TIME TARGETTEC COUNSELLING (ttC)

Prepared by:Thandi Mndzebele –MOH (RHM Program

Manager) Thabile Methula –WVS (Health

and HIV

Coordinator)SWAZILAND 2012-2014

PRESENTATION OUTLINE

1)RHM (Rural Health Motivators) Background in Swaziland

2)TTC background in Swaziland3)Adaptation process4)The materials adopted5)Trainings by MOH

PRESENTATION OUTLINE

6) Training done by World Vision Swaziland

7) Challenges of implementing TTC8) Feedback

RHM Program in Swaziland• Def: Rural Health Motivator is a community

health volunteer, elected by the community through the community leadership.

• RHM Program has been in place since 1976

• RHMs are trained for 12 weeks on various health topics which includes TTC

• They further have in-service trainings after the initial 12 weeks training from Government and other partners

RHM Program in Swaziland (Cont)

• Report to the Ministry of for activities implemented and health data collected at community level

• RHMs receive a stipend of SZL 350 per month ($ 35) from the Government of Swaziland

• Currently the total number of RHMs is 5320 in all the four regions of the country (Hhohho,Lubombo, Shiselweni and Manzini) covering 55 Tinkhundlas (Constituencies) and about 360 chiefdoms

Overall roles of RHMs

• Health education• Community Mobilisation e.g Child Health

Days, PMTCT campaigns, water & sanitation activities

• Defaulter tracing• Growth monitoring of under fives• Link the community to the health system• Initiate income generating projects• Home based care• Provide first aid treatment and refer

TTC Background in Swaziland• The TTC was introduced to the country by WV-

Swaziland

• WV-S made a presentation to the Senior Management of the Ministry of Health

• MoH gave the green light and a Community Health programme was tasked with adaptation of the TTC

• The TTC forms part of the 12 weeks long training curriculum for CHWs known as RHMs in Swaziland

THE ADAPTATION PROCESS

• The process to review the curriculum took about two months to have final copies ready for trainings.

HOW?

• A Consultant was engaged

• Technical team was assembled

• Review of current materials and the generic ttC

• Consultation and dialogues with relevant stakeholders

• Drafts and pretesting

• Final draft materials developed

TRAININGS

• Training of Trainers• 2 weeks long• WV TTC experts conducted trainings

• Training of CHWs (RHMs)• 2 weeks of training for literate RHMs• Non-literate (trained for 1week)

• Training of Lead CHWs• One week training

TTC Trainings by WVS• While the MOH trained RHMs on TTC in the

Lubombo Region through funding by the World Bank, WVS collaborated with the MOH by providing training to RHMs through their Area Development Programs (ADPs)

• Each ADP is targeting to train at least 50 RHMs over a period of 2 yrs (25 each year)

• Currently WVS, has trained over 380 RHMs in the other 3 regions excluding Lubombo since 2013-2015

• Number of RHMs trained by WVS still to increase as more ADPs still to train on TTC

TTC Trainings by WVS

• Training module and duration same as done by the MOH

• MOH involved in some of the trainings conducted by WVS

MATERIALS DEVELOPED

TRAINER TRAINEE

Ordinary CHW Lead CHW

Facilitators Manual Participants manual CHWs Participants manual

Participants manual 10 x Story books Supervision manual

10 x Story books 1 x household handbook Reference material booklet

1 x household handbook Teaching aid posters 1 x A4 visit message guide 1 x A4 food poster

Data collecting book

Teaching aid posters 5 x A1 foot steps 1 x A4 visit message guide 1 x A4 food poster

Summary book

Materials for practicals

Stationery Stationery Stationery

INDIVIADUAL CHW (RHM) KIT

At the end of training each CHW was given:

• A certificate of attendance• 5 x Household Handbook• 1 x data collecting register• 10 x story books• A branded carry bag• A brand umbrella

CHALLENGES IN IMPLEMENTING TTC

• Major challenge was expensiveness of producing materials

• Duration of training was long (2 weeks)• Training needed more Trainers per session• Challenges of having attached Trainers

• This proved difficult to have them from their emplyers whenever needed.

• Lack of concentration and commitment from participants during training due to two weeks of absence from their homes

FEEDBACK

• TTC training methodology highly appreciated by both Trainers and Trainees

• TTC proved to be unique and highly effective as it is more involving

• TTC provided CHWs with a guide on how to record when conducting a home visit

• Methodology provided enough time for practice by participants

FEEDBACK

• Trainees learning materials are user friendly either in local language and or pictoral.• Local language for literate CHWs • Pictures mostly for non-literate CHWs

• TTC had The Government support and is very comprehensive.

SIYABONGA THANK YOULADIES AND GENTLEMEN

FACILITATOR’S MANUAL

CHW’S MANUAL

THE STORY BOOK

THE HOUSEHOLD HANDBOOK