Introductory Module Version 2 Overview of Community-Directed Intermittent Treatment in Pregnancy Workshop Introductory Module Version 2

Session objectives By the end of this module, learners will: Get to know each other List the goal of the Transforming Intermittent Preventive Treatment for Optimal Pregnancy (TIPTOP) project and the workshop learning objectives Discuss the workshop schedule and learning materials List expected outcomes of the workshop Identify skills they wish to share with others Decide on the workshop norms

Paired introductions Duration: 5 minutes Find someone who has the other half of your fruit name Ask them about the following: Full name What they prefer to be called Home state or district Profession and title One favorite hobby Each participant will introduce their new friend to the group

Brainstorming: Expectations and norms Learners’ expectations Workshop norms

TIPTOP project goal The goal of the TIPTOP project is to contribute to reduced maternal and neonatal mortality in project areas by expanding access to quality-assured sulfadoxine- pyrimethamine for intermittent preventive treatment in pregnancy.

Learning objectives for TRAINERS of community health workers (CHWs) Define community participation Explain the value and benefit of community involvement in health programs Identify and define community structures (e.g., kin groups, hamlets) Identify the various volunteer community health agents and their roles Describe the community social and economic factors that affect health

Learning objectives for TRAINERS of CHWs, cont. List community resource persons who can be involved in control of malaria in pregnancy Describe community-level prevention methods Describe updated World Health Organization guidelines for antenatal care Apply the community-directed intervention approach to prevent malaria in pregnancy Use effective teaching skills to build CHWs’ capacity

Learning objectives for TRAINERS of CHWs, cont. Demonstrate recording and reporting skills for community data Describe community-level storage methods for drugs and commodities

Learning objectives for CHWs Mobilize their community to use the interventions at their antenatal care clinic and related services (laboratory tests, health education) at the health facility Provide information about prevention and control of malaria in pregnancy Identify pregnant women in the community and approach them for community-directed intermittent preventive treatment in pregnancy Conduct home visits to provide intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine

Learning objectives for CHWs, cont. Refer pregnant women to the antenatal clinic for comprehensive antenatal care services Refer pregnant women with fever for assessment and treatment of malaria and other illnesses at the health facility Keep records of malaria prevention and control activities in the community Manage commodities supplied for use in the community

Workshop schedule Workshop duration will depend on target training audience (see next slide): Introductory module and Modules 1–9 for CHWs Introductory module and Modules 1–14 for health care workers based in the community health facility or district health office

Overview of training modules

Workshop materials Community Intermittent Preventive Treatment for Malaria in Pregnancy learning resource package: Community Intermittent Preventive Treatment for Malaria in Pregnancy: Implementation Guide Training in Community-Directed Intervention to Address Malaria in Pregnancy: Facilitators’ Guide 14 PowerPoint modules and accompanying handouts Jhpiego. 2013. A training program in community-directed intervention (CDI) to improve access to essential health services. Jhpiego website. http://reprolineplus.org/resources/training-program-community-directed-intervention-cdi-improve-access- essential-health-2. Accessed September 13, 2018. Jhpiego. 2015. Prevention and control of malaria in pregnancy learning resource package. 3rd ed., 2018 update. Jhpiego website. http://reprolineplus.org/resources/prevention-and-control-malaria-pregnancy-third-edition. Accessed September 13, 2018. World Health Organization (WHO). 2016. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva, Switzerland: WHO. http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf?ua=1. Accessed September 13, 2018. CDI Study Group. 2010. Community-directed interventions for priority health problems in Africa: results of a multicountry study. Bull World Health Organ. 88(7):509–518. doi: 10.2471/BLT.09.069203. http://www.who.int/bulletin/volumes/88/7/09-069203/en/. Accessed September 13, 2018.

Workshop materials, cont. Brieger W, Orji B, Otolorin E, Ndekhedehe E, Nwadike J. 2011. Establishing integrated community management of malaria, pneumonia and diarrhea in two selected local government areas, Akwa Ibom State, Nigeria. Presented at: American Society of Tropical Medicine and Hygiene Annual Meeting; December 6; Philadelphia, PA. http://reprolineplus.org/system/files/resources/Establishing%20Integrated%20Community%20Management%20of%20Malaria%2 0Handout%20v3.pdf. Accessed September 13, 2018. Orji BC, Brieger WR, Otolorin EO, et al. 2011. Improving quality performance among community health workers providing integrated community management of febrile illnesses in Nigeria. Presented at: American Society of Tropical Medicine and Hygiene Annual Meeting; December 5; Philadelphia, PA. http://malariamatters.org/improving-quality-performance-among- community-health-volunteers/. Accessed September 13, 2018. Okeibunor JC, Orji BC, Brieger W, et al. 2011. Preventing malaria in pregnancy through community-directed interventions: evidence from Akwa Ibom State, Nigeria. Malar J. 10:227. doi: 10.1186/1475-2875-10-227. https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-10-227. Accessed September 13, 2018.

Workshop evaluation Pre- and post-training questionnaires administered to learners Learners’ evaluation of the workshop

WELCOME Training should be fun. Enjoy it!

Thank you! Any questions or comments?