1. CDI Module 9: Role of the CDI Focal Person ©Jhpiego Corporation The Johns Hopkins University A Training Program on Community- Directed Intervention (CDI) to Improve Access to Essential Health Services

2. Module 9 Objectives By the end of this module, learners will:  Define who is a community-directed intervention (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 2

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-directed distributors (CDDs)/community-oriented resource persons (CORPs)  The focal person must be trained in CDI activities and willing to work with community members and spend time in the community 3

4. Who Is a CDI Focal Person?  Several different cadres of staff work in a health center  Any of them can be CDI focal persons  The key criterion is that the person is interested and willing to reach out and work with the community  CDI focal persons are usually identified at the facility during CDI orientation package training 4

5. Key Duties  Mobilize the first and second community meetings that help establish CDI  Help communities decide CDD selection criteria and make their choices  Supervise CDI preparation in the village (e.g., census)  Train CDDs chosen by the community  Supervise CDDs in the village and at monthly meetings  Coordinate commodities  Order enough and ensure villages collect them  Monitor and evaluate by collecting and collating CDD records with health center records  Coordinate with local partners (e.g., community- and faith-based organizations)  Continually promote community involvement 5

6. Mobilizing the Community The CDI focal person (she or he):  Carries out community mobilization  Holds a first community meeting with village leaders to seek interest and schedule the second larger meeting  Then facilitates the second community meeting during which the community makes a commitment to CDI 6

7. Supervising Preparation  Guides the community to conduct its census  Helps the community decide on CDD criteria  Shares information on upcoming training dates 7 The CDI focal person:

8. Training CDDs The CDI focal person:  Conducts CDD/CORPs training using adult education and participatory approaches  Organizes refresher training as needed  Provides updates during supervision 8

9. Supervising CDDs  Provides supportive supervision to the CDDs/CORPs in the village using the supervisory checklist  Participates in monthly meetings with the CDDs/CORPs 9 The CDI focal person:

10. Coordinating Supplies  CDI supplies depend on the package of services to be provided through integrated community case management (iCCM)  The CDI focal person:  Uses the village censuses to calculate and order adequate supplies  Supplies materials to the CDDs/CORPs and ensures that such materials are in stock at all times  Helps CDDs/CORPs maintain and audit their stocks  Ensures that commodities are:  In stock at the facility at all times  Available when CDDs come to collect these supplies 10

11. Coordinating Partners  Partners and stakeholders for community management of malaria (CMM) include:  Community-based organizations (CBOs)  Faith-based organizations (FBOs) and other civil society organizations (CSOs)/nongovernmental organizations (NGOs) or agencies operating at the community level  Local partners have important roles to play in  Health education of villagers  Supporting the efforts of CDDs 11

12. Monitoring and Evaluating The CDI focal person:  Receives and audits the CDDs’/CORPs’ reports  Keeps the CDDs’/CORPs’ records at the facility level and summarizes the facility’s report for submission to the local government area (LGA)  Provides feedback to the community on the performance of the CDDs and the data collected from them 12

13. Continual Community Mobilization  Regular community meetings are needed  Together with CDDs/CORPs, 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 CDI process and support for their CDDs  Identify additional services that can be added to CDI  Help the community replace any CDDs who may have moved or dropped out 13

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 CDD reports are integrated with health center data  Antenatal care (ANC) and child health staff to ensure that community referrals are welcomed 14

15. Summary Questions Someone please tell us:  Who is the 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? 15