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Unit 1
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Lesson 1:
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Introduction of COBIN-D project; type 2 diabetes and the situation in Nepal
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COBIN-D project and its objectives; present status of diabetes in Nepal; role of FCHVs in diabetes prevention and control
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Materials: FCHV training manual, facilitator guide, marker, white board
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120 min
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Methods: PowerPoint presentations, case study
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Evaluation: Questionaire and interview
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Lesson 2:
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Theoretical aspects of diabetes
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Definition; classification; signs and symptoms; complications
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Materials: FCHV training manual, facilitator guide, marker, white board
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120 min
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Methods: PowerPoint presentations, discussion
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Evaluation: Questionaire and interview
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Unit 2
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Lesson 3:
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Diabetes classification and its major risk factors
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Modifiable and non-modifiable risk factors; modifiable risk factor types
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Materials: FCHV training manual, facilitator guide, newsprint, marker, white board, metacard, types of tobacco; chewing tobacco, cigarette, beetal leaves (paan), different types of glasses used to drink alcohol in daily life, few pieces of apple and banana
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60 min
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Methods: Demonstration, presentation, discussion
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Evaluation: Questionaire and interview
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Lesson 4:
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Measurement of blood glucose, blood pressure, height and weight
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Correctly set up the devices, including glucometer, sphygmomanometer, height measuring tape, and weighing machine; correctly measure the blood sugar; blood pressure and height and weight; instrument care
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Materials: FCHV manual, facilitator guide, FCHV register, newsprint, marker, white board, a note book to record results, alcohol pad, batteries, glucometer, test strips, lancets, digital weighing scale, sphygmomanometer, non-stretchable tape, weighing machine
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180 min
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Methods: Powerpoint presentation, demonstration, practice, role play
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Evaluation: Obervation
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Unit 3
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Lesson 5:
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Counseling and health promotion message on major risk factors and medication compliance
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Know the counseling techniques; provide health education for reducing modifiable risk factors
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Materials: FCHV training manual, facilitator’s guide, flash card, white board, marker, newsprint
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120 min
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Methods: Powerpoint presentation, role play
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Evaluation: Observation
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Lesson 6:
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Practical session for counseling
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Know the practical way of counseling techniques; provide health education practically
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Materials: FCHV training manual, facilitator’s guide, flash card
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180 min
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Methods: Role play
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Evaluation: Observation
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Unit 4
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Lesson 7:
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FCHV visits
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Preparation for follow up; when to make the first visit; when to follow up; how to visit
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Materials: FCHV manual, facilitator’s guide, FCHV register, follow up time schedule, calendar, referral form
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120 min
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Methods: Powerpoint presentation, individual practice
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Evaluation: Questionaire and interview
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Lesson 8:
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Recording and reporting
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Know the detailed format of record, report, record correctly after measurement of blood glucose, blood pressure, weight and height
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Materials: FCHV training manual, facilitator’s guide, FCHV register, glucometers, sphygmomanometer, weighing machines and height measuring tapes, batteries, record form, pencil, eraser,
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180 min
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Methods: Powerpoint presentation, individual practice
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Evaluation: Questionaire and interview
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Unit 5
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Lesson 9:
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Selection of households
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Make a list of households that FCHVs have to visit
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Materials: FCHV training manual, facilitator’s guide, pen, pencil, list of ward wise respondents with address and contact number
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60 min
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Methods: Group discussion
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Evaluation: Questionaire and interview
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Lesson 10:
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Evaluation and Certification
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Visit respondents’ households, measure blood glucose, blood pressure, height and weight, provide counseling on reducing risk factors and record and maintain the FCHV register
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Materials: FCHV training manual, facilitator’s guide, FCHV register, notebook, ballpoint pen, name tag, pencil, sharpener, eraser, shoulder bag, feedback form, sphymomanometers, glucometers, non-stretchable tapes and weighing machines
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120 min
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Methods:Individual practice Evaluation: Questionaire and interview
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