Prioritizing Public Health Problem

1 FACILITATOR GUIDE Prioritizing Public Health Problem Created: 2013 Prioritizing Public Health Problems. Atlanta, GA: centers for disease control and prevention (CDC), 2013. Prioritizing Public Health PROBLEMSFACILITATOR GUIDE |2 Table of Contents Prioritizing Public Health Problems .. 3 LEARNING OBJECTIVES .. 3 ESTIMATED COMPLETION TIME .. 3 TRAINING TECHNIQUES .. 3 PREREQUISITES .. 3 MATERIALS AND EQUIPMENT .. 3 REFERENCES AND 3 PREPARATION CHECKLIST .. 4 FONT GLOSSARY .. 4 ICON GLOSSARY .. 4 MODULE CONTENT .. 6 SKILL ASSESSMENT (FROM PARTICIPANT GUIDE) .. 28 Prioritizing Public Health PROBLEMSFACILITATOR GUIDE |3 Prioritizing Public Health Problems LEARNING OBJECTIVES At the end of the training, participants will be able to: Identify the key stakeholders and partners with whom to prioritize publichealth problems Identify the criteria for Prioritizing Public Health problems Reach consensus on the two highest priority NCDs on which to focusprevention and control effortsESTIMATED COMPLETION TIME 2 hours (90 minutes interactive presentation, 30 minutes SkillAssessment)TRAINING TECHNIQUES Content and examples will be presented using lecture and groupdiscussion.

2 Skill assessment will be in small Introduction to NCD Epidemiology and NCD Burden of DiseaseMATERIALS AND EQUIPMENT Facilitator: PowerPoint file for presentation Two flipcharts with markersParticipant: Participant GuideREFERENCES AND RESOURCES Gregg, (Ed.). 2008. Field Epidemiology (3rd ed.). New York: OxfordUniversity Press. Porta, M and Last, (Ed.). 2008. A Dictionary of Epidemiology (5thed.). New York: Oxford University Public Health PROBLEMSFACILITATOR GUIDE |4 Office of Workforce and Career Development. 2006. Principles ofEpidemiology in Public Health Practice (3rd ed.). Atlanta: CDC. McKenna et al. 1998. Current Issues and Challenges in Chronic DiseaseControl.

3 In: Chronic disease Epidemiology and control . Washington:American Public Health AssociationPREPARATION CHECKLIST The following are action items to be completed by the facilitator prior to training: ___ Review slides ___ Obtain country-specific data on incidence, prevalence, disease -specific mortality, and/or DALYs (disability-adjusted life years) for four priority NCDs and/or risk factors. ___Participants will use this information in the Skill Assessment. FONT GLOSSARY The following fonts are used in this guide: Font Type Font Meaning Plain Script Bold Instructions Italics Answers ICON GLOSSARY The following icons are used in this guide: Image Type Image Meaning Activity Icon Small group exercise.

4 Flip Chart Icon Write responses during facilitator-led discussions or debriefs. Prioritizing Public Health PROBLEMSFACILITATOR GUIDE |5 Image Type Image Meaning Question Icon Question for facilitator to ask participants. Tip Icon Supplemental information discussion. Prioritizing Public Health PROBLEMSFACILITATOR GUIDE |6 MODULE CONTENT Duration/ Slide Number What To Do/What To Say 2 minutes Slide 1 Introduce yourself to participants if you are a newfacilitator. Remind participants of what they have learned so far andrelate it to what they will learn in this lesson. Explain that during this lesson they will learn how towork collaboratively with others to prioritize publichealth problems.

5 Explain that having this skill will provide them with asystematic way to identify top priority Health problemswhen time and resources are limited. Explain that after learning the lesson content they willcomplete a skill assessment with a small group. Tell participants that this lesson will take approximatelytwo hours to Public Health PROBLEMSFACILITATOR GUIDE |7 Duration/ Slide Number What To Do/What To Say 2 minutes Slide 2 Questions Direct participants to Slide 1 in their Participant the learning objectives from the slide. Ask participants if they have any questions about minutes Slide 3 Tell participants what they will learn during this Public Health PROBLEMSFACILITATOR GUIDE |8 Duration/ Slide Number What To Do/What To Say 3 minutes Slide 4 Questions Flip Chart Ask: Why do we need to prioritize Public Health problems?

6 Record responses on flipchart. Reveal possible answers on slide. Explain that resources are not only about money. Explain that Prioritizing also helps to identify whichhealth problems/issues you will deal with first. Justbecause a Health issue doesn t make it to the top of thelist does not mean that it will never be considered inlater years. Explain that they can prioritize chronic diseases ANDrisk factors, for example, breast cancer, hypertension,obesity, and minute Slide 5 Explain that you will now discuss two concepts that theywill use when Prioritizing : participatory planning andconsensus Public Health PROBLEMSFACILITATOR GUIDE |9 Duration/ Slide Number What To Do/What To Say 4 minutes Slide 6 Explain that because we each have different experiencesand perspectives, we will all see some things a bitdifferently.

7 Say: If our plans are to be effective, decisions need to involveall concerned and affected parties. This is calledparticipatory planning. Click slide until you see the graphic. Read the slide. Ask the group to define stakeholder . Click and reveal definition on slide. Ask participants to give examples of stakeholders for acurrent project/intervention. Possible answers: MOH, regional/district medical officers,community leaders, organizational leaders, target population. Ask the group to define partner and to give examples. Possible answers: Can be the same as stakeholders, forexample MOH, but they are supportive of what you are doingand not all stakeholders are supporters.

8 Click and reveal definition on slide. Ask: How would you involve stakeholders and partners inprioritizing diseases? Possible answers: invite them to a meeting in which you alldiscuss and prioritize diseases; send out questionnaire; haveinformal discussion groups; explain the benefits to them ofworking with Public Health PROBLEMSFACILITATOR GUIDE |10 Duration/ Slide Number What To Do/What To Say 3 minutes Slide 7 Read the slide. Discuss these additional points:oUse consensus building to ensure that everyone involvedparticipates in making decisions that affect objective is to have everyone agree and be a part ofthe process, but you may not always be able to in mind that not all stakeholders will be present orhave building often involves understanding theminority with minority objections in a way that all participantsare comfortable with the overall decision of the minutes Slide 8 Question Ask: What are some important criteria for establishing aconsensus in a group?

9 Prioritizing Public Health PROBLEMSFACILITATOR GUIDE |11 Duration/ Slide Number What To Do/What To Say Reveal the points on the slide and discuss. Add these points:oAvoid one best way either/or points of view rather than majority rule .oDo not end healthy conflict is closely related to the term agreement andis different than the concept of alignment , which isfinding a common underlying set of beliefs or minutes (5 minutes to introduce; 15 minutes for exercise) Slide 9-11 Activity Tell participants that they will now practice reachingconsensus. Read the exercise instructions to the class. Explain that this exercise is an abbreviated version of a survival exercise that is used in different trainingcourses.

10 Tell them that because of time limitations, theclass will only complete parts of this exercise as you willnow Public Health PROBLEMSFACILITATOR GUIDE |12 Duration/ Slide Number What To Do/What To Say Read the following situation to the class:It is approximately 10:00 in the morning and you and your companions have just crash-landed in the desert. Both the pilot and copilot perished in the plane, which completely burned shortly after impact. No one else was hurt. The pilot was not able to notify anyone of the position of the plane before the crash; however, before the crash he had indicated that the plane was south-southwest of a small town, and that the plane had veered several kilometers off the course of the flight plan.