DISTRICT LEVEL TRAINING OF TRAINERS (DToT) On Multi Sector...

Event Report

DISTRICT LEVEL TRAINING OF TRAINERS (DToT)

On

Multi Sector Nutrition Plan(MSNP)

Malangwa, Sarlahi

Date: 12th to 15th Magh 2073

Prepared by:

District Team, Sarlahi

Health Research and Social Development

Forum (HERD)

24th Magh, 2073

Contents

A. Abbreviation

B. Executive Summary

1. Introduction

2. Objective

3. Method Used in Training

4.Training Materials

5. Participant Expectation

6. Ground Rules

7. Facilitation Modality

8. Process of Training

8.1. Inauguration Session

8.2. Technical Session with Training Core Activities

8.3. Closing Session

9. Evaluation

10. Conclusion and Recommendation

10.1. Conclusion

10.2. Recommendation

C. Annexures

Annex I: Schedule of DToT

Annex II: List of Participants

Annex III: List of Resource Person

Annex IV: Pre-test and Post-tests Questionnaire

Annex V: Some Glimpses of the DToT

Abbreviation

MSNP Multi Sector Nutrition Plan

DToT District Level Training of Trainer

DDC District Development Office

DPHO District Public Health Office

DLSO District Livestock Service Office

DADO District Agriculture Development Office

DEO District Education Office

WCO Women Children Office

WSSDO Water Supply and Sanitation Division Office

UNICEF United Nation Children Fund

WHO World Health Organization

HERD Health Research and Social Development Forum

MoFALD Ministry of Federal Affairs and Local Development

NPC National Planning Commission

IYCF Infant and Young Child Feeding

BMI Body Mass Index

NDHS Nepal Demography Health Survey

NMICS Nepal Multiple Indicator Cluster Survey

GTDs Golden Thousand Days

LFA Logical Framework Analysis

RBM Result Based Management

HMIS Health Management Information System

EMIS Education Management Information system

DPMAS District Planning Monitoring Analysis System

CHD Child Health Division

DLNFSSC District Level Nutrition Food Security Steering

Committee

Executive Summary

Four Days District Level Training of Trainers (DToT) on Multi Sector Nutrition

Plan(MSNP) aimed to bring all concerned stakeholders in a single platform and discuss about

effective implementation of MSNP.

The objectives of the programme were to increase knowledge and enhance facilitation

skills on multi sector nutrition plan (MSNP) to the representatives of the district level

government line agencies and stakeholders and equip them with evidence based planning skills

for preparation of annual work plan and budget for smooth implementation of multi sector

nutrition plan's activities in their sector that eventually contribute to reduce prevalence of

malnutrition.

The approach of the training was participatory and different advance teaching and

learning methods were used to facilitate training to achieve the desired goal. Based on evaluation

and feedback, the training was a success to show its output as desired.

Introduction

Four Days District Level Training of Trainers (DToT) on Multi Sector Nutrition Plan(MSNP) is

a well-coordinated set of prioritized activities designed to: conceptualize multi sector nutrition

plan, explore background with linking previous nutrition plan and policy, enhance basic

knowledge on nutrition, over nutrition , under nutrition ,sensitize on nutrition sensitive and

nutrition specific intervention and capacitate to architect nutrition at district level as desired to

mainstream into their integrated plan and development agenda. In addition, it capacitates

participants of respective organization to make plan, design activities and incorporate in their

regular program including provide supportive supervision and close monitoring to reduce

prevalence of malnutrition and prevent vulnerable groups from its consequences.

Objectives

To increase knowledge and enhance facilitation skills on multi sector nutrition plan (MSNP)

to the participated chiefs and focal persons of the district level government line agencies and

stakeholders,

To equip with evidence based planning skills to prepare annual work plan and budget for

smooth implementation of multi sector nutrition plan's activities in their sector that

eventually contribute to reduce prevalence of malnutrition,

To enable participants to organize and provide VDC level training on MNSP and educate them

to architect MSNP at cluster to district level,

To sensitize stakeholders to mainstream nutrition in their development agendas,

To enable to ensure participation of dalit, janjati and marginalized (DAG) in MSNP activities

To equip with counselling skills to participants on nutrition to educate subordinates and

beneficiaries on aforesaid subject matter through different appropriate counselling tools.

Methods used in training

Following methods were mostly used in the training.

Mini lecture. Presentation Exhibition Demonstration Group work Brain storming Role playing Group interaction and presentation. Inspirational story telling Game (Intellectual & funny)

Training materials

White board. Marker News print Metacard LCD projector/Multi media Participants’ manual Trainer’s manual A 4 size color paper Sound Audio/Visual relevant training materials

During DToT, participants training manual and facilitator guideline were provided to each

participants.

Participants Expectations

MSNP was perceived as an interesting subject matters for them so they were highly excited to

1. Know about multi sector nutrition plan

2. Realization of the significances of DToT in respective line agencies

3. Increase the knowledge and enhance the skills to design and develop MSNP related

program

4. Know role and responsibility of agency for implementing MSNP.

5. Know recording and reporting systems of MSNP.

6. Acquit oneself as a trainer in order to train working line agencies in their sector.

Ground rules

1. Leader of the day among participants was responsible for implementing ground rules

2. Mobile were either switched off or kept on vibration.

3. No exit without consent from leader of the day

4. Equal active participation.

5. Time punctuality.

6. Respect to each other.

7. Peace full learning environment.

8. No side talk.

9. Raising queries in turn

Facilitation Modalities The facilitation of this training was quite practical. Facilitators, co-facilitators, guest speakers

and resource persons were heavily engaged to get whole training package ahead with

participatory approach. In the beginning, training learning environment was created with

inspiring and motivational quotes. Some intellectual and funny games and other recreational

activities were done back to back for active participation and made session more interesting.

The first introductory session was started via thread game while participants gave their short

introduction with name, post and organization of participants in turn and importance of the

game was ultimately linked with multi sector approach to implement MSNP at district level with

coordinated effort. This was expressed in a very interesting way as how the MSNP is interlinked

with each sectors and once one is impractical, others ultimately fail to reach the goal.

Topics of training were allocated to facilitators as per their expertise and interest to conduct

session smoothly with high level of participation.

Process of Training

The training was conducted semi – informally. It was divided into three parts namely Inaugural

Ceremony, Technical Session with Training core activities and Closing Ceremony. In the

beginning, pre-test and after completion post-test were done to fathom the effectiveness of

training contents, facilitation skills and methodologies used to conduct training. Overall training

conducted through adult learning approach.

1. Inaugural Ceremony

Mr. Yogendra Neupane gave a warm welcome to all the representatives of sectoral line agencies.

The key information on nutrition program, nutritional indicators with under 5 children’s

nutrition status was explored by Mr. Prabhakar Jha ,Act.DHO.

Importance of MSNP for reducing malnutrition was then highlighted by Mr. Yogendra Neupane,

Public Health Officer, Child Health Division in a participatory approach. This was followed by the

presentation of the Objectives of training session which was delivered by Act. DHO. With this,

Technical session was on the go!

2. Technical Session with Training core activities

DAY I

Preliminary session was taken ahead with some important motivational quotes to create a good

learning environment and inspire participants to draw their attention on subject matters. Ms

Pragya Rimal, MIYCF Officer of UNICEF, conducted a discussion session where she informed

about norms, rules and facilitated for nominating of officer, reporter and entertainer for 4 days.

Pre-test was then taken in the beginning to fathom the participant's level of knowledge on multi

sector nutrition plan (MSNP). Mr. Phulgendra Kumar Singh, Nutrition Officer, UNICEF revealed

the nutritional status of under five children and pregnant women with references of NDHS and

NMICS. He presented the four major indicator i.e. Stunting (Low Height for Age), Underweight

(Low Weight for Age), Wasting (Low Weight for Height) Anaemia (below level of haemoglobin

in the blood) and BMI. Additionally, presented the severity of malnutrition prevalence range and

threshold given by WHO. Based on these data, Nepal is still in the high public health concern

zone. Apart from that, calculation process of BMI was shown and illustrated. According to WHO

classification,

<18.5 is Low BMI

18.5-24.99 is Normal

25-29 is overweight and

30 or > 30 is Obesity.

According to NDHS 2011, he highlighted the nutritional status via showing data on IYCF

practices including breast feeding, exclusive breast feeding and complementary feeding and

poor feeding practice as well. He also demonstrated the situation of Central Terai with focus on

Sarlahi and exhibited that the data were similar to the nation's.

Informative session on nutrition, type of micronutrients, source of micronutrients, deficiencies,

its importance and functions to the body was detailed with concept on malnutrition, type of

malnutrition, causes of malnutrition, its immediate and long-term consequences on health

linking with morbidities and death among children. A clear concept on malnutrition due to

direct/immediate cause and indirect/underlying cause including basic causes was anatomized

and figured during causality analysis.

Glimpse of Multi Sector Nutrition Plan (MSNP)

Mr. Dhananjay Poudel , Nutrition Expert , Golden Thousand Days , MoFALD highlighted the

milestone of MSNP linking with the development of national nutrition strategy to current

situation. He explored the objectives of MSNP where he focussed on enhancement of human

capital especially among the poorer segments of the society, improvement in maternal and child

nutrition by accelerating the reduction in maternal and child under nutrition through

implementation of nutrition specific and nutrition sensitive interventions aimed at the “window

of opportunity of 1000 days from Pregnancy to 24 months” with following major outcomes.

Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local

levels

1.1: Policies and plans updated/reviewed to incorporate nutrition specific indicators at national

and local government levels

1.2: Multi-sectoral coordination mechanisms functional at national and local government levels

Outcome 2: Practices that promote optimal nutrition behaviors improved

2.1: Maternal and child care service utilization pattern changed

2.2: Adolescent girls’ education , life skills and nutritional status improved

2.3: Reduced episodes of diarrheal diseases and ARI among mothers, adolescents and IYC

2.4: Feeding behaviors improved with increased availability and access to appropriate food (in

quality, quantity, frequency and safety)

Outcome 3: Strengthened capacity of central and local governments on nutrition to

provide basic services in an inclusive and equitable manner

3.1: Capacity of national and local government enhanced to provide appropriate support to

improve maternal and child nutrition

3.2: Multi-sectoral nutrition information updated and linked both at national and local

government level

Moreover, Mr. Poudel explored on life cycle development among different age group where he

illustrated that a child's mental development is accomplished 30 % during pregnancy, 25%

during 1st year of life, 25% during 2nd year of life, 10 % up to 5 years of age and rest 10 %

onward. Additionally, he detailed about different level's nutrition and food security

steering/coordination committee, their major roles and responsibilities to plan, design,

implement, supervise and monitor MSNP with special focus to DLNFSSC. Apart from that, he

described the approaches and criterion for selecting district i.e poor nutritional indicators, DAG,

net enrolment rate in school, food security status, numbers of 10-14 years aged children

involved in wage labour, access on safe water and sanitation etc.

In context of the way forward, Mr. Poudel emphasized on mapping of stakeholders and resources

at centre, district and VDC level and advocated for maintenance of functional coordination at all

levels with full cooperation and linked with scaling up districts phase wise. With the aim of

reducing challenges that may arise like poor coordination, scattered resource allocation and

weak implementation, DLNFSSC should play coordinating and leading role via afore-said

activates.

Mr. Yogendra Neupane, Public Health officer, Nutrition Section, Child Health Division revealed

that nutrition is a priority issue for reducing global burden of disease and death, improving

physical growth and cognitive development, increasing productivity and progressing toward

sustainable development goal. So addressing these issues, integrated effort via both nutrition

sensitive and specific interventions are needed to implement from respective line agencies and

partners. He highlighted the major national regular nutrition program, scaling up nutrition

program through existing health networks and leveraging with other agencies. Additionally, he

mentioned that sensitizing to VDC level health network to architect nutrition as desired in MSNP.

In a query of a participant, Mr. Phulgendra Kumar Singh, Nutrition Officer, UNICEF described

about Logical Framework Analysis where he mentioned that resources are Physical, financial,

human resources and information and result is measured through its 3rd to 5th step.

1. input/process 2. activities 3. output 4. outcome 5. Impact linked with MSNP result framework.

With regards of food, diet and balanced diet, he revealed information with reference to different

organization/expert. He also described in detail about food and nutrient classification based on

sources, function and body requirement and highlighted importance of diversified food for

critical window of opportunity (with in golden 1000 days of children and pregnant women).

IYCF not only prevent children from disease and morbidity but also improve nutrition as well of

children as of present evidence and trial. He also explained about dietary guideline and

managing balance diet for different age group and their daily requirement with special focus on

breast feeding and exclusive breast feeding. As he mentioned daily requirement of kilocalorie

for male viz.

2800 KCL for sedentary working people (for adult male)

3200KCL for middle level working people (for adult male)

3900KCL for heavy working people & (for adult male)

900 KCL for 6month to 12 month of age

Mr. Singh suggested that its better to consume 2-3 eggs per week, meat 2-3 times per week and

140 gm fish or 148-gram meat for an adult. Having adequate fiber is better to health to maintain

cholesterol level and reduce constipating. He highlighted to have plant source fat rather than

animal source.

DAY II

The session of the second day was started with review by Sushil Kumar Jha (HA DHO). During

review session, he highlighted the major topics and contents which were presented on

previous day via using a brief report that was given to him. Lastly, he handed the reporting

note over to the reporter of the 2nd day

Mr. Chudamani Aryal , Planning Officer , National Planning Commission, revealed the policy,

strategy and program of respective line agencies to prepare plan with embedding nutrition

activates in their annual plan and budget as architected in MSNP. He also illustrated on

planning steps, process and its importance with allocation of budget to respective line agencies

as per their role mentioned in MSNP. Regarding monitoring he described on process

monitoring, input monitoring, sustainability monitoring and precondition of monitoring and

emphasized that monitoring should be focused on relevancy, effectiveness, efficiency, impact

and sustainability linking with Rastriye Anugaamn Digdarshan 2070 and log frame. As he stated

for result based monitoring a standard check list has to be developed and standardised. He also

highlighted techniques and process of information management and its importance.

Mr. Dhananjay Poudel discussed on how to convey the multi sector nutrition plan to local level

and make them aware to architect nutrition at ground for making nutrition agenda of local

development and embedding in local governance. He also highlighted the basic information on

log frame with its component viz input, output, outcome and impact.

Chief of all respective district line agencies stated key nutrition related activities being carried

out from their office and network

DAY III

Session started with review of previous day‘s climax by Jodh Narayan Giri from DADO. Mr.

Dhananjay Podel , Nutrition Expert , MoFALD conferred on planning; defined as a bridge of

present and future , its importance for development to accomplish work in time in spite of

limited resources. He also remarked on it's types i.e. Periodic plan & annual plan, Long-term

plan and short term plan, based on ecology and geography, subject or area i.e. health, nutrition

and education, ownership i.e public, private and non governmental. He also showed the output

of planning with giving an example.

Local Level Planning Cycle

Mr. Poudel remarked that good planning for better result needed scientific steps which are

problem identification, prioritization, budget ceiling and guidance, analysis and projection of

resources and possible constraints. He also disclosed on concept of planning, central planning

process, decentralized planning process, 5 years planning process and process of 14 steps

planning with time, level and participants.

Result Based Management

Mr. Phulgendra Singh, Nutrition Officer, UNICEF revealed on RBM as an approach focused on

outputs and outcomes. From a results perspective, the implementation process is significant

only in terms of what it leads to – or what follows from the process of planning, managing and

implementing.

Impact is the overall and long-term effect of an intervention; it is the ultimate improvement in

people’s lives; e.g. higher standard of living, increased earnings from exports, etc.

Outcomes are the actual or intended changes in development conditions that development

interventions are seeking to support. They describe a change in development conditions

between the completion of outputs and the achievement of impact.

Outcomes are the likely or achieved short term and medium-term effects of an intervention’s

outputs. Results and effect are the related term of outcomes.

Outputs are tangible products and services that emerge from processing inputs through

programme or non-programme activities. Outputs, therefore, relate to the completion (rather

than the conduct) of activities and are the type of result over which managers have a high degree

of influence.

Outputs are the products, capital goods and services that result from a development

intervention; may also include changes resulting from the intervention which are relevant to the

achievement of outcomes.

Activities are the various steps taken to carry out a program/project e.g. to train agricultural

extension officers, fund a study, build a school, etc.

Inputs are means mobilized to carry out activities e.g. funds, staff time and other resources.

Apart from that, it was also shown in result chain as a pyramid.

The contents included in training package and topics allocated to respective facilitator was

responsible to conduct the session in participatory approach. (For detail see annex II)

Facilitation Skill, Advocacy and Communication

Concluded facilitation is a psycho-social method called facilitation/moderation; is invited to

manage the group work process in which someone manages the process, while others actively

participate in it by putting up their own ideas. People work collectively for solving a given

problem or completing a task. The process adopts the consensus building approach for decision-

making. During facilitation, its essential to deal with diversities, nature of participants and focus

on 3Ins i.e Introduction, Information or main body and Inference or conclusion. Some additional

tips were given to make presentation more informative and consisted via remembering KISS

rule i.e keep it short and simple. Apart from that, for scientific slide making the presenter

suggested to follow a good rule of thumb about one slide per minute, clear explanation of

technical term, avoid using complete sentence, audience cantered approach and ongoing

communication activities. Another 6X6 rules i.e six words per line, six lines per slide, keep

regular and use sort and strong statements.

Communication is the conversion between 2 or more persons. In the communication process

message is delivered through which attitude of the receiver is expected to change. For effective

communication inspirational quests to be used for motivating introvert participants and simple

question should be asked to motivate them for active participation. Participants information

should be gathered and extracted to highlight in appropriate topics or place and control them

with group norms and set boundary.

DAY IV

Group works were assigned for the day. With response to that, groups were formed and asked

for situation and causality analysis and most effective nutrition specific and sensitive

intervention. As assigned, participants worked in group according to their sectors and presented

causes for malnutrition and enlisted appropriate nutrition intervention.

The other task was to prepare annual program and budget in prescribed format. After

completion, chief of all line agencies presented his/her AWPB and incorporated feedback in their

plan.

Review of participants’ expectations

After completion of the technical session of the training, the participants were asked about the

expectations of the participants if were addressed or not. The most of the participants

'expectations were met during presentation session. Likewise, confusions were addressed

accordingly.

Training information detail with site and date & participants.

S.

N. Batch Date of the Training Total no. of the Participants Training Venue

1 1st 12 to 15 Magh 2073 30 DPHO Training

Hall , Sarlahi

3. Closing Ceremony

The closing ceremony of the training was chaired by Local Development Officer (LDO). During

the closing sessions, he gave his remarks to express gratitude to all facilitator/representatives

of National Planning Commission, MoFALD , CHD , Chief and Focal person of district level line

agencies, staffs of UNICEF regional office, HERD team including all for their active and

meaningful participation. He repeatedly sensitized to keep MSNP in high priority of planning and

implementation to respective district line agencies. Lastly, certificates were awarded to all

participants and financial activities were done as well.

Evaluation

The evaluations were done by adopting following activities:

I. Review of the previous day

The leader of the day reviewed the previous day activities with SWOT analysis and highlighted

the strength aspects of training, aspects need to be improved. Evaluation cadre evaluated

activities of the all days and shared in the floor to make session more effective and participatory.

II. Question Answer Method

During different training session some questions were asked to participants to know the

effectiveness of training and participants were involved in many group work and with that, their

work performance was observed.

III. Per-test and Post-test

Above table shows that participants had given more correct answers during post-test

compared to that during their pertest.

IV. Feedback provided by the participants

Participants provided their feedback on the last day of the training. They shared their

experiences during the training days. They evaluated that the training was successful and was

able to deliver the required information on MSNP. They also remarked that the training was able

to enhance their capacity and augment skills for providing nutrition education and counselling

to the target groups.

18

10

10

10

5

10

8

5

14

2

4

12

12

12

17

12

14

17

8

20

17

14

16

13

6

18

16

17

16

17

1

3

2

5

13

2

1

2

1

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

1

2

3

4

5

6

7

8

9

10

Pattern of correct and incorrect answers in pretest and post test of 10 questions

Pre test Correct Pre test Incorrect Post test Correct Post test Incorrect

Conclusion and Recommendation

Conclusion

Four Days District Level Training of Trainers (DToT) on Multi Sector Nutrition Plan(MSNP)

was well-coordinated set of prioritized activities that conceptualized multi sector nutrition plan,

explored background with linking previous nutrition plan and policy, enhanced basic knowledge

on nutrition, over nutrition, under nutrition, sensitized on nutrition sensitive and nutrition

specific intervention and capacitated for architecting nutrition at district level as desired. It

enabled participants of respective organization to make plan, design activities and incorporate

in their regular program including providing supportive supervision and close monitoring to

reduce prevalence of malnutrition and prevent vulnerable groups from its consequences. The

outcome of the training was good and it expected for better impact on multi sector nutrition plan

implementations.

Recommendation

On the basis of training modalities, training contents, targeted group and facilitation process as

well as participant’s responses, some recommendations are made which are as follows:

The contents of MSNP were relevant though latest information and data could be included

to revitalize.

The time set for the training didn’t seem sufficient as the amount of contents to be

delivered were high.

It would be great if the participants were given with sector wise planning draft where

they could make necessary corrections according to their sectoral situations.

16

ANNEXTURE

Annex-I Schedule of DToT on MSNP

ax'If]qLo kf]if0f of]hgf lhNnf:t/Lo k|lzIfs k|lzIf0f sfo{qmdsf] ;+lIfKt ?k/]vf ;do÷lbg !)M)) !!M#) !!M$% !#M!% !$M)) !%M!% !%M#)–!&M))

klxnf] lbg

;q !M ;d'b\3f6g

— ax'If]qLo kf]if0f cjwf/0ff /

k[i7e'ldM/fli6«o of]hgf cfof]u

lrof÷s

lkm

;q @M cfwf/e"t kf]if0f,

s'kf]if0f / o;sf] juL{s/0f

tyf hLjgrqm cjwf/0ff

vfhf ;q #M kf]if0f nlIft Pj+ kf]if0f

;+j]bglzn sfo{qmd,

/fli6«o kf]if0f gLlt, /0fgLlt /

sfo{qmd,

ax'If]qLo kf]if0f of]hgfdf :jf:Yo/

:yfgLo ;'zf;g If]qsf] of]hgf,

sfo{qmd / ah]6

lrof÷

slkm

;q $M cfsl:ds cj:yfsf] kf]if0f /

MSNP

bf];|f] lbg ;q %M s[lif, kz' ljsf;, zx/L ljsf;,

vfg]kfgL tyf ;/;kmfO, dlxnf tyf

afnaflnsf / lzIff If]qsf kf]if0f

;DaGwL gLlt, /0fgLlt, of]hgf,

sfo{qmd / ax'If]qLo kf]if0f of]hgfdf

cfwfl/t ah]6sf] ;f/f+z ;lxt

s'kf]if0f Go"gLs/0fdf laifout If]qsf]

of]ubfg;q

;q ^M ax'If]qLo kf]if0f of]hgf

– cg'udg tyf d"NofÍg

vfhf ;q &M ;xhLs/0f tyf

k|:t'tLs/0f ;Lk

;q *M ax'If]qLo kf]if0f of]hgf –

k}/jL tyf ;~rf/

lrof÷

slkm

;q (M :yfgLo:t/df of]hgf th'{dfubf{

ckgfpg' kg]{ ljlw

-;xeflutfd'ns of]hgf th'{df M !$ r/0f_

glthf ;[+vnfsf] kl/ro ;lxt

t];|f] lbg

;q !)M kf]if0f l:ylt Pj+ l/Qmtf /

;d:of ljZn]if0f -sf/0f ;lxt_

lrof÷s

lkm

;q !!M ax'If]qLo kf]if0f

of]hgf – glthf ;[+vnf

-lhNnf÷If]qut_

vfhf ;q !@M ax'If]qLo kf]if0f of]hgf –

glthf ;[+vnf -lhNnf÷If]qut_ -

lg/Gt/_

lrof÷

slkm

;q !#M ax'If]qLo kf]if0f of]hgf – glthf

;[+vnf -lhNnf÷If]qut_

-lg/Gt/_

Rff}yf] lbg

;q !$M ax'If]qLo kf]if0f of]hgf aflif{s

sfo{qmd tyf ah]6 th{'df

-lg/Gt/_

lrof÷s

lkm

;q !%M ax'If]qLo kf]if0f

of]hgf aflif{s sfo{qmd tyf

ah]6 th{'df -lg/Gt/_

vfhf ;q !^M ljleGg nfO{g Ph]lG;sf]

aflif{s sfo{qmd tyf ah]6

PsLs/0f / k|:t'tLs/0f

lrof÷

slkm

;q !&M v'Nnf 5nkmn, d"NofÍg / ;dfkg

-k|df0f kq ljt/0f ;d]t_

Annex-II List of participants

S.N. Name of participant Designation Organization Contact No.

1 Jagnath Panta LDO DDC Sarlahi 9854035948

2 Hom Nath Subedi DEO DEO Sarlahi 9854036285

3 Shyam Sundar shah DC Golden

Thousand

Project

9852832403

4 Dr. Sunil Kumar Yadav Livestock

Development

Officer

DLASO Sarlahi 9845825172

5 Dinesh Ray Resource Person DEO Sarlahi 9854036407

6 Sabita Kumari Women

Development

Officer

Women and

children Office

9845230962

7 Susmita Pokhrel Assistant

Women

Development

supervisor

Women and

Children Office

9844127369

8 Ranju Kumari Regmi Child Protection

Officer

Women and

children Office

9849947283

9 Surendra Thakur Extension

Officer

Agriculture

Development

Office

9804872889

10 Kamal Bahadur Karki Planning

Monitoring and

Administrative

Officer

DDC 9844048501

11 Ganga Kumar Mishra Na.Su. DPHO 9843555550

12 Sanjiv Kumar Singh D.S RSN DHT 9844133060

13 Jodh Narayan Giri JT DADO Sarlahi 9814895221

14 Ajay Kumar Ray Nutrition Officer DPHO 9849122065

15 Sushil Kumar Jaha HA DPHO 9844107513

16 Prabhakar Jha PHO DPHO 9844032094

17 Sunil Kumar Kushwaha PA DEO Sarlahi 9854036369

18 Jitendra Ray WSST WSSDO 9841893037

19 Rosi Joshi WW WSSDO 9845038104

20 Megh Raj Magar CPO UNICEF 9852034198

21 Surendra Mahato J T DLSO 9844438458

22 Shankar Prasad Deo PHI DPHO 9842465326

23 Ram Binod Singh JT DADO 9854038676

24 Mahesi Ray Yadav Veterinary

Officer

DLSO 9868305425

25 Jagnath Purbey Div. Chief WSSDO 9854038642

1

26 Amrendra Ray District

Coordinator

HERD 9845265284

27 Garima Uprety PMIMO HERD 9860149720

Annex-III List of Resource Person

S.N. Name of Resource Person Designation Organization Contact No.

1 Yogendra Neupane PHO CHD

2 Dhananjay Poudel Nutrition Expert MoFALD

3 Chudamani Aryal Planning Officer NPC 9841560990

4 Phulgendra Kumar Singh Nutrition Officer UNICEF 9842658861

5 Mina Thapa Health and

Nutrition Officer

UNICEF 9851199707

6 Pragya Rimal MIYCF Officer UNICEF 9851100251

Annex-IV Pertest and Post-test questionnaire

:yfgLo lgsfo÷;/sf/sf] of]hgf th'{df k|lqmofdf ax'If]qLo kf]if0f tyf vfB ;'/Iff of]hgf

;dfj]z ug{ lhNnf:t/df ;xhstf{ tflnd

k|f/lDes / clGtd k/LIf0f k|Zgfjln

tnsf k|Zgfjln eg'{xf];\

s_ lsg dfgj k'Flh a9fpgsf] nflu c;n kf]if0f cfjZos 5 <

dl:tis ljsf; x'gsf] nflu d4t ub{5

l;Sg ;Sg] Ifdtfdf j[l4 ub{5

cfly{s pTkfbstTj a9fpF5

Dfflysf ;a}

d ljZj:t 5}g

-v_ s'kf]if0fsf ;jfnx? ;dfwfg ug{ ax'If]qLo kf]if0f cjwf/0ffsf] cfjZostf lsgk¥of]?

s'kf]if0fsf ljleGg sf/0fx?nfO{ Pp6f dfq If]qn] ;dfwfg ug{ ;Sb}g

of] NAGA n] lbPsf] ;'emfa xf]

of] Global Scaling Up Nutrition (SUN) n] lbPsf] ;'emfa xf]

2

Dffly sf ;a}

d ljZj:t 5}g

-u_ tkfOF g]kfnsf] cfxf/ut tx -dietary pyramid) ;Fu k/Llrt x'g'x'G5 <

/fd|/L k/Llrt 5'

k/Llrt 5'

yf]/} dfq k/Llrt 5'

-3_ s'kf]if0f / hLjgrqm cjwf/0ff 9fFrf cg';f/ s'kf]if0f x'g'sf tLg r/0fsf sf/0fx? s] s] x'g\<

/fd|/L yfxf x'g', yf]/} yfxf x'g' / yfxf gx'g'

tTsflng, cGt/ lglxt / cfwf/e"t

5f]6f], dWod / bL3{sflng

d ljZj:t 5}g

-ª_kf]if0fsf] lhjgrqm k4lt cjwf/0ff s] ;Fu ;DalGwt 5 <

cGt/ k':tf lhjgrqm

cj;/sf em\ofn(critical window of opportunity)

klxnf] xhf/ lbg

Dfflysf ;a}

d ljZj:t 5}g -r_ dnfO{ :yfgLo :t/df u/Lg] tn b]lv dflysf]rf}w a'Fb] of]hgf th'{df k|lqmof / kf]if0fnfO{ s'g

s'g r/0fdf ;dflxt ug{ ;lsG5 eGg]] af/]df yfxf 5 .

/fd|/L yfxf 5

yfxf 5

Tolt /fd|/L yfxf 5}g

d ljZj:t 5}g

-5_ dnfO{ lhNnf kf]if0f tyf vfB ;'/Iff lgb]{zs ;ldltsf] e"ldsfsf] af/]df yfxf 5.

/fd|/L yfxf 5

yfxf 5


d ljZj:t 5}g

-h_ dnfO{ lhNnf :tl/o ax'If]qLo kf]if0f of]hgf vfsfsf] af/]df yfxf 5 / o;nfO{ of]hgf agfpg]

/ lg0f{o ug]{ k|lqmosfdf ;dfj]z ug{ hfg]sf] 5' .

3

/fd|/L hfg]sf] 5'

hfg]sf 5'

yf]/} dfq hfg]sf 5'

d ljZj:t 5}g

-em_ dnfO{ cfkm\gf] ;+:yfsf] jflif{s sfof{Gjog of]hgf agfpFbf lqmofsnfksf] nfut s;/L

lgsflnG5 eGg] af/] yfxf 5 .

/fd|/L yfxf 5

yfxf 5


d ljZj:t 5}g

-~f_ -9_ dnfO{ ax'If]qLo kf]if0f of]hgfsf] cg'udg d"NofÍg k|0ffnLsf] af/] yfxf 5 .

/fd|/L yfxf 5

yfxf 5


d ljZj:t 5}g

:yfgLo lgsfo÷;/sf/sf] of]hgf th'{df k|lqmofdf ax'If]qLo kf]if0f tyf vfB ;'/Iff of]hgf ;dfj]z

ug{ lhNnf:t/df ;xhstf{ tfnLd

gfd -P]lR5s_ : ________________________________

!=k"gt{fhuL tfnLdn] ;du|df cfkm\gf] p4]Zo k'/f u/\of] < □u/\of] □ u/]g

@= k"gt{fhuL tfnLddf ;+rflnt ;qx?sf] af/]df cfkm\gf] d"NofÍg ug'{xf];\

s_ c;n kf]if0fsf] dxTj lsg 5 <

w]/} /fd|f] /fd|f] ;Gtf]if hgs g/fd|f] w]/} g/fd|f]

v_s'kf]if0fsf sf/0f tyf c;/x?


4

u_ cGt/ k':tf lhjgrqm / kf]if0f lhagrqm


3_kf]if0fsf] ax'If]qLo k4ltsf] dxTj lsg 5 <kf]if0fsf] cGo If]q;Fusf] ;dGjo


ª_ :yfgLo ;d:of klxrfg


r_ rf}wa'Fb] of]hgf th'{df


5_ ;d"xutsfo{M kf]if0f of]hgf tof/L


h_ ;xhLs/0f / of]hgf th'{dfsfnflu u/LPsf Jojxf/Ls cEof;x?


#= tkfOFsf] ljrf/df of] tfnLddf s'g} ljifox? yKg cyjf lgsfNg kg{] ljifox? ;dfj]z u/LPsf] eP lglb{i6

ug'{xf];

c_

cf_

O_

$= tnsf cleJolStx?df cfkm\gf] ;xdlt cyjf c;xdlt hgfpg 'xf];\

5

%= cGo lhNnf k|lzIf0fdf pkof]uL x'g] yk ;'emfa / u'gf;fx? eP pNn]v ug'{xf];\

c_

cf_

O_

k'/} ;xdt ;xdt t6:y c;xdt k'/}

c;xdt

c_ tflndn] d]/f] cfsf+Iffx? k'/f u/\of]

c_ oxfF l;lsPsf 1fgx? d k|of]udf n]/fpg

;S5'

O_ ljt/0f u/LPsf ;fdfu|Lx? dxTjk"0f{ /

k|of]u of]Uo 5g\

O{_ k|lzIf0fsf] :t/ /fd|f] lyof]

p_ ;xefuLtf / cGt/lqmofnfO{ k|f]T;fxg

u/LPsf] lyof]

pm_ k|Zg / 5nkmnsf] nflu k|z:t ;do

k|bfg u/LPsf] lyof]

6

Annex-V Some Glimpses of training

Participants playing thread game during introductory session.

Ms. Pragya (MIYCF Officer) conducting a discussion session where officer,

reporter and entertainer for 4 days were nominated.

7

Mr. Dhananjay Poudel (Nutrition Expert, MoFALD) detailing about different level's

nutrition and food security steering/coordination committee and their major roles

and responsibilities towards MSNP.

Mr. Chudamani Aryal , Planning Officer , National Planning Commission, revealing

the planning, policy, strategy and program of respective line agencies.

8

Mr. Phulgendra Singh, Nutrition Office , UNICEF, delivering his presentations in an

interactive approach on Nutrition and Malnutrition status of the country

A. Participants from District Women and Child Development Office during their

group assigned work.

B. Participant singing a piece of song as she was the entertainer of the day

A B

DISTRICT LEVEL TRAINING OF TRAINERS (DToT) On Multi Sector...

Documents

Transcript of DISTRICT LEVEL TRAINING OF TRAINERS (DToT) On Multi Sector...