Skip to main content

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