International Federation of R ed Cross and Red Crescent Societies

Community-Based Health a nd First Aid (CBHFA) in Action Master Facilit ators Workshop Rarotonga,

th th 10 – 16 March 2008

REP ORT

Hosted by Cook Islands R ed Cross Society and IFRC

Rarotonga CBH&FA workshop report 1

Introduction The Pacific regional Community Based Health and First Aid (CBH&FA) workshop was conducted in Rarotonga, Cook Islands, from 10th – 16th March 2008. This workshop, the second of its kind globally (first held in Bogor, Indonesia from 26th June – 4th July 2007), aimed to sensitize and empower Pacific participants to be master facilitators of the revitalized CBFA in Action approach and tools. The workshop was attended by nineteen (19) participants, who came from six different Pacific national societies (Cook Islands, Fiji, Samoa, Solomon, Papua New Guinea, New Zealand), with the majority of them from Cook Islands Red Cross (See Annex 1).

The agenda for the workshop (See Annex 2) focused on orienting the participants to the volunteer manual with a special focus on modules 1 – 3. The topics for presentations/group work included – Red Cross values and principles, community sensitization, tools for community assessment, basic first aid, HIV, dengue, nutrition, road safety, etc.

Process The Master Facilitators Workshop was designed to reflect the CBFA in Action approach, i.e. by using a flexible learning schedule and participatory methodology to simulate a compressed CBFA process. The workshop utilized various methodologies, with a particular emphasis on having participants facilitate the sessions themselves, to encourage greater comfort with unconventional facilitation methods and an experimental learning environment.

The week was facilitated using the CBFA in Action Volunteers Manual, following the manual’s modular structure and including a community visit on Day 3 in order for the participant to apply in practice the learning of the first two days.

Daily highlights are listed below, with a more detailed agenda in Annex 2.

Day 1: Understanding the NS working context and Module

Day 1 introduced the Workshop by engaging participants from the beginning and ‘setting the stage’ for an unconventionally facilitated workshop. Participants were asked to facilitate group exercises immediately, starting with synthesizing participant expectations for the week. Presentations on the pre-workshop ‘homework’ on mapping National Society HQ/Branch activities were given (See Annex 3).

The participants described the main activities, gaps and strengths of their NSs. A pre-workshop self-assessment was completed (See Pre and Post-Workshop self-assessment results – Annex 4). Module1 of the volunteer’s manual was introduced and facilitated through group exercises.

Key Messages and Outcomes – Day 1 · Sharing experiences and challenges from different national societies/branches is a valued exercise

· There are common priorities among national societies in the Pacific · Red Cross Red Crescent knowledge is a fundamental requirement for all volunteers working in the community

NHQ/Branch presentations: Main Activities, Gaps and Strengths Activities: Community based health and First Aid, HIV / Blood

Gaps: Finance and technical, monitoring and evaluation and reporting, certified trainers (including volunteers) Strengths/solutions: standardize monitoring/evaluation/reporting by leaving a paper trail (reporting), story telling, external M&E&R, feedback/accountability

Rarotonga CBH&FA workshop report 2

D ay 2: Effective Communication and Community Assessment

Day 2 focused on skills for effective communication by working through Module 2 and introduced the Module 3 tools used for community assessments. Konio (PNGRC) and Charlie (CIRC) shared their experiences on working with the community Key Messages and Outcomes – Day 2 describing the challenges one faces · Developing behaviour change communication skills in volunteers is an while working with the essential component for working with the community community. A · Community-based volunteers must be able to communicate health representative from a messages in a concise and effective manner which is contextualized to neighbouring their environment community briefed the · Understanding and practising with the community assessment tools group on one of the two (Module 3) in the classroom is important before going into the community sites which would be used for the community visit, and participants were able to put the tools into practice by completing a mock classroom-based assessment using their own community as an example. The participants displayed a positive attitude and claimed to have a better understanding of working with the community as a result of the group work they did and presentations they prepared.

Day 3: Learning from community visit

Participants were divided in two groups to put their learning into action with a simulated community assessment exercise in two villages in Rarotonga – and Taluvaine. Participants used the Module 3 tools to conduct their own assessment and gather information from the community itself. Upon completion of the exercise, the group discussed the challenges faced while working in the community, and the need for creative and flexible approaches. The two groups then planned for simple activities which could be implemented in each community to address the health priorities established during the assessment. Issues and priority interventions proposed – Matavera · First Aid training – request of the community · Sanitation – problems: water quality, effluent, boiling to keep it safe, improve and maintain · Obesity – eat less and walk more · Flooding – dengue prevention, landscaping, drainage and seepage, and advocating · Volunteers – recruitment and training

Issues and priority interventions proposed – Taluvaine · Flooding – community clean up of the stream o Awareness – CBH-FA o Department of environment · Hygiene o Monthly clean up with MoH officials inspections o Livestock too close to homes – Ministry of Environment o CBH-FA – recruit more volunteers / individual household

Key Messages and Outcomes – Day 3 · Putting the classroom learning into action with a community visit is a critical part of the workshop · Community-based volunteers must be flexible and ready to adapt to unpredictable situations · Red Cross volunteers can promote simple free or low-cost activities in their communities which make a difference

What is the role of the Red Cross in the community? Winning phrase from a workshop participant.

‘For better life and health for the future generation.’

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Day 4: First aid and health promotion in communities

Day 4 was used to facilitate Modules 4, 6 and 7. Select First Aid and health promotion topics were facilitated by small groups assigned to review the contents during the previous night’s homework. Each group worked on their assigned topic and made a presentation to the rest of the groups (who pretended to be the community or a set of volunteers in the branch). The participants were allowed to choose any mode of presenting their health topic; mainly they used role play and lecture to get the message across.

Key Messages and Outcomes – Day 4

· First Aid topics should be adapted to national health guidelines and practices but must maintain their technical accuracy

· Health promotion topics can be adapted to ongoing national society/branch activities and include prioritized areas (ex. HIV Peer Education programmes) · Encouraging different facilitation methods in the workshop improves the presentations and builds participant confidence

Day 5: Introducing the Household & Community toolkit

Day 5 continued with presentations from Module 6 and introduced the Household and Community Toolkit. Module 5 was introduced with a discussion on the role of volunteers during different types of emergencies. The CBFA in Action minimum requirements were introduced. In group work, participants form CIRC branches and other national societies developed key messages and action points to guide their work after the workshop (See Annex 5). These key messages were later synthesized into three main messages each, for NS leadership and communities (See Annex 6). A closing event that evening was held where participants were given a certificate of workshop completion.

Key Messages and Outcomes – Day 5 · Writing the key messages to take back to our national societies is an important part of reflecting upon the workshop week · Including the development of action points during and at the end of the workshop can help participants to already plan for post-workshop activity

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Day 6: Closing session in the community

The Head of Regional Delegation in Suva, Mr Frank Kennedy, joined the workshop on the final morning. The morning session included a review and agreement upon the overall workshop key messages and an evaluation of the weeklong workshop (See Workshop Evaluation Results in Annex 7). Workshop participants then hosted a booth at the local market to share information with the community and disseminate Red Cross messages.

Wo rkshop Recommendations and Next Steps

Recommendations from the Workshop include: 1. It is recommended to call the approach as Community Based Health & First Aid (CBH&FA) rather than CBFA. CBH & FA reflects and incorporates within it all elements of health promotion and community mobilization in line with the philosophy of Primary Health Care, while retaining the importance of First Aid which is an important activity in all the Pacific NSs 2. The volunteers manual can be revised and simplified, particularly the section on community assessment tools 3. A section on monitoring and reporting can be added to the volunteers manual and should be included in the workshop 4. It is important that the participants are actively involved and be part of the process to work through the volunteer’s manual using the modular approach. The community work carried out in module 3 remains the key for participants to develop the understanding of the revitalized CBFA approach is more than a training course. 5. The balance between the process (facilitating) and the quality of delivering the contents need to be balanced. The level of input and number of days required in the contents will vary because of the experiences and background of the participants.

Plans in the Pacific region for next steps include: 1. Regional health unit will work with W.H.O. on producing an additional module on chronic diseases for the volunteers. 2. Regional Health Delegate will follow up with the participating regional National Societies and conduct, if required, an additional round of training workshop for modules 5, 6 and 7 with the aim of imparting some relevant technical information/knowledge to the volunteers 3. The participants from this workshop will be part of the regional resource pool in CBH & FA and health. They will provide peer support and will review one another’s progress from the follow up of the action points from the workshop. 4. Workshop outcomes will be shared at the Regional Partnership Meeting to be held in Vanuatu at the end of March 5. CBFA global revitalization process will include the workshop lessons learned in the overall materials and approach evaluation 6. CBFA Pacific experience will be shared at the Global Health and Care Forum in mid-May Rarotonga CBH&FA workshop report 5

ANNEXURE 1: PARTICIPANT LIST Name Title National Societies Post & Email 6 Krull Street, Vogeltown, Wellington, NZ Anne-Maree Delaney Delegate New Zealand RC [email protected] Solomon Islands RC. Clement Manuri Instructor Solomon Islands RC PO Box 187 Honiara [email protected] 677-88797 PO Box 1616, Apia, Samoa Goretti Wulf Instructor Samoa RC 685-23686 [email protected] PO Box 1616, Apia, Samoa Potoi Tofilau Instructor Samoa RC [email protected] 685-23686; 685-77814 77 [email protected] Joseph Afa Instructor Samoa RC Apia, Samoa 321-23 office PO Box 6545, Boroko, NCD 3258577 Konio Nori Instructor PNG RC Box 569, Suva Fiji Island Eviame Leilovo Instructor Fiji RC [email protected] Tauhunu, , Cook Islands Jean Marie Williams Instructor Manihiki Branch CIRC [email protected] Tukao, Manihiki Emily Tereapii Instructor Manihiki Branch circ 682 35014 Lazaro

Clements Vainetutai Instructor Branch CIRC Kimiangatau, Mauke

Martina Vaeruarangi Instructor Mauke Branch CIRC Kimiangatau, Mauke Umbo St, Kakeua Rd Tokoa Kea Instructor Atiu Branch CIRC Areora, Atiu Tengatangi, Atiu Rangi Tutaka Instructor Atiu Branch CIRC Post Office Miimetua Blenkarn Instructor Aitutaki Branch CIRC Arutanga Anna Glassie Trainee Aitutaki Branch CIRC [email protected]

PO Box 888, Avarua, Rarotonga 29920 Tua Nicholas Trainee CIRC HQ PO Box 524, Avarua, Rarotonga Charlie Numanga Instructor CIRC HQ [email protected]

Nga Turua Instructor CIRC HQ [email protected] 22282 Oropai Mataroa Trainee CIRC HQ [email protected]

Julieanne Westrupp Trainee Inst CIRC HQ [email protected]

Tangimama Vavia Instructor Mangaia Branch CIRC

Grace Lo Facilitator/Senior Health IFRC Geneva/ Health and [email protected] Officer Care

Kate Elder Facilitator/ Health officer IFRC Geneva/ Health and [email protected] Care [email protected] Manish Pant Facilitator/ Regional IFRC Suva Office Health Delegate 679-99924 82 [email protected] Niki Rattle Secretary General CIRC CIRC HQ PO Box 2172, Arorangi, Rarotonga Janice Clook Instructor (part time attendance) 28833

Rarotonga CBH&FA workshop report 6

ANNEXURE 2: WORKSHOP AGENDA

Day 1 (10th March 2008) – Kia Orana! (Preparation of Arrow with past, future and goal of what needs to be achieved at the end of the workshop) Time Agenda items Methodology Details

8:00 Introduction of Self introduction Position and role in my NS participants and workshop Plenary presentation One point about the participant 8:45 Group expectations Expectation palm tree Post it used by each participant Sorted by themes Sorting by participant facilitators into 5 (facilitated by participants) main expectations (below)

9:15 Pre-workshop self Individual assessment Pretest questionnaire tool used assessment 10:00 Preparation of pre- Group work 3 questions as pre workshop homework workshop homework 11:00 Presentation of pre- Group presentations Outer islands, except Manihiki, workshop homework presented as one group. Rarotonga, Manihiki, PNG, NZ, Solomon, Samoa presented individually. 13:30 Presentation of materials / Plenary presentation approach 14:30 Synthesis of group Group brainstorming Group brainstormed common points presentations into Funnelling (below) common/main 1) activities 2) gaps 3) strengths/opportunities. 15:15 Introduction to Module 1 Plenary presentation Orientation to M1 and guidance for group work 15:45 Group presentations on Group presentations 4 groups each facilitated one topic M1 For each topic, assess the groups’ presentation as: a volunteer or a fellow facilitator. 17:00 Closing of day Group reflection Home work for Day 2 Module 2

Day 2 (11th March 2008) – Talofa! (Preparation of tools for the community field visit) Time Agenda items Methodology Details 8:00 Introduction / review of the day Plenary presentation Introduction to Module 2 Plenary presentation Orientation to M2 Participant introduction to Two participants each presented topics communication 1&2, 3&4 - 10 mins each Included orientation to the two topics and personal communication experiences 8:45 Guidance for group work Plenary presentation 9:45 Group presentations on M2 Group presentations 4 groups each prepared M2, T1/2/3 using the manual activities Introduction to Module 2, topics Plenary presentation Discussion of difference /similarity 5&6 Group discussion between social mobilization and Introduction to Household and advocacy Community Toolkit Introduction to Module 3 Plenary presentation The Needs for Living Group discussion Discussion on ‘what is health?’ Participant introduction 4 participants each introduced one of the M3 assessment tools 12:00 Guidance for group work Plenary presentation 14:00 Briefing on Matavera by Presentation Used GIS map to orient group to site community partner – George Questions answered by community Rarotonga CBH&FA workshop report 7

Time Agenda items Methodology Details partner 15:00 Feedback on workshop to date Group brainstorming What’s working well? What needs to be improved? (below) 15:30 Group presentations on M3 Group presentations 4 groups each used one participants community as the example for the 4 M3 tools Presentations of each tool one at a time by each group 16:15 Preparation for Community Visit Group work 2 groups each nominate group leader and prepare assessment tools and plan for next day’s community visit Home work for Day 3 Re-read Module 3

Day 3 (12th March 2008) – Maia! (Community visit to Matavera and Takuvaine ) Time Agenda items Methodology Details

8:00 Reflection on Day 2 Participant facilitated 8:25 Preparation for Community Group work Visit 9:00 Briefing on Takuvaine Presentation Used GIS map to orient group to site community partner - Steaks Questions answered by community partner 9:20 Community visits Two groups went to two different sites (Matavera and Takuvaine), used prepared tools for community assessment 11:30 Takuvaine group returns Group work Writing up visit findings on flip charts from site 12:45 Matavera group returns from Group work site 15:00 Group presentations on site Group presentations Each group leader presented findings visit findings for each tool used and community observations Group feedback on site visit Group brainstorming What was good and what was challenging of site visit? (below) 15:45 The Red Cross in the Plenary presentation Introduction to the planning process, community Individual brainstorming what the RC should bring to the community. Participants wrote on a post-it the goal of the RC in the community. Participants voted on best declaration. (below) 16:10 Putting information into Group work In the 2 community visit groups, action Group presentations based upon findings, plan 3-5 activities to propose to the community. Presented to group. (below) 17:10 Reflection Participant facilitated Home work for Day 4 Each participant reads one M4 topic assigned. In groups of 2, read one M6/M7 topic assigned and prepare for presentation.

Rarotonga CBH&FA workshop report 8

Day 4 (13th March 2008) – Got Pela Dai! Time Agenda items Methodology Details 8:30 Reflection on week to date Individual reflection Participants walk around the room and observe our work to date. On one piece of paper, draw your reaction. 9:30 Individual presentations of Individual presentation Drew 5 topics from a hat (BLS, Fever, Module 4 topic FA Kit, Choking, Shock). Participant who had read the topic for homework presented it in 5mins. 11:00 Facilitation methods used Group brainstorming during week Behaviour change Plenary presentation communication Introduction to Modules 6/7 Guidance for group work Plenary presentation Continue to prepare your topic from M6/7 that was read for homework. 13:45 Role play of bad Role play Two participants role played bad communication communication about stopping smoking. 13:50 Group presentations on Group presentations Presentations on Family planning, M6/7 Nutrition, WatSan, Diarrhoea and Dehydration, HIV/STIs topics. Pretend you are facilitating the topic for a group of volunteers. 15mins each with feedback from group. 17:00 Reflection Participant facilitated Feedback Write your feelings on day 4 on a post-it. (below) Home work for Day 5 In same groups as night before, each assigned one Community Tool to review.

Day 5 (14th March 2008) – Bula and Namaste! Time Agenda items Methodology Details 8:00 Reflection on Day 4 Participant facilitated Group presentations on Group presentations Dengue, Road Safety, Blood, M6/7 con’t. Substance Use 10:00 Introduction to Household Plenary presentation 4 tools (randomly chosen) to be and Community Toolkit Group work presented by participants who Guidance for group work reviewed them for homework. Pretending you’re a volunteer going to the household, use tool to facilitate an information session. 3 remaining groups not presenting a tool each present a paragraph and it’s key messages from Module 2, Topic 5 14:00 Introduction to Module 5 Plenary presentation What is the role of community based volunteers in disaster and epidemic response? 14:40 Introduction to CBFA in Plenary presentation Action Global requirements 15:00 Guidance for group work Plenary presentation Each NS or Branch together writes 3 key messages on CBHFA for 1) their leadership, 2) their communities 15:50 Group presentations of key Group presentations messages 16:30 Guidance for group work Plenary presentation Action points for moving forward. Three key actions, including with who? Who will do it? Timeframe for completion. Rarotonga CBH&FA workshop report 9

Time Agenda items Methodology Details 17:00 Group presentations of Group presentations action points Group song – This little CBHFA, I’m gonna let it shine!

Day 6 (15th March 2008) Time Agenda items Methodology Details 8:00 Reflection of week’s Participant facilitated Head of IFRC Regional Delegation activities joined the workshop. Summary of Monitoring and Plenary presentation evaluation Review of Action Points and Group discussion Discussion of Action Points and Key Key Messages Messages typed up from Day 5 exercises. Agreement on modification of Key Messages from group about CBHFA. 10:00 Saturday Market Event Set up a Red Cross stand at community market to share information on the RC

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ANNEX 3: NATIONAL SOCIETY ACTIVITY MAPPING - Day 1 Presentations

NS/Branch Current NS activities Gaps NS capacity to address the gaps Manea branch · Awareness program on Radio and TV · Lack of adequate qualified facilitators · On going assessment and follow up (Cook Island Red · YPE – HIV/AIDS and Teen Pregnancy · Language barrier Cross) · FA training for - Youth groups, UN organization, · Not enough time church groups and schools · Attitude and commitment Manhiki branch § Working with schools, govt. workers and community No involvement from Women’s groups, · Seek assistance of those in Occupational Health (CIRC) members private sector, uniformed organizations, Services farmers · Seek assistance of traditional healers and MoH Rarotonga branch · VCA Rarotonga branch mainly inactive and relies · Visit communities to recruit volunteers (CIRC) · YPE a lot on NHQ · Orientation and capacity building · FA in schools and sport events · VNRBD · Mental health / counseling · Disability service · Disaster preparedness including GIS, early warning system PNG Red Cross · Branch development and volunteer recruitment · Language (over 700 languages) · Recruitment and training of FA trainers · FA · Access difficulties e.g. transportation, · Regular monitoring · HIV/AIDS education long time to reach, communications · Health teams in communities · PHiE · Lack of adequately skilled trainers · Disabilities services · Disaster preparedness NZ Red Cross · FA courses – commercial, ‘meals on wheels’ · Restricted potential for CBFA courses to § Potential for conducting health promotion/awareness · ‘Project independence’ – FA for disabled grow as trainers are all paid staff as per interventions amongst the Pacific Island populations in · Emergencies preparedness & FA in schools requirements Auckland · Pandemic Influenza awareness · No major role for the NS as health sector · Non certified FA awareness courses is well covered by MoH

Fiji Red Cross · Community outreach activities · Lack of adequate funding · More fund raising initiatives · HIV and FA in workplace · Lack of volunteers · More trainings · Disability program · Retention of volunteers · Point system for volunteer motivation · Youth program · Lack of refresher trainings and follow up · More branch trainings · VNRBD · Watsan · Malaria · Community mentality (donor dependant), · Encourage more community participation Solomon Islands RC · Watsan high illiteracy · Train more volunteers Rarotonga CBH&FA workshop report 11

NS/Branch Current NS activities Gaps NS capacity to address the gaps · Commercial FA · Lack of trained people · More group work · FA instructor training · Confusion on roles (MoH and NS) · MoU with govt. · VNRBD · Cultural barriers (e.g. mean & women)

· VNRBD · Lack of adequate number of trainers · More FA trainers available at flexible times Samoa RC · HIV/AIDS · Not able to reach all in the community · Involving community leaders · FA services in sports · Not able to work with all relevant · Look for funding · VCA stakeholders · Climate change · Lack of funding · Disaster preparedness

Rarotonga CBH&FA workshop report 12

ANNEX 4: PRE- AND POST- WORKSHOP SELF ASSESSMENT RESULTS

Cook Islands CBH FA Pre/Post Self Assessment

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On Day 1, participants were given the option to complete a confidential self-assessment on their comfort level with various facilitation methods. On the last day of the workshop, the self-assessment was repeated. Series 1 represents mean responses on Day 1 (pre), and series 2 represents mean responses on Day 5 (post-workshop). A response of 1=not confident; 5=highly confident. Please see Self Assessment for specific questions.

The pre-workshop self assessment also included two narrative questions (1) What do you find most challenging about facilitating learning at the community level?; 2) What do you most want to learn about CBFA in Action facilitation?). Select responses to question 1 included: · Convincing the community about what is happening. · Make it easy to make their understanding lively and do not make them bored! Monitor and mobilizing their skills. · Misunderstanding of CBFA. · Presenting the information and materials in a clear and understanding. · Finding the right level of input. · Getting the participants to understand and maintain what they learned.

The post-workshop self assessment included the question: Compared to the pre-assessment question (What do you most want to learn about CBFA in Action facilitation), do you think that you learned those objectives? a) Yes b) Mostly c) Some d) No

Eleven (11) respondents answered a (Yes), seven (7) answered b (Mostly), and one (1) responded a/b.

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ANNEX 5: PACIFIC NATIONAL SOCIETIES CBH & FA ACTION PLAN

Who is going Key actions With who Timeframe to do it Aitutaki branch (CIRC) 1. Sensitize our committee/ teach Mii & Anna Mii & Anna 1. Two months (March-May) 2. Sensitize community Committee/ Branch 2. Two months (June-Aug) 3. Implement activities 3. Two months (Sept-Dec) Mauke branch (CIRC) 1. Report Public servants Branch & community 1. Two months (March-May) 2. Workshop Public servants Branch 2. Two months (June-Aug) 3. Talk through Families Branch 3. Two months (Sept-Dec) Manihiki branch (CIRC) 1. Sensitisation § MOH Red Cross Task Force April-June 2. Training/ faciliation § Local leaders (rac mana) 3months 3. Maintain relationship & follow up § Branch 6 months § Schools § Associations § Community § Public servants Atiu branch (CIRC) 1. Recruiting volunteers (health issues) Youth, Church Branch and other volunteers Once a week 2. CBHFA (sensitizing) 3. Training on CBH&FA

Mangaia branch (CIRC) 1. Recruit and train more volunteers 20-40 yr RC stakeholders 2 months (april-may) 2. Present the 4 manuals in the community Community-any age group YPE/ volunteers 1 month (june) 3. Workshop, education & follow-up Community-any age group RC members and volunteers 3 months (july-sept)

Rarotonga branch (CIRC)- Charlie 1. Communication with target group Charlie, EMCH, MOH, uniform, RC George, Tekeva, Charlie, Willie, 2. Recruitment of volunteers 2008-09 volunteers RC volunteers 3. Visit target group Raratonga branch (CIRC)- Julz 1. Sensitize YPE- Rarotonga (meeting) YPE-Rarotonga Julz, Nuks, Nga, Oropoi 1 month 2. Sensitize community members (meeting) Tutakimoa leaders 3. Follow up leaders of community Tutakimoa leaders Julz, oropoi, Nga 2 months Rarotonga CBH&FA workshop report 14

Who is going Key actions With who Timeframe to do it 4. Debrief Rarotonga based participants Julz, oropoi, Nga 2 months

All 1 week Raratonga branch (CIRC)-Tua 1. Group discussion and follow up Volunteers, YPE YPE, uniformed organization 3 months 2. Recruit volunteers NS PNG Red Cross 1. Training/volunteer facilitation/ CBHFA 2 branches (Executives, Coordinators’ HQ 2. Training community volunteers Health program officers) Health manager 3. Proposal funding Identified vulnerable communities Program officers 6 months

HQ Health Manager

New Zealand Red Cross 1. Read RC report on working with vulnerable in Europe Anne-Marie Anne-Marie (obtain a report and resources from Europe) 2. Produce report foro NZRC, sensitize key NZRC FA and Anne-Marie/ key NZRC health and Anne-Marie/ key NZRC health health personnel on CBFA in action, brainstorm potential FA people and FA people for NZ setting (pass on report / resource from 1) Within 2-3 weeks 3. Offer myself as resource person on CBFA in action for Anne-Marie/ key NZRC health and Anne-Marie/ key NZRC health NZRC/ within region FA people and FA people 4. Ensure email trail so NZRC remains up-to-date on CBFA in action (Grace_Manish-Glenn) Myself, NZRC, Manish Myself, NZRC, Manish Samoa Red Cross 1. Meeting SG & staff Us facilitators 1. End March 2. Submit report SG, MOH, RC staff 2. Beginning April 3. Draft action plan facilitators 3. April Solomon Islands Red Cross 1. Report -ARC Tech advisor Clement 2. Discussion and consultation -Program officer (DM, health, SG/IFRC) Clement 3. Workshop - Volunteers Disaster mgr VNRBD officer 3 months time ( by June) Health officer

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ANNEX 6: KEY MESSAGES FOR PACIFIC NS LEADERSHIP AND THE TARGET COMMUNITY

Key messages from the Workshop participants to their leadership:- · Networking with ministries and other community organisations is important to improve health issues · Community based approach gives the Red Cross volunteers an opportunity to work with community or target groups to prioritise their broad health needs and deliver simple and correct health messages and first aid skills · Support the Red Cross branches in promoting healthy lifestyle in the community

Key messages from the Workshop participants to their community:- · The Red Cross and its volunteers will introduce Community based health and first aid and its benefits to the community · The Red Cross will like to recruit more community volunteers and work with the community to promote healthy lifestyles · The Red Cross will build the relationships within the community and give health messages and first aid skills in order to strengthen the community’s capacity to prepare and respond to all health emergencies

Cook Islands RC Key messages for the leadership · Evaluation of this programme - this project is different · For it is to work for us volunteers to be out there with them · Create a relationship , be there in front of their faces · Give out good quality correct information · Evaluation Key messages for the community · Try to maintain communicating and building relationship – Monitoring, evaluation and reporting · Talk about health issues e.g. common emergency problems and causes · Fun – promotion and sensitising program e.g. media

Mangaia Branch – Cook Islands RC Key messages for the Leadership · Allow the communities to raise their concern · Networking with other ministries and organisations in improving areas that needs improvement concerning health issues · Give support on promoting healthy lifestyle in the community Key messages for the Community · Give more education to the community on health awareness issues (follow up) e.g. first aid and hygiene · stay alert at all times · practice the 4 toolkits in the community

Mauke Branch – Cook Islands RC Key messages for the Leadership · If there is a call for a workshop to be held, may we have a chance again · If there is a chance for us to show our knowledge from what we have learnt to the public servants and also in the 3 villages · To work together the leadership and RC Key messages for the Community · To have more volunteers to work with the RC in the community

Manihiki Branch – Cook Islands RC Key messages for the Leadership · Improve · Deliver · Maintain Key messages for the Community Rarotonga CBH&FA workshop report 16

· Healthy lifestyle · Building and identifying capacity · Sustainability

ATIU branch (Achieve Together In Unity) – Cook Islands RC Key messages for the leadership · Kimi ravenga – find a way · Organising, recruit and topics · Relationship - piroanga · Everyone will benefit from simplicity, role play/fun/games/music/reflection Key messages for the community · Target group · Fun/message with games, music · Overall CBHFA what it is all about

Aitutaki branch – Cook Islands RC Key messages for the leadership · Kimi ravenga – find a way · Organising, recruit and topics · Relationship - piroanga · Everyone will benefit from simplicity, role play/fun/games/music/reflection Key messages for the community · Target group · Fun/message with games, music · Overall CBHFA what it is all about

Solomon Islands RC Key messages for the leadership · I have attended a CBHFA master facilitators workshop · Similar to VCA and Health awareness project but its flexible and can be seen as a programme · Can build on the CBFA and Health awareness assessment since its still targeting the same issues. Just a day training for volunteers is needed. Key messages for the community · It is a good way of involving our RC members groups who have been there in the villages for years without any visit from RC staff

Fiji RC Key messages for the leadership · What are similar with the disaster preparedness awareness programme and introduce it to emergency response team next refresher course · Invites stakeholders like different programmes, youth department on their school visits break them into topics · Proposal to conduct future courses

New Zealand RC Key messages for the leadership · CBFA in action expands traditional first aid training by having a community based approach to include information on community health, disaster preparedness and response · The community based approach gives the NZRC the opportunity to work with vulnerable community or target groups to identify and prioritise their broad health needs and expand the volunteer base · CBFA programme can come out of current NZRC activities e.g. First aid activities could be targeted the vulnerable people like refugee communities , people with disabilities Key messages for the community · The volunteers will tell you about the RC movement and our principles, what to do · The volunteers will work with you to find out your priority health needs Rarotonga CBH&FA workshop report 17

· The volunteers will work with your community to give you information and skills so that your community is changed more self reliance

Samoa RC Key messages for the leadership · To start initially form youth groups at selected areas and initiate CBHFA from there · To start training volunteers on CBHFA so they can work in the community · To introduce CBHFA to the community leaders (church, village etc) Key messages for the community · Introduce CBHFA in action to the community leaders/roles of the RC/benefits of CBHFA · Training on CBHFA In action · Follow up

PNG RC Key messages for the leadership · Expand/ education/facilitate/feedback on this CBFA workshop – promote the change of name to CBHFA – programme officers to agree to promote this as programme integration · Selection of 2 branches a trial branches · Proposal/ seeking funding Key messages for branches · Identify volunteers to be facilitators and recruit and train volunteers in local communities · Identify vulnerable communities to work with partners Production of materials

Rarotonga CBH&FA workshop report 18

ANNEX 7: WORKSHOP EVALUATION RESULTS

A Workshop Evaluation including eleven (11) quantitative response questions on various parts of the workshop and five (5) qualitative questions was given on Day 5 of the workshop (see Workshop Evaluation specific questions below).

Workshop Evaluation Results

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Evaluation quantitative questions: 1) Your overall feeling about the workshop 2) Day by day arrow on the floor 3) The classroom layout using a circle, no desks, no lectures 4) Leaving your flip chart work on the wall all week 5) Morning review of the day before and summing up of the day by participants 6) Not having a flexible programme 7) Having three main facilitators 8) Having facilitators from the group leading the sessions 9) The large group work of more than 3 people (Module 2 on community sensitization, the community visit, etc.) 10) The small group work of 2 – 3 people (presentation on First Aid topics, health promotion topics, etc.) 11) The community visit on Wednesday

The highest rating was on Q1 (Your overall feeling about the workshop) with a mean response of 2.9. The lowest rating was on Q3 (The classroom layout using a circle, no desks, no lectures) with a mean response of 1.9.

Evaluation qualitative questions and select responses: 1) What is still not clear or confusing about the CBFA in Action process or tools (Volunteers Manual and/or Household and Community Toolkit)? -Talk or give more info about donors, eg. Impact or significant change -Everything is clear, I have a good feeling for the material now -First Aid training -One week is not enough for this kind of workshop -Everything works well and clear understanding of each presentation and topics Rarotonga CBH&FA workshop report 19

-How best RC volunteers will explain health issues to community -Not much or nothing really because the training was clear

2) Which Module or part of the tools did you find most useful? -Module 2, Sensitizing – mobilization, CBHFA in Action, challenges that we have to face -All tools put together gives the bigger picture -All of it -All but time factor limits knowledge since we have to move on -Tools to assess communities – good practical experience

3) Which Module or part of the tools did you not find useful? -All useful -Monitoring and reporting -All were useful, learnt throughout -Intro – not enough -Reading and words used

4) What was the best part of the workshop for you? -The way the facilitators had good skills in creating a good working environment. Participants participated and interacted with each other. -I liked the whole workshop, talks, content, interaction, energizers. -Putting the teachings into practice, community visit and facilitating. -Learning about this new tool to expand my work to help the communities. -Different islands experiences everyone was comfortable to comment and share ideas anytime. -Practicing facilitation skills and learning from the facilitators and other participants – especially in the presentations/facilitations of modules 4&6.

5) How will you do things differently now? -Prepare and do more research -Get the CBHFA out there -Needs more action and more community work -Have more confident in facilitation, keep messages very clear/simple – repeat/only stick to a few points and go back -Action/impact not just training volunteers -Involve participants more into doing the subject -Have enough preparation before going out into the community -Distributing the material in very simple ways! -Simplify to my community context -More group activities -Merge teaching facilitating with humour (playing games)