Training Report - Nepal Public Health Foundation

Training Report

(Strengthening and

Activating District Health

System for Project officer &

District Supervisor, 22nd -24th

August, 2016)

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Nepal Public

Health Foundation

September, 2016

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Table of Contents 1. Background ............................................................................................................................................... 1

1.1 Pre- Disaster Context .................................................................................................................... 1

1.2 Post- Disaster Context ......................................................................................................................... 3

2. Rationale ................................................................................................................................................... 3

3. Aim of the project ..................................................................................................................................... 4

4. Programme Session and Discussion ......................................................................................................... 4

4.1 Opening session: Inauguration, Introduction, Project concept, Welcome remarks........................... 4

4.2 Session: Structure of National Health System .................................................................................... 6

4.3 Session: Overview of the project ........................................................................................................ 6

4.4 Session: Communication Skill ............................................................................................................. 7

4.5 Session: Roles and Responsibilities/ Planning .................................................................................... 8

4.6 Session: GATHER ................................................................................................................................. 9

4.7 Session: Introduction to District Health System ............................................................................... 10

4.8 Session: Mother's group ................................................................................................................... 10

Simulation session............................................................................................................................... 11

4.9 Session: IEC materials ....................................................................................................................... 12

4.10 Health Facility Operation management Committee ....................................................................... 12

Simulation session............................................................................................................................... 12

4.11 Session: Appreciative Inquiry .......................................................................................................... 13

4.12 Session: School Health program ..................................................................................................... 14

4.13 Session: Advocacy / Planning process ............................................................................................ 14

4.14 Session: Monitoring and Evaluation ............................................................................................... 16

5 Programme Output and Conclusion ........................................................................................................ 18

Annex 1 – Lists of Participants .................................................................................................................... 19

Annex – 2 Program Schedule ...................................................................................................................... 22

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List of Figures: Figure 1: Role of Mothers Group .................................................................................................................. 2

Figure 2: Key MNCH Indicators .................................................................................................................. 3

Figure 3: Inaugural session ........................................................................................................................... 4

Figure 4: Opening Session ............................................................................................................................ 5

Figure 5: Presentation on FCHV ................................................................................................................... 6

Figure 6: Overview of the project ................................................................................................................. 6

Figure 7: Socio-ecological model ................................................................................................................. 7

Figure 8: Explaining about C4D ................................................................................................................... 8

Figure 9: Presenting roles and responsibilities ............................................................................................. 8

Figure 10: Emphasizing in rapport building ................................................................................................. 9

Figure 11: Word cloud: Recommendation .................................................................................................. 10

Figure 12: Explaining the structure of District Health System ................................................................... 10

Figure 13: Explaining about Mother's group .............................................................................................. 11

Figure 14: Score card evaluation ................................................................................................................ 11

Figure 15: IEC corner ................................................................................................................................. 12

Figure 16: Roleplay - HFoMC meeting ...................................................................................................... 13

Figure 17: Appreciative Inquiry Session .................................................................................................... 13

Figure 18: SHP topics ................................................................................................................................. 14

List of Tables: Table 1: Name list of SM with their working VDC .................................................................................... 15

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1. Background

1.1 Pre- Disaster Context

Nepal has embarked on meeting the sustainable development goal by 2030. In the last decade,

substantial progress was achieved towards meeting MDG 4 and MDG 5 and witnessed striding

decrease in the maternal and child mortality rate. Within the period of two decade (1990 -2011),

the child mortality rate decreased by 73 percent, 63 percent decrease in infant mortality rate, total

fertility rate decreased from 5 to 2.6 birth per women. However, the gain is uneven at the sub-

national level and population of different socio-economic status. Realizing this fact, the

government has moved toward strengthening the health system with an aim to increase equitable

health service coverage and reducing the gaps.

Local participation as Health System Backbone

Nepal has made remarkable achievement in health in few decades. Even within the given socio-

cultural structure, low literacy rate of women, deep rooted poverty and conflict, the achievement

in maternal and child sector has been exemplified widely.The wide arrangement of low cost health

intervention such as community mobilization through FCHVs at the community and local

ownership has been instrumental in achieving these gains. Beyond wide network of health

facilities, FCHVs has been key factors in reaching the public health programme to the community.

In the organogram of health system, every VDC has at least one health institution. Each health

facility is managed by the health facility management committee. The management committee is

expected to be chaired by the VDC chairperson and includes the health facility in charge (as

member secretary), FCHV and other community members such as school teachers, representative

from underserved communities, community development workers).HFoMC expected to meet

monthly to discuss the health needs, problems and develop plans. However, in the recent years the

HFoMC are not regular due to the absence of elected representative at local level, over loaded

VDC secretary. This has affected the regulation, monitoring of the public health programme at the

local level.

FCHVs have proved themselves as the backbone of health system. Their primary focus is health

promotion and providing health education. The information is shared in monthly mothers group

meeting, door-to-door visit, and community outreach programme. Beyond providing health

education, over the years, number of public health programmes such as counselling and providing

the family planning contraceptives, distribution of Vitamin A, zinc, iron/folate deworming,

treatment of pneumonia has been added to the FCHVs work list. In addition to these nationwide

programme, some of programme such as chlorahexadine (CHx), use of misoprostol, balvita multi-

micronutrient supplement, operational on different districts but yet to be nationally scaled up, also

use the FCHVs.

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FCHVs are nominated by local mothers group and they assume the responsibility of secretary of

mothers group.

Role of Health Mothers Group

Select new FCHV in vacant place

Review the work of FCHVs annually

Sharing the learned health-related information to males and females.

Motivate other women to participate in Health Mothers Group.

Role of Health

Mothers Group

Support FCHVs to keep the

statistics of pregnant, lactating,

neonates, children under 5 years

etc., up to date

Select new FCHV in vacant

place

Support out-reach clinic and

other health programmes

and campaign Participate in the Health

Mothers Group Meeting

regularly

Get the information about

pregnancy, family planning,

postpartum care, neonatal

care, diarrhea or pneumonia

etc., and adapt healthy

habits.

Utilize the FCHV fund in

case of emergency

Review the work of FCHVs

annually and inform the local

health facility Divide the responsibility to

deliver the knowledge and

skills received in the meeting

Invite the resource persons in

the meeting and discuss on

the new health topics

Figure 1: Role of Mothers Group

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1.2 Post- Disaster Context

Two major earthquakes, one on 25th April and the other on 12th May, 2015, affected the whole

country. Thirty- one out of 75 districts have been severely affectedand approximately 8 million

lives about one third of total population, were affected. Fourteen districts, which were harshly hit,

were declared as ‘Crisis hit’ districts.

Figure 2: Key MNCH Indicators

The above figure clearly depicts the key MNCH status of 13 earthquake hit districts compared

with national average. Although 12 districts fall in the central development regions comparatively

more accessible and developed districts, but the MNCH status of none of districts stands above the

national average. It is significant to note that this situation existed before the earthquake,

furthermore with colossal loss due to quake, the scenario is exacerbated.

Though Nepal made a lot of achievement in the health sector, there were multiple challenges in

terms of availability of human resource, medical supplies, equipments and delivery of quality

health service. The quake has posed additional challenges in health system. The health system of

earthquake hit districts are completely distorted which even after the nine month of disasters are

not completely functional.

2. Rationale

Conduction of health mothers group meeting on monthly basis comes under the primary

responsibility of FCHVs. Although the health management information system (HMIS) shows that

80 percent of mother group meeting are being conducted as planned but the survey shows

otherwise. The recent FCHV survey shows that only 46 percent of FCHVs reported conducting

the health mothers group meeting. Moreover, it is still not revealed how often and actually the

health education takes place as the meeting conducted only for saving and credit purpose also is

0

20

40

60

80

100

FP ANC ANC 4 Iron Inst. PNC measles Mothergroup

FCHVReporting

Key MNCH Indicators

National average 13 District Average

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called as mother’s group meeting. Some of the reported problems for irregularities of health

mothers groups meeting such as lack of allowance for tea-snacks, lack of appropriate place to

conduct meeting, lack of innovative methods for providing health education materials such as

audio-visual aid. Experts are of view that one of the factors behind irregular mother’s group

meeting is insufficient monitoring and supervision of FCHVs from their immediate supervisor.

This might also have led to the sharp decrease proportion of mother group meeting from 85 per

cent over the last eight years.

Following the earthquake, the relevance of mother group meeting and regular meeting of HFoMC

has increased. Mother group meeting is vital, not only to create more awareness and to increase

the demand for service, but also to prevent the delinking of community and health system.

Likewise, the substantial improvement in the community health is not possible with the weak local

governance. Thus to strengthen the community mobilization and local governance, the mothers

group meeting needs to be invigorated and health facility management committee needs to be

regular.

3. Aim of the project .

Capacity building of the FCHVs in order to strengthening the existing functional and re-activate

the non-functional MG and HFOMC in 74 VDCs of 9 districts

Re-activation of non-functional Mother’s Group (MG) and Health Facility Operation Management

Committee (HFOMC) and strengthen the existing functional MG and HFOMC in 74 VDCs of 9

districts.

Establish advocacy group for the advocacy and sustainability of MG and HFOMC.

4. Programme Session and Discussion

Three days orientation training was conducted at the View Brikuti Hotel, Godawari from 22nd

August to 24th August. Brief session of orientation training programme is described hereafter:

4.1 Opening session: Inauguration, Introduction, Project concept, Welcome remarks

The program was started with the inauguration with the

SAHaS project which was lightened by our executive

chair, Dr. Mahesh K. Maskey in presence of our chief

guest, Mr. Ghanashyam Pokharel, Senior Public Health

Administrator (FHD); Dr. Hendrikus Raaijimakers, Chief

of health Section, UNICEF; Dr. Asha Pun, MNH

Specialist and Mr. Hyung Joon Kim, C4D specialist,

UNICEF. This was followed by the presentation of

Mr.Janak Thapa, Program Director, NPHF. During the

presentation, he stressed on situation of MG and HFoMC Figure 3: Inaugural session

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meeting during the aftermath and the need for its activation and strengthening to solidify District

Health System. He shared the objectives, activities and role of different organization involved in

this project. Then after, Dr. Hendrikus Raaijimakers gave his remarks, during which he highlighted

the synergy of VDC selection of Prefab and SAHaS Project. Mr. Ghanashyam Pokharel from FHD,

gave his remarks which focused the present situation of the MG and HFoMC and its importance

for healthy society.

Figure 4: Opening Session

The session was concluded with the remarksfrom Dr. Mahesh Maskey, Executive Director, NPHF.

He stressed that NPHF always there to support the programs of government and hopes of get

support from government too. Pointing towards the difficulties that may arise during field work,

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he requested all the participants to keep their commitment and determination, as success always

follows the hardworking.

4.2 Session: Structure of National Health System Theme: Structure and existing national health system, FCHVs & Mothers group

Moderator: Dr. Asha Pun, MNH Specialist, UNICEF Nepal

Method used: Power point Presentation

Materials used: PPT slides, Projector, Handout

The session started with the general view from the

participants of the Female Community Health

volunteer (FCHV). Dr. Pun, presented the

structure of the national health system and its

existing situation. Then, she gave the detail

information about the FCHV program, its

formation, importance and their roles and

responsibilities. She also shared our project’s

VDC selection process (VDCs where UNICEF

prefab (a light building) is going to be made that

is in 74 VDCs of 9 districts). She sighted that

FCHVs are the key to improve health in a

community while VDC secretary are the chairperson of the Health Facility Operation Management

Committee (HFoMC).She also focused that if we strengthen Health Mother's Group (MG-H) and

HFoMC we can get remarkable achievement in heath sector. She also explained the importance of

rapport building and urged the participants to

contact NPHF and UNICEF District Health

Officer in case of any obstacles.

4.3 Session: Overview of the project Theme: Introduction of the project, its objective and activities

Moderator: Mr. Janak Thapa, Program Director, Nepal Public Health Foundation


Materials used: PPT slides, Projector, Handout

Mr. Janak Thapa moderated the project overview

session. He gave rationale about the project and

shared objectives and its activities. He presented

that the baseline survey and FCHV orientation

training will be held right after the training. He also

showed the number of MG and HFoMC meeting

that will be held in the entire project period to the

participants and emphasized on the 90% target

achievement. He also talked about the project

Figure 5: Presentation on FCHV

Figure 6: Overview of the project

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framework under which he further explained about refreshment cost for MG and HFoMC meeting,

social mapping, reward for 3 ANC visit women and communication cost for FCHVs.

4.4 Session: Communication Skill Theme: Communication, Barrier, C4D theory, Step to change behavior, Behavior Change

Communication

Moderator: Mr. Hyung Joon Kim, C4D Specialist, UNICEF Nepal


Materials Used: PPT slides, Projector, Handout

The session started with general view from the participants regarding the communication. During

the presentation, Mr. Joon focused that communication is process, must be delivered in the clear

and organized manner reaching many people at a same time. He focused in the correct

communication, to diagnose and address the society need in an efficient way. He then, explained

about the importance of communication for development and gave board overview of socio-

ecological model. This project hits in the above the individual and interpersonal level which

includes organizational, community upto policy level.

Advocacy

Community mobilization

& Social Change Communication

Advocacy

& Social mobilization

Behaviour Change Communication

& Social Change Communication

Behaviour Change Communication

Policy (national, state, local news)

Community (relations between

organizations)

Organizational (organizations and social institutions)

Interpersonal (family, friends, social network)

Individual(Knowledge,

attitudes, behaviours)

Figure 7: Socio-ecological model

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In addition, he explained about the interpersonal skill, health promotion and showed the steps of

behavior change and its acceptance process. Lastly, the session was concluded with a note that

behavior change is not easy, it takes time but it is not impossible either. We have to try many times

to find out the cause and the way to tackle it.

4.5 Session: Roles and Responsibilities/ Planning Theme: Project Officer, Social Mobilizer, Roles, Responsibilities

Moderator: NavarajBhattarai, Senior Program

Officer, Nepal Public Health Foundation

Method used: Group work

Materials used: Metacard, Power point slide

Mr.Bhattaraidiscussed on the roles and

responsibilities session. Basically, it was based on

group work. Groups containing two social mobilizer

were madewhile project officer were asked to write

their roles separately anddiscussion on the roles and

responsibilities of both project officer and social

mobilizers.Each group discussed and noted it down in

the meta-card. Later on, it was shared on the plenary

session and common consensus was built on the roles

and responsibilities of project officer and social mobilizers.

Figure 8: Explaining about C4D

Figure 9: Presenting roles and responsibilities

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4.6 Session: GATHER Theme: Rapport Building,

Moderator: Ms. SantoshiGiri, Country Director- GARP,

Nepal Public Health Foundation

Method used: Power point presentation, Group Work

Materials used: Power point slide

The session started with a presentation by Ms. Giri and

ended with a roleplay on the GATHER approach.Two

roleplays was done.

Roleplay -1 :

The aim of the roleplay was to provide the participants

with an understanding of how to use the GATHER

approach in their work.

The situation was ANC counselling where two ladies

participants volunteered. Ms. Sabina Rajyamajhi acted as

Health Worker while Ms. SaritaParajuli as pregnant

women.

Roleplay -

2 :

The situation given was FP counselling where a

couple goes to Health Post to seek FP services. Ms.

SunitaGautam and Mr. Durga Prasad Gorathokee

acted as a couple while Mr. SankharBistas Health

worker.

Feedback for each session was provided by the

participants and UNICEF focal person.

Roleplay:

Particpants: 2 Situation: ANC Counselling

Roleplay:

Participants: 3 Situation: Family planning Counselling

Figure 10: Emphasizing in rapport building

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4.7 Session: Introduction to District Health System Theme: District Health System, Coordination


Method used: Power point presentation

Materials used: Power point slide

The session was moderated by Mr. Janak Thapa. First of all, he introduced about the district health

system. He focused on the coordination

among the district and VDC level

stakeholders and explained about the

safemotherhood and child health program.Co-

ordination in peripheral and grass root level

was provided in a clear view among the

project officer and social mobilizers for a

quality output throughout the project.

The UNICEF District Health Officer shared

about their respective district situation and

also added the prefab construction phase in

their working VDCs. They also shared the

picture of prefab (type I and II)

4.8 Session: Mother's group Theme: FCHV, formation, role of mother's

group, reactivation, score card

Moderator: Mr. Raj Kumar Sangroula, Senior Program Officer, Nepal Public Health Foundation

Method used: Power point presentation, Roleplay

Rapport Building Balanced conversation

ConceptualizationParticipatoryTime

managementCorrect informationFocused

Discussion Body language

Audible soundGuidelineLocal language

Figure 11: Word cloud: Recommendation

Figure 12: Explaining the structure of District Health

System

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Materials used: Power point slide, Handout

The session was started with a brief description of FCHV. Mr. Sangroula showed the rationale of

formation of mother's group and explained the roles of mother's group. He also focused in FCHV

role towards mother's group. He shared that our main program aims lies here and emphasized to

find out the inactive or non-functional mother's group and re-active them. He stressed that re-

activation is our main aim and the ways to do it. In case of active mother's group, our work would

be strengthening them. He clarified about the members of mothers group and made clear that

FCHV are their member secretary.

Within this context, he also added that there are many mother's group in a community organized

by different sector but he focused that here we are clearly talking about the health mother's group

where FCHV is a member secretary and we will be dealing with this group only.

He also added a score card system to

self-evaluate the FCHV about their

MG meeting.

Simulation session

Roleplay

Participants - 10

Not satisfactory

Satisfactory

Good

Figure 13: Explaining about Mother's group

Figure 14: Score card evaluation

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Situation:A mother's group meeting where FCHV is explaining about danger sign of pregnancy

4.9 Session: IEC materials The IEC corner was made in the training hall to give clear picture to the participants about the IEC

materials. Poster, flipchart, flyer, pamphlet, leaflet etc., were kept for better understanding of their

use to the participants. The session was shortly moderated by Ms. Santoshi Giri.

4.10 Health Facility Operation management

Committee Theme: Composition, Roles of HFoMC,

reactivation

Moderator: Mr. Navaraj Bhattarai, Senior Program

Officer, Nepal Public Health Foundation

Method used: Power point presentation, Roleplay


Mr. Bhattarai explained about the HFoMC, its history, formation process and its composition. He

also focused in the role and responsibility of HFoMC member towards their VDC.

Composition:

Simulation session

Roleplay

Participants - 10

9 Members in Health Post

VDC secretary = Chairperson

Health Facility In charge = Member

Secretary

Other 7 members (Female representative,

VDC representative, Principal, FCHV,

Janajati representative, Dalit representative

and Social Worker

13 Members in PHCC

DDC focal person = Chairperson

Health Facility In charge = Member

Secretary

Other 11 members (Female representative,

DDC representative – 3, Principal, FCHV,

Janajati representative, Dalit

representative, Social Worker, DHO and

VDC secretary

Figure 15: IEC corner

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Situation: HFoMC meeting conduction by Health-post In-charge

4.11 Session: Appreciative Inquiry Theme: Motivating and inspiring the participants to work hard

Moderator: Mr. Sudan Gyawali, AI facilitator

Method Used: Lecture

The AI session was conducted by Mr. Gyawali. He engaged participants in self-determined change

and teamwork. He made the participants to analyze the causes, problem and to identify the

solutions. He gave many examples related to their culture and made them realize the situation. He

also asked questions to them and envisioned the future in order to foster positive relationship and

improve their potential.

Figure 16: Roleplay - HFoMC meeting

Figure 17: Appreciative Inquiry Session

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4.12 Session: School Health program Theme: Introduction, Uses, Conduction

Moderator: Ms. Chandana Rajopadhyaya, Program Officer, Nepal Public Health Foundation

Method used: Power point presentation, Demonstration


Ms. Rajopadhyaya started the session with the introduction to the school health program. She

showed the ways of conduction of the school health program. She also highlighted that our project

will focus on the WASH and Oral hygiene topic to the school students. She covered the WASH

and oral hygiene topic so as to have the clear understanding of it to the participants. She added

personal hygiene, 5 critical times of handwashing and demonstrated the handwashing and brushing

techniques to the participants.

Figure 18: SHP topics

4.13 Session: Advocacy / Planning process Theme: VDC advocacy group, District Advocacy group, formation, sustainability of program


Method used: Power point presentation


The advocacy session was conducted by Mr. Janak Thapa. He explained the government 14 steps

for planning. He highlighted the whole session that the advocacy group will be formed in the

district and VDC level for the sustainability of the program.

SHP

WASH

Oral Hygiene

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Later on, the 74 VDCs were divided to the 30 social mobilizers through group discussion with

the respective UNICEF District Health Officer and Project Officer.

Table 1: Name list of SM with their working VDC

District SM Name VDC

Lalitpur Pratima Thapa Dalchoki &Pyutaar

Kavre Aruna Dangol Deubhumi Baluwa , Gairai Bisouma Deupue , Milche, Saldhara

Ramila Kumari Thapa Kuruwaschapokari , Thulo Parsel , Kartike Deurali

Rishi Ram Baidhya Dandagaun , Ghartichhap , Phoksuntaar

Nuwakot Jhuma Bhattarai Samari , Kimtang

SaritaParajuli Phikri , Bageswori

Dhading Sabina Rayamajhi Salyantaar , Chainpur , Jaymrung

Ranjana Burlakoti Aginchok , Satyadevi

Karuna KC Nalang , Khari

Gorkha Narayan Prasad Bhattarai Barpark , Lapark

Laxmi Shrestha Chhoprak , Borlang

Sushila Shrestha Darbung , Phujel , Namjung

Sita Poudel Bakharang , Majhuwa Deurali , Taranagar

Ram kumari Pariyar Gumda , MachheKhola

Dolakha Prayas Baral Chaku, Suri, Laduk

Sabina Jirel Magapauwa, Pawati

Asmita Rayamajhi Dolakha, Sunkhani

Krishna Gahatraj Malung, Melung

Gyanu Jirel Lamabagar, Khopachangu

VDC Secretary

FCHV

Social Mobilizer

Teacher

HP Incharge

VDC level Advocacy Group

LDO

CDO

WASHPO

DHO

District level Advocacy Group

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Ramechhap Sunita Gautam Manthali , Namdi

Kanchhiputi Tamang Bamti Bhandar , Gupteshwor , Chaulakharka (Solukhumbu)

Kalpana Karki Phulasi , Daduwa , GagalBadhdure

Prajwal Uprety Bethan , Rakhathum , Khaniyapani

Tara Waiba Okhrani , Sangutar , Himganga

Okhaldunga Shankar Bist Pokali , Bilandu , Palapu

Sima Yadav Harkapur , Janthakani , Narayansthan

Solukhumbu Tikaram B.K Gorakhi, Phaplu

Bhupendra Rana Magar Jubu , Nele

Dharmaraj Darlami Basa , Sotang

Durga Prasad Gorathokee NechaBatase , Salyan

4.14 Session: Monitoring and Evaluation Theme: Monitoring, Evaluation, Reporting,

Moderator: Ms. Aditi Rai Sharma, Program Manager, Nepal Public Health Foundation

Method used: Power point presentation, Discussion


A brief description on monitoring and its importance was made in session, with main focus on the

quality of data. Monitoring plan, reporting process from the districts to the central office was

disseminated. Ms. Sharma explained the recording and reporting tools for social mobilizers

emphasizing the quality output in terms of the maximum number of the mother's group meeting.

•Record each activities

•Compile and monthly reporting to PO

Social Mobilizers

•Collect monthly report

•Compile

•Bi-monthly report

•Submit to M&E

Project Officer

•Recieve Monthly report format

•Bi- monthly Narrative report

M&E

Reporting process

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Monitoring Flow Mechanism

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5 Programme Output and Conclusion The three days residential training was successfully completed achieving the desired objectives.

Following are the major outcome of the program:

1. Participants were trained on IPC skill and had good knowledge about the mother's group

and Health Facility Operation Management Committee

2. Participants got familiarized with recording and reporting tools, and developed the capacity

to smoothly run, strengthen the MG, HFoMC and Advocacy meeting.

3. A detailed roles and responsibilities of project officers and social mobilizer was developed.

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Annex 1 – Lists of Participants

S.N Name Organization Designation Contact Address

Ministry of Health and Population

1. Mr. Ghanashyam Pokharel FHD Senior Public Health Administration

UNICEF, Nepal

2. Dr. Henricus Raaijmakers UNICEF Chief Health Section

3. Dr. Asha Pun UNICEF MNH Specialist [email protected]

4. Mr. Hyung Joon Kim UNICEF C4D Specialist [email protected]

5. Mr. Karuna Laxmi Shakhya UNICEF Health Officer [email protected]

6. Ms. Abhilasha Gurung UNICEF Health Officer [email protected]

7. Mr. Ravi Vitrakoti UNICEF Health Officer [email protected]

8. Ms. Indrakala Tamang UNICEF Health Officer [email protected]

Nepal Public Health Foundation

9. Dr. Mahesh K. Maskey NPHF Executive Chair

10. Mr. Janak Kumar Thapa NPHF Program Director [email protected]

11. Ms. Santoshi Giri NPHF Country Director –GARP

[email protected]

12. Mr. Raj Kumar Sangroula NPHF Senior Program Officer

[email protected]

13. Mr. Navaraj Bhattarai NPHF Senior Program Officer

[email protected]

14. Ms. Chandana Rajopadhayaya NPHF Program Officer [email protected]

15. Ms. Radhika Sapkota NPHF Program Officer [email protected]

16. Ms. Monica Manandhar NPHF Program Officer [email protected]

17. Mr. Dipendra Budha NPHF Program Officer [email protected]

mailto:[email protected]














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18. Ms. Sunita Bhandari NPHF Program officer [email protected]

Local Non-Governmental Organization

19. Mr. ShyamTimilsina ICD, Nepal , Kavre Secreatary [email protected]

20. Mr. Dharma Raj Thapalia CIRDS, Dhading Social Mobilizer [email protected]

21. Mr. Niraj Bhattarai CIRDS, Dhading District Coordinator [email protected]

Social Mobilizers

22. Ms. Pratima Thapa NPHF Social Mobilizer 9803826404

23. Ms. Aruna Dangol ICD Social Mobilizer 9808705867, 9841184674

24. Ms. Ramila Kumari Thapa ICD Social Mobilizer 9849093141

25. Mr. Rishi Ram Baidhya ICD Social Mobilizer 9841300865, 9841733063

26. Ms. Jhuma Bhattarai NPHF Social Mobilizer 9841110822

27. Ms. Sarita Parajuli NPHF Social Mobilizer 9843790651

28. Ms. Sabina Rayamajhi CIRDS Social Mobilizer 9860452164

29. Ms. Ranjana Burlakoti CIRDS Social Mobilizer 9843866120

30. Ms. Karuna KC CIRDS Social Mobilizer 9843115259

31. Ms. Sita Poudel NPHF Social Mobilizer 9847216002

32. Ms. Sushila Shrestha NPHF Social Mobilizer 9846520169

33. Ms. Laxmi Shrestha NPHF Social Mobilizer 9846474417, 9846491716

34. Ms. Ram kumari Pariyar NPHF Social Mobilizer 9846100112

35. Mr. Narayan Prasad Bhattarai NPHF Social Mobilizer 9821145390, 9860619358

36. Ms. Gyanu Jirel NPHF Social Mobilizer 9842138622, 9804394654

37. Ms. Sabina Jirel NPHF Social Mobilizer 9844399744, 9741145874

38. Ms. Asmita Rayamajhi NPHF Social Mobilizer 9807510127

39. Mr. Krishna Gahatraj NPHF Social Mobilizer 9808947813

40. Mr. Prayas Baral NPHF Social Mobilizer 9845896202, 9801616410

41. Ms. Sunita Gautam NPHF Social Mobilizer 9844226000

42. Ms. Kanchhiputi Tamang NPHF Social Mobilizer 9843047474, 9818254827





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43. Mr. Prajwal Uprety NPHF Social Mobilizer 9844204440

44. Ms. Kalpana Karki NPHF Social Mobilizer 9845531549

45. Ms. Tara Waiba NPHF Social Mobilizer 9843529222

46. Mr. Shankar Bist NPHF Social Mobilizer 9848442065, 9808053999

47. Ms. Sima Yadav NPHF Social Mobilizer 9801503288

48. Mr. Tikaram B.K NPHF Social Mobilizer 9842897143

49. Mr. Durga Prasad Gorathokee NPHF Social Mobilizer 9860377787, 9851232033

50. Mr. Bhupendra Rana Magar NPHF Social Mobilizer 9841598963

51. Mr. Dharmaraj Darlami NPHF Social Mobilizer 9849757685

22

Annex – 2 Program Schedule

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NEPAL PUBLIC HEALTH FOUNDATION

TRAINING SCHEDULE

ORIENTATION TRAINING TO SOCIAL MOBILIZERS AND PROJECT OFFICER (SAHAS PROJECT)

Day I ( August, 2016) Inaugural Session Time Activity Master of Ceremony

9.30 to 10:30 Chairing: 1. Chairperson: Dr. Mahesh K. Maskey

Chief Guest: Dr. Hendrikus Raaijimakers Chief, Health Section, UNICEF Nepal

Guest 1. Dr. Asha Pun, MNH Specialist, Health Section UNICEF 2. Mr. Ghanashyam Pokharel (FHD) 3. Mr. Hyung Joon Kim, C4D Specialist, Health Section, UNICEF

Ms. Chandana Rajopadhayaya

10:30 - 10:50 Inauguration - Objectives and Activities of Program

Mr. Janak Thapa

23

10:50 – 11:30 Remarks: 1. Mr. Ghanashyam Pokharel (FHD) 2. Dr. Asha Pun, MNH Specialist, Health Section UNICEF 3. Dr. Dr. Hendrikus Raaijimakers, Chief guest 4. Dr. Mahesh K. Maskey, Chair

11:30 – 11:50 Tea break

11:50 – 01:00 Moderator: Dr. Asha Pun

Time Session Objectives Content Method Material Responsibility

11:50 – 12:10 Session I Introduction session

Introduction of participants

Facilitator: Ms. Santoshi Giri Mr. Janak Thapa

12:10 – 12:20 To orient the participants about the existing national health system

- Structure of National Health System - FCHVs & Mother Group

Power point Presentation

PPT slides Projector

Dr. Asha Pun

12:20- 12:30 Pre-Test Ms. Chandana Rajopadhayaya

12: 30 – 12:45 Overview of Project -

To familiarize the participants about the Project

- Objective of Project

- Proposed activities

- Timeline


PPT slides Projector Handout (activities)

Mr. Janak Thapa

24

12:45 – 01 :00 To orient the Social mobilizers and Project Officers about their roles and responsibilities

- Roles and responsibilities of Social Mobilizers and Project Officer

- Job Description


PPT slides Projector Handout (ToR)

Mr. Navaraj Bhattarai

Lunch Break (1 hour)

2:00 – 03:30 Session :II Communication Skill

To enhance communication skill of participants

C4D theory and practice



Facilitator: Mr. Hyung Joon Kim (UNICEF) Ms. Chandana Rajopadhayaya

Step to change behavior

-Social determinants of health -Behavior change communication



03:30 – 05:00 -GATHER - Group task - Exercise - Gesture


Ms. Santoshi Giri

25

Day II ( 15 August, 2016) Moderator: Mr. Hyung Joon Kim


09:00 – 09: 15 Revision of Day I Review of previous day Explore Participants Moderator: Ms. Santoshi Giri

09: 15– 10:30 Introduction to district health system

To orient the participants about the existing district health system

- Structure of District Health system.

- Coordination among district level stakeholders

- Safe mother hood programme

- Child health programme

Group Discussion

UNICEF, District Health Officer

To familiarize each other and district issues

10:30 – 01:00 Mothers Group – Overview

To orient the participants about Mothers Group

- Introduction - FCHVs - Formation - Role of Mothers

Group - Issues discussed in

Mothers Group - Issues discussed in

Mothers Group - Reactivation - Score card - Coping strategy - "GharvawatiBhet"

Program

Power point Presentation,

Group Discussion


Mr. Navaraj Bhattarai, Mr. Raj Kumar Sangroula,

26

Lunch Break (1 hour)

02:00 - 02:30 IEC Materials To familiarize the participants with the IEC materials

- Introduction - Uses/ Utilization - Importance in mothers group

Demonstration of different types of IEC materials

IEC materials

Facilitator: Ms. Santoshi Giri

02: 30 – 03:30 Simulation session

To provide hands on experience on conducting Mothers Group Meeting

- Simulation Role play IEC materials Facilitator: Mr. Navaraj Bhattarai, Mr. Raj Kumar Sangroula

3:30 – 4:30 AI Session - Critical thinking - Understand more

about your strength

- Personal Change management

Lecture Mr. Sudan Gyawali

4:30 – 05:30 HFOMC – An introduction

To orient the participants about HFOMC

- Introduction - Compositions - Functions / roles/

responsibilities of HFOMC

- Reactivation of HFOMC

- Coping Strategy



Mr. Janak Thapa Mr. Navaraj Bhattarai, Mr. Raj Kumar Sangroula

5:30- 6:30 Simulation session To provide hands on experience on conducting HFOMC meeting

- Simulation - Role play - Group Discussion

Mr. Navaraj Bhattarai, Mr. Raj Kumar Sangroula

27

Day III( 16 August, 2016) Moderator: Mr. Hyung Joon Kim


09:00 – 09: 15 Revision of Day II Review of previous day

Explore Moderator: Ms. Namuna Shrestha

09: 15– 09:45 School Health Program To orient the participants with school health program

- Introduction - Uses

Power point Presentation,

Group discussion


Facilitator: Ms. Chandana Rajopadhyaya

9:45- 11:00 Advocacy To orient the participants on the incorporations and budget allocation of VDCs health plan in VDC annual plan

- Formation of VDC advocacy group

- Roles and responsibilities of advocacy group

- Budget allocation from VDCs for the conduction of mothers group and HFOMC meetings

- Sustainability of the program

- Planning process

Mr. Janak Thapa

11:00 – 01:00 Monitoring and Evaluation

To familiarize monitoring plan of SAHAS project

- Monitoring tools - Recording tools - Reporting tools - Baseline tools


PPT slides Projector , Monitoring Framework

Facilitator: Mr. Aditi Sharma

28

Lunch (1 hour )

2:00- 2:30 Bi-monthly Review Meeting

To orient about the review meetings

- Importance - Conduction - Identification of

opportunities and challenges

- Target Vs achievements

- Possible Field Issues



Facilitator: Mr. Janak Thapa

02:30– 04:30 Admin Rules To orient about admin and finance rules of NPHF

- Disbursement of budget for refreshment

- Referral fund - Incentives of SM - Leave - Rules and

regulations of NPHF



Facilitator: Ms. Ami Maharjan/ Mr. Baburam Tandon

Closing session Participants, Management Team, Partner and invitees

Training Report - Nepal Public Health Foundation

Documents