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

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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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