1_District Implementation Guide_Scalling

‘OUR PROMISE’ ‘OUR PROMISE’ 1BOOK 'Our Promise' symbolises the commitment SBCC NUTRITION APPROACH of mothers, fathers, grandparents, family members, communities, district multisector ‘OUR PROMISE’ departments, local and national SBCC NUTRITION APPROACH government leaders in Lao PDR, to take joint action to implement small doable DISTRICT IMPLEMENTATION GUIDE actions to improve pregnant women and D I S T R I C TFOR DISTRICT MULTI-SECTOR SUPPORT TEAM young children care and nutrition. IMPLEMENTATION GUIDE 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. ‘OUR PROMISE’ SBCC NUTRITION APPROACH DISTRICT IMPLEMENTATION GUIDE FOR DISTRICT M U LT IS E CTO R N U T R I T I O N SUPPORT TEAM

‘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 AIM OF THE COMMUNITY NUTRITION APPROACH The Social and Behavior Change Communication IGMUPIDLEEMENTATION TO PREVENT CHILD MALNUTRITION AND PROMOTE GOOD HEALTH (SBCC) Sub National Plan/ Community AND NUTRITION OF PREGNANT WOMEN AND CHILDREN BY ACHIEVING 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 1 2 Social and Behavior Change Multisector team with a step by step guide for the Communication Strategy for Nutrition, Lao implementation of the community nutrition INCREASED CROSS SECTOR INCREASED QUALITY AND UPTAKE OF PDR, 2018, and adapted to the context of rural approach; linked to a package of training COLLABORATION, COMMITMENT AND HEALTH SERVICES FOR MATERNAL, ethnic communities in the northern region. The resouces and “Our Promise” communication ACTION FOR NUTRITION IMPROVEMENT development of the SBCC sub plan was informed materials. Most importantly the guide NEWBORN, CHILD HEALTH AND NUTRITION 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, INCREASED COMMUNITY OWNERSHIP, ENHANCED ENABLING ENVIRONMENT FOR representatives and district and provincial multi coordination, monitoring and supervision of PARTICIPATION AND ACTION FOR IMPROVED NUTRITION, HYGIENE AND sector government staff. The SBCC plan will community level nutrition activities. IMPROVED MATERNAL AND HEALTH SEEKING BEHAVIORS be implemented via a multisector district and YOUNG CHILD NUTRITION community nutrition approach. 4 3 The SBCC sub national plan will contribute to the achievement of the Government of Lao ENHANCED INDIVIDUAL BEHAVIORS AND PDR priority to reduce the high level of chronic HOUSEHOLD PRACTICES FOR MATERNAL malnutrition (stunting) in children under five AND YOUNG CHILD CARE AND NUTRITION years old and improve the health of mothers and young children in the northern region of Lao PDR. 5 4 5

COMMUNITY NUTRITION APPROACH 3 OVERVIEW UNDERLYING PRINCIPLES OF THE DESIGN OF THE VILLAGE NUTRITION APPROACH 1,000 DAY HOUSVEISHIOTOLDR DISTRICT NUTRITION PEER SUPPORT COMITTEE Feasible, doable Capacity building Community leadership DSUISPTPROICRTTMTUEALTMISECTOHREALTH CENTRE workload for community activiites focus on and ownership for village GROUP practical skills and MONTHLY volunteers and rural increased agency of level nutrition plan ECVOEMNMTUSNITY villagers community stakeholders implementation 7 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

4 COMMUNITY NUTRITION APPROACH 5 ROLES AND RESPONSIBILITIES IMPLEMENTATION PROCESS DISTRICT MULTISECTOR SUPPORT TEAM STEP 1 DISTRICT NUTRITION COMMITTEE DISTRICT LAUNCH EVENT WITH DISTRICT NUTRITION COMMITTEE LEADERSHIP, MONITORING AND REPORTING PROGRESS OF DISTRICT NUTRITION PLAN 1 DAY STEP 2A 4 DAYS STEP 2B 4 DAYS DISTRICT MULTISECTOR NUTRITION DISTRICT HEALTH OFFICE SUPPORT TEAM TRAINING QUARTERLY SUPPORTIVE TOT DISTRICT MULTISECTOR SUPPORT TOT DISTRICT AND HEALTH CENTRE TRAINING, QUARTERLY SUPPORTIVE SUPERVISION TO HC STAFF AND SUPERVISION TO VILLAGE NUTRITION TEAM VILLAGE VOLUNTEERS STEP 3 VILLAGE NUTRITION TEAM LEADER HEALTH CENTER TEAM COMMUNITY MOBILISATION EVENT LEADERSHIP, SUPPORT & MONITOR TRAINING& SUPPORTIVE SUPERVISION 1 DAY PER VILLAGE IMPLEMENTATION OF VILLAGE OF COMMUNITY HOME VISITOR NUTRITION ACTIVITIES VOLUNTEERS STEP 4A 4 DAYS STEP 4B 4 DAYS VILLAGE CREATIVE EVENT VILLAGE HOUSEHOLD TEAM VOLUNTEERS VISIT VOLUNTEERS TRAIN VILLAGE NUTRITION LEADER AND TRAIN OF HOME VISITOR VOLUNTEERS NUTRITION EVENT VOLUNTEERS PLAN, IMPLEMENT, REPORT PLAN, FACILITATE, REPORT 1,000 DAY MONTHLY COMMUNITY EVENTS HH VISITS & PEER SUPPORT GROUPS 8 9

6 DESCRIPTION OF ACTIVITIES IMPLEMENTATION IN 10 VILLAGES PER IMPLEMENTATION ROUND 6.1 ROLES AND RESPONSIBILITIES OF VILLAGE NUTRITION TEAM # ACTIVITY DESCRIPTION TIME NOTES VILLAGE NUTRITION 1 - Provinical multisector facilitators train 4 days 2 consecutive trainings TEAM LEADER 4 days District teams divide into smaller District Multisector Support Team 1 day teams to conduct community CRITERIA ROLES AND RESPONSIBILITIES: INCENTIVES FOR - Provincial health department facilitators train per village mobilisation events VFILOLRAGSEELNEUCTTRIOITNIOONF Support the home visitors and COMMUNITY NUTRITION community nutrition event volunteers TEAM VOLUNTEERS District Health Staff and Health Center staff 4 days 2 consecutive trainings LEADER for planning and implementation of 2 District Mutlisector Support Team conduct community SELECTED BY COMMUNITY nutrition activities. 5 Develop new skills and 4 days Maintain the village 1,000 Day household confidence mobilisation events: mapping and registration of Monthly MEMCBREITRESRUIASIBNEGLTOHWE: register and the village data tracking 1,000 Day Households; community led selection of poster. 5 Annual refresher training village nutrition team ( team leader; community event Member of the  Share nutrition plan progress with 5 Regular follow up support volunteers, home visitor volunteers) Village Development community members during village 5 Training certificate 3 - District Multisector Support Team train village Committee meetings. 5 Contribute to improved nutrition team (team leader and community event Attend quarterly health center and volunteers) Good  community volunteer meetings. health of mothers and - District health staff and health center staff leadership skills Provide quarterly reports to district young children training village home visitor volunteers nutrition committee. 5 Travel and food costs 4 Implementation of community nutrition activiites 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 Quarterly monitoring and supervision by 3 monthly 5 Community recognition District Multisector Support Team Good at recording  during meetings and and reporting events 6 Quarterly reporting from villages to information District Nutrition Committee 3 monthly Strong motivation to  7 Quarterly health center and community improve the health home visitor volunteer meetings at health center and nutrition of 3 monthly Facilitated by health center staff mothers and young children 10 11

6 DESCRIPTION OF COMMUNITY LEVEL APPROACH 6.1 ROLES AND RESPONSIBILITIES OF VILLAGE NUTRITION TEAM NUTRITION EVENT 1,000 DAY HOUSEHOLD VOLUNTEERS VISIT VOLUNTEERS CRITERIA ROLES AND RESPONSIBILITIES: INCENTIVES FOR CRITERIA ROLES AND RESPONSIBILITIES: INCENTIVES FOR FOR SELECTION OF COMMUNITY Plan and conduct monthly COMMUNITY NUTRITION FOR HOME VISIT COMMUNITY NUTRITION community nutrition events. TEAM VOLUNTEERS Work with Village Nutrition Leader and TEAM VOLUNTEERS EVENT VOLUNTEERSEVENT Provide a monthly activity report to VOLUNTEERS Health Center staff to plan home visit SELECTED BY COMMUNITY Village Nutrition Team Leader. 5 Develop new skills and SELECTED BY 1,000 DAY schedule. 5 Develop new skills and Attend quarterly Health Center and confidence Visit 1,000 Day households to support confidence MEMBERS USING THE Community Volunteer meetings as HOUSEHOLDS improved mother and child care and CRITERIA BELOW: required. 5 Annual refresher training IN THE CLUSTER WHERE nutrition practices. 5 Annual refresher 5 Regular follow up Support peer support group discussions training THEY LIVE Record home visits in the home visit support register. 5 Regular follow up Confident with  5 Training certificate Female  Report monthly activities to the Village support friendly personality 5 Contribute to improved Nutrition Team Leader. Attend quarterly health center and village 5 Training certificate Previous experience  health of mothers and Confident and  volunteer meetings as required. 5 Contribute to improved organising young children lively personality community events 5 Travel and food costs health of mothers and covered for attending Has child under  young children Motivation to  training events and 5 year’s old 5 Travel and food costs volunteer and meetings covered for attending receives family’s 5 Bag of job aids, Interested to  training events and approval to volunteer stationary. T-shirt, hat learn new skills meetings etc 5 Bag of job aids, Demonstrates creative  5 Community recognition Willing to volunteer  stationary. T-shirt, hat thinking, skills during meetings and and enough time to etc events contribute 4 hours per 5 Community recognition in music, week during meetings and dancing, singing, events entertainment Approval from other family members to  Available time at least  volunteer 4 hours per month for planning and conducting community events 12 13

6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.3 REPORTING, MONITORING AND SUPERVISION OF COMMUNITY NUTRITION ACTIVITIES 6.2 CAPACITY BUILDING FOR COMMUNITY NUTRITION TEAM STEP 1 VILLAGE NUTRITION DATA REPORTING SYSTEM DISTRICT LAUNCH EVENT WITH DISTRICT NUTRITION COMMITTEE COMPILE QUARTERLY HEALTH CENTRE REPORTS COMPILE QUARTERLY DISTRICT NUTRITION 1 DAY AND SENDS TO PROVINCIAL HEALTH DEPARTMENT ACTIVITIES REPORT TO PROVINCIAL NUTRITION DISTRICT HEALTH OFFICE COMMITTEE DISTRICT NUTRITION COMMITTEE STEP 2A 4 DAYS STEP 2B 4 DAYS TOT DISTRICT MULTISECTOR SUPPORT TEAM TOT DISTRICT AND HEALTH CENTRE STAFF COMPILEQUARTERLY COMPILE QUARTERLY HEALTH CENTRE VILLAGE NUTRITION REPORTS DISTRICT MULTISECTOR NUTRITION SUPPORT GROUP STEP 3 QUARTERLY REPORTING TO DISTRICT SUPPORT TEAM COMMUNITY MOBILISATION EVENT MONTHLY RECORDING IN 1,000 DAY HOUSEHOLD REGISTER SUMMARISE MONTHLY ACTIVITIES ON THE VILLAGE NUTRITION PLAN TRACKER POSTER 1 DAY PER VILLAGE VILLAGE NUTRITION TEAM LEADER STEP 4A 4 DAYS STEP 4B 4 DAYS MONTHLY REPORT TO MONTHLY REPORT TO VILLAGE NUTRITION TEAM LEADER VILLAGE NUTRITION TEAM LEADER TRAIN VILLAGE NUTRITION LEADER AND TRAIN HOME VISITOR VOLUNTEERS VILLAGE NUTRITION EVENT VOLUNTEERS 1,000 DAY HOUSEHOLD HOME VISITOR VOLUNTEERS NUTRITION EVENT VOLUNTEERS 14 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 17

6 DESCRIPTION OF COMMUNITY ACTIVITIES PACKAGE OF ‘OUR PROMISE’ COMMUNICATION MATERIALS 6.5 OVERVIEW OF TOOLS AND RESOURCES FOR DISTRICT AND VILLAGE NUTRITION TEAM RESOURCE DESCRIPTION PACKAGE OF ‘OUR PROMISE’ VILLAGE NUTRITION RESOURCE DESCRIPTION COMMUNITY COMMUNICATION MATERIALS TEAM LEADER PACKAGE OF ‘OUR PROMISE’ Village Nutrition Approach DISTRICT MOBILISATION GUIDE COMMUNICATION MATERIALS Implementation Guide MULTISECTOR TRAINING CURRICULUM FOR VILLAGE TEAM LEADER Community 1,000 Day Register NUTRITION AND NUTRITION EVENT Community Nutrition Activities SUPPORT TEAM DISTRICT AND VOLUNTEERS Tracker Poster HEALTH CENTER SUPPORTIVE SUPERVISION Data reporting forms AND M&E GUIDE AND DATA STAFF PACKAGE OF ‘OUR PROMISE’ COMMUNICATION MATERIALS FORMS RESOURCE DESCRIPTION RESOURCE DESCRIPTION VILLAGE 1,000 DAY HOUSEHOLD 1,000 Day Home Visit HOME VISITOR VOLUNTEERS/ and Peer Support TRAINING CURRICULUM PEER SUPPORT GROUP Group Guide FOR 1,000 DAY HOUSEHOLD VOLUNTEERS Home Visit Register HOME VISITORS PACKAGE OF ‘OUR PROMISE’ COMMUNICATION MATERIALS SUPPORTIVE SUPERVISION, RESOURCE DESCRIPTION M&E GUIDE AND DATA Village Nutrition FORMS Events Guide Village Events VILLAGE NUTRITION Register EVENT VOLUNTEERS 18 19

6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.7 COMMUNITY 1,000 DAY HOUSEHOLD VISITS 6.6 COMMUNITY NUTRITION MOBILISATION EVENT FACILITATORS: PURPOSE: OBJECTIVES: FACILITATORS: PURPOSE: The 1,000 Day Household home visit volunteers provide support to families DNISUTTRRICITTITOMENUAMLSTUIPSEPCOTROTR To promote community At the end of the community 1,000 DAY HOUSEHOLD with pregnant women and children under 2 years old to increase their 2 members of District ownership and accountability mobilisation event participants will HOME VISITORS skills and confidence to practice small doable actions, to improve the MultiSector Nutrition for the village level nutrition be able to: health and nutrition of mothers and young children. Support Team per plan, and prepare for Explain the benefits of the Home visitors record RECORDING AND REPORTING: village, plus 2 local implementation of the community nutrition approach for support group activities Home Visit Volunteers record home visits in their household visit register. HC staff nutrition activities: the village. in their home visit register Once per month they share the results with the Village Nutrition Team PACROTMI CMIUPNA NI TTYS : Orientate community Describe roles and responsibilities and share with the Village Leader who records on the Village Nutrition Activity Tracker Poster, All community members members to the village for the community nutrition Nutrition Team Leader on a and in the village 1,000 Day Households Register. Once every quarter a nutrition approach and activiites implementation. representative of the home visit volunteers takes a copy of the village including all the 1,000 Day communication materials Register all 1,000 day households in monthly basis nutrition activities tracker to report during the quarterly health Centre and households members. Register 1,000 Day the village. SUPERVISION: community volunteer meeting. 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 NTVIEULATLMARGILTEEIOADNER CSHTEEANAFLTFTEHR MDIUSLTTRIISCETCTOR VENUE: into 1,000 Day household village into smaller 1,000 Day NSUUPTPROITRIOT NGROUP Village meeting place clusters ( 10 – 15 Households household clusters. The Village Nutrition Team The Health Center Staff provide The District Nutrition Support per cluster) Use criteria to facilitate selection Leader provides support to the support to home visitors during Team provide quarterly 20 Facilitate community of the village nutrition leadership, home visit volunteers for monthly routine village visits. monitoring and supportive members to select Village nutrition event volunteers and planning of home visits and In addition, health staff facilitate supervision to the Village Nutrition Team ( Village home visitors for each cluster. reporting home visit activities. refresher skills of to home Nutrition Team. Nutrition Team Leader, Confirm dates and location for visitors during quarterly health Nutrition Event Volunteers trainings village nutrition team center community/ volunteer and 1,000 Day Households leader, nutrition event volunteers meetings. Home Visitor Volunteers). and 1,000 Day Household home visitor volunteers. 21

66 DDEESCSRCIPRTIIOPNTOIFOCNOMOMFUNCIOTYMLEMVEULNAPITPRYOAACCHTAICVTIIVTIITEIESS THE 1,000 DAY 6.7 COMMUNITY 1,000 DAY HOUSEHOLD VISITS HOUSEHOLD WALL CHART PROCESS ໄ�ໂ�! ພວກເ�ົາ ສນ� ຍາຂອງພວກເ�າົ ໃ�ຊວງ ໄ�ໂ�! ລູກຂອງພວກເ�າົ EACH 1,000 DAY HOUSEHOLD WILL SCHEDULE FOR 1,000 DAY HOUSEHOLD HOME VISITS ກ�ລ�ງຊມິ ີລກູ 1000 ມທ�ອິດຂອງຊວີ ິດ ກ�ລງ� ຊິເ�ີບໃ� RECEIVE A PERSONAL 1,000 DAY Each ‘1,000-Day’ household receive up to 9 visits as diagram below: 1 ໄ�ໂ�! ລູກຂອງພວກເ�າົ ໄ�ໂ�! ລກູ ຂອງພວກເ�ົາ HOUSEHOLD WALL CHART WITH KEY ເ�ີດແ�ວ ພອມຊິກນິ ເ�າແ�ວ 4 MESSAGES AND SPACE TO RECORD 23 THEIR PROGRESS DURING 1ST 2ND 3RD THE 1ST 1,000 DAYS. 2ND VISIT 3RD VISIT 0days 7 – 8 MONTHS PREGNANT SOON AFTER BIRTH ປີ: ______________ 456 ປີ: ______________ 4 56 ປ:ີ ______________ 456 ປ:ີ ______________ 456 WITHIN 3 DAYS 123 10 11 12 123 10 11 12 123 10 11 12 123 10 11 12 1ST VISIT 5TH 789 789 789 EARLY PREGNANCY 5TH VISIT 4TH 456 789 56 456 456 BABY 1 MONTH OLD 4TH VISIT ປີ: ______________ 10 11 12 11 12 ປີ: ______________ 10 11 12 ປ:ີ ______________ 10 11 12 6TH BABY 7 DAYS OLD 123 ປີ: ______________ 4 123 123 6TH VISIT 8TH 789 7 ຫາ 8 ເ�ອື ນ 123 10 1 ເ�ືອນ 789 7 ຫາ 8 ເ�ອື ນ 789 18 ເ�ອື ນ 6 MONTHS OLD 8TH VISIT 9TH 12 MONTHS OLD ຢຽມຢາມ: 2 ຄ�ງ 789 ຢຽມຢາມ: 2 ຄ�ງ ຢຽ ມຢາມ: 2 ຄ�ງ 7TH 1,000days 7TH VISIT ທ�ອິດທຮ ູວາ ຖພື າ ຢຽມຢາມ: 3 ຄງ� ມທີ 7 6 ເ�ອື ນ 12 ເ�ືອນ 7- 8 MONTHS OLD 9TH VISIT 1 ຫາ 3 ມ 18 MONTHS OLD 22 ຂອຍຈະເ�ມ ຈາກຮບູ ເ�ີ.........ຍອ ນວາ ຂອ ຍຖພື າ ຂອຍມີລກູ ແ�ວ ລາວອາຍ.ຸ ......ປ.ີ ......ເ�ືອນ ຊລກູ .…........….….…. ລາວເ�ີດວນ� ທ… .….….…ມຢຽມຢາມທ�ອິດວ�ນທ.ີ ….….….….…. 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: SUGGESTED PROCESS DURING PEER SUPPORT GROUP MEETING: FOLLOW UP MEETING - FACILITATORS: To support and encourage adoption of small doable actions for improved 1. Discuss issues: Home visit volunteer identifies a few topics RECOMMENDED REGULAR nutrition through: sharing experiences and problem solving with peers in a identified as areas of interest MONTHLY MEETINGS 1,000 DAY HOUSEHOLD similar situation ; watching demonstration of new skills and practicing new 2. Invite Peer support group members: to select 1- 2 priority 1. Follow up at the next peer support HOME VISITORS skills together with peers. issues that are most important to them. 3. Personalise and brainstorm: Invite group members to share group meeting: Start the next SUPERVISION: RECORDING AND REPORTING: their story and experiences with this issue? meeting by asking group members Village Nutrition Team Leader; quarterly District Multisector Nutrition 4. Facilitate discussion: invite group members to share ideas if they were able to try the new VILLAGE Support Group; health centre staff during routine village visitors. about how to resolve the issue practice? NUTRITION 5. Demonstrate Invite peers to demonstrate small doable actions 2. Congratulate all support group TEAM LEADER PROCESS OF IMPLEMENTATION: for this issue. Or facilitator offers to demonstrate and let’s members for making an effort DISTRICT During home visits volunteers explore interest in peer support groups. other group members watch and then practice 3. Invite group members who were MULTISECTOR 1,000 Day Households will decide what type of groups they would like to 6. Commit Group members commit to practice a priority able to try the new practice to NUTRITION form in their cluster according to their interest and needs. behaviour they identify or to one of the practices from today’s share their experience HEALTH Explain the various options for peer support groups: pregnant women’s topic. 4. Resolve barriers invite group CENTER STAFF group; breast feeding group; complementary feeding group, fathers 7. Ask group members to raise hands and\\or say aloud what their members to share ideas to solve the during routine group, grandparents group etc. commitment is (commitments likely vary by group member). barriers village visitors When a small group of peers are identified who have a similar interest 8. Seek support: Ask group members who in the household and 5. Repeat the process - Start with example – breast feeding mothers, bring them together to identify a good community can support them and how they can help. a new practice using the same time and place to meet. 9. Tell others: ask group members to tell household members participatory approach. If peers agree it is preferable to have a short peer group meeting every and those who couldn’t attend today’s meeting what they’ve month to provide timely support. learned and committed to. 24 25

6 DESCRIPTION OF COMMUNITY ACTIVITIES 6.8 PEER SUPPORT GROUP MEETINGS 6.9 COMMUNITY NUTRITION EVENTS MONITORING AND SUPPORTIVE SUPERVISION: The home visit volunteers record attendance at peer TOOLS: FACILITATORS: PURPOSE: group meetings in home visit register. At the end To inspire and mobilise communities to actively participate to achieve of every month, home visit volunteers share their “OUR PROMISE” improved maternal and child nutrition, hygiene and sanitation practices information with the Village Team Leader (describe 4 VIDEOS AND and enhanced food security actions in their village topics discussed, number of people attended and 4 RADIO SHOWS agreements made . The village leader records PROCESS: RECORDING AND REPORTING: attendance at peer group meetings in the Village 1,000 – depending on Day Register and records number of participants on ໄ�ໂ�! ພວກເ�າົ ສ�ນຍາຂອງພວກເ�າົ ໃ�ຊວງ ໄ�ໂ�! ລກູ ຂອງພວກເ�ົາ availability of speaker, C(2OVMVOOMLVLUUIULNNLNTIATTEGYEEEERE)RSVSEPNERT IN THE MONTH PRIOR TO Village event volunteers the Village Nutrition Tracker Poster. ກ�ລງ� ຊມິ ລີ ູກ 1000 ມທ �ອິດຂອງຊີວິດ ກ�ລ�ງຊເິ �ີບໃ� screen, tablet OR phone THE COMMUNITY EVENT record details of community SUPERVISION: Discuss with members of events and participation in the RECORDING AND 1 ໄ�ໂ�! ລກູ ຂອງພວກເ�າົ ໄ�ໂ�! ລູກຂອງພວກເ�ົາ 1,000 DAY Community Nutriiton Team and Community Events Register. ເ�ດີ ແ�ວ ພອ ມຊກິ ິນເ�າ ແ�ວ HOUSEHOLD VILLAGE community members about options At the end of each month The home visit volunteers record attendance at peer WALL CHART NUTRITION for community events share information with Village group meetings in home visit register. At the end 4 1,000 DAY TEAM LEADER Facilitate the community to select a Nutrition Team Leader who of every month, home visit volunteers share their 23 PICTURE BOOKLETS relevant topic for community event will record in the village 1,000 information with the Village Team Leader (describe DISTRICT from the Event Guide or from their Day Register and on the Village topics discussed, number of people attended and ປີ: ______________ 456 ປ:ີ ______________ 4 56 ປ:ີ ______________ 456 ປີ: ______________ 456 MULTISECTOR own ideas for events Nutrition Activity Tracker agreements made . The village leader records 123 10 11 12 123 10 11 12 123 10 11 12 123 10 11 12 NUTRITION Discuss the date, time and location Poster. attendance at peer group meetings in the Village 1,000 789 789 789 SUPPORT and inform community members Day Register and records number of participants on 456 789 56 456 456 GROUP Prepare community event the Village Nutrition Tracker Poster. ປ:ີ ______________ 10 11 12 11 12 ປ:ີ ______________ 10 11 12 ປີ: ______________ 10 11 12 schedule and materials 123 ປ:ີ ______________ 4 123 123 HEALTH Prior to the event practice 789 7 ຫາ 8 ເ�ືອນ 123 10 1 ເ�ອື ນ 789 7 ຫາ 8 ເ�ອື ນ 789 18 ເ�ອື ນ CENTER STAFF with Village Nutrition Team DURING Conduct event ຢຽມຢາມ: 2 ຄ�ງ 789 ຢຽ ມຢາມ: 2 ຄງ� ຢຽມຢາມ: 2 ຄ�ງ ROUTINE Reflect on results of event and VILLAGE record participation and learning ທ�ອິດທຮູວາ ຖພື າ ຢຽມຢາມ: 3 ຄງ� ມທີ 7 6 ເ�ອື ນ 12 ເ�ອື ນ VISITORS 1 ຫາ 3 ມ ຂອ ຍຈະເ�ມ ຈາກຮບູ ເ�.ີ ........ຍອ ນວາ ຂອ ຍຖືພາ ຂອຍມີລກູ ແ�ວ ລາວອາຍ.ຸ ......ປ.ີ ......ເ�ອື ນ ຊລ ກູ .…........….….…. ລາວເ�ີດວ�ນທ….….….…ມຢ ຽ ມຢາມທ�ອດິ ວນ� ທີ.….….….….…. 1,000 DAY TOOLS: SMALL SET OF CARDS ‘OUR PROMISE’ 6BOOK VILLAGE NUTRITION SBCC NUTRITION EVENT GUIDE – small doable actions ECOVMEMUNNTITSY NGUTURIITDIOEN PACKAGE OF SMALL FEEDING BOWL “OUR PROMISE” AND SPOON FOR VILLAGE VOLUNTEERS COMMUNICATION MATERIALS – for feeding practice 4 videos, 4 radio shows, MODEL DOLL booklets, small cards, 1,000 Day Household Posters – for breast feeding demonstration SMALL PRIZES 26 “Our Promise” hats, 27 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: PROCESS OF IMPLEMENTATION: TOOLS: To strengthen the linkages between health In the month prior to quarterly meeting discuss HEALTH STAFF Centre staff and community volunteers with district health office and village volunteers QUALITY BENCHMARK FORM FOR HEALTH WITH SUPPORT FROM DISTRICT by providing regular quarterly support to and set date and location for the meeting. CENTRE AND COMMUNITY VOLUNTEER MNCH(MOTHER NEW BORN CHILD HEALTH) village volunteers and facilitating sharing Invite Village Nutrition Team Leader and MEETINGS of achievements, learning, and regular 1 representative of home visit volunteers HEALTH CENTRE COMMUNITY SUPERVISORS AS AVAILABLE practice of skills required for home visit and from each village in the HC coverage area to NUTRITION REGISTER AND QUARTERLY peer group meetings. participate. REPORTING FORM Request village participants to bring quarterly SUPERVISION: RECORDING AND REPORTING: activity report to meeting. MODEL DOLL Health Centre staff record quarterly Prepare agenda and logistics (morning agenda – for breast feeding demonstration meetings in Health Centre Community for health staff and volunteers to share VILLAGE Nutrition Register and complete quarterly information, discuss learning and plan for next PACKAGE OF “OUR PROMISE” NUTRITION community nutrition form and send with quarter activities. Afternoon skills building COMMUNICATION MATERIALS TEAM LEADER DHIS2(District Health Information System2 ) practice sessoin with peer feedback). 4 videos, 4 radio shows, booklets, small cards, data to district health office. Record results of meeting in HC Village 1,000 Day Household Posters DISTRICT Nutrition Activity Register and Quarterly MULTISECTOR Nutrition Activity reporting form. ‘OUR PROMISE’ 7BOOK HOME VISIT AND PEER SUPPORT NUTRITION SBCC NUTRITION APPROACH GROUP GUIDE SUPPORT GROUP HEALTH HOME VISIT GUIDE CENTER STAFF FOR HOME VOLUNTEERS DURING ROUTINE VILLAGE VISITORS 28 29

APPENDICES A. SUMMARY DISTRICT AND COMMUNITY NUTRITION TEAMS, ROLES, RESPONSIBILITIES AND TOOLS B. DETAILED TRAINING EVENT SCHEDULES 30 31

A: SUMMARY DISTRICT AND COMMUNITY NUTRITION TEAMS ROLES, RESPONSIBILITIES AND TOOLS # TEAM DESCRIPTION ROLES AND RESPONSIBILITIES TOOLS # TEAM DESCRIPTION ROLES AND RESPONSIBILITIES TOOLS 1 PROVINCIAL NUTRITION Supportive Supervision Guide 5 HEALTH CENTER STAFF • Capacity Building of District Nutrition Committee • Skills building of home visit/ peer support group Skills building Guide for ‘Home visit volunteers/ COMMITTEE • Supportive supervision of district nutrition facilitator volunteers peer support group facilitators Supportive supervision Guide committee • Quarterly monitoring and supervision support to Community Nutrition Activities Register • Data tracking and data utilisation home visit/ peer support group volunteers M&E Guide and Tools 2 DISTRICT NUTRITION • Planning, coordination, monitoring and reporting “Our Promise” District Community Nutrition • Data collection, reporting and utilisation COMMITTEE of district nutrition plan Approach Implementation Guide and communication materials 6 VILLAGE NUTRITION • Develop community SBCC plan Village Nutrition Team Leader Guide • Quarterly District Nutrition Committee Meetings Supportive Supervision Guide TEAM • Supportive supervision of District Nutrition M&E Guide and Forms • Support implementation of the village plan and Community Mobilisation Events Guide Team Leader ( member of monitor and record progress Support team the village development • Conduct monthly community mobilisation events Home visit and Peer Support Group Facilitator • Data tracking, data utilisation and sharing committee ) • Conduct home visits to pregnant women and volunteers Guide • Community event 1,000 Day Household Register 3 DISTRICT CROSS SECTOR • Mobilise villages for Nutrition Approach “Our Promise” District Community Nutrition parents with children under 2 years Village Nutrition Activity Tracker NUTRITION SUPPORT • Support development of village nutrition plans Approach Implementation Guide volunteers • Facilitate peer support group sessions Village M&E Guide and Tools TEAM • Support selection of community mobilisers and Community Mobilisation Guide • Home visit / peer support • Record, report and utilise data • Cluster Leaders Supportive Supervision Guide • Agriculture home visitor volunteers M&E Guide and Tools group volunteers • Health • Skills building of community mobilisers • Lao Women’s Union • Quarterly monitoring and supervision to selected 7 DEVELOPMENT • Support Provincial facilitators for training of SBCC “ Our Promise” Implementation Guide • Education PARTNERS District Cross Sector Nutrition Support Team Links to package of training and • Rural Development villages • District project officers communication tools • Data collection, reporting and utilisation • Health program technical • Support District Nutrition Committee and District M&E Guide and Tools team Nutrition Support Team for: 4 DISTRICT HEALTH OFFICE • Membership of the District Cross Sector Nutrition Skills building Guide for ‘Home visit volunteers/ • WASH officers » Support planning and conducting Support Team peer support group facilitators’ • Gender officers trainings at district Supportive supervision guide » Mobilising communities • Skills building of health center staff M&E Guide and Tools » Selection of village SBCC team • Skills building of home visit / peer support group Quality Benchmark tools » Quarterly monitoring and supportive supervision volunteers » Analising, reporting and utilisation of data • Quarterly monitoring and supervision to health centers and selected villages 32 33

TIMEFRAME TOPIC FACILITATOR METHODS TOOLS B: DETAILED TRAINING EVENT SCHEDULES 8.00–8.30 Registration District governor Registration table Registration form Provincial Speech Participants folder 1. DISTRICT COMMUNITY NUTRITION APPROACH LAUNCH 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 Purpose: Raise awareness among key district Duration: 1 day per district 09.15-9.40 Overview of nutrition Lao PDR Provincial presentation Powerpoint stakeholders about the community nutrition Venue: District government meeting room Overview of National Nutrition facilitators Participant handouts approach and materials; develop district Objectives: At the end of the workshop participants Strategy Provincial Powerpoint multisector community nutrition support plan will be able to: and National SBCC plan facilitators presentation Powerpoint Facilitators: Provincial multisector representatives 1,000 Day Households Presentation: Nutrition slides/Video (agriculture, LWU, health, education, rural 1. Explain the community nutrition Review UNICEF framework etc development, with support from development implementation approach and describe the Why sector integration is essential Participant handouts partners) activities and tools District Implementation Guide Participants: District, deputy governor, district 09.45–10.30 Present Community Nutrition nutrition committee, district sector staff, cluster 2. Describe the roles and responsibilities of Approach (SBCC), District Samples of communication village leaders, development partners various stakeholders implemention guide and monitoring materials and reosurces and evaluation plan and tools Speakers for music and video 3. Introduce the district multisector community District implementation guide nutrition support team 10.30–10 45 COFFEE 4. Develop a district community nutrition support 10.45– Viewing of communication materials, Provincial plan 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 34 16.15–16.30 Summary of Day 35 Closing

B: DETAILED TRAINING EVENT SCHEDULES 2.DISTRICT MULTISECTOR COMMUNITY NUTRITION SUPPORT TEAM TRAINING TIMEFRAME TOPIC FACILITATOR METHODS TOOLS -Registration form DAY 1 Registration Registration table -Participants folder AM -LCD Powerpoint slides Purpose: To build the skills of the District Duration: 4 days Introduction game Multisector Nutrition Support Team to: mobilise Venue: district government meeting room Participants Introductions Provincial Powerpoint presentation -Schedule on flip chart paper communities for implementation of the community Objectives: At the end of the workshop participants Objectives of training facilitators -Stationary/ marker pens etc nutrition approach; facilitate training of community will be able to: Overview of training schedule nutrition leaders ( Community Development ‘ How we will work together during Slides Committee) and nutrition events volunteers, 1. Demonstrate how to plan and conduct training ‘ Flip chart paper, pens and provide quarterly supportive supervision to community mobilisation for community community. nutrition approach using Community Overview of nutrition Lao PDR Provincial Powerpoint presentation Slide presentation Facilitators: Provincial multisector representatives Mobilisation Guide and resources 1,000 Day Households facilitators Group discussion Case studies / stories of behavior with support from development partners UNICEF framework change including enablers and Participants: District multisector community 2. Develop District Support Team work plan Why sector integration is essential barriers nutrition support team ( agriculture, LWU, to support community nutrition approach • Community nutrition education, health, rural development and cluster implementation Overview” What is SBCC and present Provincial Powerpoint presentation leaders from target villages) summary of SBCC plan facilitators Group discussion approach powerpoint slides 3. Decribe the topics in the Community Training • District Implementation Guide Guide and demonstrate facilitation skills for (Community Nutrition Approach) • Community Leaders Guide training community nutrition leaders and • Community Events Guide nutrition event volunteers Review of communication materials Provincial Powerpoint presentation • Package of communication Review of District Implementation facilitators Small groups review community 4. Demonstrate how to conduct quarterly Guide and community activiites leaders guide materials supportive supervision to communities using Review of community tools Community event guide and tools • LCD/ loud speaker/ films/ M&E tools Community Nutrition Leadership Guide Community Events music Volunteers’ Guide 36 37

B: DETAILED TRAINING EVENT SCHEDULES 2.DISTRICT MULTISECTOR COMMUNITY NUTRITION SUPPORT TEAM TRAINING TIMEFRAME TOPIC FACILITATOR METHODS TOOLS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS - Powerpoint roles and DAY 1 Discuss/clarify roles and Provincial Powerpoint presentation responsibiies slide DAY 2 Small group work. Preparation of Participants Explain group work LCD, Speakers, Stationary PM responsibilities of District facilitators Large group AM group presentation/ role play for with Explain quality checklist Package of communication Multisector Community Nutrition Discussion District Implementation Guide implementation of community facilitators Small group work x 5 groups materials Support team, community Flip charts/ stationar mobilisation activities support Prepare role plays of • Community Mobilisation Guide nutrition leadership, community implementation of various activities • Criteria for community event event volunteers and home visitor for community mobilisation: volunteers volunteers; STEPS • Criteria for home visitors and DAY 1 Overview of steps for planning and Provincial Powerpoint • Powerpoint 1. Introduction: Background 1,000 PM implementation of community facilitators Large group discussion Community • Community Mobilisation support group facilitators mobilisation event Mobilisation Guide Days. Overview of community • Example of 1,000 day mapping Guide nutrition approach and materials REFLECTION ON DAY 1 • Criteria for community event 2. Village mapping of 1,000 day process What went well? households • Community register for 1,000 What needs clarification? volunteers; 3. Registration of 1,000 day Recommendations for tomorrow? • Criteria for home visitors and households day households 4. Selection of community event support group facilitators volunteers Peer feedback quality checklist • Example of 1,000 day 5. Selection of home visitors and support group facilitators mapping process DAY 2 Recap day 1 Participants Brainstorm/ game • Template for community Community mobilisation skills role Provincial Small group role plays/ Peer review quality checklist AM Overview of DAY 2 plays with peer feedback faciitators presentations register for 1,000 day (15 minutes per group) households Peer feedback - Copy of Day 1 schedule 1. Introduction of community Participants 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 38 39

B: DETAILED TRAINING EVENT SCHEDULES 2.DISTRICT MULTISECTOR COMMUNITY NUTRITION SUPPORT TEAM TRAINING TIMEFRAME TOPIC FACILITATOR METHODS TOOLS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 2 Review of Training Guide for Provincial Presentation Training guide for skills building DAY 4 Preparation for small group work Facilitator Small group work Explanation of small group work PM Community Nutrition Leaders and facilitators Large group discussion of community nutrition event AM Event volunteers and volunteers Demonstrate supportive supervision Case studies for group work role Assign sessions to district faciitators participants List of sessions to assign group skills using mentoring approch plays work Peer feedback checklist for quality supportive supervision Preparation of session plans Participants Small group work Instructions for small group DAY 4 Small group work role plays with Facilitator Small group work role plays with Checklist for quality supportive Facilitator work PM peer feedback peer feedback supervision REFLECTION ON DAY 2 What went well? Present M&E tools and reporting Facilitator Present M&E tools and discuss Data forms What needs clarification? system Small group work practice Village case studies Recommendations for tomorrow? Practice completing M&E forms using case study data DAY 3 Recap Day 2 Provincial Participants feedback Agenda for Day 3 Facilitator Large group discussion Training evaluation form Overview of DAY 3 facilitators Reflection on training Presentation Powerpoint slides with summary Training Evaluation Complete forms next steps District facilitators practice Participants Small group present Peer feedback quality checklist Summary of next steps facilitation of sessions with peer training sessions Closing 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 41

B: DETAILED TRAINING EVENT SCHEDULES TIMEFRAME TOPIC FACILITATOR METHODS TOOLS 3. COMMUNITY MOBILISATION – PREPARE FOR VILLAGE NUTRITION APPROACH IMPLEMENTATION 8.00 - 11.30 Registration Registration table Registration form AM Purpose: To promote community ownership Duration: 1 day per village Refreshments – water/ healthy and accountability for the village level nutrition Venue: Village meeting place snacks 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: Welcome and introductions District Large group discussion Agenda on flip chart paper members to the nutrition approach, activities Objectives/ agenda Multisector Introductions and communication materials; map 1,000 day 1. Explain the benefits of the community nutrition Support team Stationary/ marker pens households and guide community members for approach for the village and HC staff selection of community nutrition leadership, nutrition event volunteers and home visitor 2. Describe their role and responsibilities for the Nutrition situation in Lao PDR District Presentation LCD and slides volunteers. community nutrition activities implementation First 1,000 Day opportunity facilitators Facilitators: 2 members of district multisector UNICEF framework Large group discussion Or large flip chart pictures Community Nutrition Support Team per village plus 3. Register all First 1,000 day households in the Why sector integration is essential 2 local HC staff village Overview of SBCC How do people change behaviours? - 1,000 Day Film Lao language WB Community participants: as many community Discuss experiences members as available, especially the 1,000 Day 4. Map the village, identify all 1,000 Day UNICEF framework – picture game households. Households and divide the village into smaller 1,000 Day household clusters Case studies / stories of behavior change highlight enablers and 5. Use criteria to facilitate selection of the village barriers nutrition leadership, nutrition event volunteers and home visitors for each cluster. Confirm Overview of Our Promise SBCC nutrition District Presentation LCD and slides dates and location for trainings for village approach and village level activities faciltators nutrition leadership, nutrition event volunteers What are the benefits of village nutrition Or large flip chart pictures of and home visitor volunteers. 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 42 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 45

B: DETAILED TRAINING EVENT SCHEDULES TIMEFRAME TOPIC FACILITATOR METHODS TOOLS 4. TRAINING OF VILLAGE NUTRITION LEADERSHIP AND NUTRITION EVENTS VOLUNTEERS DAY 1 Registration District Registration table -Registration form AM facilitators Powerpoint presentation -Participants folder Purpose: To build the skills of the village nutrition Duration: 4 days leadership and nutrition event volunteers for the Venue: District meeting room DAY 1 Participants Introductions District Presentation -LCD Powerpoint slides planning, implementation and monitoring of the Objectives: At the end of the training workshop PM Objectives of training facilitators Nutrition Film Laos Introduction game village nutrition activities participants will be able to: UNICEF framework game -Schedule on flip chart paper Facilitators: District Multisector Community Overview of training schedule Small group work -Stationary/ marker pens etc 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 ‘ How we will work together during training Slides Nutrition Event Volunteers from 10 villages volunteers ‘ Speaker Stationary 2. Demonstrate skills for implementation of Overview nutrition in Lao PDR District UNICEF game community SBCC nutrition events using First 1,000 days facilitators Case studies / stories of behavior Community Events Guide Book, materials and UNICEF framework change highlight enablers and tools Why sector integration is important barriers Overview of SBCC 3. Demonstrate how to collect, record and utilize -Nutrition Approach and activity village level nutrition activity data using Village Review of community nutrition approach District Powerpoint presentation slides Nutrition Leadership Guide Book 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 46 47

B: DETAILED TRAINING EVENT SCHEDULES 4. TRAINING OF VILLAGE NUTRITION LEADERSHIP AND NUTRITION EVENTS VOLUNTEERS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 2 Recap day 1 Participants Brainstorm -Copy of Day 1 schedule DAY 3 Reflection Day 3 Facilitator Reflection questions AM What went well? Overview of DAY 2 Participants Small group work -Explanation of group work What needs clarification? DAY 2 with - Village Nutrition Event Volunteers Recommendations for tomorrow? PM Small group work preparation of role facilitators Guide play for organising and conducting support - Package of Communicatoin DAY 4 Recap of Day 3 Facilitator Brainstorm Powerpoint slides community nutrition events . materials and tools AM Overview of DAY 4 Facilitator Large group discussion Community events quality checklist Supportive supervision – key points Role plays with peer feedback Community Small group role plays/ presentations Introduction to supportive supervision Facilitator Presentation on flip chart paper Participants Peer feedback Training guide for skills building of for community nutrition activities Large group discussion Each small group presents one with community SBCC event volunteers Introduce mentoring skills for Practice supportive supervision skills community event facilitators supportive supervision support Community events quality checklist for peer feedback Present M&E tools Small group work Powerpoint slides of M&E process Small group Presentation Practice M&E skills in small groups Practice completing M&E using case and tools work. One Large group discussion studies M&E forms goup per Presentation/ discussion Case studies for practice of M&E village Explanation of small group work Small group work role plays with peer M&E forms Small group presentation of community Participants Small group work presentations feedback Case studies for practice of M&E nutrition events Group presentations SLIDES Support from Development of Village Facilitator With peer feedback Planning template Reflection on Day 2 Facilitator Large group discussion Nutrition Activities Implementation Plan Presentation Training evaluation form What went well? Complete forms Powerpoint slides with summary Presentation of community nutrition Facilitator next steps What needs clarification? plan Recommendations for tomorrow? DAY 3 Recap Day 2 District Small group present Reflection on training Facilitator Overview of DAY 3 facilitators training sessions Training Evaluation 48 Peer feedback Peer feedback checklist Summary of next steps Community events small group Participants Closing presentation /practice sessions with Small group present training sessions peer feedback Peer feedback 49

B: DETAILED TRAINING EVENT SCHEDULES 5. TOT FOR DISTRICT AND HEALTH CENTER STAFF: FACILITATION OF HOME VISITOR VOLUNTEERS TRAINING FOR CONDUCTING 1,000 DAY HOUSEHOLD VISITS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS Purpose: To strengthen the skills of district and Duration: 4 days DAY 1 Registration Registration table • Registration form health center staff to facilitate skills building of AM • Participants folder home visitor volunteer skills for conducting 1,000 Venue: District meeting room Participants Introductions Day Household visits Objectives of training Provincial Powerpoint presentation • LCD Powerpoint slides Facilitators: Provincial Health Department MNCH Objectives: At the end of the training workshop Overview of training schedule facilitators Introduction game and Provincial nutrition facilitators participants will be able to: ‘ How we will work together’ • Schedule on flip chart paper Participants: District MNCH and Health Center staff • Stationary/marker pens (2 staff from each health center) 1. Describe their role and responsibilities for supporting implementation of village nutrition Review nutrition in Lao PDR Provincial Presentation Slides activities First 1,000 days facilitators Film Speaker UNICEF framework UNICEF framework game Stationary 2. Describe the role and responsibilities of village Why sector integration is important Small group work UNICEF game home visitor volunteers Overview of SBCC Provincial Powerpoint SLIDE presentation 3. Demonstrate skills for facilitating skills facilitators Group discussion Case studies/stories of behavior building for village home visitor using home change highlight enablers and visitor training guide, home visitor guidebook, barriers communication materials and tools Review of community nutrition Provincial Presentation • Nutrition Approach and activity 4. Demonstrate how to conduct supportive approach and activities facilitators Present 1,000 day household wall chart slides supervision using mentor approach, to support Present home visits and tools in detail and discuss each visit, tools and small home visitor volunteers Discuss objectives of home visits doable actions Communication materials LCD/ loud speaker 5. Demonstrate how to collect, record and utilize Village level implementation guides for home visitor volunteers and peer support groups 50 51

B: DETAILED TRAINING EVENT SCHEDULES 5. TOT FOR DISTRICT AND HEALTH CENTER STAFF: FACILITATION OF HOME VISITOR VOLUNTEERS TRAINING FOR CONDUCTING 1,000 DAY HOUSEHOLD VISITS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS DAY 1 Discuss/clarify roles and responsibilities Provincial Powerpoint presentation • Powerpoint roles and PM of district and health center staff for facilitators Discussion responsibilities slides and community nutrition approach handbouts Discuss roles and responsibilities of community home visitor volunteers Presentation of Home Visitor Volunteers Provincial Presentation • Powerpoint SLIDES Guidebook facilitators Small group review of guidebook and • Home visitors Volunteers Discuss skills required for home visits materials Role plays of 1,000 Day Visits with peer Facilitators demonstrate skills for home Guidebook feedback visit Home visit quality checklist Small group role plays practice home Communicaiton materials and tools REFLECTION ON DAY 1 visits with peer feedback Home visitor register book What went well? Large group discussion 1,000 Day Household Wall Chart What needs clarification? Role play scenario for home visits Recommendations for tomorrow? DAY 2 Recap day 1 Participants Brainstorm • Copy of Day 1 schedule AM Overview of DAY 2 Present Skills Building Training Facilitators Presentation Home visitors training curriculum 52 Curriculum for Village Home visitors Facilitators Large group review Home visitors guidebook Small group detailed review of training Communication materials, M&E Review Adult learning principles sessions tools Review and demonstrate good Questoins and answers facilitation skills Review and demonstrate Presentation SLIDES mentoring skills Small group role plays of skills Good facilitation skills checklist Group feedback Practice skills building session instructions 53

B: DETAILED TRAINING EVENT SCHEDULES TIMEFRAME TOPIC FACILITATOR METHODS TOOLS Registration table 6. TRAINING OF COMMUNITY HOME VISITOR VOLUNTEERS -Registration form -Participants folder DAY 1 Registration AM -Training schedule on flip chart Purpose: To build the skills of community home visitors Duration: 4 days paper to conduct home visits to 1,000 Day Households to Participants Introductions District / HC Presentation Introduction game promote improved practices for maternal child health Venue: Nearest Health Center to the target villages, or Objectives of training facilitators -Stationary/ marker pens etc and nutrition suitable training location close to villages. Overview of training schedule ‘ How we will work together during Flip chart paper/ pens Facilitators: District and Health Center MCH and Objectives: At the end of the training workshop training ‘ Nutrition Video (WB) Nutrition Staff participants will be able to: Speaker Review nutrition in Lao PDR District / HC Presentation Stationary Participants: Approx 4 volunteers per village x 5 villagers 1. Describe their role and responsibilities for First 1,000 days facilitators Film UNICEF game per training implementation of village nutrition activities UNICEF framework UNICEF framework game Why sector integration is important Case studies / stories of behavior 2. Demonstrate skills for planning and facilitating change highlight enablers and 1,000 Day Home Visits Overview of SBCC District / HC Story telling barriers Review of community nutrition facilitators Group discussion 3. Demonstrate how to collect, record and report data approach activities, communication District / HC Sharing personal experiences of Flip chart paper uasing the home visitor register materials and resources facilitators motherhood LCD Speakers/ video/ song Presentation of Nutrition Activity Set of SBCC communication Pictures on flip chart paper materials 1,000 Day Household Wall Chart 54 55

B: DETAILED TRAINING EVENT SCHEDULES 6. TRAINING OF COMMUNITY HOME VISITOR VOLUNTEERS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS TIMEFRAME TOPIC FACILITATOR METHODS TOOLS Flip chart paper with pictures DAY 1 Discuss roles and responsibilities of District / HC Large goup discussion of home visitors roles and DAY 2 Preparation for facilitation Participants Small group work Small group task description AM community home visitor volunteers and facilitators Small group review of home visit responsibilities PM practice sessions with Assign sessions to groups Peer feedback quality facilitation guidebook Home Visitor Guidebook facilitators Peer feedback using facilitation skills checklist district and HC staff Questions and answers support checklist List of sessions for practice and 1,000 DAY Household Wall Chart feedback Present content of home visitor Booklets for each phase Copy of Community Home Visitors GUIDEBOOK Small picture cards of small doable training guide for each participant actions Home visitor guide DAY 1 Introduce home visits District / HC Presentation Home visitor Guidebook Communication materials PM Present purpose of home visits, facilitators Discussion Small group review of tools and Flip chart paper Review previous day questions/ Discuss 4 phases of 1,000 days, questions / answer session Pens game 9 home visits small doable actions for Reflection questions -Copy of training schedule Preparation for facilitation Small group Small group work continued each phase. Use small booklet to discuss practice sessions work small doable actions for each phase of Facilitator Large group 1,000 days REFLECTION ON DAY 2 Participants Discussion What went well? Present materials for home visits What needs clarification? Recommendations for tomorrow? REFLECTION ON DAY 1 District / HC Facilitator Large group discussion Training evaluation form What went well? facilitators Reflection on training Presentation Powerpoint slides with summary What needs clarification? Training Evaluation Complete forms next steps Recommendations for tomorrow? Summary of next steps Closing DAY 2 Recap day 1 Participants Brainstorm. Large group feedback AM Overview of DAY 2 RECAP DAY 2 DAY 3 OVERVIEW OF DAY 3 Provincial Small group present training sessions Peer feedback quality facitation AM facilitators Peer feedback checklist Facilitation of sessions - participants practice with peer feedback Participants Facilitation of sessions Peer feedback quality facilitation Peer feedback checklist 56 57

B: DETAILED TRAINING EVENT SCHEDULES 7. TRAINING OF SKILLS FACILITATION TO PEER SUPPORT GROUP- HOUSEHOLD HOME VISITOR VOLUNTEER 6. TRAINING OF COMMUNITY HOME VISITOR VOLUNTEERS (3 months after training household home visiting) During ½ day Qarterly training workshop for household home visitor TIMEFRAME TOPIC FACILITATOR METHODS TOOLS volunteer, health center. Facilitator Reflection questions DAY 3 REFLECTION DAY 3 AM 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 Presentation SLIDES - supportive supervision Purpose: To strengthen the skills of community home Duration: ½ day during the afternoon sessions Health Introduction to supportive supervision Facilitator Large group discussion stpes vitsitor team, and facilitate to the peers support groups center, and household home vitsitor volunteer meetings for home visitors Supportive supervision checklist for and the member of 1,000 day households who live in Presentation peer feedback their cluster, to promote and implement to improve Venue: Nearest Health Center or the villages with Review of mentoring for supportive Faciltators Discussion Mentor approach to supportive maternal and child health and nutrition. suitable training location which close to villages. supervision of home visitors Small group demonstrations supervision Small group work with peer feedback Facilitator: Maternity, and child health promotion staff, Objectives: At the end of the training workshop Practice supportive supervision skills Facilitator Explanation of small group work Health center staff ,and district nutrition support team. participants will be able to: in small groups Participants Case scenarios for group work Supportive supervision checklist Participants: Appox 4 volunteers per village 5 villages per 1. Demonstrate of skills for the peers support group traning. 2. Demonstrate of skills for facilitation peer support group 3. Recording training workshop for peer group in to home registration form. DAY 4 M&E Guide and Forms Facilitator Presentations Presentation PM Planning for training community home Small group pracitce completion of M&E forms visitors. Assigning sessions, preparation forms Examples of village data for practice of materials etc Large group discussion session M&E 58 59