The document summarizes a health education visit by students to the Bolifamba community in Cameroon to address hygiene and sanitation issues. The team identified several problems: stagnant water and poor drainage due to the swampy land; poorly constructed houses with bushes nearby; lack of mosquito net and toilet use; and waste disposal in bushes and streams. These problems increased the risk of malaria, diarrhea, and skin diseases. The team's health education session with community groups focused on promoting proper hygiene practices like handwashing and oral hygiene, as well as improved sanitation through draining standing water, constructing toilets, and proper waste disposal to reduce disease transmission.

1. Health education on hygiene and
sanitation at Bolifamba, mile 16-
Buea.
Group members:
 Buh Amos W.
 Katte Ivo
 Joso Mbella
 Genevieve Anyianawung
 Akumengwa Neba

2. Outline
Introduction
• Description of the community
• Entry into the community
Objective of visit
 Health problem diagnosed
 Health education on priority problem in the
community
• Objective for health education
• Target groups
• Method
• Health education message & Language
• Health education materials

3. Introduction
• Bolifamba is found in Muea health area in Buea health
District along the Buea- Mutengene road.
• 9207 Inhabitants ,cosmospolitan
• Community is divided into 11 quarters and inhabitants
are mostly farmers.
• Most of the quarters are in swampy areas and people
live in slums.
• Most houses in this community are constructed with
planks (‘carabot’ houses).
• Two major streams flow across the community
• Community has 8 primary schools, some churches, a
market and many small drinking bars.

4. Entry into the Community
• Permission to visit community was gotten
through the help of the chief of centre of
Bolifamba health centre.
• A member of the dialogue structure and the
chief of centre accompanied the MPH
students round the community.
• Some inhabitants were randomly interviewed
on hygiene and sanitation practices and
diseases present in community.
• We also reviewed the registers in the H/C

5. Objective of visit
• To identify health problems in the community
that can be addressed using health education.

6. Problems diagnosed
• Settlement area is swampy with poor drainage
• Stagnant water nearly everywhere
• Poorly constructed houses
• Bushes around houses(confer pictures below)
• Interviewed members say they don’t use
mosquito nets
• All the above predisposes to malaria.

7. Problems diagnosed cont’d
• Poor waste disposal, most compounds lack toilets
• Interviewed inhabitants say some people use
bushes and the main streams as toilet
• Most domestic waste is disposed in bushes
around houses or in the main streams which is
also used in bathing and washing
dresses.(pictures below)
• All these predisposes to feco-oral transmission of
diseases
• Most inhabitants look dirty and children move
bare feet; personal hygiene not observed

8. Sample pictures from community

9. Sample pics cnt.

10. Health centre records
• Health Centre records showed malaria,
diarrhoea diseases, bacterial and skin
infections as common diseases suffered by
inhabitants.
• This is quite eminent looking at the problems
the health team identified.

11. Overall diagnosis
• Looking at all the above mentioned problems,
the team concluded that the problem of
concern in the community is poor hygiene
and sanitation.

12. Topic for Health Education
• Health education on hygiene and sanitation
for the Bolifamba community.
• Goal:
• To improve the hygiene and sanitation
practices of the community that will help curb
the prevalence of malaria, bacterial infection,
diarrhoea and skin diseases.

13. Objectives
• To educate the community on proper hygiene
and sanitation practices.
• To educate the community on the risk of not
adhering to proper hygiene and sanitation
practices.

14. Target groups /materials
• Traditional council, churches, schools, women
groups, youth groups, social groups found in
the community.
• Materials:
• Flip charts, audiovisual materials, posters
• Language- pigin english

15. Method
• Health talk with groups.
• Demonstration
• Group discussions
• Role play.

16. Definition of terms
• Hygiene – set of practices associated with
preservation of health and healthy living.
• Focuses on personal hygiene ie cleanliness of
the hair, body, hands, fingers, feet, clothing
and menstrual hygiene.
• Safe hygiene practice include healthy
behaviours like hand washing before and after
eating, after using the toilet and safe faeces
disposal.

17. Definition of terms cont’d
• Sanitation – The prevention of human contact
with waste or hazards associated with the lack
of healthy food, clean water, healthy houses,
control of vectors and a clean environment.
• Focuses on the management of waste
produced by human activities.

18. message
• For hygiene; inhabitants should bathe daily
with soap, observe oral hygiene, trim nails,
bathe children and wear them clean clothes,
wash hands with soap under running water
before and after eating and after visiting toilet
• And should avoid walking bare feet.

19. Message cont’d
• For sanitation; inhabitants should clear bushes
around compounds, provide drainage and
remove things that can retain water around
compounds, should construct pit toilets and
use them, use of stream to dispose faeces and
gabbage from home should be prohibited,
house waste should be disposed in gabbage
bins for easy collection by HYSACAM.

20. Message cont’d
• Construct good kitchens, prepare, store and
serve food under hygienic conditions
• Domestic animals should be confined
• Inhabitants should endeavour to sleep under
mosquito treated bed nets.

21. Risk of not practicing good hygiene
and sanitation.
• Skin infection (scabies, ring worm, lice)
• Worms infestation
• Diarrhoea
• Malaria
• Typhoid fever
• Cholera
• Death
• All of these will lead to increase in health care
bills

22. Monitoring /evaluation
• Dialogue structure members will ensure the
monitoring hygiene and sanitation practices in
their respective quarters.
• The health education will be ongoing in the
community by the health staff and dialogue
structures members
• Questions and answers

23. Thank you for listening
Good hygiene and sanitation makes you healthy and cleanliness is next to Godliness