Nepali-German Health Sector Support Programme (HSSP)

Event Report HSSP Regional Office, Dipayal

Report Submitted to: Broch Alvarez Valerie (Senior Advisor), Sanjeev Pokharel, Deputy CTA

Report Copied to: Shree Bhakta Subasi,

Name of the event: School Health Lesson Plan Orientation for Health Workers and School Teachers

Venue: Hotel Barsha, Pipalla, Doti

Date: 5th and 6th April, 2015 No. of Participants:

35 (21 Male and 14 Female) including 25 Health Workers and 10 Health Education Teachers)

GIZ staff who attended the event:

Deepak Timsina (DT) Nirajan Khadka (NK)

Attendance of Guests:

Ms. Rita Joshi Bhandari (Sr. PHA), Ram Dutta Pant (DEO Representative), Laxmi Raj Ojha (DEO Representative)

Brief introduction: Background: National Health Education Information and Communication Centre (NHEICC) has implemented different activities at the community level for more than two decade (since 2051/52 BS). However, various studies depict the knowledge of adolescents on health and development issue is still poor resulting in the low utilization of health care services. It is even worse in the remote communities. The absence of lesson plan and relevant job aids has posed a great challenge for health workers and school teachers to impart knowledge on adolescent health for years. Taking this fact into consideration, NHEICC has developed School Health Lesson Plan (SHLP) on ASRH with four major adolescent health issues like: Adolescence, Reproductive Health and Sanitation; Appropriate age at marriage and pregnancy; Safe Sex, Family Planning and Delayed Pregnancy; and Gender Equity, Gender Based Violence and Sexual and Reproductive Health Rights. The technical assistance has been provided by GIZ-HSSP and H4L/USAID. GIZ will support NHEICC to orient health workers and school teachers of 10 HSSP working districts of Nepal including Kailali, Doti, Achham, Dadeldhura and Baitadi in Far-Western Development Region.

The overall objective of the orientation of school health education lesson plan on ASRH to health workers and school health teachers is to enhance their capacity so that they deliver appropriate ASRH message to adolescents through effective school health education sessions.

The specific objectives are:

Enhance the capacity of health workers and school health teachers for delivery of effective school health education sessions on ASRH

Improve coordination between health workers and school health teachers.

Major issues/topics/agenda discussed

Discussion about the technical component of the course: Mr. Deepak Timsina (DT) had a PowerPoint presentation on the introduction, objective and the implementation modality of School Health Education Lesson Plan. He further explained about the technical contents of the SHLP: Lesson 1: Adolescence, Reproductive Health and Sanitation Lesson 2: Appropriate age at marriage and pregnancy Lesson 3: Safe Sex, Family Planning and Delayed Pregnancy Lesson 4: Gender Equity, Gender Based Violence and Sexual and Reproductive Health Rights. Similarly, Mr. Nirajan Khadka (NK) described about the cultural sensitivity of the course, provision of pre and post-test, evaluation of the scores of pre and post-tests, reporting to DHO/GIZ-HSSP and the provision of the amount of facilitators' allowance for teachers and health workers. Group Work and Presentation: Participants were divided in four groups to present/demonstrate teaching activity of four different lesson plans based on "School Health Education Lesson Plan Implementation Booklet". Group presentation was done by the individual groups on the second third day followed by a discussion and feedback session. Feedback on effective Teaching was given by the participants, guests and facilitators.

Comments from guests:

1. Ms. Rita Joshi Bhandari (Sr. PHA) requested all of the health workers and

school teachers for the effective implementation of School Health

Education Lesson Plans in their communities. She also informed the

participants that there are about 20 school health classes per health

facility in the current year and requested Health Providers to take more

classes on ASRH issues under NHEICC's School Health Education

Programme.

2. Ms. Joshi further stressed that Neonatal Mortality Rate and Maternal

Mortality Ratio could be reduced to a significant extent, if the spirit of

Adolescent Health and Development is met in the district. She informed

the participants that early marriage including child marriage is still

socially accepted in Doti and this has aggravated the health problems of

women in Doti.

3. Mr. Laxmi Raj Ojha, DEO Representative, DEO Doti made a remark that indicators of Adolescent Health and Development can be improved only when schools and health facility collaborate. Such a platform for collaboration has been provided by School Health Education Lesson Plan. So, he thanked NHEICC and GIZ for this support.

Comments from Participants:

1. The participants were very excited to learn about the SHELP package. They have expressed strong commitments for successful implementation of the plan prepared during the orientation.

2. It is simple and easy to follow for health workers and teachers as it is properly instructed and is teaching friendly.

Major Decisions made: 1. The two days orientation program decided to implement developed

"Work Plan for the Implementation of School Health Education Lesson

Plan (SHELP)" effectively with the support of DHO and GIZ-HSSP.

Follow of last event’s action plan (if any)

Not Applicable (N/A)

Recommendations or Way Forward

Monitoring of the school health classes will strengthen the Programme implementation.

Attachments: Selected photo of the event, action plan of one of the AFS sites.

Photo 1: Participant on demonstration class- teaching on the appropriate method of condom use.

Ministry of Health and Population

Department of Health Services District Health Office

HP Banlekh, Doti

Adolescent Sexual and Reproductive Health (ASRH) Program

Action plan on School Health Lesson Plan at VDC Level (Translated)

Name of the Lesson Plan

Preparatory meeting

date*

Proposed date (to deliver

lesson plan at school)

Responsibility Contact number

Adolescence, Reproductive Health and Hygiene/Sanitation

9th May 2015

10th May,2015

Bal Bdr. Khatri Basanta Balayar

9815626970 9848872724

Appropriate Age at Marriage and Pregnancy

17th May 2015

18th May,2015

Bal Bdr. Khatri Basanta Balayar

9815626970 9848872724

Safer Sex, Family Planning and Delayed Pregnancy

25th May, 2015

26th May, 2015

Bal Bdr. Khatri Basanta Balayar

9815626970 9848872724

Gender Equity, Gender Based Violence and Sexual and Reproductive Rights

2nd June,2015

3rd June,2015 Bal Bdr. Khatri Basanta Balayar

9815626970 9848872724

* Meeting between health worker and teacher for the preparation of school health classes.

Prepared by: Bal Bdr. Khatri/Basanta Balayar

Approved by: Ms. Rita Joshi Bhandari (Sr. PHA)

Note: If the proposed date is a public holiday, the program will be organized on the following date.