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Role of the Community-Directed Intervention (CDI) Focal Person

This module provides an understanding of the role of the CDI focal person in facilitating community-directed interventions and the support they receive from the health facility. It covers the selection criteria, key duties, and coordination responsibilities of the focal person.

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Role of the Community-Directed Intervention (CDI) Focal Person

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  1. Role of the Community-Directed Intervention (CDI) Focal Person Module 4 Version 2

  2. Learning objectives • By the end of this module, learners will be able to: • Define who may be a 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

  3. 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 health workers (CHWs) • The focal person must be trained in CDI activities and willing to work with community members and spend time in the community

  4. Who can be a CDI focal person? Selection criteria for CDI focal person: • Health care worker • Trained in intermittent preventive treatment in pregnancy, supportive supervision, and effective training skills • Works in health facility near the community (preferably in the antenatal care clinic) • Interested in community-directed intermittent preventive treatment in pregnancy (c-IPTp) • Agrees to participate in CDI Photo by Bright Orji, Jhpiego

  5. What are the key duties of a CDI focal person?

  6. Mobilizing the community The CDI focal person: • Carries out community mobilization • Holds a community entry meeting with community leaders to seek support and schedule the larger orientation and facilitation meeting • Facilitates the orientation and facilitation meeting to seek community representatives’ commitment to CDI • Takes part in meeting to obtain feedback from the community Photo by EnobongNdekhedehe, Jhpiego

  7. Supervising CDI preparation The CDI focal person: • Provides guidance to the community to conduct its census/mapping • Empowers the community to decide on CHW selection criteria • Shares information on upcoming training dates Photo by Enobong Ndekhedehe, Jhpiego

  8. Training CHWs The CDI focal person: • Trains CHWs using adult education and participatory approaches • Organizes refresher training as needed • Provides updates during supervision Photo by Enobong Ndekhedehe, Jhpiego

  9. Supervising CHWs The CDI focal person: • Provides supportive supervision to the CHWs in the community using the supportive supervision checklists (see Community Intermittent Preventive Treatment for Malaria in Pregnancy: Implementation Guide,Appendix A) • Participates in monthly supportive supervision meetings with the CHWs Photo by Enobong Ndekhedehe, Jhpiego

  10. Coordinating supplies • CDI supplies depend on the package of services to be provided • The CDI focal person: • Uses the village censuses to calculate and order adequate supplies • Supplies materials to the CHWs • Helps CHWs maintain and audit their stocks • Ensures that commodities are: • In stock at the facility at all times • Available when CHWs come to collect these supplies

  11. Coordinating partners • Partners and stakeholders for c-IPTpinclude civil society organizations, such as: • Community-based organizations • Faith-based organizations • Nongovernmental organizations • Agencies operating at the community level • Local partners have important roles to play in: • Health education of villagers • Supporting the efforts of CHWs

  12. Monitoring and evaluating The CDI focal person: • Receives and audits the CHWs’ reports • Keeps the CHWs’ records at the facility level and summarizes the facility’s report for submission to the district level • Facilitates feedback to the community on the performance of the CHWs and the data collected from them as part of the community self-monitoring process Photo by Bright Orji, Jhpiego

  13. Continual community mobilization • Regular community meetings are needed • Together with CHWs, 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 c-IPTp program and support for their CHWs • Identify additional services that can be added to c-IPTp • Help the community replace any CHWs who may have moved or dropped out

  14. 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 CHW reports are integrated with health center data • Antenatal care and child health staff to ensure that patients referred by the CHW are welcomed

  15. Summary questions Someone please tell us: • Who can be a 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?

  16. Thank you! Any questions or comments? 15

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