices. Another important element of this programme is education regarding HIV/AIDS. The national prevalence among sexually active populations (15-49 years) is reported to be 5.7%. Dar es Salaam is the third highest region in Tanzania for HIV prevalence. As such, educating schools and communities around the facts about HIV is extremely important. Another crucial component is HIV testing. Volunteers are able to work alongside Tanzanian Doctors and Counsellors to test communities however the cost of this will be around £30 which will need to be funded by the volunteer. One day per week, volunteers completing this programme will visit a local hospital or clinic to experience the health system at ground level. Dependent on skills and experience, this may be purely for observation and to assist the hospital with small tasks. All volunteers completing this programme will be provided with all the information required to deliver health seminars. No prior experience is necessary.

Pasada

Pastoral Activities and Services for people with AIDS Dar es Salaam Archdiocese (PASADA) is a social service agency operating under the Roman Catholic Archdiocese of Dar es Salaam that was begun in August 1992 when a small group of people with HIV gathered to seek mutual aid and support. PASADA has grown rapidly to meet the exploding demands of the HIV pandemic in the Dar es Salaam urban area. PASADA strives to reach the poorest of the poor living with HIV and provide them with holistic care and support services. Although sponsored by the Roman Catholic Church, the services offered by PASADA are available to all individuals without discrimination of any sort and completely free of charge. Additionally, educational programs are carried out at community level with the objective of reducing stigma and discrimination and promoting behavioral change, thereby limiting the spread of the virus.

Services include: voluntary counseling and testing, medical assistance, pediatric clinic, TB diagnosis and treatment, prevention of mother to child transmission, antiretroviral therapy, specialist day clinics, malaria prevention and treatment, home based palliative care, support to orphans and vulnerable children, community education program.

Volunteers working with PASADA would have the opportunity to work within a range of services. There is a clinic about 10 minutes from the volunteer house. This clinic offers free HIV counseling, testing and treatment. They also deliver services for HIV/AIDS patients suffering from other illnesses as these patients are more susceptible to other infections. Home visits are also completed to patients who are too unwell to attend the clinic and volunteers can assist home based nurses with their palliative duties.

Placements and programmes

Public education programme

The public education programme is designed for volunteers to educate the local community regarding important health issues. Infectious bacterial diseases such as diarrhea, pneumonia, tuberculosis and meningitis are the main causes for attendance at health facilities. Diarrhea, cholera, dysentery and typhoid are transmitted due to inadequate clean water supply, poor sanitary practices, food handling and child feeding. As such, to reduce the number of people having to attend the health facilities, volunteers educate the community regarding these practices. For example, teaching young children how to wash their hands, clean their teeth etc. Attending schools and teaching older children about better sanitary practices.

Another important element of this programme is education regarding HIV/AIDS. The national prevalence among sexually active populations (15-49 years) is reported to be 5.7%. Dar es Salaam is the third highest region in Tanzania for HIV prevalence. As such, educating schools and communities around the facts about HIV is extremely important. Another crucial component is HIV testing. Volunteers are able to work alongside Tanzanian Doctors and Counsellors to test communities however the cost of this will be around £30 which will need to be funded by the volunteer.

One day per week, volunteers completing this programme will visit a local hospital or clinic to experience the health system at ground level. Dependent on skills and experience, this may be purely for observation and to assist the hospital with small tasks.

All volunteers completing this programme will be provided with all the information required to deliver health seminars. No prior experience is necessary.

Dispensary/clinic

Each region has a number of dispensaries and clinics. Volunteers at this placement will experience the health care system on a more local level. Working with large communities, a variety of patients will come through the door. On quieter days, the Doctors will go into the community, completing home visits. Dependent on skills and experience, volunteers may be able to assist with consultations, prescribing medication, taking blood and analysing samples.

Hospitals

Most Tanzanian hospitals are basic. However, generally they consist of; an out-patient department, laboratory, maternity ward, major and minor theatre, men’s ward and women’s ward. During their time here, volunteers will be able to observe the departments they wish. There are a number of specialist hospitals and placements in these can be arranged with prior planning.

When agreeing the placement, the hospital/clinic etc. will have sight of the volunteer’s CV and will choose volunteers who they feel can assist at their institution. As such, level of participation will depend according to qualifications, skills and experience. Volunteers will be accompanied at all times by a Tanzanian registered health professional.

Hospitals generally expect volunteers to wear either scrubs or lab coats however these are not provided. Volunteers are also encouraged to bring their own gloves, stethoscope and other equipment they may feel necessary. Hospitals are also always grateful of any medical supplies including medication.

Art in Tanzania offers placements in a range of health services varying from public education through dispensaries and clinics to district and regional hospitals. Volunteers will work alongside health facilities’ staff to provide medical assistance including: primary health care, emergency services, laboratory assistance, information about HIV/AIDS prevention, care and treatment.

Based on the volunteers’ experience and skills, they provide different services based on one’s qualifications. In collaboration with health facilities in the region, Art in Tanzania help prepare the volunteers for the type of tasks that they would be responsible for. Additionally, AIT works in collaboration with the facility staff to ensure that the volunteers respect the cultural sensitivity of the services they provide.

4-week Program Non-Professional Medical Volunteers

Week Day Activity Notes
1 Monday Spoken Orientation A Team Leader will discuss with you the day--‐to--‐ day running of the AIT house and what will be expected of you during your stay. This is also an opportunity for you to discuss any queries/questions.
  Tuesday Walking/Project Orientation A Team Leader will show you around the local area and where your projects will be. This is also an opportunity for you to discuss any queries relating to the work you will be completing during your stay.
  Wednesday Introduction to HIV seminars/awareness
  • AM: A Team Leader will explain the work that has been previously completed in relating to delivering HIV awareness seminars and further areas for development.
  • PM: Planning time for future sessions
  Thursday Introduction to basic health care awareness in schools
  • AM: You will attend a school with current volunteers to experience the settings and needs within this environment.
  • PM: Planning time for future sessions
  Friday Introduction to a local hospital/clinic
  • AM: You will be taken to a local hospital, dispensary or clinic to experience the settings
  • PM: Planning time for future work
  Saturday Weekend

 

  Sunday Weekend

 

2 Monday Basic hygiene session at school To attend a local school of your choice to deliver a basic health care session (could include teeth cleaning, exercise, nutrition etc) however you will need to bear in mind other factors such as low budget, availability etc. experienced by local families.
  Tuesday Basic hygiene session at school To attend a local school of your choice to deliver a basic health care session (could include teeth cleaning, exercise, nutrition etc) however you will need to bear in mind other factors such as low budget, availability etc. experienced by local families.
  Wednesday Planning for HIV seminar / sports
  • AM: The HIV seminars do require some forward planning to ensure that they run smoothly. Ensure you have the permission of the school and parents (if completing at a school). Get condoms if doing a condom demonstration. Confirm that the Doctor is able to attend, if completing a testing.
  • PM: Playing sports with the local children at the football pitch.
  Thursday HIV Seminar To deliver basic information about HIV (what it is, testing, healthy lifestyle). This can be delivered in schools or local communities. You can also consider bringing a Doctor to undertake mobile testing however this will carry a cost (usually 80,000TSH) which will need to be provided by fundraising/donations. You can also expand this seminar to include basic sexual health awareness (condoms, contraception, ways of keeping safe etc) however, if delivering any of this in a school, prior agreement with the school and parents will be required.
  Friday Assisting at a local hospital While there are limited opportunities for unqualified volunteers to undertake medical duties at the hospitals, assistance is always needed in other areas to aid the staff. This will still provide a good overall experience of the workings of a Tanzanian hospital.
  Saturday Weekend  
  Sunday Weekend  
3 Monday Basic hygiene session at school By now, you will have a better understanding of what is required in the schools and how best to deliver it. We also work with UNICEF and the Children’s agenda. It may be possible to see what initiatives they have and include these in your sessions.
  Tuesday Basic hygiene session at school As above
  Wednesday Planning for future sessions / sports
  • AM: Use the morning to plan for your future sessions (HIV seminars, or sessions in schools)
  • PM: Playing sports with the local children at the football pitch.
  Thursday HIV Seminar Same as last week
  Friday Assisting at a local hospital Same as last week
  Saturday Weekend  
  Sunday Weekend  
4 Monday Basic hygiene session at schoo  
  Tuesday Basic hygiene session at schoo  
  Wednesday Planning for future sessions / sports  
  Thursday HIV Seminar  
  Friday Assisting at a local hospital  
  Saturday Weekend  
  Sunday Weekend  

 

 

Pastoral Activities and Services for people with AIDS Dar es Salaam Archdiocese (PASADA) is a social service agency operating under the Roman Catholic Archdiocese of Dar es Salaam that was begun in August 1992 when a small group of people with HIV gathered to seek mutual aid and support. PASADA has grown rapidly to meet the exploding demands of the HIV pandemic in the Dar es Salaam urban area. PASADA strives to reach the poorest of the poor living with HIV and provide them with holistic care and support services. Although sponsored by the Roman Catholic Church, the services offered by PASADA are available to all individuals without discrimination of any sort and completely free of charge. Additionally, educational programs are carried out at community level with the objective of reducing stigma and discrimination and promoting behavioral change, thereby limiting the spread of the virus. Services include: voluntary counseling and testing, medical assistance, pediatric clinic, TB diagnosis and treatment, prevention of mother to child transmission, antiretroviral therapy, specialist day clinics, malaria prevention and treatment, home based palliative care, support to orphans and vulnerable children, community education program. Volunteers working with PASADA would have the opportunity to work within a range of services. There is a clinic about 10 minutes from the volunteer house. This clinic offers free HIV counseling, testing and treatment. They also deliver services for HIV/AIDS patients suffering from other illnesses as these patients are more susceptible to other infections. Home visits are also completed to patients who are too unwell to attend the clinic and volunteers can assist home based nurses with their palliative duties. Dispensary/clinic Each region has a number of dispensaries and clinics. Volunteers at this placement will experience the health care system on a more local level. Working with large communities, a variety of patients will come through the door. On quieter days, the Doctors will go into the community, completing home visits. Dependent on skills and experience, volunteers may be able to assist with consultations, prescribing medication, taking blood and analysing samples. Hospitals Most Tanzanian hospitals are basic. However, generally they consist of; an out--‐ patient department, laboratory, maternity ward, major and minor theatre, men’s ward and women’s ward. During their time here, volunteers will be able to observe the departments they wish. AIT Dar Projects 44 www.artintanzania.org There are a number of specialist hospitals and placements in these can be arranged with prior planning. When agreeing the placement, the hospital/clinic etc. will have sight of the volunteer’s CV and will choose volunteers who they feel can assist at their institution. As such, level of participation will depend according to qualifications, skills and experience. Volunteers will be accompanied at all times by a Tanzanian registered health professional. Hospitals generally expect volunteers to wear either scrubs or lab coats however these are not provided. Volunteers are also encouraged to bring their own gloves, stethoscope and other equipment they may feel necessary. Hospitals are also always grateful of any medical supplies including medication. Art in Tanzania offers placements in a range of health services varying from public education through dispensaries and clinics to district and regional hospitals. Volunteers will work alongside health facilities’ staff to provide medical assistance including: primary health care, emergency services, laboratory assistance, information about HIV/AIDS prevention, care and treatment. Based on the volunteers’ experience and skills, they provide different services based on one’s qualifications. In collaboration with health facilities in the region, Art in Tanzania help prepare the volunteers for the type of tasks that they would be responsible for. Additionally, AIT works in collaboration with the facility staff to ensure that the volunteers respect the cultural sensitivity of the services they provide. Placements and programmes: Public education programme The public education programme is designed for volunteers to educate the local community regarding important health issues. Infectious bacterial diseases such as diarrhea, pneumonia, tuberculosis and meningitis are the main causes for attendance at health facilities. Diarrhea, cholera, dysentery and typhoid are transmitted due to inadequate clean water supply, poor sanitary practices, food handling and child feeding. As such, to reduce the number of people having to attend the health facilities, volunteers educate the community regarding these practices. For example, teaching young children how to wash their hands, clean their teeth etc. Attending schools and teaching older children about better sanitary practices. Another important element of this programme is education regarding HIV/AIDS. The national prevalence among sexually active populations (15--‐49 years) is reported to AIT Dar Projects 45 www.artintanzania.org be 5.7%. Dar es Salaam is the third highest region in Tanzania for HIV prevalence. As such, educating schools and communities around the facts about HIV is extremely important. Another crucial component is HIV testing. Volunteers are able to work alongside Tanzanian Doctors and Counsellors to test communities however the cost of this will be around £30 which will need to be funded by the volunteer. One day per week, volunteers completing this programme will visit a local hospital or clinic to experience the health system at ground level. Dependent on skills and experience, this may be purely for observation and to assist the hospital with small tasks. All volunteers completing this programme will be provided with all the information required to deliver health seminars. No prior experience is necessary. PASADA Pastoral Activities and Services for people with AIDS Dar es Salaam Archdiocese (PASADA) is a social service agency operating under the Roman Catholic Archdiocese of Dar es Salaam that was begun in August 1992 when a small group of people with HIV gathered to seek mutual aid and support. PASADA has grown rapidly to meet the exploding demands of the HIV pandemic in the Dar es Salaam urban area. PASADA strives to reach the poorest of the poor living with HIV and provide them with holistic care and support services. Although sponsored by the Roman Catholic Church, the services offered by PASADA are available to all individuals without discrimination of any sort and completely free of charge. Additionally, educational programs are carried out at community level with the objective of reducing stigma and discrimination and promoting behavioral change, thereby limiting the spread of the virus. Services include: voluntary counseling and testing, medical assistance, pediatric clinic, TB diagnosis and treatment, prevention of mother to child transmission, antiretroviral therapy, specialist day clinics, malaria prevention and treatment, home based palliative care, support to orphans and vulnerable children, community education program. Volunteers working with PASADA would have the opportunity to work within a range of services. There is a clinic about 10 minutes from the volunteer house. This clinic offers free HIV counseling, testing and treatment. They also deliver services for HIV/AIDS patients suffering from other illnesses as these patients are more susceptible to other infections. Home visits are also completed to patients who are too unwell to attend the clinic and volunteers can assist home based nurses with their palliative duties. Dispensary/clinic AIT Dar Projects 46 www.artintanzania.org Each region has a number of dispensaries and clinics. Volunteers at this placement will experience the health care system on a more local level. Working with large communities, a variety of patients will come through the door. On quieter days, the Doctors will go into the community, completing home visits. Dependent on skills and experience, volunteers may be able to assist with consultations, prescribing medication, taking blood and analysing samples. Hospitals Most Tanzanian hospitals are basic. However, generally they consist of; an out--‐ patient department, laboratory, maternity ward, major and minor theatre, men’s ward and women’s ward. During their time here, volunteers will be able to observe the departments they wish. There are a number of specialist hospitals and placements in these can be arranged with prior planning. When agreeing the placement, the hospital/clinic etc. will have sight of the volunteer’s CV and will choose volunteers who they feel can assist at their institution. As such, level of participation will depend according to qualifications, skills and experience. Volunteers will be accompanied at all times by a Tanzanian registered health professional. Hospitals generally expect volunteers to wear either scrubs or lab coats however these are not provided. Volunteers are also encouraged to bring their own gloves, stethoscope and other equipment they may feel necessary. Hospitals are also always grateful of any medical supplies including medication. AIT Dar Projects 47 www.artintanzania.org 4--week Programme for Non--Professional Medical Volunteers Week Day Activity Notes 1 Monday Spoken Orientation A Team Leader will discuss with you the day--‐to--‐ day running of the AIT house and what will be expected of you during your stay. This is also an opportunity for you to discuss any queries/questions. Tuesday Walking/Project Orientation A Team Leader will show you around the local area and where your projects will be. This is also an opportunity for you to discuss any queries relating to the work you will be completing during your stay. Wednesday Introduction to HIV seminars/ awareness AM--‐ A Team Leader will explain the work that has been previously completed in relating to delivering HIV awareness seminars and further areas for development. PM--‐ planning time for future sessions Thursday Introduction to basic health care awareness in schools AM--‐ You will attend a school with current volunteers to experience the settings and needs within this environment. PM--‐ planning time for future sessions Friday Introduction to a local hospital/clinic AM--‐ You will be taken to a local hospital, dispensary or clinic to experience the settings. PM--‐ planning time for future work Saturday Weekend Sunday Weekend 2 Monday Basic hygiene session at a school To attend a local school of your choice to deliver a basic health care session (could include teeth cleaning, exercise, nutrition etc) however you will need to bear in mind other factors such as low budget, availability etc. experienced by local families. Tuesday Basic hygiene session at a school To attend a local school of your choice to deliver a basic health care session (could include teeth cleaning, exercise, nutrition etc) however you will need to bear in mind other factors such as AIT Dar Projects 48 www.artintanzania.org low budget, availability etc. experienced by local families. Wednesday Planning for HIV seminar/ Sports The HIV seminars do require some forward planning to ensure that they run smoothly. Ensure you have the permission of the school and parents (if completing at a school). Get condoms if doing a condom demonstration. Confirm that the Doctor is able to attend, if completing a testing. PM--‐ playing sports with the local children at the football pitch. Thursday HIV seminar To deliver basic information about HIV (what it is, testing, healthy lifestyle). This can be delivered in schools or local communities. You can also consider bringing a Doctor to undertake mobile testing however this will carry a cost (usually 80,000TSH) which will need to be provided by fundraising/ donations. You can also expand this seminar to include basic sexual health awareness (condoms, contraception, ways of keeping safe etc) however, if delivering any of this in a school, prior agreement with the school and parents will be required. Friday Assisting at a local hospital While there are limited opportunities for unqualified volunteers to undertake medical duties at the hospitals, assistance is always needed in other areas to aid the staff. This will still provide a good overall experience of the workings of a Tanzanian hospital. Saturday Weekend Sunday Weekend 3 Monday Basic hygiene session at a school By now, you will have a better understanding of what is required in the schools and how best to deliver it. We also work with UNICEF and the Children’s agenda. It may be possible to see what initiatives they have and include these in your sessions. Tuesday Basic hygiene session at a school As above Wednesday Planning for future sessions/ Sports AM--‐ use the morning to plan for your future sessions (HIV seminars, or sessions in schools) AIT Dar Projects 49 www.artintanzania.org PM--‐ playing sports with the local children at the football pitch. Thursday HIV seminar Same as last week. Friday Assisting at a local hospital Same as last week Saturday Weekend Sunday Weekend 4 Monday Basic hygiene session at a school Tuesday Basic hygiene session at a school Wednesday Planning for future sessions/ Sports Thursday HIV seminar Friday Assisting at a local hospital Saturday Weekend Sunday Weekend 

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