CDI Module 15: Roles of Local Government Area CDI Team Members

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The Johns Hopkins UniversityA Training Program on Community- Directed Intervention (CDI) to Improve Access to Essential Health Services

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Module 15 Objectives

By the end of this module, learners will: Describe local government area (LGA)/district

core team members and their roles Explain division of labor among various core

team members Define a program coordinator and a facilitator—

who they are and what they do Describe components of a work plan and its

development process

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State/Municipal Core TeamsTrain LGA/District Teams

State/provincial teams will step-down or cascade the training of facilitators for community-directed intervention/integrated community case management (CDI/iCCM) to LGA/district level teams

District teams includepeople involved in:

Malaria control Onchocerciasis (river blindness)

control Maternal and child health (MCH) Monitoring and evaluation (M&E) Procurement, logistics, supplies Health education and mobilization Other health interventions

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Involve all LGA/District MembersWho Were Trained

The team may not be limited to the health department but may include people with relevant skills from finance, agriculture, education and community development, to name a few

If someone attends training, be sure she or he continues to work with the team

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Division of Work amongLGA/District CDI Team Members

Team member responsibility

Suggested number

Comment

Program coordination

1‒2Malaria focal person and CDTI (oncho) focal person, if available

BCC, mobilization, work with CSOs

2Include people outside the health department

Procurement, logistics, supplies

1

Facilitators 3‒4Consider people who show good facilitation skills

M&E, documentation 1‒2

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The Program Coordinator’s Tasks

The program coordinator: Maintains communication among all team members Leads work plan development Leads monthly review of work plan among team members Provides overall facilitation and supervision for CDI activities Liaises with government agencies (such as the Local

Government Service Commission [LGSC]) and facilitators to ensure that trained facility staff are not frequently—and without restriction—transferred away from the local area where they were originally intended to work

Liaises with other teams promoting community and household key practices at the LGA/district level to ensure cohesion and leveraging of resources

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Suggest Additional Tasks for the Coordinator

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Tasks for BCC and Mobilization

BCC and mobilization tasks include: Obtaining stocks of relevant behavior change communication

(BCC) materials from the Ministry of Health (MOH) and partners Disseminating materials to facilities and community-directed

distributors (CDDs), and orienting them to proper use Conducting community meetings to:

Introduce CDI Select CDDs Obtain community member support for the CDDs

Conducting CDI/iCCM information sessions with community-based organizations (CBOs) and community leaders

Recruiting local civil society organizations (CSOs) to assist with education and advocacy efforts

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Suggest Other Tasks for BCC, Mobilization

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Tasks for Procurement, Logistics, Supplies

Tasks for procurement, logistics and supplies include: Forecasting and ordering adequate medicines and supplies to

meet CDI/iCCM needs Working with primary health care (PHC) facilities to refine their

forecasting, including their determination of community supply needs

Helping PHC facilities set up adequate and safe storage for all CDI/iCCM medicines and supplies

Guiding PHC facilities in the logistics management and information system (LMIS), including the needs for the CDDs they supervise

Working with CDI focal persons to provide supportive supervision and ensure that CDDs store medicines properly and appropriately

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Suggest Additional Work for Procurement

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The Facilitator’s Tasks

The facilitator: Develops a training plan for PHC facility staff Develops, with the PHC facility CDI focal person, a

training plan for CDDs Reviews CDI/iCCM curricula to ensure local relevance

and adaptation, as needed Arranges training venues and adequate logistics Keeps records of all training activities and learners Facilitates PHC facility training Supervises CDD training by PHC facility staff Conducts supportive follow-up supervision

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Suggest Additional Tasks for the District CDI Facilitator

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Tasks for M&E, Documentation

Tasks for M&E, documentation include: Ensuring that LGA/district recording and reporting forms

capture all CDI/iCCM activities and services Orienting PHC facility staff and CDDs to the correct use of

forms and the need for accurate and timely reporting Supervising data collection at the community and PHC

facility levels, and ensuring that data are forwarded to the next level

Ensuring that CDD data are included in PHC facility summary forms

Documenting all CDI/iCCM activities (reports, photos, etc.), including success stories and challenges

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Suggest Additional Tasks for M&E

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First Team Task—Develop a Work Plan

Activities, steps

Datesfrom … to

Responsible persons or groups

Resources Indicators of success

1. Train facility staff

2. Help facility staff mobilize communities

3. Obtain needed medicines

• Brainstorm a list of key activities needed to implement CDI/iCCM in the LGA/district

• Divide into LGA/district groupings• Produce draft work plan• Share with other teams• Use feedback to improve on plan• Revise plan again at home

4, Help facilities train CDDs

Actually conduct this planning exercise as a practical component of the training

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Summary Activity

Who should be members of the district team? What are the different roles for team members to

perform? For each role mentioned, what are examples of

tasks for those persons? What are the components of our district action

plans? (Learners can wrap up the session by

presenting their sample action plans)