CDI Module 9: Role of the CDI Focal Person

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The Johns Hopkins UniversityA Training Program on Community- Directed Intervention (CDI) to Improve Access to Essential Health Services

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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

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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

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

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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

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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

Supervising Preparation

Guides the community to conduct its census

Helps the community decide on CDD criteria

Shares information on upcoming training dates

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The CDI focal person:

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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

Supervising CDDs

Provides supportive supervision to the CDDs/CORPs in the village using the supervisory checklist

Participates in monthly meetings with the CDDs/CORPs

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The CDI focal person:

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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

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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

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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

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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

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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

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?

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