Monitoring & Evaluation Framework - UNICEF

1 Monitoring & Evaluation Framework Interpersonal Communication for Immunization Package UNICEF /Vilain Table of Contents Introduction to the Interpersonal Communication for Immunization 2. IPC/I Package Objectives .. 2. IPC/I Package Components .. 3. Monitoring & Evaluation for the IPC/I Package .. 5. Recommended Steps towards Developing M&E for the IPC/I Package .. 5. IPC/I Monitoring & Evaluation Framework .. 6. Adoption/Adaptation of the IPC/I Package ..8. Learning Activity ..9. Value Perception ..10. Knowledge & Skills ..10. Workplace Application ..12. Work Product & Outputs.

2 12. System Performance ..13. Considerations for Adapting IPC/I Package Indicators .. 14. Other Methods for Monitoring and Evaluation .. 14. Annex A. Sample Client Exit Interview 16. Annex B. Template for indicator Matrix .. 18. Annex C. Interpersonal Communication for Immunization Package Indicators.. 22. Annex D. IPC/I Self-Assessment Checklist for FLWs .. 25. Annex E. Supportive Supervision Self-Assessment Checklist for Supervisors .. 34. Annex F. Sample IPC/I Supportive Supervision 36. Annex G. Sample EPI Supportive Supervision Checklist .. 41. Introduction to the Interpersonal Communication for Immunization Package Frontline health workers (FLWs) are among the most influential sources of information that impact vaccine behavior.

3 Health care providers, community health workers, and community-based volunteers are all part of the frontline workforce and serve as a crucial bridge between communities they serve and health systems. FLWs can serve as both barriers and facilitators to communities adopting desired immunization behaviors. FLWs who routinely engage in positive and meaningful interpersonal communication (IPC) with their clients are able to build trusted relationships with individuals and families. The 2016. Exchange of Best Practices on Reaching Every District (RED)/Reaching Every Child (REC) Workshop for East and Southern African countries, organized by WHO, UNICEF , USAID and JSI, recommended empowerment of health workers, IPC, and community engagement, as key opportunities to foster collaboration and build local ownership of immunization objectives.

4 This UNICEF . Interpersonal Communication for Immunization Package (IPC/I) aims to improve IPC in FLW interactions with families and caregivers so can better engage, mobilize, and empower communities to adopt preventive behaviors such as immunization. IPC/I Package Objectives To increase routine immunization coverage and support caregiver adherence to the WHO-recommended immunization schedule, the IPC/I Package seeks to address the following knowledge, attitudes, and practices among FLWs: FLW Knowledge: Principles of effective interpersonal communication How to effectively communicate with clients irrespective of FLW workload or the length of the client interaction How to communicate with clients about vaccine safety and how vaccines prevent disease FLW Attitudes.

5 Caregivers and clients are entitled to respect, empathy, and equitable service regardless of religion, ethnicity, national origin, gender, education, or socio-economic status FLWs are facilitators of community health FLWs feel motivated to ensure every child is vaccinated according to the WHO-recommended schedule Vaccines are safe and prevent disease FLW Practices: Monitoring & Evaluation Framework Interpersonal Communication for Immunization Package 2. Communicate effectively and empathetically with caregivers and clients with various attitudes towards vaccines or the health system at-large Explain the benefits of various vaccines and possible side effects Encourage caregivers to ask questions and provide clear and appropriate responses Adherence to and promotion of a rights-based approach to immunization Supervisors.

6 Effectively support and monitor the IPC/I work of FLWs, with emphasis on maintaining or improving staff motivation IPC/I Package Components The comprehensive IPC/I Package supports IPC aspects of FLWs' immunization work globally. The package contains several core components designed collectively to address FLW's IPC/I skills and improve the ability of supervisors to more effectively support FLWs in providing high quality IPC/I. The table below describes each component of the IPC/I Package. Item/Product Brief description Audience Adaptation This document provides an overview of Program Guidance & Needs components of the IPC/I Package as well as six key Managers Assessment steps and three guiding principles to conduct a needs assessment and adapt the package for individual needs and priorities.

7 Trainers' Facilitation This guide is a manual for group training on IPC/I. Trainers Guide It is organized into seven modules and can be used for preservice, in-service, or on-the-job training. Participants' Manual This manual, a companion to the Facilitator's FLWs;. Guide, provides practical content to help improve Supervisors delivery of IPC/I. Each of the seven modules is filled with activities, reflection questions, and key points. Supportive This manual is designed to help supervisors Supervisors Supervision support FLWs to improve IPC in immunization services. It takes into account common supervision practices, obstacles to supervision, and IPC/I-specific needs and information.

8 Animated videos A series of short, animated videos illustrating FLWs interpersonal communication-based challenges and solutions to improving immunization coverage. The videos are intended to be used a Monitoring & Evaluation Framework Interpersonal Communication for Immunization Package 3. job aids to support FLWs as they address barriers to immunization in their communities. Supportive supervision is also role modeled. Audio Job Aids A series of audio recordings that model effective FLWs IPC practices and serve as another channel for FLWs to access key messages that respond to some of the common, difficult questions they may encounter during visits with caregivers.

9 The Audio Job Aids are a quick refresher that FLWs can listen to while on-the-go. Reference Cards These cards provide easy access to information FLWs, about vaccines and vaccine-preventable Community diseases. These cards can be used as self- learning tools, guides for conversations with caregivers and community members, and information resources for education and training. Website The entire IPC/I Package will be hosted as a digital Program toolkit on a dedicated IPC/I website. The website Managers, will also host curated IPC/I resources. FLWs Smartphone Android application developed on open-source FLWs Application platform that hosts abbreviated training content, videos, and audio.

10 Monitoring and A Framework to guide Monitoring and Evaluation Program Evaluation to determine the relevance, usage, and Managers Framework effectiveness of the IPC/I Package. Monitoring & Evaluation Framework Interpersonal Communication for Immunization Package 4. Monitoring & Evaluation for the IPC/I Package Monitoring and Evaluation (M&E) are important in assessing the implementation, use, learning, and impact of the IPC/I Package at various levels (global, regional, national, subnational, district, facility, and community). Appropriate indicators, data collection systems, and reporting mechanisms inform the decision-making to help guide successful implementation of the Package and structure the learning and opportunities for improvement over various stages of the project.