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Dr Lina Digolo - LVCT, Kenya

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Capacity building of health workers: Utilization of a cost efficient facility based training approach
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Capacity building of health workers: Utilisation of a cost efficient facility based training approach (Capacity kazini Model) Digolo L¹, Kiragu M 1, M Obbayi 1 , Otiso L¹ Capacity summit Capacity summit Birchwood Hotel 19 Birchwood Hotel 19 th th – 21 – 21 st st Johannesburg Johannesburg Building Partnerships, Building Partnerships, transforming lives transforming lives 1 1
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Page 1: Dr Lina Digolo - LVCT, Kenya

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

Building Partnerships, Building Partnerships, transforming livestransforming lives

11

Page 2: Dr Lina Digolo - LVCT, Kenya

2

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

.

Page 3: Dr Lina Digolo - LVCT, Kenya

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

Building Partnerships, Transforming lives3

Page 4: Dr Lina Digolo - LVCT, Kenya

Objectives

Building Partnerships, Transforming lives4

Page 5: Dr Lina Digolo - LVCT, Kenya

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

Page 6: Dr Lina Digolo - LVCT, Kenya

Methods

6

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

Page 7: Dr Lina Digolo - LVCT, Kenya

Implementation models

77

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

Page 8: Dr Lina Digolo - LVCT, Kenya

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

Page 9: Dr Lina Digolo - LVCT, Kenya

Results

Page 10: Dr Lina Digolo - LVCT, Kenya

Advantages and disadvantages of FBT

Building Partnerships, Transforming lives10

Page 11: Dr Lina Digolo - LVCT, Kenya

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

Building Partnerships, Transforming lives11

Page 12: Dr Lina Digolo - LVCT, Kenya

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

Building Partnerships, Transforming lives12

Page 13: Dr Lina Digolo - LVCT, Kenya

ACKNOWLEDGEMENTSACKNOWLEDGEMENTSMOH

Trocaire

LVCT staff who were willing to try out new initiatives

LVCT Management

Building Partnerships, Transforming lives13


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