CDI Module 15: Roles of Local Government
Area CDI Team Members
©Jhpiego Corporation
The Johns Hopkins University
A Training Program on CommunityDirected Intervention (CDI) to Improve
Access to Essential Health Services
Module 15 Objectives
By the end of this module, learners will:
 Describe local government area (LGA)/district
core team members and their roles
 Explain division of labor among various core
team members
 Define a program coordinator and a facilitator—
who they are and what they do
 Describe components of a work plan and its
development process
2
State/Municipal Core Teams
Train LGA/District Teams
 State/provincial teams
will step-down or
cascade the training of
facilitators for
community-directed
intervention/integrated
community case
management
(CDI/iCCM) to
LGA/district level teams
District teams include
people involved in:
 Malaria control
 Onchocerciasis (river blindness)
control
 Maternal and child health (MCH)
 Monitoring and evaluation (M&E)
 Procurement, logistics, supplies
 Health education and mobilization
 Other health interventions
3
Involve all LGA/District Members
Who Were Trained
 The team may not be
limited to the health
department but may
include people with
relevant skills from
finance, agriculture,
education and community
development, to name a
few
 If someone attends
training, be sure she or
he continues to work with
the team
4
Division of Work among
LGA/District CDI Team Members
Team member
responsibility
Suggested
Comment
number
1‒2
Malaria focal person and
CDTI (oncho) focal person,
if available
BCC, mobilization,
work with CSOs
2
Include people outside the
health department
Procurement,
logistics, supplies
1
Program
coordination
Facilitators
3‒4
M&E, documentation
1‒2
Consider people who show
good facilitation skills
5
The Program Coordinator’s Tasks
The program coordinator:





Maintains communication among all team members
Leads work plan development
Leads monthly review of work plan among team members
Provides overall facilitation and supervision for CDI activities
Liaises with government agencies (such as the Local
Government Service Commission [LGSC]) and facilitators to
ensure that trained facility staff are not frequently—and
without restriction—transferred away from the local area
where they were originally intended to work
 Liaises with other teams promoting community and household
key practices at the LGA/district level to ensure cohesion and
leveraging of resources
6
Suggest Additional Tasks for the Coordinator
7
Tasks for BCC and Mobilization
BCC and mobilization tasks include:
 Obtaining stocks of relevant behavior change communication
(BCC) materials from the Ministry of Health (MOH) and
partners
 Disseminating materials to facilities and community-directed
distributors (CDDs), and orienting them to proper use
 Conducting community meetings to:
 Introduce CDI
 Select CDDs
 Obtain community member support for the CDDs
 Conducting CDI/iCCM information sessions with communitybased organizations (CBOs) and community leaders
 Recruiting local civil society organizations (CSOs) to assist
with education and advocacy efforts
8
Suggest Other Tasks for BCC,
Mobilization
9
Tasks for Procurement, Logistics, Supplies
Tasks for procurement, logistics and supplies
include:
 Forecasting and ordering adequate medicines and supplies to
meet CDI/iCCM needs
 Working with primary health care (PHC) facilities to refine
their forecasting, including their determination of community
supply needs
 Helping PHC facilities set up adequate and safe storage for all
CDI/iCCM medicines and supplies
 Guiding PHC facilities in the logistics management and
information system (LMIS), including the needs for the CDDs
they supervise
 Working with CDI focal persons to provide supportive
supervision and ensure that CDDs store medicines properly
and appropriately
10
Suggest Additional Work for Procurement
11
The Facilitator’s Tasks
The facilitator:
 Develops a training plan for PHC facility staff
 Develops, with the PHC facility CDI focal person, a
training plan for CDDs
 Reviews CDI/iCCM curricula to ensure local
relevance and adaptation, as needed
 Arranges training venues and adequate logistics
 Keeps records of all training activities and learners
 Facilitates PHC facility training
 Supervises CDD training by PHC facility staff
 Conducts supportive follow-up supervision
12
Suggest Additional Tasks for the District
CDI Facilitator
13
Tasks for M&E, Documentation
Tasks for M&E, documentation include:
 Ensuring that LGA/district recording and reporting forms
capture all CDI/iCCM activities and services
 Orienting PHC facility staff and CDDs to the correct use
of forms and the need for accurate and timely reporting
 Supervising data collection at the community and PHC
facility levels, and ensuring that data are forwarded to
the next level
 Ensuring that CDD data are included in PHC facility
summary forms
 Documenting all CDI/iCCM activities (reports, photos,
etc.), including success stories and challenges
14
Suggest Additional Tasks for M&E
15
First Team Task—Develop a Work Plan
Activities,
steps
Dates
from … to
Responsible
persons or
groups
Resources
Indicators of
success
1. Train facility
staff
2. Help facility
staff mobilize
communities
3. Obtain
needed
medicines
4, Help
facilities train
CDDs
• Brainstorm a list of key activities needed to
implement CDI/iCCM in the LGA/district
• Divide into LGA/district groupings
• Produce draft work plan
• Share with other teams
• Use feedback to improve on plan
• Revise plan again at home
Actually conduct this planning exercise as a practical component of the training
16
Summary Activity
 Who should be members of the district team?
 What are the different roles for team members to
perform?
 For each role mentioned, what are examples of
tasks for those persons?
 What are the components of our district action
plans?
 (Learners can wrap up the session by
presenting their sample action plans)
17