2016 Semi Annual Report - BNMT Nepal · Project Report July – December 2016 ... Kathmandu . 10 th August, 2016 - 1 event . 1 event . Completed . d. ... DDC, DAO from respective

Project Report July – December 2016

Enhancing Community Health in Nepal BNMT Nepal

January 2017

Project Report, July-December, 2016

[i]

Abbreviation BNMT Birat Nepal Medical Trust

BNMT UK Britain Nepal Medical Trust

DAO District Administration Office

DDC District Development Committee

D(P)HO District (Public) Health Officer

DPHO District Public Health Office

DWO District Women Officer

FCHV(s) Female Community Health Volunteer(s)

HFOMC Health Facility Operation and Management Committee

HW(s) Health Workers

MHM Menstrual Hygiene Management

MHPSS Mental Health and Psychosocial Support Services

M&EO Monitoring and Evaluation Officer

MoH Ministry of Health

MoU Memorandum of Understanding

NGO Non Governmental Organization

LDO Local Development Officer

SWC Social Welfare Council

VDC(s) Village Development Committee

WASH Water, Sanitation and Hygiene


[ii]

Table of Contents Abbreviation ............................................................................................................................................................. i

Summary Chart ........................................................................................................................................................ 1

1. Background ...................................................................................................................................................... 6

2. Common Program ............................................................................................................................................ 7

I. Memorandum of Understanding (MoU) with MoH and SWC ..................................................................... 7

II. Office setup .................................................................................................................................................. 7

III. Staff recruitment ...................................................................................................................................... 7

IV. Consultative (inception) meetings with government line agencies and other stakeholders, including communities ........................................................................................................................................................ 8

V. Pre-intervention information collection in the targeted VDCs .................................................................... 9

3. Programmatic activities ................................................................................................................................... 9

A. Planning and Review workshop ................................................................................................................... 9

B. Mental Health and Psychosocial Support Services .................................................................................... 10

i. Capacity enhancement trainings to Prescribers (Health Workers) ....................................................... 10

ii. Capacity enhancement trainings to Non- prescribers ........................................................................... 11

C. Community WASH Intervention ................................................................................................................. 12

i. Training/orientations/ coaching to the health professionals and community leaders including FCHVs 12

ii. Strengthening the HFOMCs for improved and sustained WASH program in the community .............. 12

D. Health Camps and Awareness on Infectious Diseases ............................................................................... 13

i. Free health camps with free medicines distribution ............................................................................. 13

4. Outcome ........................................................................................................................................................ 14

5. Challenges ...................................................................................................................................................... 14

Annex ..................................................................................................................................................................... 15

a. Picture gallery ............................................................................................................................................ 15

b. Schedule of the workshops ........................................................................................................................ 18


[1]

ENHANCING COMMUNITY HEALTH IN NEPAL

Summary Chart The grant from the Big Lottery Fund is enabling BNMT UK and Birat Nepal Medical Trust to support many people affected by the earthquake with essential health services to promote and enhance long-term restructuring of the communities. BNMT has been able to rapidly mobilize these resources and implement the programme in the most affected populations.

Key achievements including deliverables completed from July- December, 2016 and its status:

S.N. Name of activities Location Completed Date Number of participants Target Achievement Status Justification/

Remarks A.

Staff recruitment

Kathmandu 1st August

234 applied for DC, 10

shortlisted for written exam, 6 selected for interview, 3 selected and

recruited.

56 applied for M&EO, 6 invited for

written exam,3

selected for interview and 1 recruited.

5 5 Completed *Program Staffs include 3 District

Coordinators (DC) 1 Psycho Social Counselor and 1

M&E Officer

Kathmandu 1st September 45 applied for

Volunteer Community

15 15


[2]


Remarks Mobilizers, 15

recruited

1a. Consultative meeting 5 districts

5 Districts 5 Districts Completed

i. Makwanpur Avocado, Hetauda

23rd May 34

Initial consultative meeting was jointly organized along with another BNMT’s project

ii. Kathmandu, Babarmahal

28th August 17

iii. Nuwakot Bidur 31st August 23

iv.

Sindhupalchowk

DHO, Chautara

1st September 23

District Health Office

v. Bhaktapur

DHO, Bhaktapur

30th September 40

b. Pre-intervention information collection in the targeted VDCs

5 VDCs of 5 districts

11th -20th September

1217 HH 15 HWs 130 FCHVs 624 Male & 459 Female student

15 VDCs 15 VDCs

Completed

HH= Households Report of baseline survey is still in

process and will be shared once it is

finalized c Memorandum of

Understanding (MoU) with MoH

and SWC

Kathmandu 10th August, 2016 - 1 event 1 event Completed

d. Planning and Review workshop Kathmandu 7th and 8th

September, 2016 20 2 1 Completed


[3]


Remarks 2. Mental Health and Psychosocial support services

i.

Capacity enhancement

trainings Prescribers (Health workers)

Kathmandu and

Bhaktapur

16th-18th August

29

5 districts 5 districts Completed

Makwanpur 20th – 22nd October 24 Sindhupal

Chowk 25th-27th November 20

Nuwakot 7th-9th December 21

ii.

Capacity enhancement

trainings Non-prescribers (FCHVs,

HFOMCs, Local/social leaders,

teachers)

Sankhu 2nd December 28

15 VDCs 11 VDCs Ongoing

Sundarijal 11th December 27

Kavresthali 19th December 28 Nagarkot 30th November 27

Gundu 6th December 27 Bhaktapur 27th December 27

Samundratar 17th December 25 Balkumari 21st December 25 Hadikhola 16th December 29

Padampokhari

20th December 30

Manahari 4th December 28 iii. Conducting school

counseling programme at schools

60 events 0 In process

The activity has been planned to start from January

iv. PSS services to earthquake affected targeting women, elderly, girls, children and marginalized

60 events 0 Ongoing

v. Establishing MHPSS help desk at health institutions

15 VDCs 0 In process

Consultations are ongoing with Health Facilities

vi. Advocacy, 11 0 In process The Day Celebration


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Remarks Communication and Social Mobilisation on MHPSS services

events events will be organized in their respective dates from 2017

vii. Bottom up of referral PSS services through mobilization of FCHVs from wards to District level

15

individuals

0 Ongoing

FCHVs are mobilized in their respective area

3. Community WASH intervention i.

Construction of community toilets - - - 15

VDCs 0 Ongoing

WASH committee has been formed and plans have been developed for the construction

ii.

Training/ orientations/ coaching to the health professionals and community leaders including FCHVs

Nagarkot 1st December 20


Gundu 7th December 22

Bhaktapur municipality 28th December 25

Sankhu 3rd December 25 Sundarijal 12th December 20

Kavresthali 20th December 25 Balkumari 24th December 15

Samundratar 25th December 16 iii. Promotion of MHM

targeting the adolescent girls

- - - 15

schools 0 In process Schools have been selected in respective VDCs

iv. Awareness and advocacy for hygiene promotion

- - - 21 event 0 In process

Designs for IEC materials have been developed

v. Formation/ reactivation and mobilization of WASH committees

Samundratar, Nuwakot 20th December 16 15

VDCs 1 VDC Ongoing

A meeting was conducted and land has been approved in Samundratar VDC of


[5]


Remarks Nuwakot district

vi.

Strengthening the HFOMCs for improved and sustained WASH program in communities

Badegaun 14th-15th December 16


Sipapokhare 27th-28th December 14 Padampokhari

14th-15th December 21

Hadikhola 16th-17th December 23 Manahari 18th -19th December 23 Samundratar 1st -2nd December 15 Balkumari 22nd -23rd December 15

4. Health camps and awareness on infectious diseases (TB, HIV, diarrheal diseases) in IDPs i. Organize free health

camps with free medical distribution

Sipaghat 6th September 200 25

events 2 events Ongoing

Bhaktapur municipality

19th November 130

Screening for Tuberculosis (TB) in IDP settlements through microscopic camps

- - - 25

events 1 event

Ongoing

Awareness on TB prevention and prevention of other diseases

- - -

15 events

1 event Ongoing


[6]

1. Background

This document presents the first half yearly report and covers the months of July to December 2016. The main objectives of the project are to:

Reduce psychosocial problems in the community Decrease in diarrheal and WASH related diseases and Increase availability of health services in the community through health camps

In the initial phase the following activities like approval letters from government authorities (DPHO, DDC, and DAO) and signing of memorandum of understanding with Social Welfare Council (SWC) for implementing project activities in the five districts, and consultative meetings with government stakeholders were carried out. A baseline survey related to Water, Sanitation and Hygiene (WASH), Mental Health and Psychosocial Support (MHPSS), Menstrual Hygiene Management (MHM) and Tuberculosis (TB) and other communicable diseases was also carried out in order to know the basic health situation in the earthquake affected areas.

The various activities of the project like MHPSS, WASH, MHM, Tuberculosis identification and others are targeted for health workers, health facilities operation and management committees, students and community people. During the six months working period, activities related to WASH and MHPSS were conducted, A three days orientation workshop on MHPSS was organized in all the project implemented districts in participation with district level staffs including District Public Health Officer (D(P)HO) and public health and other officers from DPHO including health post in-charge . A one day orientation workshop on MHPSS was also conducted for the Female Community Health Volunteers (FCHVs), HFOMC members and community leaders.

Health Facilities Operation and Management Committee members were oriented on WASH for two days and one day orientation was given on WASH for FCHVs and community leaders.\

Health camps with specialists like general physicians, obstetric and gynaecologist, orthopaedicians and a paediatrician were conducted for the community people of the 2 concerned districts. After being checked up free medicines were also given to the sick. Those that needed to be referred were referred to the concerned institutions and suspected cases of TB screening and testing was conducted. Awareness message on health and hygiene were provided to the people who came to the health camps.


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During this 6 months period the project has directly benefitted 692 health and non-health workers with its orientations on WASH and MHPSS while 330 community people benefitted from health camps conducted at their doorsteps.

2. Common Program

I. Memorandum of Understanding (MoU) with MoH and SWC

An agreement was signed with Ministry of Health and Social Welfare Council (SWC) on 10th August 2016 as a tripartite understanding to initiate activities in the project VDCs and districts.

II. Office setup

Approval letters were obtained from district authorities- DPHO, DDC, DAO from respective five project districts. Three district offices were established in Nuwakot, Sindhupalchowk and Makwanpur districts with necessary logistics. District office in Makwanpur was established in District Public Health Office building whereas district health offices in Nuwakot and Sindhupalchowk were established in local health facilities. As for Kathmandu and Bhaktapur districts, all the operations were carried out from central office of BNMT UK in Kathmandu.

III. Staff recruitment

For the recruitments of staffs a vacancy announcement was published in the national daily The Himalayan Times and on various online job websites on 8th June, 2016. The vacancy was for the position of District Coordinators (3 positions) and Monitoring and Evaluation Officer (M&EO) (1 position). From a roster of 234 applications, ten candidates were short listed for District Coordinators and given a written examination and then the 6 best candidates were invited for an interview. Similarly, out of 56 candidates who applied for the position of M&EO, six short listed were given a written examination and then the three best invited for an interview. The selection process involved a panel of senior staffs of BNMT Nepal and the Country Representative of the BNMT UK and was as per the rules and regulations of the organization.

Furthermore, to implement the programmatic activities in the community level, 15 Volunteer Community Health Mobilisers (VCHM) were appointed at each Village Development Committee (VDCs) of the five districts out of 45 aspirants. The VCHM were selected on the basis of their academic qualification, work experience and public good standing.

A five-day induction and orientation program was held for the newly recruited staffs from 1st August 2016 to 5th August 2016 in Central office Kathmandu. In the program, they were introduced to organization, its mission, vision, goals and objectives; programmatic activities of


[8]

the project, Human Resource policies and financial forms and formats. A one hour lesson on the BLF's "Core Humanitarian Standard" was also conducted.

IV. Consultative (inception) meetings with government line agencies and other stakeholders, including communities

Consultative (inception) meetings with government line agencies and other stakeholders were conducted in five districts viz. Makwanpur, Kathmandu, Sindhupalchowk, Nuwakot and Bhaktapur in order to share details of “Enhancing Community Health in Nepal” project and to develop common understanding on implementation process of the project with the stakeholders. The stakeholders were mainly Chief District Officer (CDO), Local Development Officer (LDO), Women Development Officer (WDO), Central Regional Health Directorate (CRHD), District Public Health Officer (DPHO), representatives from District Administration Office (DAO), District Development Committee (DDC), Planning, Monitoring and Evaluation Officer, Executive Officers from municipalities, Health Facility Operational and Management Committee (HFOMC) and I/NGOs which helped to develop common understanding on implementation process of the project with the stakeholders. The following table gives a glimpse of the series of events conducted regarding the venue, dates and the number of participants. Consultative Meetings: S.N. District Date

Venue Number of participants

1 Makwanpur 23rd May Hotel Avocado, Makwanpur

34

2 Kathmandu 28th August

Bawarchi Bistro, Babarmahal

17

3. Nuwakot 31st August Hotel Ocean, Bidur Municipality

23

4 Sindhupalchowk 1st September

District Health Office, Chautara

23

5 Bhaktapur 30th September

District Health Office 40

Total 137


[9]

V. Pre-intervention information collection in the targeted VDCs

A baseline survey was conducted in the fifteen VDCs of the five districts of the project area from 11th September to 20th September 2016. The survey intended to collect health related information particularly on (WASH), (MHM), (MHPSS) and Tuberculosis. The survey involved collection of information from households, Female Health Community Volunteers , Village-WASH-Coordination Committee, Health Workers from health posts, and school students of grade 8, 9 and 10 of the fifteen VDCs. Also, secondary information on tuberculosis, diarrhea, and mental health problems was collected from health posts. The tools and techniques for data collection were designed and finalized by two external professional consultants. Prior to collection of information, two days orientation program was organized to support district staffs to acquaint them on programmatic activities, questionnaires and methodologies of data collection, recording and reporting forms and formats 15 Community Mobilizers and 3 District Coordinators were responsible to collect the baseline data.

During the baseline survey, a field visit was organized in Makwanpur district on 15th September 2016 to monitor data collection at community level as a part of the project of Big Lottery Fund (BLF). Two days visit was made by the supervisor for the baseline survey Ms. Neelu Thapa and Monitoring and Evaluation officer of BNMT Nepal, Ms. Kritika Dixit in all three VDCs of the district, namely: Hadikhola, Manahari and Padampokhari. The major objective of the monitoring visit was to ensure proper methods of data collection by community mobilizers, and to support them in difficulties while filling the survey forms and to ensure that the survey activities were carried out as planned. The visit was helpful in ensuring quality data in the survey.

The survey has been completed and has collected information from 1217 households, 15 Health workers, 130 FCHVs and 624 Male / 459 Female students.

3. Programmatic activities

A. Planning and Review workshop

Planning and orientation workshop was conducted for the commencement of project activities and to orient the district coordinators as well as the community mobilizers of the five districts, plan programmatic and baseline survey for the project. It was organized at Hotel Tapas, Lazimpat from 7th to 8th September, 2016.


[10]

B. Mental Health and Psychosocial Support Services

i. Capacity enhancement trainings to Prescribers (Health Workers) A Mental Health and Psychosocial Support Services training was organized in all the districts following the standards and guidelines from National Health Training Center (NHTC). The main objective of the orientation was to enhance capacity of health workers working in project implemented districts and VDCs by improving their understanding on psychosocial services and counseling that helps in effectiveness of the service delivery and thereby decreasing the cases

of psycho social problems in the community. The main emphasis was on identifying and referral.

The orientation on MHPSS was first organized in Kathmandu district where Health workers from Kathmandu and Bhaktapur district as well as project implemented VDCs of the two districts, District Coordinators, and other BNMT staffs took part. The orientation program was facilitated by a team of distinguished and competent trainers. Ms. Sunita Shrestha, Psychologist; Prof. Dr. Saroj Prasad Ojha, Head of Psychiatry Department, Institute of Medicine and Ms. Aroja Maskey, Psychosocial Counselor, BNMT Nepal.

BNMT staffs were given a one day in house refresher on ToT and facilitated the other district level MHPSS orientations in Sindhupalchowk, Nuwakot and Makwanpur districts.

S.N. Districts Date Number of participants

Facilitators

a. Kathmandu and Bhaktapur 16th-18th August

29 Ms. Sunita Sh, Dr. Saroj , Ms. Aroja

b. Makwanpur 20th – 22nd October

34 Ms. Sapana Kandel, Ms. Aroja Maskey,

c. Sindhupalchowk 25th-27th November 20 Ms. Kritika Ms.Shikha

d. Nuwakot 7th-9th December 21 Ms. Aroja, Mr.Dipendra

Total

101


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The evaluation of the training was done through pre and post-test, mood chart, feedback form as well as verbal feedback from the participants. The training was successful in: • Enabling the participants to identify psychosocial problems, its causes and symptoms and

well-being in the communities • Enhancing the participants knowledge in using basic both verbal and non-verbal

communication skills • Improving knowledge on identification of mental health problems • Improving recording of cases and referral mechanism

ii. Capacity enhancement trainings to Non- prescribers With the objective to improve case finding from the community, one day capacity building orientation for HFOMC members, FCHVs, community leaders was organized in the VDC level. The sessions focused on identification of psychosocial problems and reporting and referral of mental and psychosocial cases seen in the communities. In six months duration, the orientations have been completed in 11 of 15 VDCs.

S.N. District VDC Date No. of participants

No. of Male (M)/ Female (F)

1 Kathmandu

Sankhu 2nd December 28 F-24

M-4 Sundarijal

11th December 27 F-19 M-8

Kavresthali 19th December 28 F-23

M-5

2 Bhaktapur

Nagarkot 30th November 27 F-15 M-12

Gundu 6th December 27 F-20

M-7 Bhaktapur muncipality


3 Nuwakot

Samundratar 17th December 25 F-13 M-12

Balkumari 21st December 25 F-16

M-9

4 Makwanpur

Hadikhola 16th December 29 F-17

M-12 Padampokhari


Manahari 4th December 28 F-13

M-15

Total 301 F- 205 M- 96


[12]

C. Community WASH Intervention

i. Training/orientations/ coaching to the health professionals and community leaders including FCHVs

The WASH orientations were provided to the health professionals and community leaders including FCHVs. The sessions were delivered on safe water and total sanitation; water borne diseases and preventive measures of water borne diseases; hand washing practices; techniques of water purification; promotion of healthy behaviors; household waste management and raising community awareness for proper use of toilet. The duration of the orientations was one day.


No. of Male (M)/Female

(F)

1. Kathmandu

Sankhu 3rd December 25 F-24 M-1

Sundarijal 12th December 18 F-17 M-1

Kavresthali 20th December 25 F-22 M-3

2. Bhaktapur

Nagarkot 1st December 20 F-15 M-5

Gundu 7th December 22 F-18 M-4

Bhaktapur municipality 28th December 25 F-23

M-2

3. Nuwakot Balkumari 24th December 15

F-12 M-3

Samundratar 25th December 16 F-13 M-3

Total 166 F-144 M-22

ii. Strengthening the HFOMCs for improved and sustained WASH program in the community

WASH orientations for members of HFOMC were conducted in seven of the intervention VDCs. The orientations covered sessions on safe water and total sanitation; water borne diseases and preventive measures of water borne diseases; hand washing practices; techniques of water purification; promotion of healthy behaviours; household waste management and raising community awareness for proper use of toilet and environmental sanitation. The duration of orientations was two days.


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No. of Male (M)/

Female (F)

1. Sindhupalchowk Badegaun 14th-15th

December 15

F – 8 M – 7

Sipapokhare 27th-28th December 14 F – 4 M – 10

2. Makwanpur

Padampokhari 14th-15th December 19 F – 10 M – 9

Hadikhola 16th-17th December 21 F – 15 M– 6

Manahari 18th -19th December 22 F – 2 M – 20

3. Nuwakot Samundratar 1st -2nd December 18 F – 5

M – 13

Balkumari 22nd -23rd December

15

F – 5 M – 10

Total 124 F- 49 M- 75

D. Health Camps and Awareness on Infectious Diseases

i. Free health camps with free medicines distribution Two health camps were conducted in Sindhupalchowk and Bhaktapur districts. A free health camp was organized by BNMT Nepal in Sindhupalchowk District at a Internally Displaced Population (IDP) settlement on September 6, 2016. A general physician, a paediatrician, a gynaecologist and an orthopaedician checked the people at the camp and gave free essential medicines to the sick. Those that needed referrals were referred to the concerned institutions. Additionally, awareness program was conducted for communicable and non-communicable diseases especially on Diarrhea and Tuberculosis. A total of 200 people of all ages directly benefitted from the camp.

Similarly, another free health camp was organized in Basu School, Bhaktapur Municipality on 19th November 2016. The camp provided general check up, orthopedics; and Gynae/ Obstetrics service and distributed essential medicines free of cost. Awareness program was conducted for communicable and non-communicable diseases especially on Diarrhea and Tuberculosis. A total of 130 people benefitted from the camp including 95 women and 35 men.


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4. Outcome • Established strong coordination with government line agencies (MoH, DOHS, CRHD,

NHTC, DPHO, PHC, HP) from center to periphery level in project implemented districts.

• Improved knowledge of Health workers of all project implemented districts and VDCs on

Mental health problems and Psychosocial Support Services

• Improved knowledge of Health workers and HFOMC members on Water, Sanitation and

Hygiene of project implemented VDCs in Nuwakot, Makwanpur and Sindhupalchowk

• Increased access of health services through health camps to the IDPS and community people

of Sipaghat VDC and Bhaktapur municipality.

5. Challenges S.N. Challenges Addressed

1. Large sample size in baseline survey caused prolonged data collection in Bhaktapur Municipality which delayed implementation of the planned activities in five districts

The project activities were geared once the baseline survey was completed.

2. Unavailability of health workers in their working area caused delay in implementation in programmatic activities.

Frequent communication and coordination was done with Health Post In charge and other staffs to initiate the activities

3. Health workers in MHPSS orientations were from various levels with different levels of knowledge which stood as a challenge during the orientations.

Various energizer, group activities and presentations, questions and answers session, peer supporters were organized to improve understanding of the participants.


[15]

Annex

a. Picture gallery

MHPSS orientation in Kathmandu Dr. Saroj Ojha

Participants of MHPSS orientation Group Work Session


[16]

District Consultative meeting, Kathmandu District Consultative meeting, Sindhupalchowk

Community Mobilizer collecting pre-intervention information from school students

Community Mobilizer collecting pre-intervention information from locals

MHPSS orientation in Bhaktapur Municipality MHPSS orientation in Balkumari, Nuwakot


[17]

WASH orientations in Sipapokhare, Sindhupalchowk WASH orientations in Handikhola, Makwanpur

WASH orientations in Padampokhari, Makwanpur WASH orientations in Balkumari, Nuwakot

WASH orientations in Badegaun, Sindhupalchowk WASH orientations in Nagarkot, Bhaktapur


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b. Schedule of the workshops

District level Training on

Mental Health and Psychosocial Support Services (MHPSS) Programme BNMT Nepal

Training Schedule

Day- One

Time Activities

Health Camp at Bhaktapur Municipality

Health Camp at Sindhupalchowk


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10:00 - 10:15 Registration

10:15 -10:30 Pre- Test

10:30 - 10:50

Opening Session Chairing Introduction, Welcome, Objective, Briefing on BLF's Core Humanitarian Standard Format of the training

10:50- 11:00 Closing remarks by Chairperson of the program

11:00 – 11:10 Introduction to BNMT

11:10- 11:20 Technical Session: Expectation collection, Ground rules and Objectives of the program

11:20 - 11:40 Psychosocial and psychosocial well being

11:40 - 12:30 Causes, Signs and Symptoms of Psychosocial problems

12:30 - 1:15 Lunch break

1:15 - 1:45 Qualities of Health Workers for Psychosocial support

1:45 - 3:00 Psychosocial Support Framework: Counseling

3:00 - 3:30 Communication skill

3:30 – 3:40 Relaxation

3:40 - 4:00 Evaluation and wrap up

Day Two

Time Activity 10:00 - 10:15 Review of the first day

10:15 – 10:45 Introduction and importance of communication skills

10:45-11:45 Non-Verbal communication skills

11:45-12:00 Verbal Communication skills 12:00- 12:30 Verbal communication skills: question asking skills


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12:30- 1:00 Verbal communication skills: Repetition of key words

1:45-2:15 Verbal communication skills: Summarization

2:15- 3:30 Role play and practice of both communication skills

3:30- 3:40 Progressive relaxation 3:40 - 4:00 Review of whole day session and wrap up

Day three

Time Activity

10:00- 10:15 Review of the second day

10:15- 10:30 Deep breathing exercise

10:30- 11:30 Introduction of Mental health

11:30 - 12:15 Stigma and discrimination

12:15 - 1:00 Self Care

1:45- 2:15 pm Referral 2:15- 2:30 pm Wrap up 2:30 - 2:40 pm Relaxation exercise 2:40 - 3:00 pm Concluding remarks 3:00- 3:15 pm Post test 3:15- 3:30 pm Review of the program

3:30- 4:00 pm Closing session/ Administrative works

Health Facility level Training on Water, Sanitation and Hygiene

BNMT Nepal

Training Schedule

Time Duration Activities Tools/

Methodology Opening and Welcome

9:00- 9:30 30 minutes Registration Registration sheet 9:30- 10:00 30 minutes Introduction of participants 10:00-10:15 15 minutes Expectation collection Metacard 10:15-10:30 15 minutes Welcome and objective sharing


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Briefing on BLF's Core Humanitarian Standard Introduction to WASH

10:30-11:15 45 minutes Game activities Group work

Practical exercise And

Participatory discussion

11:15-12:00 45 minutes - Status of National, Districts and VDCs facts and figures of diarrheal cases, toilet construction, ODF VDCs

Presentation and discussion

12:00-1:00 1.5 hour - Safe water

- Water borne diseases

- Preventive measures of water borne

diseases

Presentation

Group work and

Discussion

2:00-3:00 1 hour - Cholera Video show

- Methods of hand washing

- Hand washing with Soap or Cleaning Agent at four critical times

- Challenges of hand washing

Discussion

Video show

Group Work

3:00-3:45 45 minutes - Safe handling and treatment of Household Drinking Water

- Techniques of water purification - Community behavior

Group work

Presentation

3:45-4:00 15 minutes Total sanitation: 5+1 Indicators Presentation

Day Two

Time Duration Activities Tools/ Methodology

9:00- 9:30 30 minutes Review of previous day Review Game activity

9:30- 10:30 1 hour - Strategies adopted by Nepali government

- Discussion on problems caused by open defecation

Role play / Songs


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and ways to improve use of toilet and hand washing

10:30- 11:00 30 minutes Environmental sanitation Presentation and group discussion

11:00-11:30 30 minutes Waste management sanitation: Composting

Presentation and group discussion

11:30-11:45 15 minutes Various types of toilets Presentation and group discussion

11:45-1:00 1.15 hour

- Wastes from Health facilities

- Waste disposal - Principles of waste

management in Health facilities


2:00-3:00 1 hour

- System of waste management in Health facilities

- 3R technique


3:00-3:30 30 minutes Concluding remarks 3:30-3:45 15 minutes Post test Questionnaire 3:45-4:00 15 minutes Closing session

Documents

2016 Semi Annual Report - BNMT Nepal · Project Report July – December 2016 ... Kathmandu . 10 th August, 2016 - 1 event . 1 event . Completed . d. ... DDC, DAO from respective