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    Values of BHWs

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    Nandie Joy Layson-Moreno Banias
    This document discusses the values and ethics that community health workers (CHWs) should uphold, including accountability, respect, compassion, empowerment, equal access to health for all, and doing their best. It outlines activities for a training session that will help CHWs understand these values, such as role playing respectful vs disrespectful care, discussing rights of CHWs, and creating a CHW charter committing to upholding these values. The goal is for CHWs to engage with communities professionally and respectfully as the frontline of the health system.

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    Values of BHWs

    Uploaded by

    Nandie Joy Layson-Moreno Banias
    22 views5 pages
    This document discusses the values and ethics that community health workers (CHWs) should uphold, including accountability, respect, compassion, empowerment, equal access to health for all, and doing their best. It outlines activities for a training session that will help CHWs understand these values, such as role playing respectful vs disrespectful care, discussing rights of CHWs, and creating a CHW charter committing to upholding these values. The goal is for CHWs to engage with communities professionally and respectfully as the frontline of the health system.

    Original Description:

    for BHW training

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    This document discusses the values and ethics that community health workers (CHWs) should uphold, including accountability, respect, compassion, empowerment, equal access to health for all, and doing their best. It outlines activities for a training session that will help CHWs understand these values, such as role playing respectful vs disrespectful care, discussing rights of CHWs, and creating a CHW charter committing to upholding these values. The goal is for CHWs to engage with communities professionally and respectfully as the frontline of the health system.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views5 pages

    Values of BHWs

    Uploaded by

    Nandie Joy Layson-Moreno Banias
    This document discusses the values and ethics that community health workers (CHWs) should uphold, including accountability, respect, compassion, empowerment, equal access to health for all, and doing their best. It outlines activities for a training session that will help CHWs understand these values, such as role playing respectful vs disrespectful care, discussing rights of CHWs, and creating a CHW charter committing to upholding these values. The goal is for CHWs to engage with communities professionally and respectfully as the frontline of the health system.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Session 1.

    4 Values and Ethics of Community Health Work

    Session By the end of this unit participants will be able to:


    Objectives • Explain the key values and ethics they will uphold as CHWs
    • Articulate their rights as CHW
    Session Respectful and disrespectful care
    Topics • CHW Charter: Accountability, respect, compassion, empowerment, equal
    access to
    all/health for all.
    • Rights of CHW

    Session plan Activity 1: Determine what they already know


    Time: 1h30 Activity 2: Role play: Respectful and disrespectful care
    Activity 3: Give relevant information: Values to uphold
    Activity 4: Building a commitment: the CHW Charter
    Activity 5: Give relevant information: Rights of CHWs
    What have we learned

    Key words
    and phrases Values, charter, accountable, compassion, empower, access, vulnerable, rights

    Activity 1: Determine what they already know

    Discuss with the BHWs using the following questions.

    On the board or flip chart begin creating two lists of ‘positive’ and ‘negative’ practices, qualities or
    experiences that the CHWs mention in the discussion:

    - What do you think are the qualities of a good health worker?


    - How do you think a health worker should behave towards their clients and their families?
    - Have you ever been to a health facility and had a negative experience? What happened? How did you
    feel?
    - How do you think negative experiences affect your willingness to access health services in the future?
    - Have you had positive experiences with health workers? Did they show respect? Did they help you
    make decisions about your health and discuss alternatives with you?

    Explain and Discuss:


    As the frontline worker, BHWs are the “face” of the health system in the community, and it is
    especially important that they engage community members in positive and professional ways.
    Positive Negative
    Confidential Critical
    Respectful Judgmental
    Compassionate Distracted/not listening
    Good eye contact Bossy
    Reassuring Impatient
    Impartial Impersonal
    Good listener Not respecting privacy or confidentiality
    Friendly ‘Lecturing’
    Polite Prejudiced (e.g. racist or discriminating)
    Non-judgmental Sexist (e.g. addresses only the husband)
    Encouraging Corrupt (asks for bribes or gifts)

    Activity 2: Role Play: Respectful and disrespectful care


    Discussion of reactions on the role playing activity

    Activity 3. Explain relevant information: Values to uphold

    • Accountability
    • Respect
    • Compassion
    • Empowering
    • Access
    • Quality

    BHWS ARE ACCOUNTABLE


    Accountability is making sure you can answer for your actions or omissions. This means presenting data
    openly, being accountable for stocks and resources, admitting mistakes when made and do your best to
    overcome difficulties.
    Be accountable to the community, and to the Municipal Health Office (MHO).
    Share your performance data and progress with community and MHO.
    Communicate in an open, and effective way to promote health, safety and wellbeing of your clients.

    WHAT DOES BEING ACCOUNTABLE LOOK LIKE?


    • Seek help when you struggle.
    • Tell clients about what you are doing and why, be open minded and listen to their realities.
    • You share your performance data openly
    • You control stocks very carefully and never sell them for profit
    • You submit reports on time
    • You admit mistakes and look for help from others when you need it.
    • You tell the truth
    • You are honest about your needs and limitations

    Short activity: Ask participants: what would this look like in a BHW’s work life?
    Write their responses and discuss their reactions
    CHWS ARE RESPECTFUL
    This is about client privacy, and the way that you talk to people. Anything that is said between a BHW
    and a family is never to be discussed outside the home. Respect family members to resolve issues by
    themselves, whilst ensuring the safety of women and children
    “Treat my clients and families as I would wish to be treated.”
    Promote and uphold the privacy, dignity, rights, health and wellbeing of people who use community
    health services at all times.
    Respect a person’s right to confidentiality.
    Respect their right to make informed choices for themselves about health
    (Person-centred care).

    WHAT DOES BEING RESPECTFUL LOOK LIKE?


    • You introduce yourself and call clients by their names
    • You smile, are helpful and polite
    • You make eye contact when speaking
    • You use simple language and check understanding
    • You use a calm respectful tone of voice
    • You listen when they are talking
    • You do not talk about what happened between a CHW and a family with any other person
    • You do not discuss personal details about families in public
    • You respect a person’s right to make their own informed choices about their health

    Short activity: Role Play: Being respectful


    After the role play, ask in plenary: How did the BHW show respect? What could
    be improved?

    CHWS ARE COMPASSIONATE

    This is about communication and dignified care for the clients and families.
    Never judge, criticize, admonish or blame.
    Never do harm and lead with your heart.
    • You look for signs of fear, anger, stress, fatigue, and pain
    • You allow them to express their feelings
    • You show empathy and understanding by being kind
    • You praise their positive actions
    • You reassure them when they are worried

    Short activity: Ask: why is it important for the BHW to be compassionate when dealing with health
    issues of a family?
    Note down responses and discuss their reactions

    BHWs EMPOWER OTHERS

    Empowering is about helping families understand health and identify their own solutions.
    Support them to make good choices for the health and wellbeing of their families.
    • Do not lecture and do not give advice without asking if they want it.
    • Listen to people to understand the roots of their barriers to health.
    • Praise their positive actions and reassure when they are worried
    Short activity: Ask: How can BHWs ensure health for everyone, especially the poor, vulnerable,
    the disabled and those that live furthest away?
    How might a BHW (knowingly or unknowingly) exclude some from services?
    Write down their responses and discuss.

    Explain and discuss the participants’ responses utilizing this information.

    BHWS PROMOTE HEALTH FOR ALL, EXCLUDING NONE

    What is equity? Equity means when all families and individuals have equitable access to health care.
    Equity is not the same as equal, as those who have less access to health need to be given more priority
    in order to achieve equity. Often CHWs will prioritize those households close to their house, rather than
    the homes harder to reach. Do your best to reach the families that need the most support, and those
    that are often excluded.
    Reach out to the isolated, the most vulnerable, the poorest, the infirm and disabled, the
    elderly, and the furthest away from care.
    What is equality? Equality is root in prejudice or stigma that can be subtle or overt in nature. Equality is
    about treating both genders equally and not discriminating against anyone on the basis of tribe, ethnic
    group or religion.

    What does this look like?


    • You spend more time with vulnerable households
    • You don’t turn anyone from your community away
    • You don’t give preferential care to members of your family/church/ethnic group

    Explain that the last aspect is about giving their best to the task required of them.

    BHWS WILL DO THEIR BEST IN ALL THAT THEY DO.


     Work in collaboration with the barangay health center staff and barangay officials to ensure the
    delivery of high quality, safe and compassionate healthcare, care and support.
     Strive to improve the quality of healthcare, care and support through continuing professional
    development – learning and studying.

    What does this look like in practice?


    • You attend supervisions and meetings
    • You understand your BHW Manual
    • You seek mentoring from your Barangay Health Midwife
    • You follow recommended practices the best that you can
    • You give quality care

    Activity 4: Create a Commitment Statement Exercise


    Provide illustration boards and colorful markers and ask the participants to create a charter
    statement to be posted in their barangay health stations.
    Example:
    BHW CHARTER

    1. We are accountable
    2. We are respectful
    3. We are compassionate
    4. We empower others
    5. We promote health for all, excluding none.
    6. We will do our best in all that we do.

    Key messages:
    • As the frontline worker of the health system, it is important for the BHW to engage communities in a
    respectful and professional manner
    • Key values to uphold are – accountability, respectful care, compassion, empowering others, equal
    access to all and doing the best.
    • BHWs have the right to be respectfully treated by those whom they serve

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