Training of Trainers Kayonza District FINAL

TRAINING OF TRAINERS OF SNV and KAYONZA DISTRICT OF GIKURIRO PROJECT AT SILENT HILL HOTEL

KAYONZA /Eastern ProvinceFROM 24-28th October, 2016

REPORT

ACKNOWLEDGEMENTS

The CBEHPP (Community Based Environmental Health Promotion Program) Training of

Trainers workshop has been an extraordinary exchange of information related to Water,

Sanitation, Hygiene and Nutrition between the facilitators and the participants and between the

participants themselves.

We would also like to thank Vice Mayor in Charge of Social Affairs Mr. HARERIMANA Jean

Damascene for taking part of trainings on the behalf of Kayonza District, by giving opening

remarks and objectives of the training.

We recognize the great Collaboration of Mr. GASASIRA Hudhaifa for his kind and advanced

logistical management during the training.

TRAINING OF TRAINERS ON CBEHPP

Special thanks go to the Sector Social Affairs and Environmental Health Officers. for their

participation and to SNV for making the training happen.

We express gratitude to all participants for their active and creative assistance during this

workshop.

Last but not least, we thank the Government of Rwanda, USAID and CRS for their support and

collaboration.

The team of facilitators wishes to thank all of the individuals and organizations that have

earnestly contributed to the success of this ToTs workshop.

Facilitators:

- Mr. RUGIRA Jean Baptiste

- Mr. NGARAMBE Alphonse

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ContentsACKNOWLEDGEMENTS.........................................................................................................................1

EXECUTIVE SUMMARY.........................................................................................................................4

Introduction.............................................................................................................................................5

1. Opening and closing remarks...........................................................................................................6

2. Training objective and outcomes.....................................................................................................6

2.1 Training objective....................................................................................................................6

3.2 Training outcomes.........................................................................................................................7

4. Training Methodology.........................................................................................................................7

5. Training Proceedings...........................................................................................................................7

5.1 Training Facilitators.......................................................................................................................7

5.2 Training Beneficiaries...................................................................................................................8

5.3 Expectations from the trainees expressed before the training..................................................9

5.4 Training content and program..................................................................................................9

6. Training evaluation............................................................................................................................10

6.1 Performance of trainees...............................................................................................................10

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EXECUTIVE SUMMARY

The CBEHPP Training of Trainers (ToT) of five days targeted Kayonza District Staff

represented by Environmental Health officer of 10 Health Centers and Sector Social Affairs of 8

sectors, namely Kabarondo, Ndego, Mukarange, Rukara, Gahini, Ruramira, Nyamirama, and

Murama. The training took place at SILENT HILL HOTEL /Kayonza from 24 th to 28th October

2016. The training was attended by eighteen (18) participants (9 female and 9 male).

The training was officially opened with a welcome remark by Kayonza District vice Mayor

Social Affairs Mr. HARELIMANA Jean Damascene. He reminded the audience of the main

objective of the Community Based Environmental Health Promotion Program (CBEHPP) in

Rwanda which is to reduce the disease burdens (estimated at 80%) that are attributable to unsafe

water supply, sanitation and hygiene. He also pointed on overall goal and objectives of Gikuriro

program.

The participants were taken through a pre-test and post-test to assess the level of knowledge in

hygiene and sanitation promotion and understanding of the CBEHPP program as well as the

CHC methodology. The average score of the pre-test was 68 out of 100 and the score went up to

82 out 100 with the post-test score.

The training was carried out in a participatory manner, in line with the CBEHPP training manual

of the MoH with visual aids. The training methodology changed the attitude of all participants

who were actively involved. At the end of the workshop, the trainees discussed of the training’s

key points and elaborated an action plan to be followed in the implementation of CBEHPP. The

pre test and post test scores presented in the chart shows a commendable improvement in terms

of knowledge on the CBEHPP. The action plans produced at the end of the training have shown

the acquired understanding and ability to plan and manage the CBEHPP implementation. The

trainees have shown a sign of commitment to empower communities through implementation of

the CBEHPP program in their respective Sectors.

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The action plan was the last session of the training, where participants and facilitators discussed

and agreed on main activities, format and calendar for CBEHPP implementation in their

respective Sectors.

Mr. GASASIRA HUDHAIFA Private Sector Development Advisor at SNV RWANDA closed

the 5 days’ workshop inviting all the participants to use the knowledge and skills acquired from

the training to implement the program in their respective Sectors with a high determination

The report gives also a conclusion that highlights on the importance and relevance of the training

as well as the recommendation made by participants. Also, a number of pictures or photos have

been presented not only to beautify the report but to visually show the effectiveness of the

training.

Introduction

The Gikuriro program in Rwanda is a USAID-funded program focusing on capacity building

and integrated Nutrition and WASH service delivery to improve nutrition, hygiene and sanitation

through existing structures at the community and decentralized levels and Government of

Rwanda’s (GoR’s) Community Based Nutrition Program (CBNP) and Community Based

Environmental Health Promotion Program (CBEHPP). CBEHPP is being implemented by the

MoH with the support of development partners to improve health and reduce the burden of

hygiene related diseases through strengthening the capacity of officers in charge of Social

Affairs at village level (ASOCs). The ASOCs are working under close mentoring and

supervision of the EHOs who are based at the health centers (HCs). Within the CBEHPP

program, the Community Health Club (CHC) approach is used to promote sustainable safe,

hygienic and healthy lifestyles at village level, facilitated by the village ASOCs to engage the

community. With the implementation of CBEHPP/CHC dialogue sessions and recommended

practices (home works) after each dialogue sessions; the communities are collectively

empowered and have the same focus to identify their personal and domestic hygiene and

environmental health related problems with the aim of finding home based short and long term

solutions. It is within the same interest that Kayonza District and SNV organized a ToT on

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CBEHPP for the sector Staff they all gathered in Kayonza at SILENT HILL Hotel from 24 th to

28th October, 2016.

1. Opening and closing remarks

The Vice Mayor Social Affairs Mr. HARELIMANA Jean Damascene in his welcome remarks

appreciated the attendance of the participants from different Sectors of Kayonza District, and

recognized USAID, CRS and SNV for having supported the implementation of CBEHPP and

also thanked the facilitators of the training. He briefly emphasized on the goal of GIKURIRO

program which is of improving the nutritional status of women of reproductive age and children

less than five years of age, with an emphasis on the 1,000 day window of opportunity from

pregnancy until a child’s second birthday.

He concluded his remarks by introducing the facilitators of the TOT and inviting all the training

participants to use the analytical perspectives and keenly participate into the discussions so that

they may be able to acquire the necessary knowledge and skills which will help to properly

implement CBEHPP in their respective targeted communities, and he declared the ToTs

workshop open. On completion of the training activities Mr. GASASIRA HUDHAIFA from

SNV thanked the participants for their active participation in the training and thanked the

facilitators for their spirit of commitment and expertise which has made the workshop successful,

and then he declared the workshop closed.

2. Training objective and outcomes

2.1 Training objective

The main goal of the training is to build capacity for the Sector Social Affairs and Environmental

Health Centers who will be the key managers of CBEHPP in their Sectors . It also targeted to

further understand the program methodology and targets compare the levels of hygiene behavior

change with other methodologies so as to understand why CBEHPP has been chosen and

understand the CHC approach and become familiar with some sociological concepts.

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3.2 Training outcomes

1. Understand why CBEHPP is preferred as national program for WASH promotion in

Rwanda.

2. Know and understand the use of the tools for CBEHPP/CHC implementation (Training

manual, visual aids, membership card, and registration book).

3. Be able to conduct a village mapping and a household inventory on WASH practices.

4. Appreciate the use of participatory methods and activities to engage their audience.

5. Understand the existing health, nutrition and WASH problems versus socioeconomic

status of communities.

6. Produce an achievable plan of action for CBEHPP/CHC implementation in their

respective districts

4. Training Methodology

In order to balance theory and practice and stimulate an interactive participation of the

participants, different approaches including presentation, demonstration, discussion, mapping,

sketches, songs, slogans, drama through group activities were adopted. The participants chose

some participants to be their leaders for the period of the training and agreed also on a number of

rules that were to be observed by all participants to ensure smooth running of the training.

5. Training Proceedings

5.1 Training Facilitators

The ToT was facilitated by a team of two facilitators namely Mr. RUGIRA Jean Baptiste, and

Mr. NGARAMBE Alphonse all CBEHPP/CHC experts with more than 4 and 5 years of

experience respectively in capacity building, implementation, monitoring and research in WASH

Community based programs and approaches.

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5.2 Training Beneficiaries

The beneficiaries of the ToTs were KAYONZA District, Sector staff namely Kabarondo, Ndego,

Mukarange, Rukara, Gahini, Ruramira, Nyamirama, and Murama represented by Sector Social

affairs and Environmental Health officers. (Table 1).

Table 1: List of participants and their Respective institutions

No Names Position Institution Phone

1 Gashaija Eugene EHO Kabarondo HC 0788654397

2 NIYONSABA DESIRE SOCIAL Affairs NDEGO Sector 0788622797

3 HAKIZIMANA XAVIER EHO Rwinkwavu HC 0788778891

4 Habyarimana Ladislas SOCIAL Affairs Nyamirama sector 0788846344

5 Murekatete M. Colombe EHO Ruramira HC 0786259129

6 Mukansanga Veronique SOCIAL Affairs Ruramira sector 0788990507

7 GISA SHAKILA SOCIAL Affairs Kabarondo sector 0788409271

8 Ingabire Jean Luc EHO Kabare HC 0788612419

9 Muhongayire Beathe EHO Ndego HC 0785413284

10 Uwamahoro Godefroid EHO Murama HC 0788443881

11 MUKANYIRIGIRA Josephine EHO Rutare HC 0788780254

12 RITARARENGA ERIC EHO Nyamirama HC 0783277165

13 MUREKATETE Angelique SOCIAL Affairs Mukarange sector 0788623718

14 UWIZEYE Caritas SOCIAL Affairs Gahini sector 0788543432

15 KAJYIBWAMI JMV EHO Gahini sector 0788556434

16 Mukaminani Marcella EHO Rukara HC 0788440776

17 DUSABE Gloriose EHO Mukarange HC 0788645142

18 NFITINFURA EMMANUEL SOCIAL Affairs Rukara HC 0786763463

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5.3 Expectations from the trainees expressed before the training

In the beginning, participants were asked to list their expectations from the training. The main

purpose is the comparison of what the participants expected before training versus the outcomes

at the end of the training. Generally, they expected to acquire knowledge and skills to implement

CBEHPP strategies for promoting hygiene in their respective communities, knowledge on

management and monitoring of health clubs, knowledge on the structure of CBEHPP and

strategies for sustainable safe hygiene practices.

5.4 Training content and program

Table2: Training program and content

TIME Monday 24th October 2016

Tuesday 25th October 2016

Wednesday 26th October 2016

Thursday 27th October 2016

Friday 28th October 2016

8:00-8:30 Registration of Members ( SNV)

Participant Recap

Participant recap Participant recap

Participant recap

8:30- 8:50 Training objectives& official opening ( SNV&Vice mayor Asoc

Stakeholders role: Activity

The culture of Hygiene: Activity

Nutrition Sustainability: the model home

8:50-9:50 Pretest +training expectation

9:50-10:00 Introduction on Social mobilization

Common diseases

Infant care Food Security

10:00-10:45 Introducing CEBHPP+examples of success stories.

Common diseases

Infant care Water Sources

10:45-11:00 HEALTH BREAK 11:00-12:00 The monitoring of CHC

activities: Membership card

Personal Hygiene

Worms Drinking water

Planning: targets and challenges +Group planning

12:00-13:00 Management structure & Executive committee.

Hand washing Food Hygiene Sanitation Evaluation of CHC activities

13:00-14:00 HEALTH BREAK 14:00-15:00 Practice:

Starting up a CHC Registration of

Skin diseases Field work:Village mapping

Good Parenting

Post test

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members with cards.

15:00-17:00 Naming the CHC Health song and

Slogan and drama. Electing a

Committee

Diarrhoea Field work:Village mapping

Respiratory diseases

Graduation:Song dramaCertificatesClosing

6. Training evaluation

6.1 Performance of trainees

The participants were taken through a pre-test and post-test to assess the level of knowledge in

hygiene and sanitation promotion and understanding of the CBEHPP program as well as the

CHC methodology.

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Table. Performance of trainees per personNo Names Pre-test mark Post-test mark

1 NIYONSABA DESIRE 11 11.5

2 HAKIZIMANA XAVIER 12.5 15

3 Habyarimana Ladislas 14.5 15.5

4 Gashaija Eugene 14.5 15.5

5 Murekatete M. Colombe 12 13

6 Mukansanga Veronique 9.5 11.5

7 Muhongayire Beathe 15 15.5

8 Ingabire Jean Luc 12.5 12.5

9 Uwamahoro Godefroid 9.5 15

10 MUKANYIRIGIRA Josephine 15 16

11 GISA SHAKILA 8 13

12 RITARARENGA ERIC 9 14.5

13 MUREKATETE Angelique 11.5 14.5

14 UWIZEYE Caritas 12 15.5

15 KAJYIBWAMI JMV 12.5 14.5

16 Mukaminani Marcella 9 14.5

17 DUSABE Gloriose 11.5 14.5

18 NFITINFURA EMMANUEL 10 15.5

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NIYONSA

BA DESIRE

HAKIZIMANA XAVIER

Habya

riman

a Lad

islas

Gashaij

a Euge

ne

Murekate

te M. C

olombe

Mukansan

ga Vero

nique

Muhongayire

Beathe

Ingabire

Jean

Luc

Uwamah

oro Godefr

oid

MUKANYIRIGIRA Jo

sephine

GISA SH

AKILA

RITARAREN

GA ERIC

MUREKATET

E Angel

ique

UWIZEYE

Caritas

KAJYIBW

AMI JMV

Mukaminan

i Marc

ella

DUSABE G

loriose

NFITINFU

RA EMMANUEL

02468

1012141618

Pre-test markPost-test mark

7. Conclusion

All participants were active and demonstrated their acquired knowledge primarily during the planning session and post test at the end of the TOTs.

8. Recommendations made by the participants

.

SNV to provide training materials to the Sector Social Affairs and EHOs.

SNV to organize study tours in the areas where CHCs are operating well.

PICTURES

OPENING & CLOSING SESSIONS

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The Vice Mayor Social Affairs opening the Workshop while Mr. Gasasira Hudhaifa closing it at the end.

GROUP DISCUSSION AND PRESENTATION

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HANDWASHING DEMONSTRATION

FACILITATORS:

Mr. RUGIRA Jean Baptiste Mr. NGARAMBE Alphonse

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Training of Trainers Kayonza District FINAL

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