w February 2014 TRAINING OF TRAINERS MANUAL HEALTH SYSTEM STRENGTHENING AND EFFECTIVE MANAGEMENT FOR JHARKHAND FAMILY PLANNING This publication was prepared by H. Chokshi, R. Mishra, H. Sethi, and A. Jorgensen of the Health Policy Project. HEALTH POLICY PROJECT Suggested citation: Chokshi H., Mishra R., Sethi H., and Jorgensen. A. 2013. Health Systems Strengthening and Effective Management.Implementing the Jharkhand Family Planning Strategy. Training of Trainers Manual Washington, DC: Futures Group, Health Policy Project. The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. HPP is implemented by Futures Group, in collaboration with CEDPA (part of Plan International USA), Futures Institute, Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and the White Ribbon Alliance for Safe Motherhood (WRA). Training of Trainers Manual FEBRUARY 2014 This publication was prepared by H. Chokshi, R. Mishra, H. Sethi, and A. Jorgensen of the Health Policy Project. The information provided in this document is not official U.S. Government information and does not necessarily represent the views or positions of the U.S. Agency for International Development. CONTENTS Abbreviations ........................................................................................................................... v Acknowledgements ............................................................................................................... vii Preface ..................................................................................................................................... 1 Background to Development of this Training and Facilitator’s Manual .............................. 2 Training of Trainers workshop ................................................................................................................. 3 About the manual ...................................................................................................................................... 3 Training techniques ................................................................................................................................... 4 Training of Trainers Agenda .................................................................................................... 5 Session 1: Introduction ............................................................................................................. 9 Activity 1: Introductions and expectations ............................................................................................... 9 Activity 2: Establishing workshop norms ................................................................................................. 9 Activity 3: Overview of capacity-strengthening plan ............................................................................. 10 Session 2: Moving from Dependence to Independence ................................................... 11 Activity 1: Assess and review capacity stages ........................................................................................ 11 Session 3: Adaptive Roles in Providing Capacity Development Support .......................... 13 Activity 1: Assess and discuss ................................................................................................................ 13 Session 4: Role of the Facilitator ........................................................................................... 14 Activity 1: Role of a facilitator ............................................................................................................... 14 Activity 2: Effective facilitation.............................................................................................................. 14 Session 5: Understanding the Policy Process ....................................................................... 15 Activity 1: Policy process ....................................................................................................................... 15 Activity 2: Who can make it possible? ................................................................................................... 16 Session 6: Understanding FP Policies, Programs and Strategies......................................... 19 Activity 1: Population policies and issues .............................................................................................. 19 Session 7: Contraceptive Update ......................................................................................... 21 Activity 1: Basket of contraceptives ....................................................................................................... 21 Activity 2: Rights and family planning ................................................................................................... 22 Session 8: Components of Health Systems .......................................................................... 26 Activity 1: Components of health systems .............................................................................................. 26 Session 9: Developing the Workplan .................................................................................... 30 Activity 1: Developing the workplan ...................................................................................................... 30 Session 10: Developing the Mentoring and Supportive Supervision Plan ......................... 32 Activity 1: Monitoring and supportive supervision ................................................................................ 32 Activity 2: Using the Manager’s Tool .................................................................................................... 32 Activity 3: Developing a field visit plan for mentoring .......................................................................... 33 Session 11: Practicum—Preparing for District-Level Trainings ............................................ 35 Activity 1: Preparing session plans ......................................................................................................... 35 References ............................................................................................................................. 36 Annex A. Staged Capacity Building Plan Model ................................................................ 39 Annex B. Changing Roles in Capacity Development Support .......................................... 41 iii Annex C. Role of the Facilitator ............................................................................................ 43 Annex D.1. Understanding the Policy Process ..................................................................... 46 Annex D.2. Roles and Responsibilities of the State- and District-Level Functionaries ...... 48 Annex E. Family Planning: Issues and Strategic Directions ................................................ 51 Annex F. Components of Health Systems ............................................................................ 67 Annex G: Supportive Supervision ......................................................................................... 91 Annex H: Manager’s Tool ...................................................................................................... 94 Annex I: Pre and Post Training Test ....................................................................................... 98 iv ABBREVIATIONS ACMO additional chief medical officer AHS Annual Health Survey ANM auxiliary nurse midwife ASHA accredited social health activist AWC anganwadi centre AWW anganwadi worker AYUSH ayurveda, yoga, naturopathy, unani, siddha, and homeopathy BCC behavior-change communication BPMU block programme management unit CBO community-based organisation CHC community health centre CINI Child in Need Institute DH district hospital DHAP District Health Action Plan DLHS District-Level Household Survey DoHFW Department of Health and Family Welfare DM district magistrate DQAC district quality assurance committee ECP emergency contraceptive pill FP family planning FRU first referral unit GOI government of India HMIS health management information systems HPP Health Policy Project ICT information and communication technology IEC information, education, and communication IMR infant mortality rate IPC interpersonal communication IPHS Indian Public Health Standards IFPS Innovations in Family Planning Services ITAP Innovations in Family Planning Services (IFPS) Technical Assistance Project IUCD intrauterine contraceptive device IUD intrauterine device LHV lady health visitor M&E monitoring and evaluation MCH maternal and child health MIS management information systems MMR maternal mortality ratio MoHFW Ministry of Health and Family Welfare MOIC medical officer in-charge NDCP National Disease Control Programmes NFHS National Family Health Survey NGO nongovernmental organisation NHSRC National Health Systems Resource Centre NRHM National Rural Health Mission NSV non-scalpel vasectomy OCP oral contraceptive pill v PHC public health centre PHRN Public Health Resource Network PIP Programme Implementation Plan PPIUCD postpartum intrauterine contraceptive device PRI panchayati raj institution QA quality assurance QAC quality assurance committee RCH reproductive and child health RKS rogi kalyan samiti SC sub-centre SN staff nurse SRH sexual and reproductive health SRS sample registration