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Building Partnerships, transforming lives

Capacity building of health workers: Utilisation of a cost efficient facility based training approach (Capacity kazini Model) Digolo L¹, Kiragu M 1, M Obbayi 1 , Otiso L¹ Capacity summit Birchwood Hotel 19 th – 21 st Johannesburg. Building Partnerships, transforming lives. 1. 1.

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Building Partnerships, transforming lives

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  1. Capacity building of health workers: Utilisation of a cost efficient facility based training approach (Capacity kazini Model)Digolo L¹,Kiragu M1, M Obbayi1, OtisoL¹Capacity summit Birchwood Hotel 19th– 21st Johannesburg Building Partnerships, transforming lives 1 1

  2. LVCT – who are we? LVCT – an indigenous Kenyan NGO - country led, country managed, country priorities 1. Quality Assured HIV testing & counselling - Home based; Mobile; Workplace; Celebrity; >3million clients tested 2. Linking testing to palliative care/ART • 12,000 HIV infected individuals, VCT+ model (families, 97% referral uptake) 3. Vulnerable & at risk populations • MSM/Prisons – 21,000 tested, 121 on Rx • Disability – 20,000 tested, Deaf VCT • Youth (one2one youth hotline,) • GBV/Post Rape Care – 9,000 survivors • Sex workers - 3 post test clubs, STI Rx .

  3. Background • A skilled, trained workforce can dramatically improve performance and add value to services. • Despite implementing numerous trainings in the last few years, Kenya still has many health workers yet to receive basic HIV training • Costly Off-the job trainings form the bulk of trainings • Donor funds have been gradually reducing over the past few years Building Partnerships, Transforming lives 3

  4. Objectives Building Partnerships, Transforming lives 4

  5. Methods • Cascade approach was utilised based on the National curriculums • Active involvement of DMOHs and DASCOs, Med Superintendents. • Trainings facility Led and management • LVCT played supportive supervisory role • 311 health providers trained between January 2010 and September 2012, 298 (96%) successfully completed the training. • Certification done by NASCOP and DRH 5

  6. Methods 6

  7. Implementation models To be dictated by the various circumstances: • High volume facilities -that can have > 20 HCWS in training with no disruption of services, 3 hrs/ d when there is low client flow. • Low volume facilities-Participants will be conglomerated at a central facility in the district .The training will be 2-3 days in a week 7

  8. Results

  9. Results

  10. Advantages and disadvantages of FBT Building Partnerships, Transforming lives 10

  11. Sustainability • Collaborative approach: collaboration with key stakeholders at facility , regional and national level. Has been included in national curriculums • Cheaper than conventional training • Facility Led and managed • Utilization of available resources: including venue and facilitators Building Partnerships, Transforming lives 11

  12. Conclusion • Facility based trainings are cheaper than off the job trainings/ hotel based trainings. • This approach is replicable in most health facilities in Africa Building Partnerships, Transforming lives 12

  13. ACKNOWLEDGEMENTS MOH Trocaire LVCT staff who were willing to try out new initiatives LVCT Management Building Partnerships, Transforming lives 13

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