CDI Module 9: Role of the CDI Focal Person ©Jhpiego Corporation The Johns Hopkins University A Training Program on CommunityDirected Intervention (CDI) to Improve Access to Essential Health Services Module 9 Objectives By the end of this module, learners will: Define who is a community-directed intervention (CDI) focal person Describe the roles of the CDI focal person Explain how the health facility as a whole supports the CDI focal person and CDI activities 2 Why Do We Need a CDI Focal Person? CDI happens when communities take charge of distributing health commodities themselves with guidance from the health service A CDI focal person with supervisory responsibility must be present at the supervising health facility to guide the activities of the community-directed distributors (CDDs)/community-oriented resource persons (CORPs) The focal person must be trained in CDI activities and willing to work with community members and spend time in the community 3 Who Is a CDI Focal Person? Several different cadres of staff work in a health center Any of them can be CDI focal persons The key criterion is that the person is interested and willing to reach out and work with the community CDI focal persons are usually identified at the facility during CDI orientation package training 4 Key Duties Mobilize the first and second community meetings that help establish CDI Help communities decide CDD selection criteria and make their choices Supervise CDI preparation in the village (e.g., census) Train CDDs chosen by the community Supervise CDDs in the village and at monthly meetings Coordinate commodities Order enough and ensure villages collect them Monitor and evaluate by collecting and collating CDD records with health center records Coordinate with local partners (e.g., community- and faith-based organizations) Continually promote community involvement 5 Mobilizing the Community The CDI focal person (she or he): Carries out community mobilization Holds a first community meeting with village leaders to seek interest and schedule the second larger meeting Then facilitates the second community meeting during which the community makes a commitment to CDI 6 Supervising Preparation The CDI focal person: Guides the community to conduct its census Helps the community decide on CDD criteria Shares information on upcoming training dates 7 Training CDDs The CDI focal person: Conducts CDD/CORPs training using adult education and participatory approaches Organizes refresher training as needed Provides updates during supervision 8 Supervising CDDs The CDI focal person: Provides supportive supervision to the CDDs/CORPs in the village using the supervisory checklist Participates in monthly meetings with the CDDs/CORPs 9 Coordinating Supplies CDI supplies depend on the package of services to be provided through integrated community case management (iCCM) The CDI focal person: Uses the village censuses to calculate and order adequate supplies Supplies materials to the CDDs/CORPs and ensures that such materials are in stock at all times Helps CDDs/CORPs maintain and audit their stocks Ensures that commodities are: In stock at the facility at all times Available when CDDs come to collect these supplies 10 Coordinating Partners Partners and stakeholders for community management of malaria (CMM) include: Community-based organizations (CBOs) Faith-based organizations (FBOs) and other civil society organizations (CSOs)/nongovernmental organizations (NGOs) or agencies operating at the community level Local partners have important roles to play in Health education of villagers Supporting the efforts of CDDs 11 Monitoring and Evaluating The CDI focal person: Receives and audits the CDDs’/CORPs’ reports Keeps the CDDs’/CORPs’ records at the facility level and summarizes the facility’s report for submission to the local government area (LGA) Provides feedback to the community on the performance of the CDDs and the data collected from them 12 Continual Community Mobilization Regular community meetings are needed Together with CDDs/CORPs, the focal person helps bring community members together to: Seek their views on progress and problems Help the community solve problems Reinforce the community’s continued commitment to the CDI process and support for their CDDs Identify additional services that can be added to CDI Help the community replace any CDDs who may have moved or dropped out 13 Role of the Health Facility All health center staff must support the CDI process The focal person accomplishes this by working with: The pharmacy to ensure adequate supplies of appropriate commodities The records department to ensure CDD reports are integrated with health center data Antenatal care (ANC) and child health staff to ensure that community referrals are welcomed 14 Summary Questions Someone please tell us: Who is the CDI focal person? What are the roles of the CDI focal person based at the frontline health facility? How can the health facility support the CDI focal person? 15