|Visit a house, search patient, and mark the date.|
|Health worker asks villagers if there are Filariasis sufferers near around by showing pictures. |
Followed by pre training sessions for supervisors in the district, training sessions on the patient searching program as well as on Filariasis patient care were held at each upazila. There are six upazilas in Nilphamari and the training was conducted for three days, two upazilas per day.
I attended at upazila sessions and then went out to field to see how the searching was conducted during and after the searching period. The searching period was 10 days in late June.
|At a training session. The instructor explain symptoms of patient.|
So how the searching program was conducted? Health workers developed a searching plan, in which they list number of houses they would visit daily in their working areas. This time, they went to around 40 to 80 households a day. The workers visit house to house to ask if there is any Filariasis affected patient by showing some pictures. Villagers in the area are mostly aware of symptoms of Filariasis so finding patients wouldn't be that difficult. The important part is to identify and record patients' morbid status and contact information so that health workers can access to them whenever needed.
|Health workers visit houses on foot. Not all houses are accessible from main roads.|
|Here is the chalk check.|
|Look up, it's not a picture of corns.|
When health workers visit houses, they mark "F" for filariasis and date on walls or pillars by chalk. Supervisors would visit areas a day after when searching is done and check with the help of the chalk check and ask a few words with villagers if they have received searching.
|A chalk check on the wall.|
|I was more curious to see a jaw bone and a sho hanging over the door.|
|It would be easier to see chalk check as large as this.|
|Chalk check on a glossary shop.|
|Chalk check on a glossary shop. Double!|
For me, it was almost first work out in the field at that time, so I went together with health workers working in the targeted area to see the situation and they showed me around houses where they did the searching and also sometimes patients. During the period, health workers conducted the searching during and after their routine duties such as attending Community Clinic and conducting immunization program. I was able to visit searching site in all upazila within a week. And it was rather good chance to get familiar with my field, health workers and local lifestyles by visiting a number of houses.
|Health Inspector asks villagers if they received Filariasis searching.|
|In front of a village, Kishoreganj, Nilphamari.|