Healthy Islands
Train-the-Trainers Workshop for Pacific faith-based organizations and local governments
Participants‘ Workbook RESOURCES FOR CONDUCTING TRAININGS TO REDUCE MODIFIABLE BEHAVIOURAL RISK FACTORS FOR NONCOMMUNICABLE DISEASES
A
Healthy Islands
Train-the-Trainers Workshop for Pacific faith-based organizations and local governments
Participants‘ Workbook
Healthy islands train-the-trainers workshop for Pacific Faith based organization and local governments, participants’ workbook: resources for conducting trainings to reduce modifiable behavioural risk factors for noncommunicable diseases © World Health Organization 2021 ISBN 978 92 9061 955 0 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https:// creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. (http://www.wipo.int/amc/en/mediation/rules/) Suggested citation. Healthy islands train-the-trainers workshop for Pacific Faith based organization and local governments, participants’ workbook: resources for conducting trainings to reduce modifiable behavioural risk factors for noncommunicable diseases. Manila: World Health Organization Regional Office for the Western Pacific; 2021. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. 1. Health promotion. 2. Learning. 3. Noncommunicable diseases. I. World Health Organization Regional Office for the Western Pacific. (NLM Classification: WB18) Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. For WHO Western Pacific Regional Publications, request for permission to reproduce should be addressed to Publications Office, World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000, Manila, Philippines, Fax. No. (632) 8521-1036, email: wpropuballstaff@who.int Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use.
PROGRAMME
The learning objectives of the workshop are to: 1.
determine effective strategies to reduce tobacco use, promote healthy eating, increase physical activity and decrease harmful use of alcohol;
2.
discuss the examples highlighted in the document;
3.
identify the social determinants of health and describe their impact on health promotion strategies; and
4.
discuss the challenges and opportunities to developing health promotion programmes in community settings.
OUTCOME The expected outcome of the workshop is to have strengthened capacity to develop and implement “Healthy Islands” faith-based health promotion interventions.
3
PROGRAMME AND TIMETABLE Day 1 SESSION
Session 1
TIME
TOPICS
08:30
Registration
09:00
Welcome / Opening
09.10
Overview of the Resource Materials
09:20
Faith-based Organizations – Where it all Started Building from common foundations Universal attributes of faith-based organizations/local governments
09:50
Session 2
Group exercise (10 minutes) 10:20
Break
10:35
Faith-based Organizations – Local Contexts Potential actions towards reduction of noncommunicable disease modifiable behavioural risk factors
11.00
Social Determinants of Health Group activity Discussion and summary
11:45
Health Promotion Planning and Evaluation Cycle ❙ Situation analysis • Building an evidence base • Building on local knowledge and practices • Adapting global/regional guidelines • Strategic resourcing ❙ Planning • Goal and objective setting • Defining target population(s) • Identifying entry point(s) ❙ Implementation • Building capacity • Strategic resourcing ❙ Evaluation
12:30
Lunch break
Session 3
Session 4
4
Healthy Islands Vision and Health Promotion Introduction to the Healthy Islands vision and health promotion principles
PARTICIPANTS‘ WORKBOOK
SESSION
TIME
TOPICS
13:30
Situation Analysis: Building an evidence base Case study 1: Reducing imports of fizzy drinks in Tokelau Group activity Discussion and summary
14:00
Situation Analysis: Analysing data Case study 2: Analysing childhood obesity in the Commonwealth of the Northern Mariana Islands Group activity Discussion and summary
14:30
Situation Analysis: Building on local knowledge and practices Case study 3: Strengthening food security in Pohnpei, Federated States of Micronesia Group activity Discussion and summary
15:30
Situation Analysis: Adapting global/regional guidelines Case study 4: Strengthening NCD prevention and management in Samoa Group activity Discussion and summary
15:30
Break
15:45
Situation Analysis: Strategic resourcing Case study 5: Strategic resourcing to support improvements in sanitation in Vanuatu Group activity Discussion and summary
16:45
Wrap-up
Session 5
Programme and timetable
5
Day 2 TIME
TOPICS
08:30
Registration
09:00
Recap of Day 1
09:30
Planning: Goal and objective setting Case study 6: Sound planning – Healthy Sianios and Samo Villages, Lihir Island, Papua New Guinea Group activity: Community action and participation Discussion and summary
10:15
Break
10:30
(Cont.) Planning: Defining target population(s) and identifying entry point(s) Group activity Discussion and summary
11:15
Implementation Case study 7: Flexible implementation for Kau Mai Tonga in Tonga Group activity: Increase physical activity in your community Discussion and summary
12:30
Lunch break
13:30
Implementation: Strategic resourcing Case study 8: Establishing smoke-free settings in Honiara, Solomon Islands Group activity Discussion and summary
14:30
Monitoring and Evaluation What should I evaluate? Evaluation research methods/data collection tool Group activity Discussion and summary
15:30
Break
15:45
Planning a Way Forward Group activity Group presentations
16:45
Wrap-up
Session 6
Session 7
Session 8
Session 9
6
PARTICIPANTS‘ WORKBOOK
DAY 1 Session 1: Presentation:
Overview of the Resource Materials Faith-based Organizations – Where it all started Building from common foundations Universal attributes of faith-based organizations
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Session 2: Presentation:
Healthy Islands Vision and Health Promotion Health Promotion Principles Faith-based Organizations – local context Actions towards reduction of noncommunicable disease (NCD) modifiable risk factors
Exercise:
Identify the statements of the Healthy Islands vision. The purpose of this exercise is to allow participants to understand the statements in the Healthy Islands vision. Participants will write the vision statements and describe how these relate to their work, then present to the other participants. You have 5 minutes to complete this exercise.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Programme and timetable
7
Session 3:
Social Determinants of Health
Presentation:
Social Determinants of Health
Exercise:
Identify the social determinants of health in your community. The purpose of this exercise is to give participants the opportunity to identify and address the social determinants of health in their community.
Scenario:
Your community leader is considering developing a policy to address the tobacco-, betel nut- and alcohol-free environment within your community. However, they realize there may be opposition and want to better understand the issues before moving forward.
Your task:
Prepare a brief summary of the issues for the faith-based leader, including the following: ❙
List the social determinants of health in your community.
❙
Explain why healthy living is important in the community.
❙
Identify the role of different sectors and communities in creating a healthy community.
You may choose to summarize these issues in writing (bullet points, no more than half a page), or you may prepare notes for a verbal presentation (no more than 5 minutes’ duration). You have 10 minutes to complete this exercise. You will then have the opportunity to review your work with one of the facilitators. Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Session 4: Presentation:
8
PARTICIPANTS‘ WORKBOOK
Health Promotion Planning Cycle Health Promotion Planning Cycle
Session 5: Presentation:
Situation Analysis Building an evidence base CASE STUDY 1: Reducing imports of fizzy drinks in Tokelau Discussion: Identify two factors that resonate with you from the presentation and discuss.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Presentation:
Analysing data CASE STUDY 2: Analysing childhood obesity in the Commonwealth of the Northern Mariana Islands Discussion: Identify effective strategies that can be implemented in school and the community and discuss.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Presentation:
Building on local knowledge and practices CASE STUDY 3: Strengthening food security in Pohnpei, Federated States of Micronesia Scenario: A youth pastor, John, wants to start a farming project for youth members of his congregation. The church provided a piece of land to start the project and to grow local vegetables and other root crops. The purpose of this exercise is to allow participants to practise using baseline information to assess a situation. Participants will look at the available data on this scenario and present back to the group. Your task: What steps do you recommend that Pastor John take to analyse the situation? You have 10 minutes to complete this exercise and present back to the other participants.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Programme and timetable
9
Presentation:
Adapting global guidelines CASE STUDY 4: Strengthening NCD prevention and control in Samoa Scenario: As a member of a church community, you are tasked to assist in promoting healthy lifestyle in the church. Based on the latest data provided by the Ministry of Health, the majority of Samoans are obese or overweight. Develop intervention methods to reverse these findings and identify ways to reduce obese and overweight amongst church members. The purpose of this exercise is to allow participants when developing their plan to adapt it to a global guideline and also align their work to the National NCD Strategic Plan. Your task: Participants will work in small groups to develop interventions and align these to a global guideline and to the National NCD Strategic Plan. They will then present these back to the group.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Presentation:
Strategic resourcing CASE STUDY 5: Strategic resourcing to support improvements in sanitation in Vanuatu Discussion: Identify some of the innovative ways used that contributed to the success of the project.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
10
PARTICIPANTS‘ WORKBOOK
Session 6: Presentation:
Planning Planning CASE STUDY 6: Sound planning for Healthy Sianios and Samo Villages, Lihir Islands, Papua New Guinea Scenario: As a leader, you want to promote healthy eating amongst children in schools in your community. How would you go about developing a plan to promote healthy eating in schools, knowing that all canteens have been selling unhealthy food? The purpose of this exercise is to allow participants to plan a project/ programme. Participants will look at available data and present back to the group. Your task: What steps do you recommend that the leader take to develop a plan? You have 10 minutes to complete this exercise and present back to the other participants.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Session 7: Presentation:
Implementation Implementation CASE STUDY 7: Flexible implementation for Kau Mai Tonga in Tonga Discussion: Identify factors that contributed to the success of the Kau Mai Tonga project.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Programme and timetable
11
Presentation:
Implementation – Strategic resourcing CASE STUDY 8: Establishing smoke-free settings in Honiara, Solomon Islands Scenario: The Ministry of Health conducted a NCD awareness programme in the community. As a result of the awareness programme, the chief, faith-based leaders and the elders decided to have a tobacco-free setting. Your task: Identify steps to develop a tobacco-free setting strategy. You have 10 minutes to complete this exercise and present back to the other participants.
Take-home message: ������������������������������������������������������������� �������������������������������������������������������������������������������
Session 8: Presentation:
12
PARTICIPANTS‘ WORKBOOK
Monitoring and Evaluation Monitoring & Evaluation
TRAIN-THE-TRAINERS WORKSHOP FOR FAITH-BASED ORGANIZATIONS AND LOCAL GOVERNMENT PARTICIPANTS Evaluation of Day 1: Strongly Disagree Disagree 1.
The Healthy Islands topic is relevant to my work.
2.
There was enough time for the topic.
3.
The speaker was effective in conveying the key messages.
4.
The materials were easy to understand.
5.
The tool(s) helped me to reflect on the context of my community.
6.
I understand the Social Determinants of Health topic.
7.
I fully support the Healthy Islands Health Promotion work in my community.
8.
Questions were clearly answered.
9.
I enjoyed the practical training.
Neutral
Agree
Srongly Agree
10. I was satisfied with the session.
Other comments: ������������������������������������������������������������������������������� ������������������������������������������������������������������������������� ������������������������������������������������������������������������������� Code: 1. Strongly Disagree
2. Disagree 3. Neutral 4. Agree 5. Strongly Agree
Evaluation of Day 1
13
DAY 2 Session 7:
Implementation
Presentation:
Implementation
Exercise:
You have been requested by the team leader to develop an implementation plan.
Your task:
Identify and discuss two factors that contribute to a successful implementation. You have 10 minutes to complete this exercise.
Session 8: Group Discussion:
14
PARTICIPANTS‘ WORKBOOK
Monitoring and Evaluation Select a programme that you have worked on and share your experience on the following: ❙
How did the programme achieve its goal?
❙
What tools were used?
❙
What were the recommendations?
❙
How did you document the findings from the programme evaluation report?
TRAIN-THE-TRAINERS WORKSHOP FOR FAITH-BASED ORGANIZATIONS AND LOCAL GOVERNMENT PARTICIPANTS Evaluation of Day 2: Strongly Disagree Disagree 1.
The Health Promotion Planning Cycle is relevant to my work.
2.
There was enough time for the topic.
3.
The speaker was effective in conveying the key messages.
4.
The PowerPoint presentations were easy to understand.
5.
The tool(s) helped me to reflect on the context of my community.
6.
I understand the Participants’ Guide.
7.
I fully support the Health Promotion work in my community.
8.
Questions were clearly answered.
9.
I enjoyed the practical training.
Neutral
Agree
Srongly Agree
10. I was satisfied with the session.
Other comments: ������������������������������������������������������������������������������� ������������������������������������������������������������������������������� ������������������������������������������������������������������������������� Code: 1. Strongly Disagree
2. Disagree 3. Neutral 4. Agree 5. Strongly Agree
Evaluation of Day 2
15