Units | Lesssons | Topics | Contents | Materials and methods | Duration |
---|---|---|---|---|---|
Unit 1 | Lesson 1: | Introduction of COBIN-D project; type 2 diabetes and the situation in Nepal | COBIN-D project and its objectives; present status of diabetes in Nepal; role of FCHVs in diabetes prevention and control | Materials: FCHV training manual, facilitator guide, marker, white board | 120 min |
Methods: PowerPoint presentations, case study | |||||
Evaluation: Questionaire and interview | |||||
Lesson 2: | Theoretical aspects of diabetes | Definition; classification; signs and symptoms; complications | Materials: FCHV training manual, facilitator guide, marker, white board | 120 min | |
Methods: PowerPoint presentations, discussion | |||||
Evaluation: Questionaire and interview | |||||
Unit 2 | Lesson 3: | Diabetes classification and its major risk factors | Modifiable and non-modifiable risk factors; modifiable risk factor types | 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 | 60 min |
Methods: Demonstration, presentation, discussion | |||||
Evaluation: Questionaire and interview | |||||
Lesson 4: | Measurement of blood glucose, blood pressure, height and weight | 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 | 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 | 180 min | |
Methods: Powerpoint presentation, demonstration, practice, role play | |||||
Evaluation: Obervation | |||||
Unit 3 | Lesson 5: | Counseling and health promotion message on major risk factors and medication compliance | Know the counseling techniques; provide health education for reducing modifiable risk factors | Materials: FCHV training manual, facilitator’s guide, flash card, white board, marker, newsprint | 120 min |
Methods: Powerpoint presentation, role play | |||||
Evaluation: Observation | |||||
Lesson 6: | Practical session for counseling | Know the practical way of counseling techniques; provide health education practically | Materials: FCHV training manual, facilitator’s guide, flash card | 180 min | |
Methods: Role play | |||||
Evaluation: Observation | |||||
Unit 4 | Lesson 7: | FCHV visits | Preparation for follow up; when to make the first visit; when to follow up; how to visit | Materials: FCHV manual, facilitator’s guide, FCHV register, follow up time schedule, calendar, referral form | 120 min |
Methods: Powerpoint presentation, individual practice | |||||
Evaluation: Questionaire and interview | |||||
Lesson 8: | Recording and reporting | Know the detailed format of record, report, record correctly after measurement of blood glucose, blood pressure, weight and height | Materials: FCHV training manual, facilitator’s guide, FCHV register, glucometers, sphygmomanometer, weighing machines and height measuring tapes, batteries, record form, pencil, eraser, | 180 min | |
Methods: Powerpoint presentation, individual practice | |||||
Evaluation: Questionaire and interview | |||||
Unit 5 | Lesson 9: | Selection of households | Make a list of households that FCHVs have to visit | Materials: FCHV training manual, facilitator’s guide, pen, pencil, list of ward wise respondents with address and contact number | 60 min |
Methods: Group discussion | |||||
Evaluation: Questionaire and interview | |||||
Lesson 10: | Evaluation and Certification | Visit respondents’ households, measure blood glucose, blood pressure, height and weight, provide counseling on reducing risk factors and record and maintain the FCHV register | 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 | 120 min | |
Methods:Individual practice Evaluation: Questionaire and interview |