Motivational Counseling: A Training in Advanced Interpersonal Communication Skills

This training curriculum and module presentations address challenges that frontline healthcare workers face in motivating clients within the HIV services continuum to make informed decisions that lead to sustained, positive outcomes. The curriculum focuses on listening and communication skills for addressing risk behaviors related to sex, alcohol and drug use, HIV testing, and treatment adherence.

PowerPoint modules include:

  1. Understanding the Context(French)
  2. Introduction to Motivational Counseling(French)
  3. Reflective Listening(French)
  4. Affirming(French)
  5. Questioning(French)
  6. Ask-Tell-Ask(French)
  7. Recognizing Talk about Change(French)
  8. Eliciting Talk about Change(French)
  9. Dealing with Resistance(French)

*Available in English and French

Conseil de motivation : une formation aux compétences avancées en communication interpersonnelle

Ce programme de formation et les présentations des modules abordent les défis auxquels sont confrontés les travailleurs de santé de première ligne pour motiver les clients dans le cadre du continuum des services VIH à prendre des décisions éclairées qui conduisent à des résultats positifs durables. Le programme se concentre sur les compétences d’écoute et de communication pour aborder les comportements à risque liés au sexe, à la consommation d’alcool et de drogues, au dépistage du VIH et à l’observance du traitement.

Les modules PowerPoint comprennent:

  1. Comprendre le contexte , (français)
  2. Introduction au counseling motivationnel , (français)
  3. Écoute réflexive , (français)
  4. Affirmant , (français)
  5. Interrogatoire , (français)
  6. Demander-Dire-Demander , (français)
  7. Reconnaître le discours sur le changement , (français)
  8. Susciter le discours sur le changement , (français)
  9. Faire face à la résistance , (français)

*Disponible en Anglais et en Français

Last modified: February 16, 2024

Language: English, French

Source: FHI 360

Year of Publication: 2020

MOMENTUM Modular Health Facility Assessment

The Modular Health Facility Assessment (HFA) and user guide provide the MOMENTUM suite of awards with a tool focusing on reproductive, maternal, newborn, child and adolescent health/family planning care and services, including seven modules that collect information on the following: service availability; service readiness; quality and safety of patient care; experience of care; availability of register; community services and mobilization; health facility oversight; quality improvement; and use of data.

Last modified: February 5, 2024

Language: English, French


Year of Publication: 2023

Tool and Guide for Reviewing the Nutrition Content of Pre-Service Training Curricula

Quality pre-service training forms the foundation of all nutrition services, equipping health professionals with the competencies required to deliver quality services from day one on the job. However, nutrition content is often outdated and can be difficult to integrate into pre-service training.

In an effort to improve the quality of nutrition services, USAID Advancing Nutrition developed the Tool and Guide for Reviewing the Nutrition Content of Pre-Service Training Curricula and tested it in Bangladesh, the Democratic Republic of the Congo, Ghana, the Kyrgyz Republic, and Malawi. The tool can be used by academic institutions, relevant government entities, non-governmental organizations, and donors to help review and improve the nutrition content in existing pre-service training curricula for specific cadres of health workers who provide frontline nutrition services.

Last modified: January 1, 2024

Language: English, Russian

Source: USAID Advancing Nutrition

Year of Publication: 2023

Designing Effective Nutrition-Sensitive Agriculture Activities Workshop: Facilitator’s Guide and Slides

This guide provides materials needed to facilitate nutrition-sensitive agriculture design workshops. Paired with two PowerPoint slide decks, it provides instructions for facilitators to conduct a three-day workshop that helps activity teams establish contextually appropriate, nutrition-sensitive agriculture outcomes, interventions, and indicators. Workshop participants discuss outcomes to consider that will lead to improved nutritional status and then develop interventions to contain underlying contributors to malnutrition. Originally developed by the USAID-funded Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project, USAID Advancing Nutrition updated the guide in 2020.

Last modified: January 1, 2024

Language: English, French

Source: USAID Advancing Nutrition

Year of Publication: 2022

One Health Risk Communication Training for Chiefdom-Level One Health Structures

This training manual overviews a three-day, interactive training in One Health risk communication and community engagement. This training package was designed for chiefdom-level One Health representatives and stakeholders within the health, animal, or environment sector, as well as key chiefdom-level authorities and influencers. Much of the training content is specific to Sierra Leone but could be easily adaptable to other contexts. The training emphasizes adult learning methods that require participation through small and large group discussion, brainstorming and reflection, role-play, and practice.

The objectives of this training are:

  • Objective 1: Gain an understanding of the One Health concept, as well as the core One Health institutions.
  • Objective 2: Review Sierra Leone’s priority zoonotic diseases and their relationship to public health emergency preparedness and response.
  • Objective 3: Review available risk communication tools and protocols in country to promote awareness, engage communities, and support a public health emergency response.
  • Objective 4: Learn and practice skills to apply the principles of effective risk communication in communicating with the public.
  • Objective 5: Improve confidence and ability to effectively respond to the public’s needs and concerns regarding PZDs and public health emergencies to minimize conflicting information, rumors, and misinformation.
  • Objective 6: Gain experience in conducting the community-led action (CLA) method.

The training package is designed to be “field-friendly”. No slides are required. Instead, this training is broken into the following documents:

Last modified: November 20, 2023

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

RCCE Training for Liberia University Students

In 2023, Breakthrough ACTION Liberia, in close collaboration with the Liberia One Health Platform, developed a seminar series for University students in Liberia. The seminar series was designed to provide an introduction to risk communication and community engagement (RCCE) to post-secondary public health students (primarily undergraduate juniors and seniors) with an expressed interest in risk communication, health communication, and other public health disasters.

The seminar series focused on One Health and RCCE before, during, and after public health emergencies, and provided introductions to definitions, principles, and best practices of RCCE, as well as real-life examples and scenarios.

RCCE Training for Liberia University Students

Seminar Case Scenarios

Source: Johns Hopkins Center for Communication Programs

Date of Publication: September 26, 2023

Liberia Interpersonal Communication and Counseling Curriculum

To be effective and trusted, health providers must show empathy and the ability to effectively communicate with their clients. Technical competence plays a large role in delivering high-quality care; however, additional factors identified as affecting the quality of care delivered by health providers include their communication skills, values, beliefs, attitudes, knowledge, perceptions of their role, social and workplace norms, structural context, and level of supervision.

The interpersonal communication and counseling (IPCC) curriculum was developed by a multidisciplinary team from the Liberia Ministry of Health (MOH) along with its national and international development partners and in collaboration with Breakthrough ACTION Liberia. This IPCC curriculum focuses on building skills related to communication, empathy, and compassion in order to support service providers in delivering more effective and responsive care. Building a service provider’s communication and counseling skills will lead to a better understanding of a client’s perspective, improved relationships between providers and clients, and ultimately, a greater sense of trust and confidence in the health system.

This training manual is designed for health providers who are in contact with clients at health facilities in Liberia. It is an interactive training manual that teaches counseling, communication, and motivation skills using hands-on practices such as problem-solving, post-training coaching and mentorship, self-reflection, peer review, and visual reminders. These approaches aim to build skills that will promote health provider empathy for clients, improve client-provider interaction, client experience, quality of care and ultimately improve health outcomes.

Curriculum Resources

Source: Johns Hopkins Center for Communication Programs

Date of Publication: February 15, 2023

“Building Trust and Empathy Around COVID-19” training curriculum

Breakthrough ACTION supports the Government of Nigeria (GON) to create an enabling environment for preparedness, response, and recovery from emerging pandemic threats and infectious disease outbreaks. Working with and through healthcare workers (HCWs) during the COVID-19 response efforts has been key to this support. Research shows:

  • HCWs are trusted messengers for social and behavior change (SBC) interventions. Results from the U.S. Centers for Disease Control and Prevention/Sydani Vaccine Hesitancy Study in Nigeria showed that 83% of participants said they would seek advice from an HCW in the decision to get vaccinated for COVID-19.
  • HCWs were largely more likely to be vaccinated than the general population for COVID-19. However, many remained vaccine-hesitant. This was largely due to a lack of confidence in the vaccines, followed by a lack of trust in government/public figures, fear of adverse effects, constraints to access, and a low perception of the risk of disease.
  • HCWs reported that they lacked sufficient information on COVID-19 and COVID-19 vaccines and required more information on COVID-19 and vaccination.

In response to this demonstrated need, Breakthrough ACTION in collaboration with partners in Nigeria developed the “Building Trust and Empathy Around COVID-19” training curriculum, which aims to not only build the skills of HCWs in providing empathetic care but also support them in navigating their own self-care to avoid burnout during an emergency. The training combines an in-person component along with virtual coaching support and reference materials. These include:

A blog on Breakthrough ACTION’s website describes the training curriculum and lessons learned.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: February 3, 2023

A Guide to Action for Community Mobilization and Empowerment Focused on Postabortion Complications

This is a training manual for using the community action cyclem which is a participatory problem-solving approach involving community diagnosis, planning together, implementation of plans, participatory evaluation, and scaling up. It helps communities identify their problems and prioritize and solve the major problems relating to post abortion care.

The manual includes activities for a six day training session.

Source: EngenderHealth

Date of Publication: January 17, 2022

Community IPC Guide – Malaria

This is a flipchart designed to aid Community Volunteers (CVs) in facilitating discussions around malaria appropriate behaviors during community dialogue sessions. There are versions for Nasarawa, Benue, Akwa Ibom, Kebbi & Zamfara.

It includes information about:

  • What is Malaria
  • Malaria signs and symptoms
  • People at risk
  • Severe malaria
  • Malaria in pregnancy
  • Prevention of malaria
  • Environmental management
  • Testing
  • Treatment

The flipchart was used to interact with over 4 million individuals.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 25, 2021