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Cambodia Innovative Training for Rural Health Workers

Cambodia Innovative Training for Rural Health Workers. AAAH Conference Beijing, 12-14 th October 2007 Keat Phuong Mey Sambo. Issues /challenges. Difficult to have staff to go to “unattractive” posts and to stay, especially in rural areas

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Cambodia Innovative Training for Rural Health Workers

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  1. Cambodia Innovative Training for Rural Health Workers AAAH Conference Beijing, 12-14th October 2007 Keat Phuong Mey Sambo

  2. Issues /challenges • Difficult to have staff to go to “unattractive” posts and to stay, especially in rural areas • Movement of staff from remote/rural to urban centers. Resulting in • Imbalance / mal distribution of staff – shortages in areas where health needs are greatest • Inequity in access to health service & coverage

  3. Strategies to Meet the Need • Long term strategy • Increase number of staff working at periphery level with regular course • Short term strategy • Increase number of staff working at periphery level by establishing alternative/innovative training to meet local community student educational background • Provide refresher course to upgrade knowledge and skills of staff working at periphery level

  4. Innovative Training for Health Workers Key aspects include, among others: • Situation analysis: • define vacant posts at each of the four provinces of the NE region; • identify education level of students living in the region & innovative training for them: • identify strategy to select appropriate students to the course. • Selection committee: to select potential candidates from the areas with vacancies /need for training • Mandatory period of service in rural areas • Refresher courses /continuing education • ??? Incentives to retain workers in rural areas.

  5. Outcomes • Increase in staff in rural areas, especially of nurses and midwives, but inadequate to meet needs. • Need for improvement in quality of services Midwives Nurses

  6. Lessons Learned • Strategy to limit the frequency of staff movement, from remote/rural to urban/city • Institutional / teaching capacity, including clinical skills practice were inadequate for training needs. • Innovative Training Curriculum should be matched with the health situation of the region & the educational background of the students • Teaching and learning activities require close monitoring and evaluation to ensure the quality of graduates.

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