News in September
SIERRA LEONE, Malaria Competence
Community Competence restores confidence in the Pujehun District
In Sierra Leone, malaria is endemic, but change is here in the Pujehun District where 31 communities have done their self-assessment, started to respond and gained confidence. The 19 Malaria Competence local facilitators of the Pujehun District got together from 9 to 13 September in Pujehun Town to reflect on their experience since their Community Life Competence Process (CLCP) training in March 2013, and to plan ahead. This “CLC Follow up & Follow up Training” event was facilitated by Constellation coaches Joseph Senesie and Ibrahim Kamara. It is part of a project implemented by the Pujehun District Health Management Team and World Vision Sierra Leone, and funded by World Vision Canada.
“The reduction of child illness (fever) and death in our communities have increased our inner drive to promote community competence” say local facilitators. The collective reflection on experience and SALT visits during the Follow Up event has further enhanced their confidence: 44% of the facilitators asses themselves at level 4 of facilitation and 43% at level 5. Communities have also gained confidence: the community of Wombey are level 5 in malaria competence! (definition of the levels in Blended Learning) “The community is very organized, united and enthusiastic about the maintenance of good health.” What is working well in Wombey? Knowledge of malaria prevention & control, clean village, use of long lasting insecticide treated nets, relationship with the community health worker, plate racks, cloths lines, latrines covered with lid, hand washing facilities, children’s toilets, duty roster to keep the community clean, a ledger kept to document the process and track visitors, and… no malaria deaths. In many communities, working against malaria has increased community awareness on environmental sanitation leading also to reduced occurrence of diarrhoea diseases. For example, in Bayama, containers used for harvesting rain water were elevated to prevent contamination.
Joseph and Ibrahim will share on Ning local response stories collected and registered as Knowledge assets during the Pujehun’s Follow Up event.
Read about the Constellation’s Knowledge assets in the Blended Learning course available on Ning by clicking on the ‘PROCESS’ tab, ‘LEARNING TOOLS’.
SINGAPORE, Community Life Competence
A learning event based on participants’ life experience
From 20-24 August, Jean-Louis Lamboray and Sanghamitra Iyengar facilitated a learning event in Singapore. “As we based the whole learning event on participants' life experience, the exploration of CLCP flowed easily,” says Jean-Louis.
Were participating “5 residents from neighbourhoods practicing SALT, 9 from Singapore community organisations, 11 community facilitators from India, Indonesia and Belgium and 30 community workers & volunteers from Beyond Social Services.”
In their blogs, Gerard Ee Huck LIan and Wiwin Winarni share stories told during the SALT visits made to communities during neighbourhood meetings organised by Beyond. Wiwin describes how even though the word SALT was not mentioned, visitors witnessed the strengths of the community, stimulation, appreciation, learning and transfer emerging naturally from sharing life experiences among members of community (Wiwin’s blog andpoem on SALT). Gerard focuses on appreciation: “Our work requires us to discover how people are helping themselves and to find ways to support and further their efforts. It begins with appreciating what's right with others and, perhaps more importantly, appreciating that like everyone else we too have strengths and weakness,” Gerard’s blog.
BRAZIL, Community Life Competence
Local neighbourhood matters most
GLoCon − the Global and Local Community Conversation − continues. Ian and Alison Campell, coaches of the Constellation, revisit communities they have worked with “to capture the essence of local movement stimulated by SALT, community conversation, and facilitation team accompaniment, and the fact that local neighbourhood matters most.”
From 1 to 5 September, they have come back to Divinéia, a neighbourhood an hour drive from the centre of Rio. It is the 39th community they visit since the beginning of GLoCon in 2009. Alison facilitated a program for HIV response in 1991 at Divinéia’s Association president invitation. The result of this program was Project Integration, and it is still active in 2013. “The association has been a kind of backbone of the community for 34 years. The project has been meeting heart needs in the community for over 20 years,” Kylie, GLoCon team member based in London.
“Indicators of change include the expectation of parents that their children can succeed in education; the actual success of children, invitations to the new community where some long-time friends will be rehoused, confidence of parents and confidence in spiritual life,” writes Ian in his synthesis of the visit to Divinéia. “Our son has written an article about the community for the newspaper, it has helped to bring relief after the flood,” Dona Maria, community member, speaking of her 14 year-old son. The letter from the young boy has drawn attention to the favela, and a lot of structural change has followed, that brought peace to the community.
CAMBODIA, AAS Competence
Local facilitators’ initiatives in Siem Reap province
From 2 to 6 September, Dusit Duangsa and Olivia Munoru facilitated the first support visit for Aquatic Agricultural Systems (AAS) Competence in three villages in Siem Reap province, Cambodia, with two local newly trained facilitators for each village, and staff from local NGO and from World Fish Centre. “Visioning is a 4 day-long process, where each village conducts Dream-Building, Self-Assessment, Resource and Stakeholder Mapping, Action Planning and finishes with a big celebration. […] After each activity we hold an AAR – reflecting and learning together. Throughout the week, the facilitation team conduct SALT visits to different homes, families and people going about their daily lives. We will do this four times over (a total of 4 weeks in 12 villages). It’s a wonderful and exciting challenge!”
The local facilitators were confident despite the fact that they only had during a 5-day learning event for 47 facilitators just a week before. “I learned this week that people take initiative when they believe in something and feel that their role is important. I learned that people gain confidence when feel they are valued [Read Kum Lae’s initiative]. I was reminded that practice makes perfect, and sharing with others is a great way to improve our own skills [Sambo’s initiative]. I learned that teams are far stronger than individuals alone [Vancan and Rattana’s initiative],” Olivia’s blog.
Olivia also shares her 10 tips for facilitating a learning event. Don’t forget the party!
NEPAL, Community Life Competence
Nepal CLC team is adding pepper to SALT visits
The CLC Nepal team met on 6 September to present their reflections on their SALT visit experiences. The team had been divided in three groups to meet, respectively, nurses in a medical college, a community of ecologists, and adolescents at school. Radhika Ghimire has summarized reflections of the facilitators, Radhika’s blog. The third group of facilitators proposes to add PEPPER to SALT visits by being P-Prepared E-Empathetic P-Positive P-Patient E-Energetic R-Respectful.
Ashish Khand has shared a picture sequence of the SALT visit to the nurses,Ashish’s picture sequence.
Jyoti Bohara has posted the English version of a song of the CLC Nepal Team entitled "SALT changed us from experts to learners," Jyoti’s blog.
Dipendra Malla shares how SALT has helped him interview Ms. Indra Malla “who claimed gold medal at walking race in 27th Malaysian International Open Masters Athletics Championships lately,” Dipendra’s blog.
ZAMBIA, Community Life Competence
The Dream helps the Barotse Royal Establishment (BRE) to link past, present and future with a lot of optimism
The Constellation facilitated a three day visioning process − 26-28 September 2013, Mongu, Zambia. 13 Honorable Indunas from the Barotse Royal Establishment (BRE) and 3 Hub Level AAS staff attended. The event was facilitated by Onesmus Mutuku and Alice Wainaina.
The BRE was facilitated in the spirit of SALT to reflect and appreciate their own strengths for response as an institution. They were able to scan through their environment (internal and external) to identify their key unique strengths and also things that held them back as an institution. They used a timeline to look at the past, present. The Dream helped them to link the past, present and the future with a lot of Optimism. The Dream was well context-ed to the Hub Development challenge vis à vis the institution level change they hoped to see − As Custodian of the Land, Natural Resources of Barotse Land.
In the three days, many of the Indunas felt the first step of the planning was very rejuvenating, energizing and has further stimulated them to think of their identity (who are we? And why do we exist?) as an institution − and they now feel by the time the exercise is complete, a clear sense of purpose and direction for BRE will be generated.
BRE looks forward to the SALT visit to a Traditional Establishment in Northern Malawi − to Learn from a similar traditional authority − competently managing their natural resources. During this time, BRE will consolidate lesson learned, through myriads of reflections and integrate what is most appropriate in the action plans to strengthen their action.
KENYA, Competence against addictions
SALT, a social vaccine against addictions
Abednego Mutungwa and a team of facilitators in Kithituni use SALT in their community with people with addictions: “The outcomes are amazing: families dream together to see their loved ones quit alcohol addiction through their shared action plan − SALT is a social vaccine to many unanswered questions around addiction.”
“We are a team of facilitators, with a shared concern as well as shared dream.” Abednego’s team started accompanying local responses around Food Security. They have integrated SALT-farm visits and developed income generating activities that are people driven: The Going Green Investment Initiative and the Hen Mustard Seed Initiative. “As we continued documenting our local response, we realized as a community that our farmers were becoming less productive coz-ALCOHOL ADDICTION AND OTHER DRUGS.”
The team started the Celebrate Recovery program. “We integrated home visits to the program. That sparked inspiring stories and community life.”
1-Conversations are focused on dream building in homes, then shared actions are taken at family level;
2-Ownership is seen as families accompany their member who has an alcohol addiction to a recovery road;
3-Information is shared from one family to another, and transferred from home to neighbourhood;
4-Families are sharing change experiences and are able to measure progress of those that have quit their addiction.
“One key lesson so far from my own experience that CLCP can learn from Celebrate Recovery is accountability to one another; there are strong team bond, a lot of passion of supporting one another.”
PHILIPPINES, RH Competence
Adolescents and Sexual and reproductive health in emergencies
The Adolescent Development Team of Save the Children (Philippines) used dream building in a process involving adolescents and service providers to assess the capacity of the urban community of Caloocan City to address the adolescents needs concerning Sexual and reproductive health during emergencies. Health Service Providers were represented by city health officers, nurses, midwives and doctors managing social hygiene clinic, and Adolescents by out of school youth, in school, lesbian and gay group, and teen mothers (aged range 18 and below).
“If you have dream tent in evacuation area, what would it look like to address your needs and have yourself protected during emergency?” was the question Miel Nora’s team used for dream building, Miels’ blog.
The team of Save the Children works in this process with a combination of the Youth Defined Quality and SALT approaches. The Youth Defined Qualityapproach involves young people in defining, implementing, and monitoring the quality improvement process. Ideas behind this approach include: (1) “The responsibility for better health goes beyond the health system. Individuals control their own health to some extent.” (2) “Building youth-adult partnerships is a key component”.
DRC, Health Competence
Bibanga’s SALT team acknowledged for its work
Impressed by the work of Bibanga’s SALT team, the Board of Directors of the Provincial Health Division of Kasai Oriental invited the team the 21 September at an evaluation meeting of the mid-course implementation of the 2013 Operational Action Plan of the Bibanga Health Zone.
"The Bibanga Health Zone, according to its 2013 operational plan, has 27 indicators of results and the community is at the centre of all activities to be undertaken.
During the meeting, the SALT approach has stimulated much attention, and participants were very curious to hear us talk about this new way of working, beginning with the definition of the steps and tools used to support a community to become competent and to take responsibility. The Administrator of the Katanda Territory made the request to see intensify SALT activities in all areas of health and in all communities.
The support team was commended for its work in the aires de Santéintegrating the approach to the attendance and use by communities of existing health structures, which increased from 15% to 32% in the first six months of the operational plan.
A request has been made in relation to HIV/AIDS that RDCCompetence make a plea on behalf of the Zone de santé to support people living with HIV/AIDS, inputs for prevention of mother-to-child transmission and voluntary testing."
TUNISIA, Health Competence
“We continued the training of a team of a dozen highly motivated facilitators who made a SALT visit in a high school where one of them works. They talked with students in their last year of high school about drug use in school. Students are eager to start fighting against drug use in their school, for the well-being of all. Students of other classes, having heard of this visit, asked to also receive the facilitators’ visit. Facilitators seemed very touched by the words and the willingness of these young people.
This initiative shows that Gafsa’s youth is ready to take charge of their health and that of their peers. This is very encouraging in the context of the Participatory Health Platform that we support also!
The platform marches slowly towards the definition of a strategic health plan for the region of Gafsa. The 28th September, participants of the platform, representatives of the civil society mainly, have defined different strategic areas in which they will work actively with the support of doctors and specialists, to imagine the best possible way to organise health services, to train health workers and to raise public awareness.
As part of this facilitation, good collaboration with officials of Médecins du Monde on site.”
Request for help and contributions
Gemma van Voorst is looking for a 30 minutes exercise to have participants of an event experience SALT. Rituu B. Nanda shared the "paper heart exercise" that shows that we all have strengths. Gemma’s request.
What else is happening in The Constellation?
The reply of Joao Arnaldo Vembane to Jean-Louis Lamboray’s Request, “What is the essence of the Constellation?” resonates with this month’s news from Singapore and Brazil highlighting the importance of neighbourhoods: “Life in community is more than important but the essence of humanity. In Africa we name it 'ubuntu' (being person): 'a muntu u muntu ka bantu'(true humanity is about being with humans). Therefore, for me the constellation is the essence of humanity.”
In Melbourne, Australia, Laurel and the Board of Westcasa have held a day of activities for prevention against sexual violence. Eric Uwintwaza of Burundi proposes to share their experiences in the fight against such violence.Laurel’s blog.
In her program Priorité santé of Radio France Internationale, 9th September, Claire Hédon interviewed Jean-Louis Lamboray in the context of the publication of his latest book, « Qu’est-ce qui nous rend humains ? », Vololomanitra Belalahy, public health physician in Lubumbashi, who described the evolution of approaches to fight against resistance to vaccination in the DRC, and Eric Uwintwaza specialist in project management and coaches of the Constellation in Burundi, who described the dependence on foreign financing.
From 28 September to 5 October, Constellation coaches Sirinate Piyajitpirat and Usa Duongsaa will be in the Solomon Islands for the second on-site accompaniment. The main purpose is to facilitate the measurement and capture of progress by communities. Also, to stimulate and keep the growing momentum for AAS Competence in Solomon Islands!
From 11 to 13 October, Dutch Competence will held a Facilitators Workshop for all interested in facilitating or adapting the approach to their own context.
From 14 to 18 October, Constellation coach Olivia Munoru will bring a Fourth Support visit for AAS Competence in Cambodia.
From 21 to 23 October, Jean-Louis Lamboray will facilitate a session on community participation at the Conference on the 25th anniversary of the Harare Declaration on the health district strategy which will be held in Dakar, Senegal
From 8 to 10 November, BelCompetence invites you to discover SALT and learn to facilitate CLCP.
From 5 to 8 December 2013, in Kathmandu, Nepal, new facilitators and community members will come together to capture and share what they have learned on implementing CLC in Nepal. The facilitation team of thisLearning Festival will be Ruben Delprado (UNAIDS), Bina Pokharel, Rituu B. Nanda and Usa Duongsaa (Constellation).