B. An Evaluation Study of a Health Education Programme for Rural Women in Bangladesh

Abstract

In the 1980s, 21 Health and Family Welfare Centres (HFWC) in Munchiganz district in Bangladesh extended health and family planning services and health education to satellite clinics in private homes. A family welfare visitor (FWV) would visit each clinic 2 times/week to conduct health education sessions and treat patients. HFWC also promoted 70 mothers' clubs to promote small family size. Some mothers' clubs even provide basic health services. In March 1985, HFWC designed a study to evaluate the effectiveness of its health education component. Interviews and observations constituted the methodologies used. Interviewers and staff who were to observe health education lessons attended an introductory workshop in which they designed questionnaires. Next participant conducted 1-2 interviews while doing their regular work to pilot test the questionnaires. They then went to another workshop where they received feedback and discussed problems before the main evaluation. The study coordinator made spot check observations while interviewers spoke with women after a session on safe childbirth or diarrhea. The coordinator also held weekly meetings with the interviewers to identify problems and maintain a common base. HFWC managers used the study results to design and implement a simple monitoring system, manageable by supervisors, and others in the same or in a similar position. A very important lesson learned was that any monitoring system should not disrupt the routine of regular supervisory work or the already tight working schedules. The system should be uncomplicated so supervisors can easily monitor the health education component. Finally monitoring standards need to be founded on a common understanding and feedback between planners and health educators.