Guide to community entry & Strategies in relating with communities Flashcards

1
Q

What are the dimensions of a community as a client or the three features of a community

A

Location
•A population
•A social system

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2
Q

Name six location variables

A
Community boundaries
•Location of health services
•Geographic features(mountainous or rocky,desert,etc)
•Climate
•Flora and Fauna
•Human made environment
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3
Q

Name some population variables(what the community is made up of or the people the community is made up of)

A

Size
•Density
•Composition(young children,adolescents,old people)
•Rate of growth or decline
•Cultural differences
•Mobility(if people walk a lot there and all)
•Social class and educational levels

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4
Q

Name some variables in social system

A
variables include:
•health
•family
•economic
•educational
•religious
•legal
•communication
•recreational and
•the political systems.
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5
Q

What is community entry

What do the principles and techniques of community mobilisation and participation involve

Community entry is seen as a prerequisite to any participatory process.
•Such community spaces are created in varied ways for each community, according to its cultural values and practices. True or false and give an example

A

Community entry is the process of entering community spaces with the intention of meeting the community members where they are ‘most comfortable’ or where they can speak out their ideas, needs, and aspirations.
• Community entry refers to the process of initiating, nurturing and sustaining a desirable relationship with the purpose of securing and sustaining the community’s interest in all aspect of a programme.
•Community entry refers to the process, principles and techniques of community mobilisation and participation.

This involves recognizing the community its leadership and people and adopting the most appropriate process in meeting, interacting and working with them.

True

example, in rural settings, people tend to be more welcoming and hospitable, although this may change if their sense of security is threatened or if they have experienced violence

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6
Q

State and explain the six principles that guide community entry

A

Respectful dialogue.
•A famous quotation, “Remove your shoes from your feet, for the place on which you stand is holy ground,” has been invoked by many dialogue facilitators to signify the need to remove one’s biases and prejudices when entering a dialogue with another person.
Sensitivity to needs.
•Being constantly on the lookout for what should be addressed in the process of working together especially at the entry phase of the cooperation is another crucial principle.
Principles that guide community entry
Historical perspective
•Events should be viewed from the perspective that everything has a historical origin, and that perceptions developed through time frame unique concepts, practices, and values
Openness to learning
•Being able to look at one’s own assumptions and challenge them in the face of realities happening on the ground is an important principle that will allow genuine community entry.
Principles that guide community entry
•Receptiveness in a dialogue and fluid communication to happen.
At the onset of any development cooperation, stakeholders are required to be open to, and willing to learn from, each other, to be self-reflective, and to allow for change in their own perspectives.
•Inclusivity.
With diverse interests at stake in any activity/programme, one cannot be selective with one’s dialogue partners. Efforts to mobilize participation should not be limited to those who are cooperative, but should also be extended to those who are unsupportive of the activity/programme.
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Four important goals of communi

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7
Q

State and explain the four goals of community entry

A

Contextual grounding
•Prior to engaging in any development cooperation, it is important for the key actors to gain better understanding of the conditions that influence the dynamics within the community.
2. Building trust and confidence
•In troubled areas, relationship building among stakeholders is an essential ingredient of the success of any development cooperation.

Four important goals of community entry
3. Generating support
•A sense of ownership of the program programme for government support, NGOs, or other partners can be built up during community entry through various means of engaging them in initial or ad hoc mechanisms that initiate them into the processes that the development cooperation aims to set in place.

  1. Obtaining genuine information.
    •Through the flow of communication and information that can happen at the community entry phase, NGOs, line agencies, and development institutions are able to come up with the information they need to initially assess the situation.
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8
Q

What are the five approaches to community entry and explain them

A

Door-to-door neighbourhood walkabout
•This approach is usually taken by NGOs undertaking community organizing processes, where they go from house to house to introduce themselves and their purpose for going into the community.

Community events
•Attending community events is another way to introduce the project or development intervention to community members who are not yet being engaged. It might be helpful to be selective about which community events to attend.
•Events such as fundraisers and board meetings do not necessarily draw people who are not already participating. If the focus is meeting those who are not yet engaged, the team can try events such as faith community socials or cultural events.

  1. Third-party facilitated approach
    •For communities with a history of failed relationships with development partners, it will help to engage a third party or a service provider, such as an NGO, to undertake the community entry processes.
    •This approach is usually more effective when the NGOs being engaged have proven track records and had previous presence in the community.
    •It is also important to gain the trust of the community partners and identify how this arrangement will be beneficial for the service
  2. Outreach activity
    •This is a more traditional approach to the community that places the service provider as “the expert” during activities such as seminars or trainings organized for skills needed by the community.
    •It means offering available expertise within the team. Some examples would be literacy programmes, mothers’ classes (mainly used by community health units undertaking feeding programmes
  3. Quick-impact measures
    •Quick-impact measures (QIMs) can be used as entry points of the implementing institution if there is an urgent demand to address community needs or issues.
    •QIMs can help open the communication line and establish communication channels between the implementing institution and the partner community, and can support the building of confidence between the community and the implementing institution.
    •A QIM is a small-scale project or activity that can be achieved within a short time period (not beyond six months) and should directly benefit the partner community.
    •The involvement of the stakeholders and communities during the identification, implementation, and monitoring of QIM activities is important to make sure that the measure will not create harm or undermine the existing initiatives
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9
Q

State the phases in community entry

And state what each phase entails

A

Phase 1: Pre-entry (implementing team)
Phase 2: Actual entry into the community (community level)

Pre-entry phase
•Forming the implementing team
•Initial contact building and data gathering
•Courtesy call on local leaders
•Building the capacity of the implementing team
•Joint formulation of key messages and the communication plan
•Context analysis and planning for entry

Phase 2: Actual entry into the community (community level)
•Meeting with Chiefs and elders and all stakeholders
•Formalizing and Strengthening Contact with the Community
•Delivering the Key Messages
•Initiating Collaborative Activities to Build Confidence
•Establishing/ Strengthening Existing Mechanisms for Collaboration

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10
Q

Explain how to form the implementation team and how initial contact building and data gathering

A

Forming the implementing team

  • It is important to identify and form the implementing team that will anchor the entire community entry and social preparation process.
  • This involves initial meetings to explore the possibilities for cooperation and its parameters, including the nature of the cooperation, and obligations of each member, strategies, resource requirements, and systems.
  • Agreements and plans should be recorded by a designated person who can also be in charge of reading minutes of meetings for easy recall of decisions of the group in previous meetings.
  • Each meeting should be a venue to look forward to actions members can do together rather than to plan for another meeting.
  • This helps generate interest and enthusiasm among the members of the team on what they can do collectively.

Building initial contact with different influential actors and stakeholders in the target area is important to generate support during the community entry.
•If applicable, advice from the ground should be sought particularly on peace and security issues, interest groups, and community issues, which serve as inputs in the preliminary conflict assessment.
•To facilitate community entry processes effectively, it is necessary to gather information on relevant data

  • Data gathering should focus not only on demographic profiles but, more importantly, on the people’s knowledge, attitudes, and perceptions of development initiatives, particularly those related to the development project or programme being introduced.
  • It has to be noted that interviews do not end after the pre-entry stage nor after trust has been
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11
Q

Explain how courtesy call on leaders is done and how to build the capacity of the implementation team

A

Making an initial visit to local leaders of established structures in the community .
•An official letter can be sent prior to the visit to request for an appointment and introduce the agencies involved as well as the purpose of the meeting being requested.
•During the actual visit, it helps to provide the leaders with documents and brochures that describe the agencies and the programme being introduced.

Building the capacity of the implementing team

  • Building the capacity of the implementing team is necessary to prepare them for community entry.
  • Capacity building strategies such as seminars, coaching, and multi-stakeholders’ dialogues conducted at this level are effective in developing trust between the community and the service provider.
  • Stakeholders gain opportunities for social communication and interaction, which build their confidence in their capacity to think and work together.
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12
Q

Explain how context analysis is done and how to plan for the entry

A
  • After the data have been collated and consolidated, the implementing team should be able to come up with an analysis of the context and problem that need to be considered in undertaking participatory planning and other mandated processes for the development cooperation to take off.
  • The data generated can be used to re-evaluate perspectives and come up with assumptions on the grievances, fears, or perceptions of the local population against the state actors or projects. The data would also be used to prepare key messages addressing these same grievances, fears, or perceptions. T
  • he objective of this is to show the local population at the first official contact that the concerns and position of the local communities are being considered and taken seriously.
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13
Q

Explain how joint formulation of key messages and communication plan is done

A
  • Key messages should be formulated based on the analysis of the context.
  • The team should be able to develop the key messages and the communication plan.
  • Then appropriate formats for communication and for approaching the community can be designed in a way in which the process of reaching out to certain actors is done sequentially.
  • One may need to start with key persons and individual meetings, then continue with group meetings, and gradually move to conducting community assemblies at a later time.
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14
Q

How is formalizing and strengthening contact w the community done,delivering key messages

A

Formalizing and strengthening contact with the community

  • Having analyzed the perceptions, needs, interests, and power relations in a community, the team can now make decisions on which local stakeholder or leader can serve as an effective bridge between the community and the service provider, particularly engaging in meaningful dialogue with the community on their aspirations and vision related to the project or programme being introduced to them
  • Contacts can be approached in various ways: letters of introduction can be sent on behalf of the TWG
  • In areas where indigenous peoples are present, it is mandatory to engage them in efforts to establish contact with the council of elders.
  • Obtaining the free prior and informed consent (FPIC) of the indigenous peoples is important

Delivering the Key Messages

  • After choosing appropriate and applicable approaches, the team may now proceed to the actual community entry and deliver the key messages.
  • It is important for those assigned to deliver the key messages to adhere to and abide by the principles of community entry during their delivery of the key messages.
  • It is important for the messages to be delivered clearly and in a language that the community can understand.
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15
Q

How are collaborative activities initiated to build trust and confidence

Explain how existing mechanisms for collaboration are strengthened

A

Initiating collaborative activities to build trust and confidence

  • Collaborative activities are done at this phase to further build trust and create experiences for working together
  • Showing the local population that their concerns are being taken seriously and that concrete action is happening.

Establishing/strengthening existing mechanisms for collaboration

  • Some programmes, in the haste to get things done, immediately press for electing leaders and formalizing structures upon entry into the community.
  • This practice is discouraged in community organizing, which proposes the formation of informal and ad hoc working mechanisms in which broader numbers of people can be encouraged to participate in informal collaborative activities rather than being limited to traditionally recognized leaders.
  • Through such ad hoc mechanisms, people are also able to gauge leadership skills, attitudes, influence, and roles based on individual capacity, and avoid falling into the popularity trap of formalizing leaders.
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16
Q

The approaches to and steps in community entry can be more effectively facilitated with the use of appropriate mechanisms and tools. These include?

A

Stakeholder Analysis,

(2) ‘Do No Harm (DNH)’,
(3) Multi-Stakeholders’ Dialogues (MSDs),
(4) Building Containers,
(5) Formulating and Communicating Key Messages, and
(6) Quick Impact Measures.

17
Q

What is stakeholder analysis
Uses of stakeholder analysis
Explain how the analysis is done

A

Stakeholder Analysis is a process that allows development partners to understand which actors have a stake in a certain topic and/ or area, and the nature of their relationship.

Stakeholder Analysis can provide the user with the following benefits:
a. provide the user a holistic picture of the stakeholder environment;
b. identify the types of stakeholders in the user’s environment;

1.Define the shared goal
•Clearly define the shared desired outcome or shared desired output of the stakeholder group What are you trying to achieve with the service you are delivering, with the policy you are developing, or with the project you are planning?
2. Define the stakeholder group
•List the broad stakeholder group for the goal(s) in question. Look internally and externally, and cast the net as widely as possible. Consider only stakeholders who can influence progress towards the shared goal. Consider both those stakeholders within and outside the state sector.
3. Analyze the relationships
•The analysis should cover a number of steps in order to provide a basis for developing the engagement plan.

  1. Analyze the interest and power of each stakeholder group
    •The analysis can be guided by the following questions:
    •Are their interests in line with the interest of the project?
    •Do the influential stakeholders have other strong interests that do not contradict the objective of the project, due to which their influence on other actors could be utilized for the benefit of the project, etc.?
  2. Develop the engagement plan for the community entry
    •The engagement plan should build on the information developed during Step 3.
    •It should promote coordination by setting out how the stakeholders can work together.
    •It should take into account the nature of the relationships of the service provider with the different stakeholders.
18
Q

Explain the things the engagement plan for the community should contain

Explain formal and informal engagement

A

The plan should……
•outline how to engage with each stakeholder to best achieve the shared outcome;
•focus on engaging the priority stakeholders and address how each will be engaged in order to gain the appropriate level of buy-in;
•take into account how the nature of some of the relationships may change over time;
•consider ways to deal with any particular sources of possible conflict or disagreement with more difficult stakeholders (e.g. senior management support);

The plan should……
link with a wider strategy that pursues the link with a wider strategy that pursues the achievement of the shared outcome; and
•Formal engagement. For example, the priority stakeholder may need to be brought into a formal steering group or working group so that his/her needs and concerns will be addressed in a structured environment that establishes an audit trail of decisions made
•Informal engagement. It may also be useful to have informal, lower-key meetings with some of the higher-priority stakeholders in order to build a positive relationship with them and gain a clearer understanding of their perspective.
•revisit and revise as events progress and dynamics change.

19
Q

Explain n multi stake holders dialogue and the targeted outcomes of using this tool

A

Differences have the potential to be transformed into innovative solutions and achievement of mutually beneficial goals through effectively facilitated MSDs. The targeted outcomes are:
•Trust-building;
•Future-oriented and constructive cooperation; Innovative solutions to existing challenges;
•Higher quality and broader acceptance of decisions;
•Ownership and commitment to implementing agreed-upon results;
•Collective responsibility for change;
•Credible change endeavors;
•Sustainable outcomes;
•Long-lasting cooperation structures.

20
Q

Explain communicating the key messages matrix and stakeholder analysis under communicating the key messages matrix

A

Three major steps are involved in communicating key messages:
(a)stakeholder analysis;
(b)formulating key messages; and
(c)determining strategies for delivering the key messages.
a. Stakeholder Analysis
•Based on the programme components, the knowledge, attitudes, and perceptions of stakeholders can be analyzed and implications to the programme drawn, as can be seen in the matrix below that was used in the Co-Management programme

21
Q

What re the capacities for community entry

A

Ensuring that the processes and mechanisms are effectively undertaken according to the principles of participation which is sensitive and entails the enhancement of capacities during the community entry phase.
•A programme approach to capacity building considers both the institutional and individual levels.
•Decisions on how to provide opportunities for capacity building can be made within the TWG.
•Trained institutions and individuals comprising the TWG can be tasked to design and implement training interventions for the specific target

22
Q

What are the preparations made before entry

A

Form a reconnaissance team which is a team which spy

  • read about the community (read annual report from the DHMT, District Assembly)
  • collect informal information about the community
  • transect walk and observation.
23
Q

What are the critical actions in community entry

A

Identify the community by gathering information through formal and informal means

•Read from available literature
•Talk to knowledgeable people:
•Informal sources such as market places, drinking bars, funerals, festive occasions etc.
–Identify the leadership

Recognition of the position and roles of the community leaders in order that they will help the community health officer to develop ways in seeking their co-operation and support for programme Implementation.
•Meeting with chiefs and their stool/skin elders, it is important to schedule meeting, times to suit the convenience of the traditional leaders. Follow protocol;
•Meet the paramount chief first and discuss your mission e.g. to know the history of the community and new health programme.
•Meet elders also if possible.

24
Q

As a critical action in community entry,you meet the paramount chief,meet the paramount and sub chiefs,meet the chiefs and the entire community members true or false

A

True

25
Q

What is the process of meeting the chiefs

A

Knock and enter upon response.
•first greet chief and elders. Introduce yourself to the chief elders and other local leaders.
•inform them of your work with them.
•ask for their permission and advice and state your mission e.g. getting information about the village or introduction of new health programme.
•thank them for their co-operation.
•NB The community health officer can get ideas on contact persons/groups in the community whose support would facilitate your work.
–Identify contact persons
•Apart from the chiefs and elders, there are various interest groups and personalities in every community who must be identified to serve as contact persons in working with the community.

26
Q

Name six interest groups and personalities who can serve as contact persons

A
Various interest groups and personalities in the community who can serve as contact persons are:
•Prominent head of families.
•Heads of schools/teachers.
•Religious leaders/catechists
•District assembly members.
•Unit committee members
•Youth leaders
•Women group leaders
•The water and sanitation committee (
•Disease surveillance volunteers.
•Traditional birth attendants. (TBAs)
•Other health workers.
27
Q

Importance of using contact persons and what are the constraints of using contact persons

A

Good organisers people respect their authority.
•Their presence helps people see the issues as important.
•Trust by their people.
•They are credible

Sometimes not respected-so people may not come to the meeting.
•Presence at meetings may discourage people from talking.

28
Q

Name five types of contact persons that can be used

A
Assembly members
•Unit committee members
•Area council members
•heads of schools
•teachers, religious leaders
•Popularly elected/selected members, they represent the people.
29
Q

What are the tasks of contact persons and challenges of contact persons

A

Set up meetings.
•Know community priorities.
•Links with opinion leaders.
•Helpful in chieftaincy disputes.

Challenges with contact persons
•Some may have lost credibility.
•Some may embezzle funds.
•Some dominate meetings.
•Some may have conflict with chiefs.
•Some may be too bossy to help
30
Q

Explain women as a special resource

A

Women as special resource
•As care takers in the family, women are key players in the promotion of primary Health Care in communities.
•Women are more familiar with child health problems

31
Q

Explain how to conduct meetings with community leaders

A

In traditional Ghana, leadership lies in the hands of a hierarchy of persons ranging from paramount chiefs through town/village chiefs, clan/lineage heads to family heads.
•At each of these levels of leadership, communities have their own schedules and plans of carrying out development activities.
•There is therefore the need to recognize the position and roles of the community leaders in order that the most suitable ways could be developed in seeking their co-operation and support for program implementation.
–In organising meetings with chiefs and their stool/skin elders. It is important to schedule meeting times to suit the convenience of the traditional leaders.

32
Q

Explain the CHPS process of levels of meetings

A

The following levels of meetings with chiefs should be followed during the advocacy and consultation for applying the CHPS process:

Conduct meeting with community leaders
•Meet the paramount chief first and discuss the new health program with him. Allow him time to discuss your proposals with his sub-chiefs and elders.
•Meet the chiefs of the selected communities and discuss the program with them.
•Meet the chiefs and their elders and the community at large and discuss the program at the sub-district Start-Up Forum and subsequent community meetings.
•Outline your mission to them
•Brief them on what you are there to do
•Ask them to freely support you.

Conduct meeting with community leaders

•Identify the leadership
•Identify contact persons
•Conduct meeting community leaders
.Outline your mission to them
•Brief leaders of the purpose of your visit;
•Seek approval and support for your programme.
•Study and be conversant with the custom and tradition of the people(community study)

33
Q

Name five sources of information

A

Reading from available literature;
•Talking to knowledgeable people;
•Informal sources such as market places, drinking bar, funerals, festive occasions etc
–OTHER SOURSES OF INFORMATION:
•Apart from using community leaders and contact persons through the application of (PLA) Participatory Learning and Action techniques to collect data in community entry, secondary information could be collected from documentary sources. These include: Annual reports of DHMT, District Assembly, Dept. of Community Development, Dept of Environmental Health; Special project reports such as Nutrition, Family Planning etc

34
Q

Name five skills and attitudes each required of health workers in undertaking community entry

A
SKILLS
•Maintain good eye contact.
•Listen to both sides of and issue
•Paraphrase
•Show interest
•Be empathetic
•Encourage others to listen.
–ATTITUDE
•Patience
•Tolerance
•Respect for other people
•Good listening attitude
•Humility
35
Q

What should be the attribute of health workers in undertaking community entry

A

Ensure that community members understand the message and are encouraged to ask question when necessary.
•Probe to find out reasons why the community members may not be well with other leaders through asking relevant questions, encouraging answers as well as holding discussions with them.
•Ensure that message is clear and avoid unnecessary semantics and jargons.
•Encourage effective dialogue through the us of effective 2- way communication skills.
•Create humour and interacts in a way that helps to build the environment for effective interpersonal relationships.

36
Q

Name five importance’s of community entry

A
Objectives will be achieved
•Gain support
•It ensures the establishment of good working relationship
•It helps one to plan his/her work
•It helps to observe protocols.