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Table 1 Summary of Diabetes prevention and management training materials developed for Female Community Health Volunteers, Nepal). Curriculum topics (10 sessions spanned over 5 days with 240 mins of effective session each day)

From: Diabetes management training for female community health volunteers in Western Nepal: an implementation experience

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