In-Service Training

Effectiveness of a Training Programme to Improve Hand Hygiene Compliance in Primary Healthcare

The main objective of this study was to evaluate the effect of a training program on hand hygiene for the reduction of healthcare-associated infections for primary healthcare workers. [adapted from author]

Doctor Shortage in Tanzania Leads to Improvisation

This video highlights task shifting in Tanzania where many areas rely on assistant medical officers to fill the gap caused by the severe doctor shortage. It also touches on the training of these workers to provide medical care in areas without doctors.

Implementation of Integrated Management of Childhood Illness in Tanzania: Success and Challenges

Tanzania is implementing the Integrated Management of Childhood Illness (IMCI), developed by the WHO and UNICEF to improve the management of child health at the primary care level in order to reduce child mortality in low and middle income countries. Workers in health facilities are trained in a structured IMCI case management course. IMCI also advocates the strengthening of the health system to facilitate practice of the skills acquired by health workers, as well as calling for improvement of household and community practices related to child health. [from executive summary]

Starting with the Classroom: Updating Family Planning Knowledge in East Africa

To build instructors’ capacity and address the knowledge gaps, the Capacity Project partnered with East, Central and Southern Africa Health Community and Africa’s Health in 2010 to deliver a week-long workshop on Contemporary Issues in Family Planning for midwifery tutors in Kenya, Tanzania and Uganda. [from author]

Service Delivery-Based Training for Long-Acting Family Planning Methods: Pathfinder International in Ethiopia

Long-Acting Family Planning (LAFP) methods, provide uninterrupted protection to women for 3 to 12 years. But they must be inserted by trained providers in a safe clinical environment. With limited facilities and few providers, widespread implementation of LAFP in Ethiopia requires training of significant numbers of rural providers and developing properly equipped facilities for implant and IUCD insertions. This document describes a training program for family planning. [from author]

Focusing on the Essentials: Learning for Performance

There is increasing consensus that training programmes should focus on know-how instead of know-all. IntraHealth International’s Learning for performance: a guide and toolkit for health worker training and education programs offers a step-by-step, customizable approach designed to develop the right skills linked to job responsibilities. Using Learning for Performance yields more efficient training that focuses on what is essential for health workers to do their jobs and on effective learning methods.

Training of Front-Line Health Workers for Tuberculosis Control: Lessons from Nigeria and Kyrgyzstan

This article compares the quality, quantity and distribution of tuberculosis physicians, laboratory staff, community health workers and nurses in Nigeria and Kyrgyzstan, and highlights implications for (re)training tuberculosis workers in developing countries. [from abstract]

Traditional Healers: Facilitator's Guide

This traditional healers’ manual has been defined as a practical approach to making essential health care universally accessible to individuals and families in the community an acceptable and affordable way and with their participation. It places a major emphasis on disease prevention and promotion of good health practices. The program has been developed in order to improve traditional healers’ programs and existing methods of practice and motivation of the communities. [from foreword]

Empowering Primary Care Workers to Improve Health Services: Results from Mozambique's Leadership and Management Development Program

The article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health. [from abstract]

Interprofessional Education in Rural Practice: How, When and Where?

Interprofessional education (IPE) has been suggested as an answer to improving the effectiveness of health professional teamwork, which in turn is regarded as a key strategy for improving the delivery and outcomes of increasingly complex healthcare approaches. There is a strong theoretical base to support the implementation of IPE for all health professionals, and in response many training programs now do this. This article presents some theory-based but practical advice for how to develop effective IPE activities. [from abstract]

Enhancing Midwifery Tutors Capacity in the ECSA Region

This presentation outlines a program desingned to train midwifery tutors and midwives to reduce maternal mortality.

Structured On-the-Job Training (OJT) and Postabortion Care Expansion in Low Resource Settings: Nepal Experience

This presentation describes the benefits and challenges of structured on-the-job training with evidence from a case study of Nepal.

Training Programmes for Field Epidemiology

This article discusses the implementation of training programmes in field epidemiology as a strategy for improving the number and quality of health workers. [adapted from abstract]

Gender Sensitization among Health Providers and Communities through Transformative Learning Tools: Experiences from Karachi, Pakistan

Programs and services need to be sensitively designed to facilitate women’s access to physical and social needs. This paper narrates the experience of working with health providers from public and private sectors, community, local government representatives and community-based organizations. Through transformative learning, this endeavour focused on initiating a process of sensitization on gender related health issues for women. [from abstract]

Seeing, Thinking and Acting against Malaria: a New Approach to Health Worker Training in Rura Gambia

This article evaluates a malaria in-service training for community health nurses working at a village level. The program included a computer-based training package, the first of its kind for health professionals in Gambia. [adapted from abstract]

Effectiveness of a Training Programme for Primary Care Physicians Directed at the Enhancement of their Psychiatric Knowledge in Saudi Arabia

A substantial number of patients with psychiatric disorders consult primary care physicians for comprehensive health care; however, the diagnosis and effective treatment of psychiatric disorders are deficient in primary health care. The aim of this intervention study is to assess the pre- and post-psychiatric training knowledge of primary care physicians. [from abstract]

International Opportunities in Medical Education

The purpose of this electronic resource is to make available information about the extent and nature of international opportunities for medical students, residents, and faculty. It provides information about which schools offer programs, how these are funded, and in which geographical regions they occur. In many cases, individual schools provide further information about their programs on their own websites. [publisher’s description]

Infectious Disease Surveillance (IDS) in Tanzania

In Tanzania, the PHRplus project developed and tested a set of training materials and tools designed to strengthen the Integrated Disease Surveillance and Response (IDSR) system. All of the tools were implemented in twelve project districts in eight regions of the country. The tools can be adapted for use in other countries and include job aids for district training of trainers, facility training of trainers, district and facility level IDSR training materials and other supporting training tools. [adapted from publisher]

Competence of Maternal and Child Health Clinic Workers in Detecting Malnutrition in Somalia

The MCH clinic workers in Somalia receive formal and in-service training to perform their professional duties. Their competence in the field was never examined. This study assessed their competencies in detecting malnourished children 5 years and below in Beledweyne. [from abstract]

Family Planning: A Global Handbook for Providers

The practical, up-to-date guidance in this new handbook will help to improve the quality of family planning services and maximize people’s access to them. It can help family planning providers to assist clients choosing a family planning method, to support effective use, and to solve clients’ problems. Managers and trainers can use this book, too. [from foreword]

Midwifery Education and Maternal and Neonatal Health Issues: Challenges in Pakistan

Although numerous health care interventions have been implemented in Pakistan, the high maternal and neonatal mortality rates still remain a challenge. Developed countries have reduced maternal and neonatal mortality rates by improving the skill and knowledge levels of nurse-midwives. This paper reviews maternal and neonatal health issues, challenges in current midwifery education, and the role of government and international agencies in Pakistan. [from abstract]

Lessons Learned from the Benin HIV/AIDS Prevention Program (BHAPP)

This report evaluates the BHAPP project including an analysis of its service and communication activities for outreach and capacity strengthening of personnel in 23 health centers to diagnose and treat STIs and use STI case management as a referral point for HIV testing. It also discusses the effectiveness of the project’s policy work at the central level.

Sexual and Reproductive Health for HIV-Positive Women and Adolescent Girls: Manual for Trainers and Programme Managers

The goal of this training is to enable health workers to address the sexual and reproductive health (SRH) needs of HIV-positive women and adolescent girls by offering comprehensive SRH services within their own particular service-delivery setting. [from introduction]

Staff Training and Ambulatory Tuberculosis Treatment Outcomes: a Cluster Randomized Controlled Trial in South Africa

The objective of this study was to assess whether adding a training intervention for clinic staff to the usual DOTS strategy (the internationally recommended control strategy for tuberculosis (TB)) would affect the outcomes of TB treatement in primary care clinics with treatemet success rates below 70%. [from abstract]

Reproductive Health Manual for Trainers of Community Health Workers

This manual was developed to help organizations who provide reproductive health services through the community-based distribution approach to train their community health workers in reproductive health.

Gender Sensitivity Assessment Tool for FP/RH Curricula

A tool designed to help program and training managers, curriculum designers and trainers facilitate the operationalization and assessment of gender sensitivity during pre- and in-service training of service providers.

Choices in Family Planning: Informed and Voluntary Decision Making

The guides in this toolkit are intented to be used to facilitate a broad discussion of the elements and conditions that underpin the concept of informed and voluntary decision making, help users assess the status of sexual reproductive health decision making in a given program by identifying the challenges and supporting factors at the individual/community, service-deliver, and policy levels, and to help users plan strategies to strengthen supports for clients’ reproductive health decision making.

NARF Handbook on Incorporating Gender and Human Rights in HIV/AIDS Training

This handbook explains why a gender and human rights strategy is a better approach for achieving results in curbing the HIV/AIDS epidemic It also shows you how to do it by providing the necessary information and techniques for incorporating gender and human rights into HIV/AIDS training. [from introduction]

Capacity Building: What Does It Mean? Millennium Development Goal 6: Malaria, HIV

This presentation was given as part of the Christian Health Association’s Conference: CHAs at a Crossroad Towards Achieving Health Millennium Development Goals. It provides an excellent overview of the challenges of Malaria and HIV/AIDS ; discusses the human resource needs in light of these challenges; and how to build and maintain capacity. [from author’s description]

Learning for Performance: a Guide and Toolkit for Health Worker Training and Education Programs

This manual presents Learning for Performance, a systematic instructional design process based on IntraHealth’s experience in designing reproductive health and HIV/AIDS training and performance improvement programs over the last 27 years in countries around the world. The manual and accompanying tools help connect learning to specific job responsibilities and competencies. To facilitate use and adaptation of the 14 Learning for Performance tools in the manual, Microsoft Word versions of the tools are available for downloading. [adapted from publisher]