1. Roles of District Community-Directed Intervention (CDI) Team Members
Module 13
Version 2

2. Learning objectives
By the end of this module, learners will be able to:
Describe district core CDI team members and their roles
Explain the division of labor among various core CDI team members
Define a program coordinator and a facilitator—who they are and what they do
Describe components of a work plan and its development process

3. Subnational core CDI teams train district teams
Subnational teams will step down or cascade the training of CDI training facilitators to district-level teams
District teams may include people involved in:
Malaria control
Onchocerciasis (river blindness) control
Maternal and child health
Reproductive health
Monitoring and evaluation (M&E)
Procurement, logistics, supplies
Health education and mobilization
Other health interventions

4. Involve all district members previously trained on CDI
The district CDI team is not limited to health divisions, but may include people with relevant skills from finance, agriculture, education, and community development, to name a few
If someone attends training, follow up to ensure they continue to work with the CDI team

5. Division of work among district CDI team members
Responsibility
Suggested number of team members
Comment
Program coordination
1‒2
Malaria focal person and community-directed treatment with ivermectin (onchocerciasis) focal person, if available
Behavior change communication (BCC), mobilization, work with civil society organizations (CSOs) 2
Include people outside the health department
Procurement, logistics, supplies 1 —
Facilitation
3‒4
Consider people who show good facilitation skills
M&E, documentation

6. Program coordination tasks
Maintain communication among all team members
Lead work plan development
Lead monthly review of work plan among team members
Provide overall facilitation and supervision for CDI activities
Liaise with:
Government agencies (such as a local government service commission) and facilitators to ensure that trained facility staff are not frequently—and without restriction—transferred away from the local area where they were originally intended to work
Other district-level teams promoting community and household key practices to ensure cohesion and leveraging of resources

7. Suggest additional program coordination tasks
Facilitator: Ask learners for their suggestions. Ask them if they know what is happening in the picture.
Program coordinators also liaises with the district council authority and core district health staff to advance program acceptance and demonstrate ownership.

8. BCC and mobilization tasks
Obtain stocks of relevant BCC materials from the ministry of health and partners
Disseminate materials to facilities and community health workers (CHWs) and orient them to proper use
Conduct community meetings to:
Introduce CDI
Share minimum criteria for CHW selection
Obtain community member support for the CHW
Conduct CDI information sessions with CSOs and community leaders
Recruit local CSOs to assist with education and advocacy efforts

9. Suggest other BCC and mobilization tasks
Facilitator: Ask learners for their suggestions. Ask them if they know what is happening in the pictures (meeting with community leaders, organizing a drama).
Other tasks for BCC and mobilization include ensuring that CHWs report back to the community and inform the community about the availability of commodities.
Village drama
Meeting the village head

10. Procurement, logistics, and supplies tasks
Forecast and order adequate medicines and supplies to meet CDI needs
Work with primary health care (PHC) facilities to refine their forecasting, including their estimation of community needs
Help PHC facilities set up adequate and safe storage for all CDI medicines and supplies
Guide PHC facilities in the logistics management and information system, including the needs for the CHWs they supervise

11. Procurement, logistics, and supplies tasks, cont.
Work with CDI focal persons to provide supportive supervision and ensure that CHWs store medicines properly and appropriately

12. Suggest additional procurement, logistics, and supplies tasks
Facilitator: Ask learners what is happening here. This is an example of a poorly organized storeroom in the medical clinic. Ask learners what problems this could cause.
Ask learners to suggest other procurement tasks (e.g., estimating needs, distributing supplies to CHWs).

13. Facilitation tasks
Develop a training plan for PHC facility staff and facilitate training
Develop, with the PHC facility CDI focal person, a training plan for CHWs
Review CDI curricula to ensure local relevance and adaptation, as needed
Arrange training venues and adequate logistics
Keep records of all training activities and learners
Facilitate/supervise CHW training by PHC facility staff
Participate in supportive supervision

14. Suggest additional facilitation tasks
Facilitator: Ask learners to suggest additional tasks for the district CDI facilitator. Ask them if they know what is happening in the picture.
The district CDI facilitator also provides mentorship for trained facility staff and for CHWs.

15. Tasks for M&E and documentation
Ensure that district recording and reporting forms capture all CDI activities and services
Orient PHC facility staff and CHWs to the correct use of forms and the need for accurate and timely reporting
Supervise data collection at the community and PHC facility levels, and ensure that data are forwarded to the next level
Ensure that CHW data are included in PHC facility summary forms
Document all CDI activities (using reports, photos, etc.), including success stories and challenges

16. Suggest additional M&E and documentation tasks
Facilitator: Ask learners for their suggestions. Ask them if they know what is happening in the picture.
Additional tasks for M&E include ensuring that when data and feedback are collected from local sites and analyzed, the findings are sent back to the local sites so they can apply the findings to improve services.

17. First district CDI team task: Develop a work plan
Activities, steps
Dates
from … to
Responsible persons or groups
Resources
Indicators of success
1. Train facility staff as CDI focal persons
2. Help CDI focal persons mobilize communities
3. Obtain needed medicines
4. Help CDI focal persons train CHWs
Instructions:
Brainstorm a list of key activities needed to implement CDI in the district
Divide into district groupings
Produce draft work plan
Share with other teams
Use feedback to improve on plan
Revise plan again at home facility
Conduct this planning exercise as a practical component of the training

18. Summary activity Who should be members of the district CDI team?
What are the different roles for team members to perform?
For each role mentioned, what are examples of tasks for the people in those roles?
What are the components of our district work plans?
Facilitator: Learners can wrap up the session by presenting their sample work plans

19. Thank you!
Any questions or comments?