Health Fair in Lh. Naifaru 2010

NARRATIVE REPORT

 Consisting of all service areas of SHE, this health fair took place in LH. Naifaru on 4th and 5th June 2010. This was an initiative taken by Naifaru Pioneers Association, and was jointly organized by NPA and SHE. NPA first approached SHE in June 2009, requesting for facilitation. However, due to financial constraints, SHE was unable to cater to the request and suggested that NPA try to arrange the logistics and that SHE would be able to provide all the resource required. NPA once again requested early this year for June 2010, and the activity was logged and handled since then.

While NPA provided most of the funding such as, transport food and accommodation, SHE provided the much needed resources persons and materials. The health fair reached 1/3rd of the expected target population. All those who came to the fair were satisfied and the organizer, NPA was pleased with the outcome. However, a lot of constraints surfaced; some of it which could not have been avoided, and others which could be taken into consideration to make such health fairs more successful in the future.

1.     Activity Details

                               I.            Hospitality (Food and Accommodation)

The Naifaru hospitality was commendable.  SHE team was greeted by all senior members of NPA on arrival and quickly taken to rooms and shown around. A guide was at our side at all times.

After the trip to N. Landhoo in January 2010, where too much food was spread and wasted, SHE took the liberty of sending the NPA a sample menu. The meals were on time and the food was satisfactory. All team members were generally satisfied with the food items. The food was always on time. Tea/coffee, water and refreshment were also provided by NPA both on request and on their own.

The rooms were available from three homes. Seven members of the team stayed together, 6 members in another home, and 2 members in the 3rd home. The rooms were adequate; however, few team members were unsatisfied with accommodation due to fan/aircon problems and toilet problems.

                              II.            Travelling

Most of the team members were present on time at the jetty while leaving male’. However, there were greater problems due to miscommunication between NPA and SHE about the launch details. Even though SHE asked for information and contact of launch crew two days before the actual date of the trip, NPA was unable to provide these details until the last minute of 1430 hours on 3rd June.

Receiving this information, this late caused miscommunication between the SHE team organizers and launch captain. SHE trip organizers did not know where the launch was and ended up taking the heavy equipment/luggage to the wrong end of the jetty. The luggage was in front of kalhuthukkala koshi, which unknown to us, was a prohibited area to load and unload. The launch captain did not know this as well. This caused havoc as the MNDF officials found fault with the launch captain.  The luggage was once again hauled on to a pickup and moved to another spot which caused an added expense and which delayed the trip by 30 minutes. The return trip to Male’ was quite rough and two team members were sea sick.

SHE took the initiative of providing water and refreshment in the launch for all team members.

                          III.            Health Fair

a)      Finding resource personals

Unlike previously, finding resource personals proved to be difficult and prolonged. Letters of invitation to take part in this health fair was sent to all the available emails of members and volunteers and only three replied, out of which only one expressed interest to join the team.  A lot of members/volunteers were also called on their phones and when the final date came, only two members and two volunteers confirmed their participation.

Finding resource people (apart from staff) is proving to be a difficult task which takes up a lot of time for the SHE trip coordinators.

 b)     Media

While no prior interviews/news were given to the media, there was media coverage by MNBC (TVM and VOM) while the fair was going on. The news was reported by reporters from these two media on a small scale.

c)      Approval from Health Ministry

Approval was taken by NPA on time and no issues came up regarding the government approvals.

d)     Fair and Sessions

Thursday night and Friday morning was spent for preparation for the fair. Four classrooms of Madharasathul Ifthithaahu were used as stalls for the fair. These stalls, hall and the compound were decorated with informative posters, balloons and such.

The fair itself started on Friday afternoon and went on until Saturday night. The fair generally showed poor attendance. Altogether, with those who attended to sessions, 470 adults and 46 children visited the fair. Although the fair started in the afternoon, visitors started coming only after 4:00 pm in the evening that day. The fair closed at 6:00pm. After a break of 2 and half hours, the fair started again at 8:30.  The fair went on till 11:00pm that night. Overall, the number of visitors for the day was not even close to what was expected. SHE team went to cater for a target of 1500 people, but instead, achieved to reach 1/3rd of this target audience.

The low turnout could be attributed to many factors, which are described more in detail in the constraints section. However, it should be noted that if the turnout had been the expected number of 1500, the 15 members of SHE team would not have been able to handle the crowd.

The fair took place in the following manner. The fair was divided into four stalls:

  • Stall 1: Thalassaemia

Thalassaemia stall consisted of posters and information leaflet on thalassaemia. Information was also readily available as discussions or one-to-one sessions in this stall. The thalassaemia stall also provided free-of-charge blood grouping at all times.  93 people had their blood group tested from this stall. Thalassameia stall included of 2 facilitators form SHE and 1 facilitator from Lh. Naifaru hospital.

  • Stall 2: SRH Stall

The SRH stall provided information leaflets on these issues and also had information in the form of posters, models and human specimens. The stall provided health and nutrition information as well. Also, the stall checked visitors’ weight and blood pressure. Group discussion and one-to-one sessions were also available in this stall regarding SRH issues. There were 2 facilitators in RH stall.

  • Stall 3 and 4: Game Corner

In this stall many informative games such as snake and ladder, nutrition card games, nutrition board games, high risk game, candy game, alphabet game were played. Also counseling was given to those who requested.  Four facilitators ran the stall.

While the fair was going on many sessions were scheduled to take place outside of the stalls, in the hall of the school.

  • Life Skills Session:  Life skills sessions were arranged for students of grade 8,9,10,11,12 upon the request of NPA. Grade 8,9,10 sessions were scheduled for Friday morning and Friday afternoon. Grade 11,12 sessions were scheduled for Saturday afternoon. Only 6 students participated in the life skill session held on Friday morning for students of grade 8, 9 and 10. However, all the other sessions were cancelled because no students showed up.  The six students who participated gave positive reviews.
  • Thalassaemia Information session: The thalassaemia information session was scheduled to be held at 8:30 on Friday night. This session too was cancelled because of lack of participants. A thalassaemia session for Nurses/lab technologists and health workers/ and doctors at Lh. Naifaru Atoll hospital was conducted by Dr. Farzana on the morning and afternoon of Saturday. A total of 21 staff from the hospital, 12 parents and patients attended this session.  The participants were very satisfied with the information provided, which included treatment of thalassaemia, blood transfusion…etc. Q and A sessions took place, and Dr. Farzana gave consultation for 6 patients. Dr. Farzana commented the lack of participation from the doctors in the sessions. The 21 staff who participated included only 2 doctors, out of the many doctors consulting at this hospital.

Apart from this, a session about thalassaemia to 12 guide students also took place on Saturday morning. This session was facilitated by SHE laboratory technologist.

  • SRH sessions: At 2:00pm on Saturday afternoon, an RH session for females of age groups above 18 was held at the school hall. Since only a few participants showed up on time, the facilitators decided to wait a bit longer for any other participants who would like to participate. After 30 minutes the session started with 10 participants. The session lasted for 2 hours and ended at 4:30 that evening.  The comments were generally positive, as all participants in their evaluation forms said the information was absolutely necessary.

The RH session for males of age groups above 18 was held from 8:30-10:30 that night.  33 participants showed up for the session and it started on time.  The session went on longer than 11.15pm and it was a great success as the participants were drawn into the sessions. All the comments were very positive and all the participants agreed the information provided was necessary. The information was provided by Dr. Mausooma.

  • The thalassaemia screening: This began at 8:30 Saturday night and it went on until the fair closed at 11:00pm. 10 people tested for thalassaemia and 1 person had DNA analysis done.
  • Children’s Evening: To increase participants and to draw a crowd, a children’s evening was announced for Saturday evening. The evening included a small show by NPA, clowns and informative games inside halls, targeted for children of 10 and younger. 31 children took part in these games. Firushan and officials from NPA facilitated these games. The game included musical chair and relay race. Both games had health information incorporated into the game. For example, those children who are left behind in the musical chair can join the next round after correctly answering a health related question posed on them.

Also a meeting was held to further discuss the fair on Thursday night. This took place in the Atoll Hospital between senior management of the hospital and SHE team members and NPA. Apart from this, empty CDs packaged in HIV/AIDS awareness information were distributed to fair visitors. In total, 399 CDs were distributed. The CDs were donated to this trip by the Global Fund Project in SHE.

e)      Statistics from Evaluation forms

An evaluation form desk was kept at the entrance.  From the 470 visitors, 243 visitors filled the evaluation form. The questions asked included overall comments and suggestions, overall satisfaction, favourite stall, most informative stalls…etc.

From the findings, it was seen that except for a very few handful people all the people who visited the fair felt that the fair was good.  While game stall was the favourite among 15-24 and 25-35 age group, the majority of the visitors agreed the most informative stall was the SRHR health and nutrition stalls. This could be because, this stall had the greatest attraction with most of the models, posters and real body part specimens.  The stall most people wanted information from was Thalassaemia and SRHR stalls.

Although the reviews were mostly positive towards the fair, many comments/suggestions were given as feedback in the evaluation forms. While some of these suggestions are not something SHE team could attend to, other suggestions could be used in making future such fairs more successful.

Some of these comments/suggestions include:

  • 28 people felt the stalls were less and more stalls should have been setup in the fair, including stalls for children and teenage target.
  • 19 people felt that the information provided was not enough and should have included more health related information such as common diseases.
  • 22 people felt that the number of facilitators were not enough and hence, they could not give adequate attention to the visitors. Out of these commentators, some felt that the facilitators were so busy that they had no time to ask what the visitor wanted or give any information about what the stall was about.
  • 16 people commented that the island organizers did not give prior information in the island (about the fair), and one commented on the need for prior media advertisement in arranging such a fair.
  • 17 people felt such fairs should be held more often, maybe as frequent as once a year.
  • 9 people felt that the method of information distribution should be more contemporary with more videos and power point presentations in each stall and also commented that the models, specimens, posters were too less and without proper information written besides it.

 f)       Overall input of staff/ members/volunteers and organizers

Since the moment trip was being arranged, all of SHE’s staff and their input was tremendous. Staff contribution was great in the much needed areas such as brainstorming, drafting schedules, drafting and sending mails, packing..etc. Apart from those staff who contributed immensely on the field, the following staff’s efforts are specially noted with appreciation for their input at workplace to make this a success:

  • Ajmal
  • Fazna
  • Naila
  • Nadhiya
  • Shifneeza
  • Asna
  • Zila
  • Gihan
  • Akram
  • Shameema

Also the same hard work is appreciated for the members and volunteers who joined. Also the efforts by NPA and Lh. Atoll Hospital to make this event a success is also noted with appreciation.

 3.     Constraints/ Recommendations

  • Room problems: Getting us good rooms is very important because after all the hard work, having a good rest depends a lot on the rooms. Doesn’t have to be 5 star or 4 star but just with a good fan, and a clean working toilet. It is advised to ensure these are communicated to the island.
  • Launch: While liaising with the launch and arranging everything about the launch was done by the Naifaru team, it is suggested that SHE coordinators also keep in touch and in close contact with the launch, or if not, the other organizing party to avoid such delays and misunderstandings.  No matter who is organizing it is also suggested that all logistics are always under control of SHE coordinator or person in charge. It is advised the PIC/Coordinator have direct contact with people involved in the logistics.
  • Finding resource: SHE to take a different approach while trying to get resources in the future. Maybe seek paid people instead of the volunteers/members coz of lack of commitment. Also after confirmation, last minute cancellation (both by staff and volunteers/members) should be avoided.
  • Media: Except for the news item on TVM and VOM while the health fair took place, no other prior information was given to the media. To get more exposure, media advertisement in necessary. It is advised to include more media exposure in upcoming events.
  • Fair Turn out: The fair advertisement in the island was enough, however, due to too many activities at once happening in the island on the same days, the turnout to the fair was minimal and much less than expected. For example, on the days of the fair, there was a Dhivehi motion picture in play, a free photography course, and also a food fair. It is suggested to again emphasize the importance of having the fair on days that does not collide with so many other events.
  • Resource Personals were not enough. 15 people in SHE team is not adequate to handle a crowd of 500 people. Hence, it would have been impossible to handle 1500 people had we achieved the expected target.  In order to give the maximum input and achieve the best outcome, the team needs to be larger, depending on the number of people expected to visit the fair.
  • Lack of participation in the sessions: This was a huge disappointment because the sessions were arranged on request of the NPA. Since the general feeling was that these sessions did not succeed due to lack of support from other institutions such as school. Hence, it is suggested to keep a better contact with the school administration.
  • Based on the evaluation form suggestion:  It is advised to emphasize on the importance of increasing the number of facilitators and stalls, including target based stall for children and teenagers. Also while increasing the stalls, it is important to include more health related information using contemporary methods to disseminate such as presentations and videos in all stalls.
  • Fair Times:  The turnout at the fair in the mornings and afternoons were as low as nil to 13 people at a time. Almost all the visitors came in the evenings and night. Hence, it is suggested instead of opening the fair from morning till night, to decrease the time from evening until late night.

 

FINANCIAL REPORT

No

Detail

Amount Quoted in APB 2010 (MRF)

Allocated Budget (MRF)

Actual (MRF)

Variance (MRF)

Reasons for Variance

SHE (50%)

IPPF (50%)

Lh. Naifaru NPA

1

 Resource personnel (15 people)
 Members/Volunteers

Nil

 Lab Technologist

1000.00

1000.00

00.00

00.00

00.00

1000.00

 500 per day x 2 days x 1 person ( All members and Volunteers, so no cost borne by any party)
 Counsellors

1000.00

1000.00

1000.00

 500 per day x 2 days x 1 person ( All members and Volunteers, so no cost borne by any party)
 Nurses

1000.00

1000.00

00.00

00.00

00.0 0

1000.00

 500 per day x 2 days x 1 person ( All members and Volunteers, so no cost borne by any party)

2

 Transportation
 Launch

20,000.00

20,000.00

00.00

00.00

20,000.00

00.00

   The cost covered by donations received to Lh. Naifaru
 Pickup

100.00

100.00

00.00

00.00

00.00

100.00

 The amount of MRF 120/-  (for 3 pickup trips) were spent from the miscellaneous advance money.
 Transportation in the Island

500.00

500.00

00.00

00.00

500.00

00.00

The cost covered by donations received to Lh. Naifaru
 Taxi

500.00

500.00

00.00

00.00

00.00

500.00

 The amount of MRF 400/- for 8 people was spent from the misc. advance money.

3

 Food

4200.00

4200.00

00.00

00.00

6300.00

-2100.00

RF 140x15x3days  (The cost covered by donations received to Lh.Naifaru.)

4

Accommodation

4800.00

4800.00

00.00

00.00

6300.00

-1500.00

 RF 300 X 7 rooms x 3days(The cost covered by donations received to Lh. Naifaru)

5

Stationary

500.00

500.00

217.50

217.50

00.00

65.00

This money was taken as an advance and spent to buy stationary and decoration items.

6

 Materials Development (Evaluation forms, 00leaflets, resource materials…etc)

5000.00

5000.00

00.00

00.00

00.00

5000.00

  Existing in SHE

7

 Others (Miscellaneous)

5000.00

5000.00

627.50

627.50

00.00

1745.00

 The advance taken was MRF 3000/- instead of the MRF 5000/-.From the MRF 3000:-          Pickup trips : MRF 120/–          Taxi money for 8 staff: MRF 400

–          Medicines: MRF 57/-

–          Items needed for game stall: MRF 278.00

–          Decorations: RF 300/-

–          Drinks: MRF 100/-

8

Media

1000.00

1000.00

00.00

00.00

1000.00

00.00

The cost covered by donations received to Lh. Naifaru

9

Blood Grouping

00.00

00.00

372.00

00.00

00.00

-372.00

 Blood grouping for 93 people were done for free. Each blood group is at a rate of MRF 4/-.

10

Giveaways (CDs)

00.00

5660.00

660.00

00.00

00.00

-5660.00

The MRF 660/- (2000 covers at MRF 0.33) was spent by SHE.The MRF 5000/- (1000 CDs at MRF 5/- ) was donated by Global Fund.
 TOTALS

44600.00

50260.00

1877.00

845.00

34100.00

778.00

 

 Photo Gallery of activity

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