Since 1997, the Novartis Foundation for Sustainable Development (Germany) supports the Terre des Hommes (Switzerland) project HUMULIZA with a focus on the psychosocial support for AIDS orphans in the district of Kagera, Tanzania. Out of this emerged the orphansÆ organisation Vijana Simana Imara (VSI), translated ôWalk upright and surviveö. Today this self-help organisation has over 500 members between 13 and 18 years old. The AIDS orphans û not HIV infected themselves û are working on a establishing a new social network. This 16 minute video tells the story of the Tanzanian AIDS orphans building their own society with the help of VSI. The film illustrates how these teenagers organize themselves to master life on their own two feet û dealing with death, illness, and other difficult life challenges. Throughout the film, we see young Florence speak honestly about his mourning for his cousin and then so proudly share his mischievous entrepreneurial ideas for the groups fish market business. We see the children work together with commitment to build a solid new house for one of its members, Jovinata, to replace the hut in which she and her two siblings lived in after the death of their father. Together the children provide a support for each other, replacing their lost parents and relatives. They learn how to build their own security through education and local income generation. They also learn how to negotiate and deal with local authorities
This 27 minute video documentary gives an overview of one of ActionAidÆs inception projects in Nigeria. It captures the essence of ActionAidÆs initial experiences in Nigeria of the processes, challenges, achievements, critical learnings and ways forward for using participatory approaches to behaviour change for HIV and AIDS prevention and impact mitigation. It is a video on how to empower civil society to respond to HIV and AIDS issues through participatory methods using the æStepping StonesÆ approach introduced by ActionAid.
At a time of organisational and financial hardship, the Uganda CBHC Association is aiming to re-think its direction and objectives. This is a report of the Association's Annual General Meeting of November 1995. It provides an overview of the challenges and issues faced by the UCBHCA, focusing particularly on self-financing, and also makes recommendations for action.
This 10 minute film looks at the use of video in raising awareness of environmental and health issues in the remote Ladakh region in north-east India. It suggests that video is a powerful tool which can be used to enable people to participate in the development process. In 1993 the Ethnographic Audio Visual Archive (EAVA) ran a two-day participatory educational workshop using video with representatives of the six villages in the Markhor valley. The workshop aimed to increase local people's awareness of the fragility of the Ladakhi environment, which is threatened by planned road construction schemes, and to develop measures for its protection (03). The villagers mapped out their locality and made a detailed model of the valley which clearly showed the impact of the road (04). It also highlighted the deforestation that had taken place over time (05). Role-plays were facilitated to enact traditional stories and the video footage was played back in the evenings (06). After the workshops policing committees were formed to prevent further deforestation. The second part of the film focuses on East Ladakh, nomadic herders among whom vitamin deficiency is common (07). A matrix ranking was carried out to identify local ideas on health problems. A simple method was devised of making berry juice rich in vitamin C from a local plant (08). The group discussions about the berries were recorded and played back to those who had not attended the workshops (09). The final part of the video looks at a student video project which investigated the pollution of local streams and the resulting conflict between women and men (09).
The Centre for Tropical Disease Research Medical School at the University of Guerrero, Mexico has been developing the Sentinel Survey process since 1985. Community-based Sentinel Surveys are a tool for developing dialogue among families, local leaders, district health services and regional and national level health planners about health risks (00). They are based on the premise that through careful, inexpensive measurement, dialogue and using the perspective of the family health possibilities can be changed (02). The video focuses on a village survey (one of 43 sentinel sites in Guerrero) which investigated family practices that might increase the risk of parasites and diarrhoea (10). All households in the village were surveyed by local health workers. Blood, faeces and saliva tests were processed quickly and the data fed back to the community (14). A preliminary risk analysis of common practices such as using contaminated water to wash vegetables or keeping pigs in the yard was also carried out by health staff in the field using laptop computers (15). The results were distributed to the community the next day and demonstrated to the community that by changing certain practices their families' health could be improved (15.30). The information gathered can be shared with other district health authorities, as well as with regional and national level bodies. It can also be used as the basis for dialogue with relevant sectors such as the water or education authorities (23).
A district-based framework for health promotion and health care provision is advocated in this video produced by the World Health Organisation (WHO). It promotes a participatory and community-led approach which is responsive to the needs and demands of the community. The video focuses on examples of District health provision in three different regions: promoting health care among at risk groups such as the unemployed in the UK; mother and child health in Indonesia; and child immunisation in Zimbabwe.
Rapid Assessment Procedures (RAP) is a data collection tool which takes standard anthropological techniques and adapts them for use with health programmes. It provides a systematic methodology for conducting rapid qualitative assessments of local conditions and needs, knowledge, attitudes and practices. The methods used include formal and informal interviews, conversations, observation, participant observation and focus groups (01). RAP can be used with other techniques to make quick assessments for planning or evaluation (02). The video documents a RAP survey carried out by Foster Parents Plan International in Guatemala. RAP was used to assemble data for programme planning with the aim of understanding people's attitudes towards vaccination. By comparing their views with the programme's objectives the two could be merged to optimise access to primary health care (03). The various techniques used during the survey included formal and informal interviews (05), conversation (06), observation (06.30), participant observation (07) and focus group discussions (07.30). The survey also investigated existing health services such as the pharmacy and local healers to provide a total analysis of the health needs of the community (08). The different methods and sources used in the survey provided triangulation and increased the accuracy of the information (09). RAP can be used at different stages of the project cycle, for project planning as well as process and concluding evaluations (011). It is a flexible tool which can be adapted to fit different areas, situations and populations (14).
This video concerns using PRA methods to facilitate villagers and forestry fieldworkers learning from eachother (01). It largely concentrates on PRA as tools for information collection, to identify users and their needs, and to formulate workable management plans (04). The video shows and discusses 8 PRA tools which form the basics of community forestry: establishing rapport (06), informal interview (09), reaching women (11), key informants (15), mapping (16), forest profiles or transect walk (21), time or seasonality chart (23) and direct observation (24). Versions available in English or Nepali.