dr lina digolo - lvct, kenya
DESCRIPTION
Capacity building of health workers: Utilization of a cost efficient facility based training approachTRANSCRIPT
Capacity building of health workers: Utilisation of a cost efficient facility based training approach (Capacity kazini
Model)
Digolo L¹, Kiragu M1, M Obbayi1, Otiso L¹
Capacity summit Capacity summit Birchwood Hotel 19Birchwood Hotel 19thth – 21 – 21stst Johannesburg Johannesburg
Building Partnerships, Building Partnerships, transforming livestransforming lives
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LVCT – who are we?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
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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
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Objectives
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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
Methods
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National/Master trainers/Mentors
Training of HCWs (non-residential/OJT)
District & facility TOTs / Mentors
Certified HCWs
On site mentorship Practice of skills Observed practice Certification
Provincial TOTs/Mentors
Certified practicing HCWs trained to become TOT/ mentors to train other HCWs
CMEs Continuous mentorship
Implementation models
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To be dictated by the various circumstances:
1.High volume facilities -that can have > 20 HCWS in training with no disruption of services, 3 hrs/ d when there is low client flow.
2.Low volume facilities-Participants will be conglomerated at a central facility in the district .The training will be 2-3 days in a week
Results
Off the job training Capacity kazini model
Facilitation 352 530
Accommodation 5700 0
Transport 570 352
Lunch 1600 230
Stationeries 300 300
Total 8522 1412
Results
Advantages and disadvantages of FBT
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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
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Conclusion Conclusion • Facility based trainings are cheaper than
off the job trainings/ hotel based trainings.
• This approach is replicable in most health facilities in Africa
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ACKNOWLEDGEMENTSACKNOWLEDGEMENTSMOH
Trocaire
LVCT staff who were willing to try out new initiatives
LVCT Management
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