We believe �in the power �of family to heal

Care Companion Program �Community Health Officers Training��ANC, PNC, NCD & CAH

Organized by

Introducing each other

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Ground rules

Take notes

Avoid disturbance

Actively participate

Raise hand in case of questions

Safety first

Put Mobiles on Silent

Training Expectations

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Participants are Expected to :

1. Actively participate
2. Involve in interactive discussion
3. Be punctual

Training Objectives

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• Get oriented to the CCP Model and identify the Touchpoints�
• Get familiar to the CCP tools and Prepare CHO’s to use the tools effectively

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• Get oriented to the flipchart modules ,MCCS and Data sharing process �
• Train the CHO’s about the Adult Training Skills �
• Discuss the Roles and Responsibilities �of MO’s and CHO’s

Training Agenda

• Care Companion Program story

• Introduction to CCP Touchpoints and tools

• Question, Answer and closing

• Introduction to CCP model and steps

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• Your Roles and Responsibilities

• Introduction to MCCS

• ANC,PNC,NCD CAH content overview as per FlipChart

• Introduction to the CHO AP Health App (MLHP )and demo

Importance of Health Education

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In 18 year old cardiac patient undergoes valve replacement surgery in one of the reputed hospitals. The surgery was successful and the patient recovers well following the surgery. On discharge the Cardiac surgeon prescribes Tab Warfarin 5mg and asks the patient to repeat an INR test 15 days later and based on the report the dose of the drug will be altered. Patient goes back home, continues to take the tablet and also attends college. As prescribed 15 days later the patient gets a blood test done, calls up the doctor and tells the report over the phone. Now the doctor advises to take 2.5mg but the patient understands it as 2 1 ⁄ 2 tablets. Now the patient starts to take 12.5mg of warfarin instead of 2.5mg”.

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Imagine what can happen if the patient takes 12.5mg. 2 days later the patient develops sudden bleeding symptoms and it becomes life threatening. Patient was immediately rushed to the hospital. The treating doctor was shocked looking at the patient’s condition and asked the relatives how it happened. The relatives explain that the patient developed these symptoms after the change in treatment i.e, the patient started to take. The medical team puts their maximum effort to save the life of the patient but it goes in vain.

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Warfarin Story!

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There are problems and challenges to do effective Health Communication and Education

Effective Health Communication | Challenges

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People:

• Illiteracy
• Low socioeconomic status
• Lack of interest

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Healthcare system:

• Overburdened
• Lack of resources

Healthcare workers:

• Multitasking
• Lack of skills

How to solve these Problems?

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Effective Health Education | Solving the Problem

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• Using the local language

• Using proper AV aids

• Group health education

• All the family members to be involved

• Dedicated time for the health education

This is how the idea of

Care Companion Program

was born

Easy to conduct

Time saving

Proven to be effective

13,000+

health workers trained

4700+

hospitals & clinics

5.7 Million +

caregivers trained

CCP Reach

56% decrease in newborn readmissions

Our Impact

78% increase in skin-to-skin care

AP Govt. partnership and

CCP journey in the state

The Partnership

CCP- Andhra Pradesh state journey

CCP- Andhra Pradesh state journey

• Pilot CCP in SNCU condition in collaboration with AP Govt. NHM and UNICEF

Piloted in 7 District Hospitals

● Tirupati, Govt. Maternity Hospital

● Tirupati, SVRRGGH Hospital

● Kadapa, General Hospital

● Proddatur, District Hospital

● Vizianagaram, MCH Gosha Hospital

● Visakhapatnam, Victoria General Hospital

● Visakhapatnam, King George Hospital

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CCP Training Session | In the waiting area - MCH GOSHA HOSPITAL

CCP Training Session | Breastfeeding Demonstration - VGH VISAKHAPATNAM

CCP Training Session | Awareness of Post Discharge Digital Support - KGH VISAKHAPATNAM

CCP Training Session | Flipchart & Demonstration Dolls - KGH VISAKHAPATNAM

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CCP- Andhra Pradesh state journey

• Big success and acceptance of the CCP model

• Plan to expand CCP across AP state

• MoU signed for the same

MoU signed between NHM, Health and Family Welfare Services,

AP state and YosAid Innovation Foundation

Shri J Nivas

NHM, AP, Commissioner

AP Care Companion Program Launch

CCP- Andhra Pradesh state journey

• CCP was implemented in 259 facilities - CHC,Area Hospital ,District Hospital and Teaching Hospital.

• Through virtual orientation training was done for 10,000 Community Health Officers.

• Now, YOU are being trained as the CCP Trainer

for the community

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CHO’s roles and responsibilities

• Get trained as CCP Trainer
• Conduct regular CCP sessions at the specified touchpoints and also places where the teaching �aids are implacable
• Onboard and support the community to �register for MCC service
• Share the data on the CHO AP Health App (MLHP )
• Participate in CCP related state and regional meetings.

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Introduction to the

CARE COMPANION

PROGRAM Model

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CCP - Session Steps

Before the session

1. Arrange the CCP tools/carry the tools
2. Invite and gather people with safety precautions
3. Introduction and ground rules

During the session

1. Discuss and demonstrate flipchart topics
2. Introduce MCC service
3. Question and answer

After the session

1. Group photo and attendance
2. Share the attendance on CHO AP Health (MLHP )
3. Play the videos if there is provision or introduce YouTube channel

CCP - Session Steps

1. టూల్స్ ఏర్పాటు చేసుకోండి
2. భద్రథా జాగ్రత్తలతో వ్యక్తులను ఆహ్వానించండి మరియు సేకరించండి
3. పరిచయం మరియు ప్రాధమిక నియమాలు

1. ఫ్లిప్ చార్ట్ టాపిక్ లు చర్చించి, ప్రదర్ర్శించండి
2. ఎంసిసిఎస్ పరిచయం
3. ప్రశ్న మరియు సమాధానం

1. గ్రూప్ ఫోటో/అటెండెన్స్
2. CHO AP హెల్త్ (MLHP)లో హాజరును షేర్ చేయండి
3. సదుపాయం ఉంటే వీడియోలను ప్లేచేయండి లేదా యుట్యూబు ఛానెల్ని పరిచయం చేయండి

సెషన్ సమయంలో

సెషన్ ముందర

సెషన్ తర్వాత

సెషన్ సమయంలో

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Questions & Answer

CCP Tools

Context setting

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How to use the Flipchart

CCP Flipchart Design

A3 Flipchart

Features:

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• Calendar Style Flipchart comprising of illustrations and content on the same side
• Better interaction while maintaining eye contact
• Vertical orientation for better grip
• Can be easily adapted for digital interface
• Illustrations with captions help CHOs retain information and explain better
• Lightweight + Easily Portable

Modules:

• Pregnancy care
• Post delivery - mother and infant care
• Non communicable diseases (NCD)
• Childhood and Adolescents Health

How to use the flipchart

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CCP Touchpoints

Note -��💪 - go-to tool ��👍 - could use��⛔ - not recommended

�✅ - actively promoted��❌ - not promoted

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Questions & Answer

Introduction to MCCS

Mobile Care Companion Service (MCCS) provides health education and support to patients through mobile.

It aims to enhance patient care and engagement by offering follow-up care, reminders, educational messages and medical advice over whatsapp.

MCCS is cost-free and available to both patients and caregivers through whatsapp service.

Services offered

under MCCS

WhatsApp Service

• For Patients & Caregivers who have WhatsApp on their smartphone
• Information through written messages
• Access to Video Content
• Quick Response from medical experts
• Access to Older Content through history

Mobile Care

Companion Service

(MCCS)

08037836520

FREE SERVICE

Who can avail the MCCS?

Pregnant women

Individuals with Diabetes, HTN and CVS disease

PNC Mothers

Patients with General medical illness

Caregivers of all conditions area and adolescence

About MCCS Video

Key Points to Remember

• MCCS is a FREE service
• Patients and Caregivers can Learn from the messages that we share on scheduled days and time
• Patients and Caregivers can Interact and ask questions regarding health of the baby and of the mother

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Questions & Answer

Introduction to the

CHO AP Health App

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• Need to update the App when asked

• All the CCP related tools are available there

• Find Care Companion Program tile in home-page

• Earlier called as MLHP App

• Login procedure is the same

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Add CCP Session

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View CCP History

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View and Download IEC Material - FLIPCHART

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View and Download IEC Material - VIDEO

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AP CHO Health App Best Practices�while using the AP CHO Health App

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AP CHO Health App Best Practices�during CCP Session

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Questions & Answer

Flipcharts Content Overview

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One by one go through the index of each

flip chart to know the topics and content

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Pregnancy Care

Post Delivery-Mother

and Infant care

Non Communicable �Diseases (NCD)

Childhood and Adolescent Health (CAH)

Prepare for Flip Charts

Content Discussion

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• More discussion, not a lecture

• Focus on flipchart contents

• Learn how to communicate this to patients and families

• Let’s open our flipcharts

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Questions & Answer

Adult Training Skills

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Skills - Adult Training Skills

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3. Ask questions as you go step by step

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4. Make the family members practice

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1. Avoid medical terms

2. Use short messages

5. Use comparative examples

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6. Make the family members repeat

7. Empathize

8. Pleasant and comfortable atmosphere

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Skills - Adult Training Skills

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1. వైద్య పదాలను వాడకండి

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2. చిన్న సందేశాలను ఉపయోగించండి

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3. మీరు దశల వారీగా ప్రశ్నలను అడగండి

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7. సానుభూతి

8. ఆహ్లాదకరమైన మరియు సౌకర్యవంతమైన వాతావరణం

4. కుటుంబ సభ్యులను ఆచరించేలా చేయండి

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5. ఉదాహరణలను ఉపయోగించండి

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6. కుటుంబ సభ్యులను పునరావృతం చేయమని అడగండి

Indicators of a good quality CCP session

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• Maximum number of participants

• Less distraction

• All education tools used

• Good participation

• All CCP steps followed

Indicators of a good quality CCP session

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• పాల్గొనేవారి గరిష్ట సంఖ్య

• తక్కువ పరధ్యానం

• ఉపయోగించిన అన్ని విద్యా టూల్స్

• మంచిగా పాల్గొనడం

• అన్ని సిసిపి దశలు పాటించాలి

CCP Live

Demo Session

CCP Live Demo Session

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Demo will be done by the CHOs

All must keenly observe

Watch for

• Steps practiced
• Tools used
• Skills executed

NOTE: MO’s will select two CHO’s for Demo session and will assign them one module each and ask the CHO’s to do CCP session using the flip chart and following all the steps ,others will observe the session. Followed with feedback by MO and other participant.

Feedback on

the demo session

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Questions & Answer

CCP Implementation Plan

FC usage prompts for CHOs

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Next steps and Expectations

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• Regular attendance sharing and proper image uploading in the CHO AP app.

• Proper care and maintenance of all the CCP teaching aids. (If any CHO gets transferred or resigning from the post tools to be handed over to the respected PHC MO or handover it to next CHO and inform to respected district CCP technical consultant)

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• Regular Program feedback share and suggestions on program delivery by MO and CCP technical consultants.

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• CCP Quality monitoring by MO’s and CCP district technical consultants

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Summary

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• CCP story and journey
• Your roles and responsibilities
• CCP model and steps
• CCP Touch points and tools
• Introduction to MCCS
• Introduction to CHO AP Health (MLHP )
• Flipchart topics discussion
• Adult training skills
• CCP quality indicators
• CCP Live Demo session
• CCp Implementation plan and Expectations.

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Questions & Answer

Thank

You