1. RWANDA- The Integration Story: Mulitple ‘Cs’
Champions, Coordination, Communication, Commitment, Competition, Compromise
MIYCN, 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

2. 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

3. 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)

4. 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)

5. 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.

6. Individual Cards Reflect Specific Key Messages

7. One Specific Card on Family Planning/
Healthy Timing and Spacing of Children
But LAM and other child spacing messages incorporated throughout.

8. Examples of Other Family Planning Cards
From the
generic UNICEF
IYCF Package
From the Nigerian
adaptation of the
IYCF Package

9. 5 Additional Cards on IYCF in the Context of HIV

10. Three take-home brochures for mothers / caregivers

11. Two complementary posters focus on
exclusive breastfeeding & ANC

12. Three unique materials to support the
dissemination of the guidelines on PMTCT

13. 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

14. Thank you for listening!