Training and Human Resources ManagementWorking Meeting on ComprehensiveCervical Cancer Prevention and Controlin UNFPA EECARO and ASRO CountriesMay 18-20, 2011Antalya, TurkeyVeronica Reis, MD, MPHSRH/MNH Senior Technical AdvisorJhpiego, an Affiliate of Johns Hopkins University
Cervical Cancer Prevention Framework Perspective Sociocultural/Gender Education Community outreach CLIENT/PATIENT SERVICE TECHNOLOGYPolicies, program structure, Efficacy management SafetyAvailability and accessibility Procedures and supplies Quality of services Laboratories (including qualityHealth Information Systems control) Referrals Costs QUALIFIED PROVIDERS Acceptability ACCP Program manager manual, 2004.
ESSENTIAL HUMAN RESOURCESPROGRAM MANAGER/STAFF Specialists Oncologists Specialty Hospital SUPERVISORS Radiologists Gynecologists Pathologists General Hospital Cytotechnicians Midwives/Nurses/Physicians PHC Community Health Workers Community
KEY COMPETENCIES / TRAINING AREAS Counseling Screening (VIA, Paptest, HPV DNA test) Treatment of precancerous lesions (Cryotherapy, LEEP, cold knife conization) Managment of invasive cancer Maintenance of equipment Supervision skill, M&E Note: The screening methods and treatment should be chosen based on the resources and health systems infrastructure in the country.
TAKE HOME MESSAGE 1 LOOK BEFORE YOU LEAP-ASSESSMENT Targeted approach Efficient use of limitedresources Leverage existing infra-structure Create partnerships
TAKE HOME MESSAGE 2 BUILD CAPABILITY Implement competency based training approach Develop a core team of qualified trainers Use standardized learning resource packages
EFFECTIVE CLINICAL TRAINING Learning by doing Focus on how participant performs Key Elements: Competency based Adult learning principles Behaviour modeling Humanistic techniques 8
CHARACTERISTICS OF CBT Competencies Identified Need to know information to support skills development Detailed training materials: Designed for specific competencies Support acquisition of knowledge Facilitate clinical skills development Strengthen appropriate attitude Assessment focused on competency 9
Standardized Learning Resource Package COMPONENTS Reference manual Participants and Trainers Handbook Performance assessment tools Cervical Atlas Interactive CD-ROM based images Job aids Documentation and reporting tools
Training for professionals from referral sites in Moz
Making Training Systems EffectivePerformance Managing Needs TrainingAssessment Designing Delivering Evaluating Training Training Training
TAKE HOME MESSAGE 3 EXPANSION-INTEGRATION AND OWNERSHIP Transfer of Learning Supportive supervision Task shifting and task sharing Institutionalization
Standards-based Management of Health Service Delivery Set Implement Standards Standards 1 2 4 3 Reward Measure Achievements Progress
TAKE HOME MESSAGE 4 PREPARE AND PLAN FOR EXPANSION Demand generation Community Health Workers Training Resources Master trainers Clinical Trainers Faculty/Instructors Quality Assurance Supervisors Logistics, equipment supplies Repair and maintenance
THANK YOU… RICKY LU VERONICA REIS RH/FP/Cervical Cancer Director SRH Technical Advisor firstname.lastname@example.org email@example.com