community based training

1. Federal Democratic Republic of Ethiopia
Ministry of Health
BEmONC – LRP
ETHIOPIA
Best Practices in Maternal and Newborn Care
Approach to Training
PRESENTATION - 1

2. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Session Objectives
 By the end of the session the participant will be
able to describe:
 Mastery learning
 Acquisition
 Competency
 Proficiency
 Competency-based training
 Humanistic training
 Safe Delivery Application
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3. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Mastery learning
 Assumes that all learners can master (learn) the required
knowledge, attitudes or skills provided sufficient time is
allowed and appropriate learning methods are used
 Goal: 100 percent of the learners will “master” the
knowledge and skills on which the learning is based.
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4. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Mastery Learning (cont’d)
 Based on principles of adult learning
 Learning is participatory, relevant and practical
 Builds on what the learner already knows or has
experienced
 Provides opportunities for practicing skills
 Uses behavior modeling
 Is competency-based
 Incorporates humanistic learning techniques
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5. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
How did you learn to make a bread?
 Discuss in pairs of two
 Following two-by-two discussion, have several
people describe to the larger group how they
learned to make a bread.
 Label as types of learning/teaching and use as
reference examples throughout rest of session
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6. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Skill
Acquisition
• the learner sees others perform the skill and
• acquires a mental picture of the required steps.
• attempts to perform the procedure,
• usually needs assistance
Skill
Competency
• Learner practices until skill competency is achieved,
• s/he can perform the procedure.
• At least participants are expected to reach at this stage
at the end of this training)
Skill
Proficiency
• occurs with repeated practice over time.
• At this stage he/she effectively performs the required
skill or activity (Through repeated experience)
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Stages of Learning

7. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
What is meant by “behavior modeling”?
 When conditions are ideal, a person learns most
rapidly and effectively from watching someone
perform (model) a skill or activity
 Trainer must clearly demonstrate the skill or
activity so that learners have a clear picture of
the performance expected of them
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8. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Competency-based Training
 Learning by doing
 Focuses on the specific knowledge, attitudes and
skills needed to carry out the procedure or activity
using learning guide
 Competency in the new skill or activity is assessed
objectively by evaluating overall performance using
a standard checklist
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9. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Competency-based Training
 Once the procedure has been demonstrated,
coach learners that is discuss, observe the
learners and guide them in learning the skill or
activity, monitoring their progress and helping
them overcome problems
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10. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Humanistic Training Techniques
 Use of anatomic models (and other learning aids)
which closely simulate the human body
 Initially working with models rather than with
patients allows learners to learn and practice new
skills in a simulated setting
 Reduces stress for the learner
 Reduces risk of injury and discomfort to the patient.
 Always treat patient/client with utmost respect
 Put the patient’s/client’s well-being first
 Respect dignity, modesty, socio-cultural background
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11. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Skill competency
 Only when skill competency has been demonstrated
should learners have their first contact with a patient
 Before any learner provides services to a patient,
however, it is important that the learner demonstrate skill
competency using models, role plays or simulations,
especially for core skills
 Use of mhealth tools such as Safe Delivery Application
helps in improving learners’ competency
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12. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
• A clinical instruction and reference tool for birth
attendants in low-resource settings
• based on WHO guidelines/contextualized
• BEmONC signal functions distilled into the most
essential information and protocols
• No internet required for use & available for free
• Implementation models include:
• Pre-service training integration (training tool)
• In-service training integration (training tool)
• On-the-job aid (reference tool)
The Safe Delivery App

13. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Safe Delivery App
Features
Videos Action cards Drug list Procedure
s
My Learning

14. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Comparative advantages of using the SDA in
BEmONC
 Stimulates use of multiple facilitation/teaching methods
 Helps create an interactive learning environment for improved
learning uptake
 Enables peer learning and stimulates participants
 Engages participants
 Makes evidence based clinical guidelines available at the
fingertips of birth attendants
 GPS tracked for SDA use data recording so always turn on
your GPS

15. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Comparative…
 Introduces birth attendants to a tool that can help
them revise/retain knowledge and skills – even when
back home in their duty stations, from their own
devices
 The SDA builds confidence in midwives in managing
complications
 Improves the training experience for learners and
trainers and ultimately creates a better learning
uptake and outcome

16. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Now, take 10
minutes to play
with the App.
You may help
your neighbor

17. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
Summary
 When mastery learning, based on adult learning
principles and behavior modeling, is integrated with CBT,
the result is a powerful and extremely effective method
for providing clinical training
 When humanistic training techniques are incorporated,
training time and costs can be significantly reduced
 Safe Delivery application contains BEmONC signal
functions distilled into the most essential information and
protocols
 SDA makes evidence based clinical guidelines available
at the fingertips of birth attendants
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18. BEmONC – LRP: Ethiopia
Best Practices in Maternal and Newborn
Approach to Competency Based
training
References
 JHPIEGO. Clinical Training Skills for Reproductive
Health Professionals, 2000. Baltimore.
 JHPIEGO. Advanced Training Skills for Reproductive
Health Professionals, 2nd ed., 1998. Baltimore.
 Sullivan RL. The Competency-Based Approach to
Training. 1995. Baltimore.
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