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

Step 7: 15 minutes
In plenary, explain how drop-out is calculated. Provide on a pre-prepared flipchart
the example in Section 5.2 Page 80 of this Facilitators Guide on “How to calculate
drop-out rates.” Divide into small groups to practice calculating drop-out rates using
the data in the example. In plenary, raise any questions and discuss answers.
Step 8: 20 minutes
In plenary, demonstrate the value of displaying data so that any problems can be
better recognized. Tell participants to refer Page 10 of their module “Understanding
the problem: never reached or drop-out?” Point out that some areas have children
who are unreached, other areas have children that drop out, and some areas have
both. Request that the participants brainstorm about what types of people are
“unreached” and where they live. Call for their answers and record them on a
flipchart. Discuss what can be done to reach them. [Note: facilitator can refer to
Section 5.2 Page 78 in the Facilitator’s Guide for some possible answers.]
Step 9: 20 minutes
In plenary, brainstorm to identify some of the local causes of dropout and what can
be done in health facilities and in communities to reduce drop-out. Call for their
answers and record them on a flipchart. Discuss. [Note: facilitator can refer to
Section 5.2 Page 81 of Facilitators Guide. in the Facilitator’s Guide for some possible
answers.]
Step 10: 35 minutes
Divide into as many small groups as there are health facilities in the woreda. Hand
out to each participant a copy of some actual annual coverage data by antigen and
dose from health facilities in the woreda. Request that participants examine the
data. Assign data from one health facility to one group, so that one health facility’s
data will be examined by one group. Distribute some paper and request that they
very quickly construct by hand a bar graph for the selected health facility that
displays DPT1 or BCG versus DPT3 coverage versus measles coverage. Request
they label the “unreached” and the “drop out” parts of the bar graphs. Identify and
reach consensus on any concerns about the data that need to be investigated
further. In plenary, call on each group in turn to show their graph and to state their
concerns.
Step 11: 45 minutes
In the same small groups, instruct participants to use the actual data for the health
facility to fill out the form for “diagnosis/planning action” in Annex V, Page 19 of
Module 5, The facilitator refers Page 80 of the guide Return to plenary for each
group to quickly summarize their plans.
Step 12: 45 minutes
Practice filling a cumulative immunization coverage monitoring chart. Hand out a
blank monitoring chart to each participant, Annex III-1. In small groups, request that
they fill the top of the chart with the following information: name of health facility and
number of annual eligible infants. Request that they note the “x” axis of the graph on
one side with the monthly target of eligible children (annual number of eligible
divided by 12). On the other side of the “x” axis, they should note the corresponding
% that each line represents (8%, 17%, 25%, etc. up to 100%). Then provide the
fictitious DPT1 and DPT 3 monthly coverage figures (from the facilitator’s copy of the
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