Scaling up family planning training in rural Uganda

1. Scaling up family planning
training in rural Uganda
Dr Claire Marie Thomas
Dr Clare Goodhart
SN Sarah Uwimbabazi
Dr Ceri Gallivan

2. What is USHAPE?
Whole Institution
Approach to Family
Planning
• Family Planning
Advocates
• Family Planning
Providers
• Screening Program
• Family Friendly
Institution
Cascade Training
Approach to Community
Outreach
• Village Health Teams
• Youths & Adolescents
• Male Engagement
• Pastoral Lead Teachers
Network

3. Skills Exchange

4. Increase Providers

5. Ensure Supply

6. Whole Institution

7. In-service
nurse
training
UK doctors
9
Ugandan
tutors
Pre-service
nurse training
Village
Health
Team
Teachers
Generic
health
workers
Male
engagement
Screening
women for
unmet
need
Youth
outreach
School
children
Increase numbers of FP
providers Level 2
Positive messages
about FP Level 1
Create demand for
Family Planning
Skills exchange
Level 3 & 4
125 231
>100>250 220
14
>3000 >1400>250
HOSPITALS
Bwindi 2013
Kisiizi 2015
Rugarama 2017
Kanungu 2017
Cascade Training

8. Positive Messages

9. Create Demand

10. L3: FAMILY PLANNING TRAINERS
5 days

11. Topics Overview
FP Evidence
Creating Sustainable Change
Teaching Methods
Assessing Learning
Coordinating Training
Whole Institution Approach
Cascade Training

12. Methods
Check in/Check out Icebreakers/Energisers Lectures Role Play
Film Demonstrations Group Work Discussion
Brainstorm Exercises Reflection Fishbowl
Peer Feedback
Practice
•Facilitating, presenting,
teaching Homework Mentoring

13. Assessment
Formative
Assessment
Logbook
Mentoring
Action Planning
Observed
Delivery of
USHAPE Course

14. Resources
USHAPE Manual
USHAPE Handout Pack
USHAPE USB/DropBox
• Power points
• Handouts
• Videos
• Exams
• Logbooks
• WHO Wheel
• Registers
• Evaluation forms
• Screening Templates

15. Outcomes
• new trainers14
• Hospitals and 1 health centre3
• Led Family Planning Provider Level
Training7
• Participated in delivering training4

17. Discussion
1st exposure to
• Interactive experiential
learning styles
• Give & receive descriptive
constructive feedback
Steep learning curve
Some still needed
more basic training
first

18. Discussion
Enthusiastic to sign
up
Some expected
financial
remuneration
Challenges with
release from other
duties
Not all able to
participate in
subsequent
observed teaching

19. Recommendations
All Trainer candidates complete advocate and provider training
Provide Pre-course reading and prep work
More real life examples to demonstrate teaching concepts
Integrate more behavioural change theory
More time for teaching practical skills and role playing teaching scenarios