‘OUR PROMISE’ 1BOOK SBCC NUTRITION APPROACH ‘OUR PROMISE’ SBCC NUTRITION APPROACH DISTRICT IMPLEMENTATION GUIDE D I S T R I C TFOR DISTRICT MULTI-SECTOR SUPPORT TEAM IMPLEMENTATION GUIDE
‘OUR PROMISE’ SBCC NUTRITION APPROACH WHAT IS OUR PROMISE ? ‘OUR PROMISE’ SYMBOLISES THE COMMITMENT OF MOTHERS, FATHERS, GRANDPARENTS, FAMILY MEMBERS, COMMUNITIES, DISTRICT MULTISECTOR DEPARTMENTS, LOCAL AND NATIONAL GOVERNMENT LEADERS IN LAO PDR TO TAKE JOINT ACTION TO IMPLEMENT SMALL DOABLE ACTIONS TO IMPROVE PREGNANT WOMEN AND YOUNG CHILDREN CARE AND NUTRITION. IMPLEMENTATION OF THE ‘PROMISE’ WILL PRODUCE VISIBLE BENEFITS SUCH AS HAPPIER, HEALTHIER MOTHERS AND ACTIVE, HEALTHY, SMART CHILDREN. HOUSEHOLDS, COMMUNITIES, DISTRICTS AND THE WHOLE COUNTRY WILL REAP THE BENEFITS NOW AND IN THE FUTURE.
CONTENTS 1 BACKGROUND........................................................................................................................................................... 4 2 PURPOSE OF THE IMPLEMENTATION GUIDE................................................................................................................... 4 3 OVERVIEW OF THE COMMUNITY NUTRITION APPROACH.................................................................................................. 6 4 COMMUNITY NUTRITION APPROACH IMPLEMENTATION PROCESS.................................................................................... 8 5 ROLES AND RESPONSIBILITIES OF THE DISTRICT MULTISECTOR SUPPORT TEAM............................................................... 9 6 DESCRIPTION OF COMMUNITY LEVEL APPROACH ACTIVITIES......................................................................................... 10 6.1 PURPOSE OF THE IMPLEMENTATION GUIDE......................................................................................................... 11 6.2 CAPACITY BUILDING FOR COMMUNITY NUTRITION TEAM.................................................................................. 14 6.3 REPORTING, MONITORING AND SUPERVISION OF COMMUNITY NUTRITION ACTIVITIES ................................... 15 6.4 MONITORING AND SUPPORTIVE SUPERVISION SYSTEM OF COMMUNITY NUTRITION ACTIVITIES........................................................................................................... 16 6.5 OVERVIEW OF TOOLS AND RESOURCES FOR DISTRICT AND VILLAGE NUTRITION TEAM...................................... 18 6.6 COMMUNITY NUTRITION MOBILISATION EVENT............................................................................................... 20 6.7 COMMUNITY 1,000 DAY HOUSEHOLD VISITS..................................................................................................... 21 6.8 PEER SUPPORT GROUP MEETINGS................................................................................................................... 24 6.9 COMMUNITY NUTRITION EVENTS..................................................................................................................... 27 6.10 ONE DAY QUARTERLY HEALTH CENTRE AND COMMUNITY VOLUNTEER MEETINGS ............................................ 28 APENDICES A. SUMMARY DISTRICT AND COMMUNITY NUTRITION TEAMS, ROLES, RESPONSIBILITIES AND TOOLS ................................. 32 B. DETAILED TRAINING EVENT SCHEDULES..................................................................................................................... 34
1 BACKGROUND 2 PURPOSE The Social and Behavior Change Communication GIMUPIDLEEMENTATION (SBCC) Sub National Plan/ Community Nutrition Approach for the northern region The purpose of this document is to provide of Lao PDR, is closely aligned to the National the district multisector nutrition support Social and Behavior Change Multisector team with a step by step guide for the Communication Strategy for Nutrition, Lao implementation of the community nutrition PDR, 2018, and adapted to the context of rural approach; linked to a package of training ethnic communities in the northern region. The resouces and “Our Promise” communication development of the SBCC sub plan was informed materials. Most importantly the guide by locally generated data and input from a outlines a process to enhance district wide variety of stakeholders including community cross sector coordination for planning, representatives and district and provincial multi coordination, monitoring and supervision of sector government staff. The SBCC plan will community level nutrition activities. be implemented via a multisector district and community nutrition approach. The SBCC sub national plan will contribute to the achievement of the Government of Lao PDR priority to reduce the high level of chronic malnutrition (stunting) in children under five years old and improve the health of mothers and young children in the northern region of Lao PDR. 4
AIM OF THE COMMUNITY NUTRITION APPROACH TO PREVENT CHILD MALNUTRITION AND PROMOTE GOOD HEALTH AND NUTRITION OF PREGNANT WOMEN AND CHILDREN BY ACHIEVING 1 2 INCREASED CROSS SECTOR INCREASED QUALITY AND UPTAKE OF COLLABORATION, COMMITMENT AND HEALTH SERVICES FOR MATERNAL, ACTION FOR NUTRITION IMPROVEMENT NEWBORN, CHILD HEALTH AND NUTRITION INCREASED COMMUNITY OWNERSHIP, ENHANCED ENABLING ENVIRONMENT FOR PARTICIPATION AND ACTION FOR IMPROVED NUTRITION, HYGIENE AND IMPROVED MATERNAL AND HEALTH SEEKING BEHAVIORS YOUNG CHILD NUTRITION 4 3 ENHANCED INDIVIDUAL BEHAVIORS AND HOUSEHOLD PRACTICES FOR MATERNAL AND YOUNG CHILD CARE AND NUTRITION 5 5
COMMUNITY NUTRITION APPROACH 3 OVERVIEW UNDERLYING PRINCIPLES OF THE DESIGN OF THE VILLAGE NUTRITION APPROACH Feasible, doable Capacity building Community leadership workload for community activiites focus on and ownership for village practical skills and volunteers and rural increased agency of level nutrition plan villagers community stakeholders implementation Flexibility for villages to Village level collection, District cross sector plan and adapt activities recording and utilization leadership, partnership of locally generated data as feasible for their and collaboration context Quarterly district cross sector team supportive supervision to selected village 6
1,000 DAY HOUSVEISHIOTOLDR DISTRICT NUTRITION PEER SUPPORT COMITTEE DSUISPTPROICRTTMTUEALTMISECTOHREALTH CENTRE GROUP MONTHLY ECVOEMNMTUSNITY 7
4 COMMUNITY NUTRITION APPROACH IMPLEMENTATION PROCESS STEP 1 DISTRICT LAUNCH EVENT WITH DISTRICT NUTRITION COMMITTEE 1 DAY STEP 2A 4 DAYS STEP 2B 4 DAYS TOT DISTRICT MULTISECTOR SUPPORT TOT DISTRICT AND HEALTH CENTRE STEP 3 COMMUNITY MOBILISATION EVENT 1 DAY PER VILLAGE STEP 4A 4 DAYS STEP 4B 4 DAYS TRAIN VILLAGE NUTRITION LEADER AND TRAIN OF HOME VISITOR VOLUNTEERS NUTRITION EVENT VOLUNTEERS 8
5 ROLES AND RESPONSIBILITIES DISTRICT MULTISECTOR SUPPORT TEAM DISTRICT NUTRITION COMMITTEE LEADERSHIP, MONITORING AND REPORTING PROGRESS OF DISTRICT NUTRITION PLAN DISTRICT MULTISECTOR NUTRITION DISTRICT HEALTH OFFICE SUPPORT TEAM TRAINING QUARTERLY SUPPORTIVE TRAINING, QUARTERLY SUPPORTIVE SUPERVISION TO HC STAFF AND SUPERVISION TO VILLAGE NUTRITION TEAM VILLAGE VOLUNTEERS VILLAGE NUTRITION TEAM LEADER HEALTH CENTER TEAM LEADERSHIP, SUPPORT & MONITOR TRAINING& SUPPORTIVE SUPERVISION IMPLEMENTATION OF VILLAGE OF COMMUNITY HOME VISITOR NUTRITION ACTIVITIES VOLUNTEERS VILLAGE CREATIVE EVENT VILLAGE HOUSEHOLD TEAM VOLUNTEERS VISIT VOLUNTEERS PLAN, IMPLEMENT, REPORT PLAN, FACILITATE, REPORT 1,000 DAY MONTHLY COMMUNITY EVENTS HH VISITS & PEER SUPPORT GROUPS 9
6 DESCRIPTION OF ACTIVITIES IMPLEMENTATION IN 10 VILLAGES PER IMPLEMENTATION ROUND # ACTIVITY DESCRIPTION TIME NOTES 1 - Provinical multisector facilitators train 4 days 2 consecutive trainings 4 days District teams divide into smaller District Multisector Support Team 1 day teams to conduct community - Provincial health department facilitators train per village mobilisation events District Health Staff and Health Center staff 4 days 2 consecutive trainings 2 District Mutlisector Support Team conduct community 4 days mobilisation events: mapping and registration of Monthly 1,000 Day Households; community led selection of village nutrition team ( team leader; community event volunteers, home visitor volunteers) 3 - District Multisector Support Team train village nutrition team (team leader and community event volunteers) - District health staff and health center staff training village home visitor volunteers 4 Implementation of community nutrition activiites 5 Quarterly monitoring and supervision by 3 monthly District Multisector Support Team 3 monthly 6 Quarterly reporting from villages to District Nutrition Committee 3 monthly Facilitated by health center staff 7 Quarterly health center and community home visitor volunteer meetings at health center 10
6.1 ROLES AND RESPONSIBILITIES OF VILLAGE NUTRITION TEAM VILLAGE NUTRITION TEAM LEADER CRITERIA ROLES AND RESPONSIBILITIES: INCENTIVES FOR VFILOLRAGSEELNEUCTTRIOITNIOONF Support the home visitors and COMMUNITY NUTRITION community nutrition event volunteers TEAM VOLUNTEERS LEADER for planning and implementation of SELECTED BY COMMUNITY nutrition activities. 5 Develop new skills and Maintain the village 1,000 Day household confidence MEMCBREITRESRUIASIBNEGLTOHWE: register and the village data tracking poster. 5 Annual refresher training Member of the Share nutrition plan progress with 5 Regular follow up support Village Development community members during village 5 Training certificate Committee meetings. 5 Contribute to improved Attend quarterly health center and Good community volunteer meetings. health of mothers and leadership skills Provide quarterly reports to district young children nutrition committee. 5 Travel and food costs Has available time to covered for attending volunteer 4 hours per training events and month to support meetings community nutrition 5 Bag of job aids, stationary. team T-shirt, hat etc 5 Community recognition Good at recording during meetings and and reporting events information Strong motivation to improve the health and nutrition of mothers and young children 11
6 DESCRIPTION OF COMMUNITY LEVEL APPROACH 6.1 ROLES AND RESPONSIBILITIES OF VILLAGE NUTRITION TEAM NUTRITION EVENT VOLUNTEERS CRITERIA ROLES AND RESPONSIBILITIES: INCENTIVES FOR FOR SELECTION OF COMMUNITY Plan and conduct monthly COMMUNITY NUTRITION community nutrition events. TEAM VOLUNTEERS EVENT VOLUNTEERSEVENT Provide a monthly activity report to SELECTED BY COMMUNITY Village Nutrition Team Leader. 5 Develop new skills and Attend quarterly Health Center and confidence MEMBERS USING THE Community Volunteer meetings as CRITERIA BELOW: required. 5 Annual refresher training 5 Regular follow up Confident with friendly personality support 5 Training certificate Previous experience 5 Contribute to improved organising community events health of mothers and young children Motivation to 5 Travel and food costs volunteer and covered for attending receives family’s training events and approval to volunteer meetings 5 Bag of job aids, Demonstrates creative stationary. T-shirt, hat thinking, skills etc in music, 5 Community recognition dancing, singing, during meetings and entertainment events Available time at least 4 hours per month for planning and conducting community events 12
1,000 DAY HOUSEHOLD VISIT VOLUNTEERS CRITERIA ROLES AND RESPONSIBILITIES: INCENTIVES FOR FOR HOME VISIT COMMUNITY NUTRITION Work with Village Nutrition Leader and TEAM VOLUNTEERS VOLUNTEERS Health Center staff to plan home visit SELECTED BY 1,000 DAY schedule. 5 Develop new skills and Visit 1,000 Day households to support confidence HOUSEHOLDS improved mother and child care and IN THE CLUSTER WHERE nutrition practices. 5 Annual refresher Support peer support group discussions training THEY LIVE Record home visits in the home visit register. 5 Regular follow up Female Report monthly activities to the Village support Nutrition Team Leader. Confident and Attend quarterly health center and village 5 Training certificate lively personality volunteer meetings as required. 5 Contribute to improved Has child under health of mothers and 5 year’s old young children 5 Travel and food costs Interested to covered for attending learn new skills training events and meetings Willing to volunteer 5 Bag of job aids, and enough time to stationary. T-shirt, hat contribute 4 hours per etc week 5 Community recognition during meetings and Approval from other events family members to volunteer 13
6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.2 CAPACITY BUILDING FOR COMMUNITY NUTRITION TEAM STEP 1 DISTRICT LAUNCH EVENT WITH DISTRICT NUTRITION COMMITTEE 1 DAY STEP 2A 4 DAYS STEP 2B 4 DAYS TOT DISTRICT MULTISECTOR SUPPORT TEAM TOT DISTRICT AND HEALTH CENTRE STAFF STEP 3 COMMUNITY MOBILISATION EVENT 1 DAY PER VILLAGE STEP 4A 4 DAYS STEP 4B 4 DAYS TRAIN VILLAGE NUTRITION LEADER AND TRAIN HOME VISITOR VOLUNTEERS NUTRITION EVENT VOLUNTEERS 14
6.3 REPORTING, MONITORING AND SUPERVISION OF COMMUNITY NUTRITION ACTIVITIES VILLAGE NUTRITION DATA REPORTING SYSTEM COMPILE QUARTERLY HEALTH CENTRE REPORTS COMPILE QUARTERLY DISTRICT NUTRITION AND SENDS TO PROVINCIAL HEALTH DEPARTMENT ACTIVITIES REPORT TO PROVINCIAL NUTRITION DISTRICT HEALTH OFFICE COMMITTEE DISTRICT NUTRITION COMMITTEE COMPILEQUARTERLY COMPILE QUARTERLY HEALTH CENTRE VILLAGE NUTRITION REPORTS DISTRICT MULTISECTOR NUTRITION SUPPORT GROUP QUARTERLY REPORTING TO DISTRICT SUPPORT TEAM MONTHLY RECORDING IN 1,000 DAY HOUSEHOLD REGISTER SUMMARISE MONTHLY ACTIVITIES ON THE VILLAGE NUTRITION PLAN TRACKER POSTER VILLAGE NUTRITION TEAM LEADER MONTHLY REPORT TO MONTHLY REPORT TO VILLAGE NUTRITION TEAM LEADER VILLAGE NUTRITION TEAM LEADER VILLAGE NUTRITION EVENT VOLUNTEERS 1,000 DAY HOUSEHOLD HOME VISITOR VOLUNTEERS 15
6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.4 MONITORING AND SUPPORTIVE SUPERVISION SYSTEM OF COMMUNITY NUTRITION DISTRICT NUTRITION COMMITTEE QUARTERLY DISTRICT MULTISECTOR NUTRITION TEAM MEETING DISTRICT HEALTH DEPARTMENT NUDTISRTITRIIOCNT MSUUPLTPIOSRECTTTOERAM QUARTERLY SUPERVISION QUARTERLY SUPERVISION TO HEALTH CENTRES TO VILLAGES HEALTH CENTRE STAFF VILLTAEGAEMNLUEATDRIETRION QUARTERLY HEALTH CENTRE MONTHLY SUPPORT TO VILLAGE EVENT AND COMMUNITY VOLUNTEER VOLUNTEER AND HOME VISITORS MEETING SUPPORT TO 1,000 DAY HOUSE- 1,000 DAY HOUSEHOLD VILLAGE NUTRITION HOLD HOME VISITORS DURING HOME VISITOR VOLUNVTEERS EVENT VOLUNTEERS ROUTINE VILLAGE VISITS 16
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6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.5 OVERVIEW OF TOOLS AND RESOURCES FOR DISTRICT AND VILLAGE NUTRITION TEAM DISTRICT RESOURCE DESCRIPTION PACKAGE OF ‘OUR PROMISE’ MULTISECTOR COMMUNITY COMMUNICATION MATERIALS PACKAGE OF ‘OUR PROMISE’ NUTRITION MOBILISATION GUIDE COMMUNICATION MATERIALS SUPPORT TEAM TRAINING CURRICULUM DISTRICT AND FOR VILLAGE TEAM LEADER HEALTH CENTER AND NUTRITION EVENT STAFF VOLUNTEERS SUPPORTIVE SUPERVISION AND M&E GUIDE AND DATA FORMS RESOURCE DESCRIPTION TRAINING CURRICULUM FOR 1,000 DAY HOUSEHOLD HOME VISITORS SUPPORTIVE SUPERVISION, M&E GUIDE AND DATA FORMS 18
PACKAGE OF ‘OUR PROMISE’ COMMUNICATION MATERIALS VILLAGE NUTRITION RESOURCE DESCRIPTION TEAM LEADER Village Nutrition Approach Implementation Guide Community 1,000 Day Register Community Nutrition Activities Tracker Poster Data reporting forms PACKAGE OF ‘OUR PROMISE’ COMMUNICATION MATERIALS RESOURCE DESCRIPTION VILLAGE 1,000 DAY HOUSEHOLD 1,000 Day Home Visit HOME VISITOR VOLUNTEERS/ and Peer Support PEER SUPPORT GROUP Group Guide VOLUNTEERS Home Visit Register VILLAGE NUTRITION PACKAGE OF ‘OUR PROMISE’ COMMUNICATION MATERIALS EVENT VOLUNTEERS RESOURCE DESCRIPTION Village Nutrition Events Guide Village Events Register 19
6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.6 COMMUNITY NUTRITION MOBILISATION EVENT FACILITATORS: PURPOSE: OBJECTIVES: DNISUTTRRICITTITOMENUAMLSTUIPSEPCOTROTR To promote community At the end of the community 2 members of District ownership and accountability mobilisation event participants will MultiSector Nutrition for the village level nutrition be able to: Support Team per plan, and prepare for Explain the benefits of the village, plus 2 local implementation of the community nutrition approach for HC staff nutrition activities: the village. PACROTMI CMIUPNA NI TTYS : Orientate community Describe roles and responsibilities All community members members to the village for the community nutrition nutrition approach and activiites implementation. including all the 1,000 Day communication materials Register all 1,000 day households in households members. Register 1,000 Day the village. DURATION: Households, Map 1,000 day Map the village, identify all 1,000 1 day per village households and divide village Day Households and divide the VENUE: into 1,000 Day household village into smaller 1,000 Day Village meeting place clusters ( 10 – 15 Households household clusters. per cluster) Use criteria to facilitate selection 20 Facilitate community of the village nutrition leadership, members to select Village nutrition event volunteers and Nutrition Team ( Village home visitors for each cluster. Nutrition Team Leader, Confirm dates and location for Nutrition Event Volunteers trainings village nutrition team and 1,000 Day Households leader, nutrition event volunteers Home Visitor Volunteers). and 1,000 Day Household home visitor volunteers.
6.7 COMMUNITY 1,000 DAY HOUSEHOLD VISITS FACILITATORS: PURPOSE: The 1,000 Day Household home visit volunteers provide support to families 1,000 DAY HOUSEHOLD with pregnant women and children under 2 years old to increase their HOME VISITORS skills and confidence to practice small doable actions, to improve the health and nutrition of mothers and young children. Home visitors record RECORDING AND REPORTING: support group activities Home Visit Volunteers record home visits in their household visit register. in their home visit register Once per month they share the results with the Village Nutrition Team and share with the Village Leader who records on the Village Nutrition Activity Tracker Poster, Nutrition Team Leader on a and in the village 1,000 Day Households Register. Once every quarter a representative of the home visit volunteers takes a copy of the village monthly basis nutrition activities tracker to report during the quarterly health Centre and SUPERVISION: community volunteer meeting. NTVIEULATLMARGILTEEIOADNER SHCTEEANAFLTFTEHR MDIUSLTTRIISCETCTOR SNUUPTPROITRIOT NGROUP The Village Nutrition Team The Health Center Staff provide The District Nutrition Support Leader provides support to the support to home visitors during Team provide quarterly home visit volunteers for monthly routine village visits. monitoring and supportive planning of home visits and In addition, health staff facilitate supervision to the Village reporting home visit activities. refresher skills of to home Nutrition Team. visitors during quarterly health center community/ volunteer meetings. 21
66 DDEESCSRCIPRTIIOPNTOIFOCNOMOMFUNCIOTYMLEMVEULNAPITPRYOAACCHTAICVTIIVTIITEIESS 6.7 COMMUNITY 1,000 DAY HOUSEHOLD VISITS PROCESS SCHEDULE FOR 1,000 DAY HOUSEHOLD HOME VISITS Each ‘1,000-Day’ household receive up to 9 visits as diagram below: 1ST 2ND 3RD 2ND VISIT 3RD VISIT 0days 7 – 8 MONTHS PREGNANT SOON AFTER BIRTH WITHIN 3 DAYS 1ST VISIT 5TH EARLY PREGNANCY 5TH VISIT 4TH BABY 1 MONTH OLD 4TH VISIT 6TH BABY 7 DAYS OLD 6TH VISIT 8TH 6 MONTHS OLD 8TH VISIT 9TH 12 MONTHS OLD 7TH 1,000days 7TH VISIT 7- 8 MONTHS OLD 9TH VISIT 18 MONTHS OLD 22
THE 1,000 DAY HOUSEHOLD WALL CHART ໄ�ໂ�! ພວກເ�ົາ ສນ� ຍາຂອງພວກເ�ົາ ໃ�ຊວງ ໄ�ໂ�! ລູກຂອງພວກເ�າົ EACH 1,000 DAY HOUSEHOLD WILL ກ�ລງ� ຊິມລີ ູກ 1000 ມທ �ອດິ ຂອງຊີວດິ ກ�ລງ� ຊິເ�ບີ ໃ� RECEIVE A PERSONAL 1,000 DAY 1 ໄ�ໂ�! ລກູ ຂອງພວກເ�າົ ໄ�ໂ�! ລູກຂອງພວກເ�າົ HOUSEHOLD WALL CHART WITH KEY ເ�ີດແ�ວ ພອ ມຊິກິນເ�າ ແ�ວ 4 MESSAGES AND SPACE TO RECORD 23 THEIR PROGRESS DURING THE 1ST 1,000 DAYS. ປ:ີ ______________ 456 ປີ: ______________ 4 56 ປ:ີ ______________ 456 ປ:ີ ______________ 456 123 10 11 12 123 10 11 12 123 10 11 12 123 10 11 12 789 789 789 456 789 56 456 456 ປ:ີ ______________ 10 11 12 11 12 ປ:ີ ______________ 10 11 12 ປີ: ______________ 10 11 12 123 ປີ: ______________ 4 123 123 789 7 ຫາ 8 ເ�ອື ນ 123 10 1 ເ�ອື ນ 789 7 ຫາ 8 ເ�ອື ນ 789 18 ເ�ືອນ ຢຽ ມຢາມ: 2 ຄງ� 789 ຢຽ ມຢາມ: 2 ຄ�ງ ຢຽມຢາມ: 2 ຄງ� ທ�ອິດທຮ ູວ າ ຖືພາ ຢຽ ມຢາມ: 3 ຄງ� ມທີ 7 6 ເ�ືອນ 12 ເ�ືອນ 1 ຫາ 3 ມ ຂອ ຍຈະເ�ມ ຈາກຮບູ ເ�ີ.........ຍອ ນວາ ຂອ ຍຖພື າ ຂອຍມີລກູ ແ�ວ ລາວອາຍ.ຸ ......ປ.ີ ......ເ�ອື ນ ຊລກູ .…........….….…. ລາວເ�ີດວນ� ທ….….….…ມຢຽ ມຢາມທ�ອດິ ວນ� ທີ.….….….….…. IN ADDITION EACH 1,000 DAY BOOK 1 – PREGNANCY BOOK 2 – BREAST FEEDING HOUSEHOLD WILL RECEIVE A SMALL PICTURE BOOKLET FOR EACH PHASE OF 1,000 DAYS WITH KEY MESSAGES. BOOK 3 – COMPLEMENTARY BOOK 4 – CHILD DEVELOPMENT, FEEDING CHILD SAFETY AND NUTRITION. 23
6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.8 PEER SUPPORT GROUP PURPOSE: FACILITATORS: To support and encourage adoption of small doable actions for improved nutrition through: sharing experiences and problem solving with peers in a 1,000 DAY HOUSEHOLD similar situation ; watching demonstration of new skills and practicing new HOME VISITORS skills together with peers. SUPERVISION: RECORDING AND REPORTING: Village Nutrition Team Leader; quarterly District Multisector Nutrition VILLAGE Support Group; health centre staff during routine village visitors. NUTRITION TEAM LEADER PROCESS OF IMPLEMENTATION: DISTRICT During home visits volunteers explore interest in peer support groups. MULTISECTOR 1,000 Day Households will decide what type of groups they would like to NUTRITION form in their cluster according to their interest and needs. HEALTH Explain the various options for peer support groups: pregnant women’s CENTER STAFF group; breast feeding group; complementary feeding group, fathers during routine group, grandparents group etc. village visitors When a small group of peers are identified who have a similar interest example – breast feeding mothers, bring them together to identify a good time and place to meet. If peers agree it is preferable to have a short peer group meeting every month to provide timely support. 24
SUGGESTED PROCESS DURING PEER SUPPORT GROUP MEETING: FOLLOW UP MEETING - 1. Discuss issues: Home visit volunteer identifies a few topics RECOMMENDED REGULAR identified as areas of interest MONTHLY MEETINGS 2. Invite Peer support group members: to select 1- 2 priority 1. Follow up at the next peer support issues that are most important to them. 3. Personalise and brainstorm: Invite group members to share group meeting: Start the next their story and experiences with this issue? meeting by asking group members 4. Facilitate discussion: invite group members to share ideas if they were able to try the new about how to resolve the issue practice? 5. Demonstrate Invite peers to demonstrate small doable actions 2. Congratulate all support group for this issue. Or facilitator offers to demonstrate and let’s members for making an effort other group members watch and then practice 3. Invite group members who were 6. Commit Group members commit to practice a priority able to try the new practice to behaviour they identify or to one of the practices from today’s share their experience topic. 4. Resolve barriers invite group 7. Ask group members to raise hands and\\or say aloud what their members to share ideas to solve the commitment is (commitments likely vary by group member). barriers 8. Seek support: Ask group members who in the household and 5. Repeat the process - Start with community can support them and how they can help. a new practice using the same 9. Tell others: ask group members to tell household members participatory approach. and those who couldn’t attend today’s meeting what they’ve learned and committed to. 25
6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.8 PEER SUPPORT GROUP MEETINGS TOOLS: MONITORING AND SUPPORTIVE SUPERVISION: The home visit volunteers record attendance at peer ໄ�ໂ�! ພວກເ�າົ ສ�ນຍາຂອງພວກເ�ົາ ໃ�ຊວ ງ ໄ�ໂ�! ລູກຂອງພວກເ�ົາ “OUR PROMISE” group meetings in home visit register. At the end ກ�ລ�ງຊິມລີ ກູ 1000 ມທ �ອດິ ຂອງຊີວດິ ກ�ລ�ງຊເິ �ີບໃ� 4 VIDEOS AND of every month, home visit volunteers share their 4 RADIO SHOWS information with the Village Team Leader (describe 1 ໄ�ໂ�! ລູກຂອງພວກເ�າົ ໄ�ໂ�! ລກູ ຂອງພວກເ�ົາ topics discussed, number of people attended and ເ�ດີ ແ�ວ ພອ ມຊກິ ນິ ເ�າແ�ວ – depending on agreements made . The village leader records availability of speaker, attendance at peer group meetings in the Village 1,000 4 screen, tablet OR phone Day Register and records number of participants on 23 the Village Nutrition Tracker Poster. 1,000 DAY ປ:ີ ______________ 456 ປ:ີ ______________ 4 56 ປ:ີ ______________ 456 ປີ: ______________ 456 HOUSEHOLD RECORDING AND 123 10 11 12 123 10 11 12 123 10 11 12 123 10 11 12 WALL CHART 789 789 789 1,000 DAY The home visit volunteers record attendance at peer 456 789 56 456 456 PICTURE BOOKLETS group meetings in home visit register. At the end ປ:ີ ______________ 10 11 12 11 12 ປ:ີ ______________ 10 11 12 ປີ: ______________ 10 11 12 of every month, home visit volunteers share their 123 ປ:ີ ______________ 4 123 123 information with the Village Team Leader (describe 789 7 ຫາ 8 ເ�ືອນ 123 10 1 ເ�ືອນ 789 7 ຫາ 8 ເ�ອື ນ 789 18 ເ�ືອນ topics discussed, number of people attended and agreements made . The village leader records ຢຽ ມຢາມ: 2 ຄງ� 789 ຢຽ ມຢາມ: 2 ຄ�ງ ຢຽ ມຢາມ: 2 ຄ�ງ attendance at peer group meetings in the Village 1,000 Day Register and records number of participants on ທ�ອດິ ທຮ ວູ າຖພື າ ຢຽ ມຢາມ: 3 ຄງ� ມທ ີ 7 6 ເ�ອື ນ 12 ເ�ອື ນ the Village Nutrition Tracker Poster. 1 ຫາ 3 ມ ຂອ ຍຈະເ�ມຈາກຮູບເ�.ີ ........ຍອນວາ ຂອຍຖືພາ ຂອ ຍມີລູກແ�ວ ລາວອາຍ.ຸ ......ປ.ີ ......ເ�ືອນ ຊລກູ .…........….….…. ລາວເ�ດີ ວ�ນທ….….….…ມຢຽ ມຢາມທ�ອິດວນ� ທີ.….….….….…. 1,000 DAY SMALL SET OF CARDS – small doable actions SMALL FEEDING BOWL AND SPOON – for feeding practice MODEL DOLL – for breast feeding demonstration 26
6.9 COMMUNITY NUTRITION EVENTS FACILITATORS: PURPOSE: To inspire and mobilise communities to actively participate to achieve improved maternal and child nutrition, hygiene and sanitation practices and enhanced food security actions in their village PROCESS: RECORDING AND REPORTING: C(2OVMVOOMLVLUUIULNNLNTIATTEGYEEEERE)RSVSEPNERT IN THE MONTH PRIOR TO Village event volunteers THE COMMUNITY EVENT record details of community SUPERVISION: Discuss with members of events and participation in the Community Nutriiton Team and Community Events Register. VILLAGE community members about options At the end of each month NUTRITION for community events share information with Village TEAM LEADER Facilitate the community to select a Nutrition Team Leader who relevant topic for community event will record in the village 1,000 DISTRICT from the Event Guide or from their Day Register and on the Village MULTISECTOR own ideas for events Nutrition Activity Tracker NUTRITION Discuss the date, time and location Poster. SUPPORT and inform community members GROUP Prepare community event TOOLS: schedule and materials HEALTH Prior to the event practice ‘OUR PROMISE’ 6BOOK VILLAGE NUTRITION CENTER STAFF with Village Nutrition Team SBCC NUTRITION EVENT GUIDE DURING Conduct event ROUTINE Reflect on results of event and ECOVMEMUNNTITSY NGUTURIITDIOEN PACKAGE OF VILLAGE record participation and learning “OUR PROMISE” VISITORS FOR VILLAGE VOLUNTEERS COMMUNICATION MATERIALS 27 4 videos, 4 radio shows, booklets, small cards, 1,000 Day Household Posters SMALL PRIZES “Our Promise” hats, feeding bowls and spoons; small bars of soap LOUD SPEAKER, LCD AND SCREEN AS AVAILABLE
6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.10 ONE DAY QUARTERLY HEALTH CENTRE AND COMMUNITY VOLUNTEER MEETINGS FACILITATORS: PURPOSE: To strengthen the linkages between health HEALTH STAFF Centre staff and community volunteers WITH SUPPORT FROM DISTRICT by providing regular quarterly support to MNCH(MOTHER NEW BORN CHILD HEALTH) village volunteers and facilitating sharing of achievements, learning, and regular SUPERVISORS AS AVAILABLE practice of skills required for home visit and peer group meetings. SUPERVISION: RECORDING AND REPORTING: VILLAGE Health Centre staff record quarterly NUTRITION meetings in Health Centre Community TEAM LEADER Nutrition Register and complete quarterly community nutrition form and send with DISTRICT DHIS2(District Health Information System2 ) MULTISECTOR data to district health office. NUTRITION SUPPORT GROUP HEALTH CENTER STAFF DURING ROUTINE VILLAGE VISITORS 28
PROCESS OF IMPLEMENTATION: TOOLS: In the month prior to quarterly meeting discuss with district health office and village volunteers QUALITY BENCHMARK FORM FOR HEALTH and set date and location for the meeting. CENTRE AND COMMUNITY VOLUNTEER Invite Village Nutrition Team Leader and MEETINGS 1 representative of home visit volunteers HEALTH CENTRE COMMUNITY from each village in the HC coverage area to NUTRITION REGISTER AND QUARTERLY participate. REPORTING FORM Request village participants to bring quarterly activity report to meeting. MODEL DOLL Prepare agenda and logistics (morning agenda – for breast feeding demonstration for health staff and volunteers to share information, discuss learning and plan for next PACKAGE OF “OUR PROMISE” quarter activities. Afternoon skills building COMMUNICATION MATERIALS practice sessoin with peer feedback). 4 videos, 4 radio shows, booklets, small cards, Record results of meeting in HC Village 1,000 Day Household Posters Nutrition Activity Register and Quarterly Nutrition Activity reporting form. ‘OUR PROMISE’ 7BOOK HOME VISIT AND PEER SUPPORT SBCC NUTRITION APPROACH GROUP GUIDE HOME VISIT GUIDE FOR HOME VOLUNTEERS 29
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APPENDICES A. SUMMARY DISTRICT AND COMMUNITY NUTRITION TEAMS, ROLES, RESPONSIBILITIES AND TOOLS B. DETAILED TRAINING EVENT SCHEDULES 31
A: SUMMARY DISTRICT AND COMMUNITY NUTRITION TEAMS ROLES, RESPONSIBILITIES AND TOOLS # TEAM DESCRIPTION ROLES AND RESPONSIBILITIES TOOLS 1 PROVINCIAL NUTRITION Supportive Supervision Guide • Capacity Building of District Nutrition Committee COMMITTEE • Supportive supervision of district nutrition committee • Data tracking and data utilisation 2 DISTRICT NUTRITION • Planning, coordination, monitoring and reporting “Our Promise” District Community Nutrition COMMITTEE of district nutrition plan Approach Implementation Guide and communication materials • Quarterly District Nutrition Committee Meetings Supportive Supervision Guide • Supportive supervision of District Nutrition M&E Guide and Forms Support team • Data tracking, data utilisation and sharing 3 DISTRICT CROSS SECTOR • Mobilise villages for Nutrition Approach “Our Promise” District Community Nutrition NUTRITION SUPPORT • Support development of village nutrition plans Approach Implementation Guide TEAM • Support selection of community mobilisers and Community Mobilisation Guide • Cluster Leaders Supportive Supervision Guide • Agriculture home visitor volunteers M&E Guide and Tools • Health • Skills building of community mobilisers • Lao Women’s Union • Quarterly monitoring and supervision to selected • Education • Rural Development villages • Data collection, reporting and utilisation 4 DISTRICT HEALTH OFFICE • Membership of the District Cross Sector Nutrition Skills building Guide for ‘Home visit volunteers/ Support Team peer support group facilitators’ Supportive supervision guide • Skills building of health center staff M&E Guide and Tools • Skills building of home visit / peer support group Quality Benchmark tools volunteers • Quarterly monitoring and supervision to health centers and selected villages 32
# TEAM DESCRIPTION ROLES AND RESPONSIBILITIES TOOLS 5 HEALTH CENTER STAFF • Skills building of home visit/ peer support group Skills building Guide for ‘Home visit volunteers/ facilitator volunteers peer support group facilitators Supportive supervision Guide • Quarterly monitoring and supervision support to Community Nutrition Activities Register home visit/ peer support group volunteers M&E Guide and Tools • Data collection, reporting and utilisation 6 VILLAGE NUTRITION • Develop community SBCC plan Village Nutrition Team Leader Guide TEAM • Support implementation of the village plan and Community Mobilisation Events Guide Team Leader ( member of monitor and record progress the village development • Conduct monthly community mobilisation events Home visit and Peer Support Group Facilitator committee ) • Conduct home visits to pregnant women and volunteers Guide • Community event 1,000 Day Household Register parents with children under 2 years Village Nutrition Activity Tracker volunteers • Facilitate peer support group sessions Village M&E Guide and Tools • Home visit / peer support • Record, report and utilise data group volunteers 7 DEVELOPMENT • Support Provincial facilitators for training of SBCC “ Our Promise” Implementation Guide PARTNERS District Cross Sector Nutrition Support Team Links to package of training and • District project officers • Support District Nutrition Committee and District communication tools • Health program technical Nutrition Support Team for: team » Support planning and conducting M&E Guide and Tools • WASH officers trainings at district • Gender officers » Mobilising communities » Selection of village SBCC team » Quarterly monitoring and supportive supervision » Analising, reporting and utilisation of data 33
B: DETAILED TRAINING EVENT SCHEDULES 1. DISTRICT COMMUNITY NUTRITION APPROACH LAUNCH Purpose: Raise awareness among key district Duration: 1 day per district stakeholders about the community nutrition Venue: District government meeting room approach and materials; develop district Objectives: At the end of the workshop participants multisector community nutrition support plan will be able to: Facilitators: Provincial multisector representatives (agriculture, LWU, health, education, rural 1. Explain the community nutrition development, with support from development implementation approach and describe the partners) activities and tools Participants: District, deputy governor, district nutrition committee, district sector staff, cluster 2. Describe the roles and responsibilities of village leaders, development partners various stakeholders 3. Introduce the district multisector community nutrition support team 4. Develop a district community nutrition support plan 34
TIMEFRAME TOPIC FACILITATOR METHODS TOOLS 8.00–8.30 Registration District governor Registration table Registration form Provincial Speech Participants folder 8.30–9.00 Chairperson’s welcome facilitators Powerpoint 09.00–09.15 Participants Introductions presentation LCD Powerpoint Powerpoint slides Objectives of launch presentation Schedule on flip chart paper posted Overview of schedule on meeting room wall Powerpoint Stationary/ marker pens 09.15-9.40 Overview of nutrition Lao PDR Provincial presentation Powerpoint Overview of National Nutrition facilitators Participant handouts Strategy Provincial Powerpoint and National SBCC plan facilitators presentation Powerpoint 1,000 Day Households Presentation: Nutrition slides/Video Review UNICEF framework etc Why sector integration is essential Participant handouts District Implementation Guide 09.45–10.30 Present Community Nutrition Approach (SBCC), District Samples of communication implemention guide and monitoring materials and reosurces and evaluation plan and tools Speakers for music and video District implementation guide 10.30–10 45 COFFEE 10.45– Viewing of communication materials, Provincial 12.00 District Implementation Guide summary facilitators and resources 12.00–13.30 LUNCH 13.30– Development of district multisector Provincial Explanation of District Community Nutrition 15.00 community nutrition support plan facilitators small group work support plan template Multisector teams with cluster leader District implementation guide develop implementation support plan List of target villages, population, 1,000 Day households etc 15.00 – 15.15 COFFEE 15.15– Presentation of district support team Participants groups Small group LCD 16.15 workplan. Discussion presentation. Plenary Provincial facilitator session Finalise district implementation plan District Governor 16.15–16.30 Summary of Day 35 Closing
B: DETAILED TRAINING EVENT SCHEDULES 2.DISTRICT MULTISECTOR COMMUNITY NUTRITION SUPPORT TEAM TRAINING Purpose: To build the skills of the District Duration: 4 days Multisector Nutrition Support Team to: mobilise Venue: district government meeting room communities for implementation of the community Objectives: At the end of the workshop participants nutrition approach; facilitate training of community will be able to: nutrition leaders ( Community Development Committee) and nutrition events volunteers, 1. Demonstrate how to plan and conduct and provide quarterly supportive supervision to community mobilisation for community community. nutrition approach using Community Facilitators: Provincial multisector representatives Mobilisation Guide and resources with support from development partners Participants: District multisector community 2. Develop District Support Team work plan nutrition support team ( agriculture, LWU, to support community nutrition approach education, health, rural development and cluster implementation leaders from target villages) 3. Decribe the topics in the Community Training Guide and demonstrate facilitation skills for training community nutrition leaders and nutrition event volunteers 4. Demonstrate how to conduct quarterly supportive supervision to communities using M&E tools 36
TIMEFRAME TOPIC FACILITATOR METHODS TOOLS -Registration form DAY 1 Registration Registration table -Participants folder AM -LCD Powerpoint slides Introduction game Participants Introductions Provincial Powerpoint presentation -Schedule on flip chart paper Objectives of training facilitators -Stationary/ marker pens etc Overview of training schedule ‘ How we will work together during Slides training ‘ Flip chart paper, pens Overview of nutrition Lao PDR Provincial Powerpoint presentation Slide presentation 1,000 Day Households facilitators Group discussion Case studies / stories of behavior UNICEF framework change including enablers and Why sector integration is essential barriers • Community nutrition Overview” What is SBCC and present Provincial Powerpoint presentation summary of SBCC plan facilitators Group discussion approach powerpoint slides • District Implementation Guide (Community Nutrition Approach) • Community Leaders Guide • Community Events Guide Review of communication materials Provincial Powerpoint presentation • Package of communication Review of District Implementation facilitators Small groups review community Guide and community activiites leaders guide materials Review of community tools Community event guide and tools • LCD/ loud speaker/ films/ Community Nutrition Leadership Guide Community Events music Volunteers’ Guide 37
B: DETAILED TRAINING EVENT SCHEDULES 2.DISTRICT MULTISECTOR COMMUNITY NUTRITION SUPPORT TEAM TRAINING TIMEFRAME TOPIC FACILITATOR METHODS TOOLS - Powerpoint roles and DAY 1 Discuss/clarify roles and Provincial Powerpoint presentation responsibiies slide PM responsibilities of District facilitators Large group Multisector Community Nutrition Discussion District Implementation Guide Support team, community Flip charts/ stationar nutrition leadership, community event volunteers and home visitor volunteers DAY 1 Overview of steps for planning and Provincial Powerpoint • Powerpoint PM implementation of community facilitators Large group discussion Community • Community Mobilisation mobilisation event Mobilisation Guide Guide REFLECTION ON DAY 1 • Criteria for community event What went well? What needs clarification? volunteers; Recommendations for tomorrow? • Criteria for home visitors and DAY 2 Recap day 1 Participants Brainstorm/ game support group facilitators AM Overview of DAY 2 • Example of 1,000 day mapping process • Template for community register for 1,000 day households - Copy of Day 1 schedule 38
TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 2 Small group work. Preparation of Participants Explain group work LCD, Speakers, Stationary AM group presentation/ role play for with Explain quality checklist Package of communication implementation of community facilitators Small group work x 5 groups materials mobilisation activities support Prepare role plays of • Community Mobilisation Guide implementation of various activities • Criteria for community event for community mobilisation: volunteers; STEPS • Criteria for home visitors and 1. Introduction: Background 1,000 support group facilitators Days. Overview of community • Example of 1,000 day mapping nutrition approach and materials 2. Village mapping of 1,000 day process households • Community register for 1,000 3. Registration of 1,000 day households day households 4. Selection of community event volunteers Peer feedback quality checklist 5. Selection of home visitors and support group facilitators Community mobilisation skills role Provincial Small group role plays/ Peer review quality checklist plays with peer feedback faciitators presentations 1. Introduction of community Participants (15 minutes per group) Peer feedback nutrition approach and materials 2. Village mapping of 1,000 day households 3. Registration of 1,000 day households 4. Selection of community event volunteers 5. Selection of home visitors and support group facilitators 39
B: DETAILED TRAINING EVENT SCHEDULES 2.DISTRICT MULTISECTOR COMMUNITY NUTRITION SUPPORT TEAM TRAINING TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 2 Review of Training Guide for Provincial Presentation Training guide for skills building PM Community Nutrition Leaders and facilitators Large group discussion of community nutrition event Event volunteers and volunteers Assign sessions to district faciitators participants List of sessions to assign group work Preparation of session plans Participants Small group work Instructions for small group Facilitator work REFLECTION ON DAY 2 What went well? What needs clarification? Recommendations for tomorrow? DAY 3 Recap Day 2 Provincial Participants feedback Agenda for Day 3 Overview of DAY 3 facilitators District facilitators practice Participants Small group present Peer feedback quality checklist facilitation of sessions with peer training sessions feedback Peer feedback REFLECTION DAY 3 Facilitator Reflection questions What went well? What needs clarification? Recommendations for tomorrow? DAY 4 Recap of Day 3 Facilitator Brainstorm Powerpoint slides AM Overview of DAY 4 Large group discussion Introduction to supportive Facilitator Large group discussion – define SLIDES – supportive supervision supervision activities supportive supervision Supportive supervision checklist Present mentoring skills for Review Supportive supervision skills Powerpoint slides of M&E skills building during supportive Practice mentoring skills using process and tools supervision case studies of skills building from Review of M&E forms Community Events Guide Case studies from Community Event Volunteers Guide. 40
TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 4 Preparation for small group work Facilitator Small group work Explanation of small group work AM Demonstrate supportive supervision Case studies for group work role skills using mentoring approch plays Peer feedback checklist for quality supportive supervision DAY 4 Small group work role plays with Facilitator Small group work role plays with Checklist for quality supportive PM peer feedback peer feedback supervision Present M&E tools and reporting Facilitator Present M&E tools and discuss Data forms system Small group work practice Village case studies Practice completing M&E forms using case study data Facilitator Large group discussion Training evaluation form Presentation Powerpoint slides with summary Reflection on training Complete forms next steps Training Evaluation Summary of next steps Closing 41
B: DETAILED TRAINING EVENT SCHEDULES 3. COMMUNITY MOBILISATION – PREPARE FOR VILLAGE NUTRITION APPROACH IMPLEMENTATION Purpose: To promote community ownership Duration: 1 day per village and accountability for the village level nutrition Venue: Village meeting place approach and prepare for implementation of Objectives: At the end of the community the nutrition activities; orientate community mobilisation event participants will be able to: members to the nutrition approach, activities and communication materials; map 1,000 day 1. Explain the benefits of the community nutrition households and guide community members for approach for the village selection of community nutrition leadership, nutrition event volunteers and home visitor 2. Describe their role and responsibilities for the volunteers. community nutrition activities implementation Facilitators: 2 members of district multisector Community Nutrition Support Team per village plus 3. Register all First 1,000 day households in the 2 local HC staff village Community participants: as many community members as available, especially the 1,000 Day 4. Map the village, identify all 1,000 Day households. Households and divide the village into smaller 1,000 Day household clusters 5. Use criteria to facilitate selection of the village nutrition leadership, nutrition event volunteers and home visitors for each cluster. Confirm dates and location for trainings for village nutrition leadership, nutrition event volunteers and home visitor volunteers. 42
TIMEFRAME TOPIC FACILITATOR METHODS TOOLS 8.00 - 11.30 Registration Registration table Registration form AM Refreshments – water/ healthy snacks Welcome and introductions District Large group discussion Agenda on flip chart paper Objectives/ agenda Multisector Introductions Support team Stationary/ marker pens and HC staff Nutrition situation in Lao PDR District Presentation LCD and slides First 1,000 Day opportunity facilitators UNICEF framework Large group discussion Or large flip chart pictures Why sector integration is essential Overview of SBCC How do people change behaviours? - 1,000 Day Film Lao language WB Discuss experiences UNICEF framework – picture game Case studies / stories of behavior change highlight enablers and barriers Overview of Our Promise SBCC nutrition District Presentation LCD and slides approach and village level activities faciltators What are the benefits of village nutrition Or large flip chart pictures of Presentation of the village HC staff communication materials materials and approach for the community? community nutrition approach tools LCD/ Loud speaker Package of communication materials / nutrition leadership guide, events guide and home visitor guide and tools etc Discuss job descripton of Village District Presentation Slides/ flip chart with criteria for nutrition leadership, nutrition event faciltators Discussion village SBCC team and home visitors volunteers and community home visitors. Discuss criteria for community HC staff roles 43 Roles and responsibilities of district support team
B: DETAILED TRAINING EVENT SCHEDULES 3. COMMUNITY MOBILISATION – PREPARE FOR VILLAGE NUTRITION APPROACH IMPLEMENTATION TIMEFRAME TOPIC FACILITATOR METHODS TOOLS 8.00 - 11.30 Complete village 1,000 DAY household District Discussion Large flip chart paper AM register if not already complete. Check faciltators Complete register Coloured markers accuracy with community members and Health center Complete community 1,000 Day Tape update as necessary Household map staff Community 1,000 Day Household Register. Village mapping of 1,000 Day Households. Divide village into clusters of 10 – 15 1,000 DAY households per cluster 11.30 – 13.30 LUNCH 13.30 – 16.30 Meet with community to discuss and District Group discussion Criteria for village leadership, PM select village nutrition leadership and facilitators Clarify / answer questions nutriotn event volunteers selection nutrition event volunteers. Meet with Exaplain next steps Roles and responsibilities of village people nominated and their household Date and location of training event nutrition leadership and nutrition members to discuss their role in more event volunteers details. Confirm they understand role and are interested to fill this role. Criteria for village home visitor selection Meet with 1,000 Day Households per Health center Group discussion Roles and responsibilities of village cluster. Discuss selection of home staff Clarify / answer questions home visitors visitors using criteria. List nominated Exaplain next steps home visitors. Meet with home visitors and their family to discuss interest and agreement Meet with village leadership group for District Discuss/ feedback feedback and agreement on next steps facilitators Next steps HC staff 44
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B: DETAILED TRAINING EVENT SCHEDULES 4. TRAINING OF VILLAGE NUTRITION LEADERSHIP AND NUTRITION EVENTS VOLUNTEERS Purpose: To build the skills of the village nutrition Duration: 4 days leadership and nutrition event volunteers for the Venue: District meeting room planning, implementation and monitoring of the Objectives: At the end of the training workshop village nutrition activities participants will be able to: Facilitators: District Multisector Community Nutrition Support Team and Village Cluster Leaders 1. Describe the role and responsibilities of village Participants: Village Nutrition leadership and nutrition leadership, and nutrition event Nutrition Event Volunteers from 10 villages volunteers 2. Demonstrate skills for implementation of community SBCC nutrition events using Community Events Guide Book, materials and tools 3. Demonstrate how to collect, record and utilize village level nutrition activity data using Village Nutrition Leadership Guide Book 46
TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 1 Registration District Registration table -Registration form AM facilitators Powerpoint presentation -Participants folder DAY 1 Participants Introductions District Presentation -LCD Powerpoint slides PM Objectives of training facilitators Nutrition Film Laos Introduction game UNICEF framework game -Schedule on flip chart paper Overview of training schedule Small group work -Stationary/ marker pens etc ‘ How we will work together during training Slides ‘ Speaker Stationary Overview nutrition in Lao PDR District UNICEF game First 1,000 days facilitators Case studies / stories of behavior UNICEF framework change highlight enablers and Why sector integration is important barriers Overview of SBCC -Nutrition Approach and activity Review of community nutrition approach District Powerpoint presentation slides and activities facilitators Large group discussion powerpoint slides Comm unication materials Review of communication materials and LCD/ loud speaker tools for community -Powerpoint roles and responsibility Discuss/ clarify roles and responsibilities of District Powerpoint presentation slides and handbouts Village Nutrition Leadership and Nutrition facilitators Discussion Event Volunteers and home visitor volunteers Presentation of Community Nutrition District Powerpoint -Powerpoint SLIDES Leadership and Nutrition Event Volunteers facilitators Guidebook and Tools. Small group review of guidebooks and -Community Nutrition Leadership Discussion on community event activities materials Guidebook Reflection on Day 1 What went well? Small group presentation and - Communty Nutrition Event What needs clarification? discussion Voluteers Guidebook Recommendations for tomorrow? Communicaiton materials and tools 47
B: DETAILED TRAINING EVENT SCHEDULES 4. TRAINING OF VILLAGE NUTRITION LEADERSHIP AND NUTRITION EVENTS VOLUNTEERS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 2 Recap day 1 Participants Brainstorm -Copy of Day 1 schedule AM Overview of DAY 2 Participants Small group work -Explanation of group work DAY 2 with - Village Nutrition Event Volunteers PM Small group work preparation of role facilitators Guide play for organising and conducting support - Package of Communicatoin community nutrition events . materials and tools Community events quality checklist Role plays with peer feedback Community Small group role plays/ presentations Participants Peer feedback Training guide for skills building of Each small group presents one with community SBCC event volunteers community event facilitators support Community events quality checklist for peer feedback Small group Presentation work. One Large group discussion goup per village Small group presentation of community Participants Small group work presentations nutrition events Support from Reflection on Day 2 Facilitator What went well? What needs clarification? Recommendations for tomorrow? DAY 3 Recap Day 2 District Small group present Peer feedback checklist Overview of DAY 3 facilitators training sessions 48 Peer feedback Community events small group Participants presentation /practice sessions with Small group present training sessions peer feedback Peer feedback
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