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COTE D’IVOIRE / HIV COMMUNITY HEALTH WORKER
STORY: COTE D’IVOIRE / HIV COMMUNITY HEALTH WORKER
TRT: 3:31
SOURCE: UNICEF
RESTRICTIONS: NONE
LANGUAGE: FRENCH / NATS
DATELINE: OCTOBER 2013, LABO, COTE D’IVOIRE
1.Wide shot, group of people under thatched roof patio
2.Med shot, Atanase, community health worker
3.Med shot, women listening
4.Med shot, man and woman listening
5.Wide shot, group of people under thatched roof patio
6.SOUNDBITE (French) Atanase Koukou Kouakou, Community Health Worker:
“A community health worker is a person who is close to the people on the ground.
We provide support to pregnant women and children up to nearly five years old.
We give advice. With regards to pregnant women, those who have not yet been to the hospital, we advise them to go to the hospital to see a midwife and register them with the National Health Service so that they can begin receiving care”.
7.Med shot, two community health workers under thatched roof patio
8.Med shot, community health worker talking to people under thatched roof patio
9.Close up, woman’s hand holding hospital card
10.Med shot, Atanase community health worker talking under thatched roof patio
11.Close up, woman talking
12.Close up, baby on lap
13.Wide shot, group of people under thatched roof patio
14.Med shot, women talking
15.Wide shot, two community health workers walking in village
16.Wide shot, two community health workers sitting outside house patio talking to family
17.Med shot, Atanase, community health worker, talking
18.Wide shot, community health workers and family interacting outside house patio
19.Close up, man holding poster
20.Close up, woman talking
21.SOUNDBITE (French) Atanase Koukou Kouakou, Community Health Worker:
“It’s necessary to monitor a pregnant woman because she can pass HIV on to their unborn child. So we monitor her and advise her to give birth at the hospital to prevent the child from being infected. We want this child to be born healthy”.
22.Close up, woman smiling
23.Close up, child sitting on woman’s lap
24.Wide shot, people in the street
25.Wide shot, children building a house
26.Med shot, boy building a house
27.Wide shot, couple arriving at clinic
28.Wide shot, women and men in clinic waiting room
29.Close up, child on woman’s lap
30.Close up, woman at clinic
31.SOUNDBITE (French) Dr Jean Konan Kouamé, UNICEF HIV/AIDS Specialist:
“The national HIV testing rate is very low. Only midwives can carry out HIV tests in some rural areas, but there is no HIV testing at the community level, so this remains a problem."
32.Close up, picking finger to take blood for rapid HIV test
33.Close up, applying reagent for HIV test
34.Close up, hand holding cotton ball around finger after HIV test
35.Med shot, woman at clinic
36.Close up, HIV prevention poster (condom)
37.Wide shot, women with babies in hospital waiting room
38.Med shot, woman with baby in hospital waiting room
39.Med shot, woman with baby in hospital waiting room
40.Wide shot, women with babies in hospital waiting room
41.Med shot, woman with baby in hospital waiting room
42.Wide shot, two community health workers arriving at house in village
43.SOUNDBITE (French) Atanase Koukou Kouakou, Community Health Worker:
“The role of the community health workers is important because we are close to the people. We can gather, mobilize and advise people. People at first think that AIDS means death. So a person with HIV is looked down on. Sometimes they’re even rejected, but thanks to our work people have started to change their minds, because through our awareness activities they learn that AIDS does not kill”
44.Medium shot, two community health workers with woman and baby in village
45.Medium shot, woman with baby in village
46.Medium shot, two community health workers at house in village
47.Medium shot, Atanase community health worker talking
48.Wide shot, two community health worker with family under house patio
49.Wide shot, man holding poster (view from behind shoulder of Atanase)
50.Med shot, woman in waiting room at clinic
51.Close shot, baby in woman’s arms
52.Close up baby in woman’s arms
53.Wide shot, couple with their baby daughter
54.Close up, woman with her baby daughter
55.Close up, woman with her baby daughter
Community health worker Atanase Koukou Kouakou is hosting a discussion with group of pregnant women, young mothers and their partners in Labo, a rural village some 100 kilometres from Yamoussoukro, the capital of Côte d’Ivoire.
SOUNDBITE (French) Atanase Koukou Kouakou, Community Health Worker:
“A community health worker is a person who is close to the people on the ground.
We provide support to pregnant women and children up to nearly five years old.
We give advice. With regards to pregnant women, those who have not yet been to the hospital, we advise them to go to the hospital to see a midwife and register them with the National Health Service so that they can begin receiving care”.
Atanase’s work is particularly focused on supporting pregnant women living with HIV. In rural areas such as Labo, these women often walk long distances to reach the closest health centre, making it difficult to access antenatal care.
Because HIV testing and antiretroviral medicines can only be provided by a doctor or a midwife within a health facility, community health workers play a critical role in motivating pregnant women and their partners to get tested. They also monitor the treatment adherence of people living with HIV and give them practical advice on how to stay healthy.
SOUNDBITE (French) Atanase Koukou Kouakou, Community Health Worker:
“It’s necessary to monitor a pregnant woman because she can pass HIV on to their unborn child. So we monitor her and advise her to give birth at the hospital to prevent the child from being infected. we want this child to be born healthy”.
Côte d’Ivoire has made remarkable progress in decreasing the number of new HIV infections among children. However, more than two thirds of eligible pregnant women living with HIV are not receiving antiretroviral therapy.
SOUNDBITE (French) Dr Jean Konan Kouamé, UNICEF HIV/AIDS Specialist:
“The national HIV testing rate is very low. Only midwives can carry out HIV tests in some rural areas, but there is no HIV testing at the community level, so this remains a problem”.
HIV-related stigma and discrimination remains a challenge here and often prevents people living with HIV from getting the treatment they need. Women diagnosed during pregnancy often don’t disclose their status to their partners because they fear blame, abandonment or abuse. This is where the role of the community health worker fits in.
SOUNDBITE (French) Atanase Koukou Kouakou, Community Health Worker:
“The role of the community health workers is important because we are close to the people. We can gather, mobilize and advise people. People at first think that AIDS means death. So a person with HIV is looked down on. Sometimes they’re even rejected, but thanks to our work people have started to change their minds, because through our awareness activities they learn that AIDS does not kill”
Côte d’Ivoire is preparing to roll out life-long antiretroviral treatment to all pregnant women living with HIV - this means they can stay healthy and prevent HIV transmission in future pregnancies from the moment they know they are pregnant. It also means more children will be born HIV Free.
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