Unit 2

Unit two: Train model family
Instruction sheet
This learning unit is developed to provide the
trainees the necessary information regarding the
following content coverage and topics:
 Identifying better performing households
 Establish space and time for training
 Identifying and collecting resources for
training
 Providing training according to MOH guidelines
 Provide post training follow up and monitoring
 Evaluating and certifying well performing
model households
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• This unit will also assist you to attain the
learning outcomes stated in the general
overview of this course.
• Specifically, upon completion of this learning
guide, you will be able to:
 Identify better performing households
 Establish space and time for training
 Identify and collect resources for training
 Provide training according to MOH guidelines
 Provide post training follow up and
monitoring
 Evaluate and certify well performing model
households
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2.1. Identifying better performing households
• Training model family is a means of

enabling and empowering selected
family members with certain healthy
behaviors or with some important
health messages so that they can enable
and teach the rest of other community
members.
• Training model families is one of the
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• Using criteria based on social and economic
status with the community, individuals who
are likely to be early adopters of new
behaviors will be selected.
• Then, training provided to parents on health
behaviors such as hygiene and sanitation,
accessing services (e.g., early childhood
immunization), family planning, infant
feeding practices, and nutrition.
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• The family uses these lessons to make
changes to its home and health care,
and then it can graduate and become a
model family.
• Those family members who are active
participants and those who are models in
the day-today developmental activities
will be considered for the trainings.
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• Moreover, the training is given by a Health
care provider on all the packages, first to
bring behavioral change and then to enable
model families to teach the rest of the
community members.
• The model family training package usually
selects early adopters--this is because they
are considered as opinion leaders and can
influence the behavior of other community
members.
• For example, community leaders, religious
leaders....etc.
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• Criteria to include in the trainings-
according to the criteria, a family should fulfill
all or at least 50% of the following criteria to
be included in the training:
A. Better access of education for the children
B. Involvement in agricultural extension
package
C. Better exposure for the mass-media--good
exposure for the international as well as
national information
D. Better educational status--at least can read
and write
E. Credibility in the community--influential or
opinion leader
F. Better socio-economic status in the
community
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2.2. Pre training preparation phase
• After selecting households for trainings,

pre training preparation will be done.
• In this phase, the following activities are
done:
Baseline survey on family size, sex, age,
environmental and personal hygiene, health
status of the family through observation,
water handling and proper utilization...etc. of
the model family.
Health care practitioner and other Kebele
leaders should select and arrange appropriate
time and place of training for about 100-150
households and introduce them the overall
activities in Health care program and model
family package, finally receive feedbacks
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2.3. Providing training according to MOH guidelines
A Health care practitioner should

consider the following activities
Health care practitioner should select
the appropriate methods and materials
for the training and should develop a
lesson plan for each phase of the
training.
Determine the content and arrange
the flow based on the principle of the
Health Extension package
implementation guidelines, "start from
the simplest then come to the complex
one"
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Sessions to be covered during the training
• Theoretical session----theoretical
trainings should be given with a simple
language in a ways that the participants
can understand the concepts.
• Establish a good relationship to
encourage and praise the training
participants and give a time for
questions and answers or discussion.
• It is good for assessment of the current
understanding level of the trainees.
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• Practical session:-a Health Extension
practitioner should encourage learning by
doing. i.e., the participants should be given a
chance to exercise what they have learned.
• For example, demonstration on latrine
construction, pit construction for waste
disposal, food preparation, etc. a Health
Extension practitioner should visit a volunteer
model family and observe while he/she is
performing.
• Moreover, strict supervision and corrections on
the procedures should be considered.
• Finally, a Health Extension practitioner should
inform the model household to show after
performing the expected activity or the
procedures within at least one to two weeks.
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• Duration of the training:- the duration of
training will be decided in discussion with
the training participants (the model family).
• However, training should be conducted
two days per a week or for three hours
per day.
• In this regard the training should be given
for a total of ninety six hours within four
months.
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2.4. Provide post training follow up and monitoring
• A Health Extension practitioner should follow-

up both the theoretical and practical effect on
the training participants.
• The follow-up should be done by directly
visiting the household at least once in a week
after the end of the training session.
• Therefore, a Health Extension practitioner
should follow-up at least 12-15 model
households per day or 60-75 households per a
week in order to assess the effect of
demonstration at their home( in the presence
of a husband or wife).
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• The monitoring checklist should be prepared
in two copies to undergo monitoring, one for
the model family/household, posted on the
wall where the supervisor can see.
• On the other hand, the other copy should be
retained on the hands of the Health
Extension practitioner and should be put
under the records in the Health post.
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2.5. Evaluating and certifying well performing model households
• They will be graduated as soon as the end of

the training exactly after one month's later.
• However, they should attend 75% or more
time and the Health Extension practitioner
also need to select them depending on their
attendance as well as performance level for
their graduation.
• The graduation certificate will be given after
the successful completion of the following two
activities
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Practical exam (assess more of the
skill/practical aspect)
Construction and utilization of latrine
Construction and utilization of energy saving
equipment such as local stove
Construction of the separate dwelling for
cattle and other animals
Personal hygiene and sanitation
Construction and utilization of
equipment/articles/utensil shelf
Good handling practices of water
The successful completion of all the
maternal and child immunizations
Utilizations of family planning services
Utilization of the insecticide treated bed
nets (ITNs)
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Oral exam (assess more of theoretical
aspect)- the trained model family will be
asked not more than five questions and
he/she would be expected to give a correct
answer for at least three questions.
• The questions are prepared and asked to
assess the current knowledge of the trainee.
• The supervisor from the woreda will also
attend the assessment process.
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THANK YOU!
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Unit two: Train model family

• Training model family is a means of

• After selecting households for trainings,

A Health care practitioner should

• A Health Extension practitioner should follow-

• They will be graduated as soon as the end of

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