RWANDA- The Integration Story: Mulitple ‘Cs’ Champions, Coordination, Communication, Commitment, Competition, CompromiseMIYCN, FP, PMTCT & WASH - Training/Counselling Tools Peggy Koniz-Booher Senior Technical Advisor Nutrition/SBCC SPRING Project Nutrition-FP Integration CORE Group Meeting Thursday, May 3, 2012
Rwandan Maternal, Infant & Young Child Nutrition Integrated Counselling Package – Counseling cards for both community and facility health workers (Kinyarwanda) – Take home brochures for mothers and caregivers – Posters on breastfeeding and ante-natal care – Corresponding package of training materials
Overview of the Development Process - 2010 • Advocacy to MOH, using draft UNICEF generic package and mockups (Sept) • MOH buy-in and leadership • 4 day workshop (Nov) to review harmonize materials following global release of UNICEF package • Adaptations to package (Nov-Dec) development of new materials • Q&A drafted, created the brochure and poster on new PMTCT/IYCF guideline (Nov - Dec) • Review/approval by Nutrition and PMTCT TGWs (Dec)
Overview of the Development Process - 2011 • Translation of MIYCN/PMTCT package into Kinyarwanda (Feb) • Field Testing with MOH and 18 partners (March) • Review of findings, consensus building and adjustment of materials (April/May) • Development of budget/scale up plan • Field testing of entire package/25 community health workers (June) • Adjustment of package and submission to MOH for final approval (July)
The Counseling Cards & Key Messages • 2 integrated sets of counseling cards for both community health workers and facility-based health workers. • High quality & colorful graphics encourage specific behaviors- translated into Kinyarwanda. • Health worker training focuses on counseling skills & the effective use of the cards.
One Specific Card on Family Planning/ Healthy Timing and Spacing of ChildrenBut LAM and other child spacing messages incorporated throughout.
Examples of Other Family Planning Cards From thegeneric UNICEF IYCF Package From the Nigerian adaptation of the IYCF Package
5 Additional Cards on IYCF in the Context of HIV
Three take-home brochures for mothers / caregivers
Two complementary posters focus on exclusive breastfeeding & ANC
Three unique materials to support the dissemination of the guidelines on PMTCT
The Rwandan MIYCN Community Training Package • The training materials are based on the generic UNICEF Community IYCF Counseling Package with unique participatory approach: • Adult learning principles • Interactive • Building on personal experience • Participants and trainers sitting on mats at same level • National scale up plan : • 24 master trainers, are currently training • 1200 facility based trainer/supervisors in • 300 clinics in the 30 districts, • who will train 35,000 CHWs covering 1500 villages