Assessing Long-term Impact of Values-based Community Health Education in Cambodia

  • Amit Nirmal Cuttilan Yong Loo Lin School of Medicine,National University of Singapore http://orcid.org/0000-0002-6633-827X
  • Ravi Amran Cuttilan Yong Loo Lin School of Medicine,National University of Singapore
  • Si Min Chua Yong Loo Lin School of Medicine,National University of Singapore
  • Annelies Wilder-Smith Lee Kong Chian School of Medicine, Nanyang Technological University
Keywords: community health worker, Community health, cambodia, Faith-based organisation, values-based education, Non-governmental organisation, community health education

Abstract

Introduction: Community Health Education (CHE) is a development strategy which aims to address the needs of communities in developing countries through an emphasis on moral values and civic education. The syllabus of the CHE program guides a trainer to find the needs of a developing community and take a moral values-based approach to health issues such as alcoholism, smoking, injuries to accidents, and sexually-transmitted illnesses. The fundamental philosophy is that of development as opposed to aid.

Methods: In November 2010 and February 2011, this training was conducted for leaders and volunteers from two Cambodian Non-Governmental Organizations (NGOs) involved in HIV prevention education and training in Cambodia. In order to investigate long-term impact, participants who underwent training sessions in November 2010 and February 2011 also underwent Focus Group Discussions (FGDs) and Key Informant Interviews (KIIs).

Results: A total of 28 participants partook in the 3 FGDs and 5 participants took part in the KIIs. Participants were able to recall a number of moral values and concepts from the training. These included forgiveness, love, altruism, unity, respect, empathy, teamwork, optimism, and hopefulness. The organizations were then able to use the CHE model to change the way their organization worked together to achieve the goals in their communities. The participants were also able to use the teaching modalities employed by CHE sessions in their own work with their target communities.

Conclusion: The CHE training system has had a number of positive effects. They have influenced the personal lives of the participants, the way their organizations are run and the way they reach out to their target communities. In light of the themes identified in our results, we propose further research to compare the relative magnitude of all of these effects on these organizations in the long run compared to the short run. 

Author Biographies

Amit Nirmal Cuttilan, Yong Loo Lin School of Medicine,National University of Singapore

Final Year Medical Student in Yong Loo Lin School of Medicine, National University of Singapore. I have done 3 research trips to Cambodia on using Community Health Evangelism to solve the problem of alcoholism in a rural cambodian society.

Ravi Amran Cuttilan, Yong Loo Lin School of Medicine,National University of Singapore

Alumnus of Yong Loo Lin School of Medicine, National University of Singapore.

Anesthesia Resident, Tan Tock Seng Hospital, Singapore

Si Min Chua, Yong Loo Lin School of Medicine,National University of Singapore

Alumnus of Yong Loo Lin School of Medicine, National University of Singapore.

Annelies Wilder-Smith, Lee Kong Chian School of Medicine, Nanyang Technological University

Professor of Infectious Diseases, Director, Global Health and Vaccinology Programme, Lee Kong Chian School of Medicine, Nanyang Technological University

References

Cates, W. (2003). The "ABC to Z" Approach. Network , 22 (4).

Christian Aid. (n.d.). Evaluation of the impact of Christian Aid’s support of faith-based responses to HIV. Retrieved March 20, 2013, from Christian Aid: http://www.christianaid.org.uk/images/evaluation-of-the-impact-of-Christian-Aids-support-of-faith-based-responses-to-HIV.pdf

Collins, C., Coates, T., & Curran, J. (2008). Moving Beyond of The Alphabet Soup of HIV Prevention. AIDS , 22(Suppl 2), S5-S8.

Hardee, K., Gribble, J., Weber, S., Manchester, T., & Wood, M. (2008, August 4). Reclaiming the ABCs – The Creation and Evolution of the ABC Approach. Retrieved March 20, 2013, from Population Action International: http://populationaction.org/reports/reclaiming-the-abcs-the-creation-and-evolution-of-the-abc-approach/

Jones, H., & Chalcraft, K. (2009, May). SAVE : A Comprehensive Approach to HIV Prevention, Care & Support. Retrieved March 20, 2013, from Ecumenical Advocacy Alliance: http://www.e-alliance.ch/en/s/resources/library/detailview/document/22662/view/single/

Murphy, E., Greene, M., Mihailovic, A., & Olupot-Olupot, P. (2006). Was the “ABC” Approach (Abstinence, Being Faithful, Using Condoms) Responsible for Uganda's Decline in HIV? PLoS Medicine , 3 (9), e379.

Plusnews. (2010, August 16). SWAZILAND: ABC approach to be shelved. Retrieved March 20, 2013, from IRIN: Humanitarian news and analysis: http://www.irinnews.org/Report/90183/SWAZILAND-ABC-approach-to-be-shelved

Terence H Hull, Eddy Hasmi, Ninuk Widyantoro (2004). “Peer” Educator Initiatives for Adolescent Reproductive Health Projects in Indonesia. Reproductive Health Matters, 12(23), 29–39

Bassel Akar (2012, April). Teaching for citizenship in Lebanon: Teachers talk about the civics classroom.

Teaching and Teacher Education, Volume 28, Issue 3, 470–480.

Charlene Tan (2008 September). Two views of education: Promoting civic and moral values in Cambodia schools. International Journal of Educational Development, 28(5). 560–570. Retrieved 20 September 2013 from http://dx.doi.org/10.1016/j.ijedudev.2007.07.004

Martijn Willemse, Mieke Lunenberg, Fred Korthagen (2005, February). Values in education: a challenge for teacher educators. Teaching and Teacher Education, 21(2), 205-217

Published
2018-07-07