Table 1.

Session plan for FCHV training

Day	Session	Main contents
Day 1
	Introduction to non-communicable diseases (NCD)	What is NCD and its situation in Nepal? What are the different types of NCDs? What are the risk factors for NCDs? How can we prevent NCDs?
	Cervical cancer Causes and symptoms	Have you ever heard of cancer? What is cancer? What is cervical cancer? What causes cervical cancer? What are the symptoms of cervical cancer? How does the community perceive cervical cancer?
	Discussion	Questions/answers and doubt clearance
	Evaluation	First day evaluation and FCHV selection
Day 2
	Cervical cancer Causes and symptoms	What causes cervical cancer? What are the symptoms of cervical cancer? Human papilloma virus and it’s transmission Who are at risk of having cervical cancer?
	Cervical cancer screening and prevention	What to do to prevent cervical cancer? What are the different types of screening methods? Visual inspection with acetic acid (VIA) What is the recommended age group for VIA screening? Who does the VIA screening? Service delivery points and cost Role of FCHV to prevent cervical cancer Myths about VIA screening.
	FCHV home visit	Planning for home visit Number of visits and timing Rapport building Reason for the visit and the health education session Recording, reporting
	Interactive learning	Flip chart topics FCHV posture, body language, preparedness, proactive towards the situation, voice Detailing the flip chart
Day 3
	Recording register	Explain the content of the recording register How to prepare and fill the recording register? Name, age, location of the participants and FCHV Submission of completed register to the research officer
	Pamphlet	Explain the content of the pamphlet How to stress the points in the pamphlet What to suggest to the participants who are not able to read the pamphlet?
	Referral card	Explain the content of the referral card How to fill the referral card? Name, age, location, and health facility address for referral Communication with the health facility
	Scenario planning	Role play
	Household selection and list preparation	Selection of the household for home visit according to FCHVs working area.