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TABLE OF CONTENTS
1. INTRODUCTION…………………………………………………………………….. 1
2. GOALS………………………………………………………………………………….1
2.1. JUSTIFICATION OF GOALS……………………………………………………....
3. OBJECTIVES…………………………………………………………………………..1
ACTIVITIES AND ACHIEVEMENTS………………………………………………...1
DHMT ACTIVITIES…………………………………………………………………….3
ACHIEVEMENTS………………………………………………………………………..
CHALLENGES……………………………………………………………………………5
RECOMMENDATIONS…………………………………………………………………..5
CONCLUSIONS…………………………………………………………………………….5
RECOMMENDATIONS…………………………………………………………………….6
1. INTRODUCTION

This is a monthly report compiled by Boitekanelo students on attachment in Kweneng East

District Health Management Team, based in Molepolole south. This is the second month of field
attachment and report covers activities conducted in the month of July 2018.The purpose of the
report is to give feed back to the lecture and preceptor on the progress of the field attachment.

2.GOAL OF THE MONTH

 Identification of health needs in Molepolole

2.1Justification of goal

GOAL: The goal was to identify health needs in Molepolole south. This goal was crafted to gather
information regarding health needs and desires of the Molepolole South population as attested by JT
(2001).According to JT (2001) Needs assessment is a process of collecting and analyzing information to
develop an understanding of the issues, resources and constraints of the population as related to the
development of health promotion programs. This will enable the understanding of the problems in the
community.

3. OBECTIVES OF THE MONTH

To conduct health needs in Molepolole South by

3.1Justification of the objectives

In an objective the motive is being specific on what to do: Activities done (from start to finish).As
justified we are going to do a needs assessment. This needs assessment will be measured by the
magnitude of how people will respond and frequency. Needs assessment can be done through asking
living people and through literature produce reports within DHMT.Time framed: within reach and
complete it within given time.

5.ACTIVITIES

5.1Pretesting questionnaire

The method which was used in the pre-test was ‘face to face interview” as it allowed to see if
the interviewees had problems with understanding the questions. It enabled clarity and changes
where necessary. This also helped notice which questions made people uncomfortable to answer

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or gave them a hard time to get what is being asked so that we could either exclude or restate
them. After pretesting, the questionnaire was edited and redesigned since some gaps were noted
in it.

5.2Household sampling

Conducted household sampling in various wards as part of the needs assessment .The method
used for sampling was the “Convenience” sampling. This is a specific type of non-probability
sampling method that relies on data collection from population members who are conveniently
available to participate in a study. The first available primary source of data will be used for the
research without additional requirements. In convenience sampling no inclusion criteria
identified prior to selection of participants Hanford (2009). The participants found were available
in the community and were willing to partake in the study conducted. With the assistance of our
preceptors and fellow key staff members of DHMT, we managed to conduct needs assessment in
various wards to find out the health problems affecting Molepolole South area. We managed to
sample 320 households and because of being behind the schedule of attachment, we failed to
meet our target of 600 houses in all 6 wards because of time. Wards covered in Molepolole south
were Lephaleng, Lekgwapheng, Ntloedibe.Kgosing, Bokaa and Magokotswane

5.3 Interviewing of community members

An interview is a conversation where questions are asked and answers are given for example,
related to one on one conversation Petersen (1999)The following people were interviewed:
community members on house hold sampling, community leaders, Village Development
Committee chairperson, and the primary schools head teachers.

5.4 Assessment and observation

Health needs assessment was also conducted in the schools in Molepolole South. We managed to
assess only two primary schools because some schools denied us access to their premises
because protocol to ask permission from department of Education needed to be followed. We

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tried to see the Director of Education to follow up for permission but it proved fruitless as it was
a lengthy process and could not get help well in time.

5.5 Literature Review

Literature review is a systematic and critical review of the most important published literature on
a particular topic (Brink, (2006).Thus to say in Molepolole community a review from the
literature was made in different settings to know what exists in the community of Molepolole
Data was reviewed from the past needs assessment reports of Molepolole , health records at
clinics and hospitals, population census records, school records and even the public newspapers
on health issues affecting the community. We visited all 5 clinics in Molepolole South area and
they managed to give us information without making any appointment. We also reported to the
clinic of that area of the wards when we were doing house to house sampling. We reported to the
nurse in charge any outstanding that we found in the community.

5.6 Prioritization and compiling of monthly report

According to McKenzie, et al, (2009), Prioritization is a process whereby an individual or group

places a number of items in order of rank based on their perceived or measured importance or
significance. Though a complex method, the Hanlon method is advantageous since the desired
outcome is to implement intervention programs addressing the needs identified during needs
assessment. Once the health problems have been rated, we used the ‘PEARL’ test to screen out
health problems based on the following feasibility factors. After prioritization of the problems
we identified ten main problems. Infant confimitory test at 18 months was outstanding of the ten
main identified problems. Literature review from the facilities records on infant testing registers
from 2015 and hospitals infant testing registers from 2015 shows that most of the children are
not tested for infant confimitory at 18 months. According to annual report of 2017 it also shows
that infant confimitory test is not done.Only DBS is done

. During community needs assessment we visited all the five health facilities in Molepolole
South, from the infant testing registers it shows that infant confimitory test is not done at 18
months.. DBS is a test done to infant at six weeks of age, a test done to Infant whose mother are
HIV/AIDS positive and also there is a second test which is infant confimitory test at 18 months
The importance of the confimitory test is to confirm that indeed the child is negative as at 18
months as the body of the child has started producing its own antibodies rather than passive.

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3. DISTRICT HEALTH MANAGEMENT ACTIVITIES

3.1Meetings

Health education unit

The head of health education and promotion unit conducted a meeting on writing conclusive
reports that are eligible to present before the relevant stakeholders. All different types of reports
were discussed and amendments were made for e.g. quarterly reports and home visit reports etc.

Traditional Doctors Meeting

We met with the Dingaka Association Committee (traditional doctors) to be introduced and also
to participate in their debate about the linkage between traditional and modern medicine, 98
traditional doctors attended the meeting along with the Kweneng East DHMT representative.
They meet every Tuesdays for their briefing

Drug and alcohol meeting

The coordinator of the drug and alcohol abuse division initialized a meeting with fellow
stakeholders and the Kgosi in order to continue with the program which is aimed at curbing the
increasing rate of alcohol and substance abuse in the Kweneng District

3.2 Activities

Boswelakoko Wellness Day

On the 13 0f July 2018 we attended wellness Day at Boswelakoko clinic in collaboration with
lion Rotary club of Gaborone. The main focus of the group was to screen the public for different
health conditions. The three of us and the other team from Molepolole North assisted in
screening clients for body mass index (BMI), blood pressure, interpreting the meaning of reading
to the clients and compile attendance register one on one to clients as well as recording the

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attendance. The other role was to usher the public on different service locations such as blood
donation area, eye screening and even motivate them to donate blood.

Thusang Bana activity

Attended is wellness day for the elderly held on the 26 of July 2018 at the main kgotla in
Molepolole main kgotla hosted by Thusang Bana Center. Thusang Bana Center is a community
voluntary based nonprofit making organization with mandate of caring orphans and vulnerable
children. The activities conducted were screening for Hypertension, Blood Sugar and BMI.
People of all ages and different walks of life attended in masses.
4 APPLICATION OF THE MODEL
All our activities were planned in order to achieve our objectives hence accomplishing our goals.
For this assessment the first phase method employed is social assessment. The first phase of the
model which seeks to subjectively define the quality of life of the priority population while
involving individuals in the priority population in an assessment of their own needs and
aspiration. Some of the social indicators on the quality of life in Molepolole South include
unemployment and alcohol abuse.

5.ACHIEVEMENTS

 Managed to sample 320 households

 Attended DHMT activities and meetings
 Began data analysis
 Identified problem and consulted the preceptor about the problem identified.

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6.CHALLENGES

-Lack of transport –there was no transport and we had to travel long distance assessing the
community and schools.

-Shortage of Printed papers-we had to contribute money to print questionnaires.

-Bad weather-it rained for 2 days which lead us failing doing home visit sampling.

7.RECOMMENDATIONS

-The DHMT staff should talk to other stake holders thought Village Extension Team committee
for them to assist students on attachment by giving them information in order for the students to
have a complete information on needs assessment.

8.CONCLUSION

Despite all the challenges we faced we managed to overcome the situations we faced through
team spirit and commitment. We had to sacrifice and contribute for transport and also for
printing of questionnaires.

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REFERENCES

Brink, A. L., Perry, C. L., & Parcel, G. S.(2006). How individual, environments, and Health
behaviors interact: Social cognitive theory.
Hanford K. Glanz, B. K. Rimer, & K. Viswanathan (Eds.), and Health behavior and health
education
Health behaviors in dentistry. Annals of Behavioral Medicine, 12, 156–160.
JT-Bass (2009), Theory, research, and practice (4th ed., pp. 169–188). San Francisco
Mackenzie et al, K. D., Bakdash, M. B., Geoboy, M. J., Gerber, B., et al. (2009). Promoting self-
protective
Petersen, B. T., & Prentice-Dunn, S. (1999).Reducing skin cancer risk: An intervention based
upon protection motivation theory. Journal of Health Psychology, 6(3), 321–328.
McDade-Montez, E., Centro’s, J., Christensen, A. (2005). Personality and individual differences.
In J. Kerr, R. Weitkunat, & M. Moretti (Eds.), ABC of behavior change: A guide to successful
Disease prevention and health promotion (pp. 57–70). Edinburgh: Elsevier.
McDermott, R. J., & Sarvela, P. D. (1999). Health education evaluation and measurement: A
Practitioner’s perspective (2nd Ed.). New York: WCB/McGraw-H

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 DIPLOMA IN HEALTH EDUCATION AND PROMOTION
FIELD ATTACHMENT KWENENG EAST (MOLEPOLOLE SOUTH)
MONTLY REPORT FOR JULY 2018

COMPILED BY: TAPIWA MASHABA 201501045

TAPIWA SHUNJE 201701039
SEGAMETSI M.SUWE 201501055