Refresher Training for Frontline Health Workers in Expanded ... - RHO

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Role play #2 HW: Almaz: HW: Almaz: HW: Almaz: HW: Almaz: HW: Almaz: HW: Baby Yonas, please, come this way. Yes Nurse (she stands up and moves towards the procedures table with her baby) Please sit down. How are you and how is your baby today? May I see your card? Fine sister! (Sits down and gets her baby ready for vaccination). I do not have a card. Today is my first day. Don’t worry. I will give you a card. (Health worker takes the card out and records all the necessary information and directs Wro. Almaz to get her child ready for vaccination). Wro. Almaz can I confirm that your child’s name is Dele, and he is 4 weeks old. Yes, Nurse. Thank you. I am going to give your child a vaccine on his left upper arm and some drops into his mouth. The vaccine in the upper arm protects your child against tuberculosis, which give children a chronic cough. The drops prevent polio, that disease which can make children lame. The small injection does not cause much pain. It may give a small lump that will last only a few weeks. You should keep the injection site dry and do not dress it (HW gives the injection on the left upper arm of the child). The drops do not cause any problems. Thank you Nurse. I am so happy you are not angry with me. Wro. Almaz, why would be angry with you? Ah! You know the other mothers told me that because I did not bring my child immediately after birth, the nurses were going to shout at me. Thank you very much. Records the vaccine given and tells Wro. Almaz the date, place and time of the next vaccinations. The HW also explains that to be fully immunized the child needs to complete several visits before the child’s first birthday. Your next visit will on this same day, Monday, in four weeks time. Do you have any questions or anything, which you would like me to explain further? Almaz: HW: Almaz: HW: Yes, Nurse. What should I do if I miss my child’s immunization appointment? Wro. Almaz, I know it is not always easy to keep all the appointments, but you should try as much as possible to keep the immunization appointments. Immunizations are very important for protecting your children against dangerous childhood diseases. But if you fail to keep an appointment, just come on the next immunization day even if the child is sick. We give immunizations every Monday in this clinic. Thank you Nurse, (smiling). I will make sure I do not miss any immunization appointment. Bye-bye Wro. Almaz, see you in 4 weeks time. 57
Flipchart #2 Effective communication: • Be warm/friendly • Encourage/Praise the mother • Give messages relevant to the mother’s/child’s situation • Keep messages simple and clear • Make sure that the caretaker understands Flipchart #3 The 6 key messages caretakers need to know at contacts or generally: • What vaccine is given and what disease it protects against • Expected side effects and how to treat them • The place and time of the next immunization • Have your child finish the complete series of immunizations before his/her first birthday and he/she will receive the “vaccination diploma” • The need to bring the child for immunization even if he/she is ill • Always bring the child’s health card 58
Page 1 and 2:
Refresher Training for Frontline He
Page 3 and 4:
EPI Refresher & Training of Trainer
Page 5 and 6:
Module 2: The Cold Chain...........
Page 7 and 8:
- Facilitators should be well verse
Page 9 and 10:
Course Syllabus Session/Objectives
Page 11 and 12: Session/Objectives immunization cum
Page 13 and 14: Session 1 Module 0: Facilitating Ad
Page 15 and 16: facilitator: read and understand Se
Page 17 and 18: Flip Chart 2 A. Difference between
Page 19 and 20: 0.3 Additional Handouts How to impr
Page 21 and 22: 0.4 Exercises (with answers) in Mod
Page 23 and 24: Session 2 Module 1: EPI Target Dise
Page 25 and 26: Step 2: 30 minutes Re-convene into
Page 27 and 28: Exercise 2 (found on Page 25 of the
Page 29 and 30: 5. What is the immunization schedul
Page 31 and 32: Exercise 5 (found on Page 32 of the
Page 33 and 34: Module 2: The Cold Chain 2.1 Lesson
Page 35 and 36: ideas, the facilitator can refer to
Page 37 and 38: Sample job aid 1. Vaccine over or u
Page 39: 2.3 Additional Handouts How to main
Page 44 and 45: 3. In the picture below of a refrig
Page 46 and 47: Exercise 3 (found in Section 9, Pag
Page 48 and 49: Course Syllabus Session 4 Module 3:
Page 50 and 51: Step 3: 15 minutes Request the part
Page 52 and 53: 3.4 Exercises (with answers) in Mod
Page 54 and 55: 3. How do you keep the following va
Page 56 and 57: Module 4: Communication with careta
Page 58 and 59: Show the participants the immunizat
Page 60 and 61: Situation Cards #1 Group #1 Selam h
Page 64 and 65: Role play #3 The Story of Wubalem a
Page 66 and 67: 4.3 Additional Handouts Communicati
Page 68 and 69: Case Study: Earn the diploma! Four
Page 70 and 71: Module 5: Monitoring Immunization C
Page 72 and 73: Step 7: 15 minutes In plenary, expl
Page 74 and 75: FLIPCHART #1 Immunization Coverage
Page 76 and 77: “Funny Numbers” Exercise (with
Page 78 and 79: Monthly Woreda EPI Vaccination Repo
Page 80 and 81: Training held during the month No.
Page 82 and 83: TT Vaccination Monthly Health Facil
Page 84 and 85: Example of data used to calculate a
Page 86 and 87: Understand the Problem — Never-Re
Page 88 and 89: Diagnosis/Planning Action Supply qu
Page 90 and 91: 5.3 Additional Hand-outs Immunizati
Page 92 and 93: Note for the reader: please use fil
Page 94: Annex 1 Immunization Coverage and D
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