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TB
assimilate , :
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RNTCP
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Pre-Test
Difference between
Facilitation
Principles of Facilitation
The 3 T approach: 1. Tell them what you want to tell them 2. Tell them 3. Tell them what you told them
INTRODUCTION
Your Intro needs to address 5 different Aspects : I= INTEREST N=NEED T=TIMING R=RESPONSE O=OBJECTIVE
Why?
What is the main message? What do you want to achieve? Think of one typical member in the audience will she be persuaded by this presentation?
Expectations What brought them to the talk? Is there any hidden agenda? Who is the decision maker?
How?
Learning Style Visual Learning Auditory Learning Kinaesthetic Learning
Focus on the key messages e.g Case Detection Rates Start with a conclusion Explain the process Indicate clear signposts of the route of your presentation
End on a High
Begin with a High End with a High Think about what response you want from the audience what steps they need to take after the presentation
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Objectives
Understand communication and its components Role of body language in communication How do we listen to people active listening. How to convey our perceptions about actions; Behaviour feedback. How do we deal with our feelings? How we can apply all of the above to improve our performance in TB control
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What is Communication?
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Ground Rules
Open Mind Mobiles and other distractions to be kept aside No passive listening, please participate and share Appreciation technique
Communication
Building Bridges
EFFECTIVE COMMUNICATION
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Barriers to Communication
Filters
Body language
Nonverbal communication, known as body language sends strong positive and negative signals. This is how much it influences any message: Words Tone of voice Non-verbal cues Message 8% 37% 55% 100%
TB Alert India
What s in a Smile ?
The MRI Scan
Face includes:
Your expressions Your smile or lack thereof Tilt of the head; e.g., if your head is tilted to one side, it usually indicates you are interested in what someone is saying
What message are you sending if someone is presenting a new idea and you are frowning? Axshya India Project
TB Alert
Pitch is the highness or lowness of voice Volume is how loud your voice is Emphasis is your inflection What message are you sending if during a disagreement you start speaking very loudly?
TB Alert India
Listening
The Mother skill of Communication
Activity
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1.Suspending Judgment
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2. Attending Skills
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Imagine the DTO briefing you about the new RNTCP schemes. Indicators (like the nodding of one s head) to show that you are paying attention are called Attending Skills .
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3.Clarification
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While noting the patient s medical history, for example, clarifications should be made regarding gaps in their medicine intake, reasons if any, difficulties faced, etc.
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4.Summarization
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Summarization is an important tool of active listening.For example,a typical example of summing up would be After a month of cat-1 TB treatment starting from July 4th ,you stopped taking medicines from August 4th after you underwent a urine test and discovered you had jaundice. Am I right my friend?
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4.Paraphrasin g
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Example of Paraphrasing
The State Level TOT on Soft Skills is all about empowering field health staf in bringing about increased TB awareness in the community and increasing CDR.
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At the CBO At the PHI At the Diagnostic centre Cat 1/11/111 session District level meetings State Level meetings
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EFFECTIVE FEEDBACK
Formula
B F I R: BEHAVIOUR DESCRIPTION: when you fired me in front of my colleagues .; REFLECT FEELINGS: e.g. I felt upset State likely Impact: My morale has been effected Request desired action : Next time, please do call me for a one-on one feedback session
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TB Alert India
Self-Esteem
TB Alert India
Confidence
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Enthusiasm
TB Alert India
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Emotional Quotient
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Assertiveness
TB Alert India
TB Alert India
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Feedback Formula
Delayed Reports from District Ego clash at the STO Non cooperation at the CBO Silence during the family/patient interview Stakeholders blame game
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Questioning Techniques
Open Ended Questions Closed Ended Questions Funnel Questions Probing Questions Leading Questions Rhetorical Questions
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Objectives
In this program we shall consider the following:
Understand what a Team is. Appreciate what the Elements of Teamwork are. Understand the Stages by which a Group becomes a Team. Appreciate the importance of Trust and Communication in Team Work to control and eradicate TB Learn and understand how not to function as a Dysfunctional Team
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Team
Concept of a Team
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Team
Sharing information Listening and responding Giving others the benefit of doubt Providing support Respect
Disadvantages of teams?
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Team Work
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Objectives
By the end of this module, the participants will be able to:
Identify exactly what conflict is, why it arises and how it can be utilized for maximum benefit
Spend less time and energy on conflicts, and instead focus on creating more productive relationships with others
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All happy families resemble one another; but each unhappy family is unhappy in its own way. - Leo Tolstoy
Ingredients of Conflict
Needs ignoring others , one s own or group s needs Perceptions people interpreting reality differently- differences in severity- causes and consequences of problems-perceptions of threat Power how people define and use power determines the number of conficts, the types of conflicts, and conflict management Values incompatible values or unclear values- one party refutes the other s value Feelings & Emotions major influence over the way one deals with conflict, ignoring own or other s feelings and emotions- difference over an issue
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When quick, decisive action is vital e.g., during emergencies. On important issues where unpopular courses of action need to be implemented e.g., cost cutting, enforcing unpopular rules, discipline. On issues vital to company welfare when you know you're right. To protect yourself against people who take advantage of uncompetitive behavior.
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Competing
Might makes right (Competing). Or, call it the Golden Rule style Contra-indications: People feel bruised, unsatisfied & resentful
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Compromising
Try to find a solution that at least partially satisfies everyone Everyone is expected to give up something
Useful when .
The cost of conflict is greater than the cost of losing ground Equal strength opponents, standstill Deadline looming Client restive
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Accommodating
Willingness to meet the needs of others at the expense of the person s own needs Knows when to give in, can be persuaded to surrender even when unwarranted Not assertive, highly co-operative
Useful when . Issues matter more to the other party Peace is more valuable than winning Want to do the other a favour People may not return favours, approach unlikely to give best outcomes
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Avoiding
Seeks to evade conflict completely Delegates controversial decisions Accepts default decisions Does not want to hurt anyone s feelings
Useful when .
Victory is impossible Controversy is trivial Someone else is in a better position to resolve Axshya India Project - TB Alert India
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Collaborative
Try to meet the needs of all involved Highly assertive, co-operative & acknowledge everyone s importance
Useful when .
Variety of viewpoints have to be brought together for the best solution Previous conflicts in the group Simple trade off is not possible
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Collaborating
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Remember
Behaviour Style
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Objective
By the end of this module, the participants will be able to:
Understand and appreciate the need and
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Imagine there is a bank that credits your account each morning with Rs.86,400. It carries over no balance from day to day. Every evening deletes whatever part of the balance you failed to use during the day. What would you do? Draw out every cent, of course!!!!
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Each of us has such a bank . It s name is TIME. Every morning, it credits you with 86,400 seconds. Every night it writes off, as lost, whatever of this you have failed to invest to good purpose. It carries over no balance. It allows no overdraft Each day it opens a new account for you. Each night it burns the remains of the day. If you fail to use the day s deposits, the loss is yours
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There is no going back. There is no drawing of Time against Tomorrow. You must live in the present on today s deposits Invest it, so as to get from it the utmost in Health, Happiness, and Success! The clock is running. Make the most of Today
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To realize the value of ONE YEAR . ask a student who failed a grade To realize the value of ONE MONTH .. ask a mother who gave birth to a premature baby To realize the value of ONE WEEK ask the editor of a weekly newspaper To realize the value of ONE HOUR ask someone who is waiting to meet a spouse after a long separation.
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To realize the value of ONE MINUTE .. ask a person who missed the train. To realize the value of ONE SECOND . ask a person who just avoided an accident. To realize the value of ONE MILLISECOND .. ask the person who won a silver medal in the Olympics.
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Pareto Principle
1. Use a time planner Master list, calendar, daily list 2. Always work from a daily list Write everything down 3. Organize your list by priority Sort your daily list by value
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Getting Organized
What is the primary difference between average people and highly effective people?
Highly effective people are much better organized when they work with others Top 3% are persistent planners Write and rewrite goals and activities Think on paper Continuously analyze and re-evaluate plans
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Personal Organization
Ideas?
1. Organize your workplace Clear your workplace of all clutter Keep only the most important things 2. Assemble everything you need Before you start Be able to reach what you need
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3. Handle paper only once Throw it away Delegate it to somebody else Take personal action File it for future reference
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