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Innovative capacity building efforts for enhancing immunisation systems

Innovative capacity building efforts for enhancing immunisation systems. ARCI, Dar-es Salaam, Tanzania, 10-13 December 2012. By WHO/AFRO & NESI/University of Antwerp. Presentation outline. Background Reducing bottleneck between EPI pre -& in-service training

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Innovative capacity building efforts for enhancing immunisation systems

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  1. Innovative capacity building efforts for enhancing immunisation systems ARCI, Dar-es Salaam, Tanzania, 10-13 December 2012 By WHO/AFRO & NESI/University of Antwerp

  2. Presentation outline Background Reducingbottleneckbetween EPI pre-& in-service training Pre-& in-service training in EPI/IMCI using computer based interactive resources CB perspectives in the framework of DoV/GVAP 2011-2020.

  3. Education & training Service development(deli-very,management, Supportive supervision) Human resources development Institutional development (network, TA, resource mobilization…) Empowerment of stakeholders(Commu-nities, partners…) Components of national capacity building

  4. Guiding principles: good reminder!! CB as cross-cutting & supportive component and entry point of innovations Training as cornerstone to improve /maintain quality of immunisation services as well as personnel performance and motivation Training to be included in monitoring and supportive supervision at district & health facility levels All health professionals should be trained in an integrated primary health care approach, regardless of whether they practice at primary, secondary or tertiary level.

  5. Design of integrated in–service training on child survival 5 8/16/2014

  6. Integration of teaching on EPI in curricula of medical schools: problems/perspectives DICHOTOMY MOH-SCHOOLS Teachers not motivated Poor advocacy for EPI in schools + Support and documents not available (Complex task) SPONSORS ARE INDIFFERENT TOWARDS SCHOOLS Very little teaching on EPI in schools Teachers not involved in EPI activities Resistance of teachers CONSERVATISM OF SCHOOLS Fossilized & not pertinent curricula Meheus, Bazira & Mutabaruka, 2004

  7. Proportion of training institutions having an updated EPI curriculum in selected countries per type of schools/2011 7 8/16/2014

  8. Reducing bottleneck between EPI pre-& in-service training Enhancing collaboration between EPI and health training institutions through networking and contractualisation Build institutional capacity of health training institutions to deliver both post-graduate diplomas in immunisation topics and conduct research (e.g. as outlined in GVAP) Conduct short courses in immunisation in collaboration with EPI

  9. Pre- & in-service training in EPI/IMCI using computer-based interactive resources

  10. Interactive resources for EPI-IMCI training (1) An innovative approach: • A better way to transfer information to health workers and students; • Maintains accuracy so the message is not diluted as it goes from trainer to student; • Video provides real-life examples of health workers at work; • Questions and answers reinforce the training and test the users’ knowledge; • They’re attractive and interesting so students like using them.

  11. Interactive resources for EPI-IMCI training (2) Information ≠ Knowledge application Clientsatisfaction Job satisfaction Efficiency Knowledge context Understanding Information Time & training

  12. Interactive resources for EPI-IMCI training (3) EPI-IMCI resource contains: • 2 hrs video • Pre-quiz and post-video Q&As • Manuals • References & posters • Glossary • Transcript of video narration • ICATT program in full • Three language narrations: French, English, Portuguese • Certificate of Completion

  13. Interactive resources for EPI-IMCI training (4) Video content: • Based on the Immunization in Practice manual and IMCI procedures; • The video script was written using these as references; • Expanded to include recent vaccines; • Basic procedures covered; • IMCI charts demonstrated and explained; • Filming in remote villages puts procedures into context.

  14. Interactive resources for EPI-IMCI training (5) Assessment & browsing A major advantage of the resource design is it’s three main uses: • Aid to face-to-face teaching in HW colleges; • Assessable in-service training – can check to see staff have completed modules; and • Browsing or refresher use – always available when information needs checking.

  15. Interactive resources for EPI-IMCI training (6) • In-service training/learning for each health worker, nurse or doctor could be monitored from central locations. • Can be combined with supportive supervision through on-site training

  16. Interactive resources for EPI-IMCI training (7) Summary: • Experts (EPI/IMCI Partners) ensure the modules are accurate. • Training provided to all workers is consistent. All users get the same information. • Reduces the likelihood of poor quality tuition. • Wide use of the resources would improve the standard of health care throughout the region.

  17. Systematic linking of training with supportive supervision • Interactive short training (2 –3 hours) • Selectedprioritytopics: micro-planning, use of monitoring chart, vaccine stock management, ensuring uninterrupted supply of AD syringes, mapping target population, monitoring adverse events following immunization, safe disposal of waste equipment… • According to individual training needs • Use simplified & updated job-aids • Use revised Immunisation in Practice modules • Use EPI/IMCI interactive resources

  18. Overhaul of tasks as especially induced by R&D and other immunisation innovations requires more CB effortsInclude immunisation in the basic education curriculumUse EPI CB as entry point for integrated training to strengthen health systems within PHC framework ( MLM, RED, case based surveillance, etc…)Support CB efforts for health logisticsPromote collaboration and networking among research centres and training institutions. CB perspective in line with DOV/GVAP 2011-2020 (1)

  19. Build more capacity in low and middle income countries to conduct R&D and operational research to maximise benefits on immunisation.Train health workers and civil society members in effective communication techniques and community empowerment.Increase levels of pre- and in- service training for human resource and develop new, relevant curricula that approach immunisation as component of comprehensive disease control.Promote coordinated training and supervision of community based health workers. CB perspective in line with DOV/GVAP 2011-2020 (2)

  20. Thank you foryour attention

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