Adapting the training and visit system for family planning, health and nutrition programs (Anglais)

Since innovations in PHN affect the personal rather than the economic life of the family, adoption of innovations is more threatening to cultural norms; and since the beneficial impact of better practices shows up less clearly in PHN than in agriculture...  Voir la suite Since innovations in PHN affect the personal rather than the economic life of the family, adoption of innovations is more threatening to cultural norms; and since the beneficial impact of better practices shows up less clearly in PHN than in agriculture, adoption and diffusion are less automatic. Field visits were made to health and nutrition outreach programs in India, Indonesia, and the Philippines, resulting in the following suggestions for six main elements of a T&V system for the sector: (i) concentration on a small number of key tasks; (ii) a performance reporting system concentrating on key tasks; (iii) regular, frequent home visits; (iv) concentration on selected clients where interventions can have maximum impact on reducing fertility and mortality; (v) regular, frequent field supervision visits focused on support rather than inspection; and (vi) regular in-service training. The paper does not recommend programs based on paid workers rather than on volunteers; what is appropriate will depend on the cultural and administrative context, and the resources available. Although the elements outlined in paper are not new to PHN, they are seldom introduced as a package or system so that they are mutually reinforcing, which has been the key to T&V success in agriculture.  Réduire