Course Report, March 2015 Report Feb 2015.pdf · Ibrahim +249912291715 ... 11:00 Chilhood Tuberculosis Prof. Malak Shahin ... Monitoring and evaluation system and impact measurement

Course Report, March 2015

--------------------------------------------------------------- TCTP Report – Toward TB Elimination – Cairo, Feb 1

st – March 5

th 2015

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A.

IMPLEMENTATION

REPORT


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1. Administration

1) Course title : Toward TB Elimination

2) Duration: February 1st to March 5

th , 2015

3) Date of distribution of G. I.:

4) Number of applicants and selected

applicants :

15 selected applicants out of 20

Annex I

5) List of Participants :

No. Country Name Mob. No. Email Job 1. Sudan Eman Osman

Mohamed +249911243931 nonosman@outlook

.com

Specialist of Medical laboratory

2. Sudan Ekhlas Omar Hassan +249123390163 [email protected]

State TB Coordinator- River Nile

3. Sudan Atyiat Hissein Ibrahim

+249912291715 [email protected]

TB Coordinator

4. Sudan Fadlelmula Osman Fadlelmula


M&E Officer

5. Yemen Mohammed Nasser Al Gabr

+967770991473 [email protected] TB Coordinator

6. Yemen Fahd Ali Al Ganad +967711117154 [email protected]

TB coordinator

7. Yemen Malak Ahmed Qardash


Logistic & supply coordinator

8. Yemen Sadeq Sharaf Al Hakim


M&E activities

9. Yemen Saeed Abdul Hadi Mohammed


TB MDR coordinator

10. Yemen Zayed Mohammed Naji Al Tabali


Medical Microbiologist

11. Yemen Essam Abdullah Al Kherbi


Assistant manager

12. Jordan Khaled Mustafa Al Hawamdeh


Irbid GCT

13. Sudan Kabashi Hashim Alawad


TB program – Kassalg state

14. Sudan Sara Sir Elkhatim Hassan Nasr

+249912118075 +249123664294

[email protected] [email protected]

Communicable & Non- Communicable Diseases

15. Sudan Ehab Abdalla Eltoom


TB/HIV Program- Gezira state

mailto:[email protected]




















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2. Course Conduct

1) Syllabus

Day Time Topic Facilitator

Sunday, February 1, 2015

09:00 - 11:00 Opening ceremony Dr. Wagdy Amin

11:30 – 01:00 Course Orientation & pretest Dr. Wagdy Amin

01:30 – 03:00 NTP Egypt Dr. Alaa Mokhtar

Monday , February 2, 2015

09:00 - 11:00 TB Situation Dr. Wagdy Amin

11:30 – 01:00 TB Suspect Dr. Amal Galal

01:30 – 03:00 TB New Diagnostics Dr. Faten Shoukry

Tuesday, February 3, 2015

09:00 - 11:00 TB treatment Dr. Magdy Fawzy

11:30 – 01:00 First line Anti TB Drugs & Side effects Dr. Wagdy Amin

01:30 – 03:00 Treatment in special situations Dr. Wagdy Amin

Wednesday, February 4, 2015

09:00 - 11:00 Country presentations Dr. Wagdy Amin

11:30 – 03:00 Supervision & How to conduct supervisory visit

Dr. Nabila Wahib

Thursday, February 5, 2015

09:00 - 11:30 Field visit TBMU Dr. Abeer Shams Eldin

12:30 – 03:00 Field visit TBMU Dr. Amal Salah

Friday, February 6, 2015

Saturday, February 7, 2015

09:00 - 11:00 R&R Dr. Amal Galal

11:30 – 01:00 Contact management Dr. Amal Galal

01:30 – 03:00 TB /HIV Dr. Heba El SAyed


09:00 - 11:00 Chilhood Tuberculosis Prof. Malak Shahin

11:30 – 01:00 New definitions in R& R Dr. Amal Galal

01:30 – 03:00 Web TB S Dr. Amal Galal


09:00 - 11:00 DRTB ( how resistance develops – different resistant patterns – case definitions – treatment outcome)

Dr. Magdy Fawzy

11:30 – 01:00 Case finding strategies and treatment strategies

Dr. Ashraf A. Haseeb

01:30 – 03:00 Second line anti-TB medicines and some clinical pharmacological aspects



09:00 - 11:00 Designing a treatment regimen Dr. Magdy Fawzy

11:30 – 01:00 Exercises on designing treatment regimen

Dr. Magdy Fawzy

01:30 – 03:00 Initial evaluation & follow up examination for treatment progress

Dr. Wagdy Amin


09:00 - 11:00 Management of adverse effects 1 Dr. Ashraf A. Haseeb

11:30 – 01:00 Management of adverse effects II Dr. Ashraf A. Haseeb

01:30 – 03:00 Adjuvant therapy including the role of surgery in DR management (case



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presentation


09:00 - 11:00 Management of DR in special conditions including treatment failure, mono and poly-resistance


11:30 – 01:00 Contact management in DR- TB cases Dr. Ashraf A. Haseeb

01:30 – 03:00 Community based care in MDR-TB Dr. Magdy Fawzy



09:00 - 12:00 Infection control Dr. Amal Salah

12:30 – 02:30 Latent infection Dr. Wagdy Amin


09:00 - 11:00 Research priorities in TB Control Prof. Mohsen Gaddallah

11:30 – 03:00 How to develop a research protocol Prof. Mohsen Gaddallah


09:00 - 11:00 Data management Prof. Ihab Shehad

11:30 – 01:00 Report writing and paper development

Prof. Ihab Shehad

01:30 – 03:00 Research dissemination Prof. Ihab Shehad


09:00 - 11:00 Extra-pulmonary Prof. Magd Galal

11:30 – 01:00 TB Monitoring during treatment , management of interruption and prevention of adverse effects Dr. Wagdy Amin

01:30 – 03:00 TB Patient Support Dr. Amal Salah


09:00 - 11:00 Implementation Research Dr. Magdy Fawzy

11:30 – 01:00 Pharmacovigilance Dr. Wagdy Amin

01:30 – 03:00 Socio- economic aspects of tuberculosis Dr. Amal Salah


09:00 - 11:30 Alex Visit Dr. Wagdy Amin

11:30 – 02:00 Alex Visit Dr. Amal Salah



09:00 - 11:00 Strategic planning and TB control strategies

Prof. Tarek Amin, 11:30 – 01:00 How to develop NSP

01:30 – 03:00 How to develop M&E plan


09:00 - 11:00 Strategic planning (Workshop)

Prof. Tarek Amin 11:30 – 01:00 Strategic planning (Workshop)

01:30 – 03:00 Strategic planning (Workshop)


09:00 - 11:00 Human Rights & Ethics on TB prevention Dr. Magdy Fawzy

11:30 – 01:00 International Standards for Tuberculosis Care (ISTC) Dr.Essam El Moghazy

01:30 – 03:00 Advocacy, communication and social mobilization Dr.Essam El Moghazy

Tuesday, February 24,

09:00 - 11:00 P Process - Formative Research Dr. Hossam Ragab

11:30 – 01:00 P Process - Program Analysis Mr. Abdel Bary Bakr


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2015 01:30 – 03:00 Social Marketing & Advocacy Mr. Abdel Bary Bakr


09:00 - 11:00 P Process - Monitoring & Evaluation Dr. Hossam Ragab

11:30 – 01:00 P Process Strategic Design Mr. Abdel Bary Bakr

01:30 – 03:00 P Process - Media Planning Mr. Abdel Bary Bakr


09:00 - 11:00 Grand rounds – Case presentations Dr. Wagdy Amin

11:30 – 01:00 Grand rounds – Case presentations Dr. Wagdy Amin

01:30 – 03:00 Grand rounds – Case presentations Dr. Wagdy Amin



09:00 - 11:00 Pharmacovigelouns Prof. Wagdy Amin

11:30 – 03:00 Quality management in healthcare settings Dr. Ali A Azim

Sunday, March 1, 2015

09:00 - 11:00 Description of lab , lab procedures & role of TB SNRL ( lecture) Howaida Kasem

11:30 – 01:00 DSM (lecture) - Culture (lecture) Dr. Azza Hegazy

01:30 – 03:00 EQA Dr. Azza Hegazy

Monday , March 2, 2015

09:00 - 11:00 Lab - EQA Dr. Faten Shoukry

11:30 – 01:00 Patients’ Charter for Tuberculosis Care Dr.Essam El Moghazy

01:30 – 03:00 Community participation in TB care ( Role of NGOs)

Dr. Essam El Moghazy

Tuesday, March 3, 2015

09:00 - 11:00 TB in Workplace Dr. Nasr Diab

11:30 – 01:00 TB in Workplace Dr. Nasr Diab

01:30 – 03:00 TB in Workplace Dr. Nasr Diab

Wednesday, March 4, 2015

09:00 - 11:00 Lab – visit abbassia chest hospital Dr. Faten Shoukry

11:30 – 01:00 Refugees Dr. Eman Kamal

01:30 – 03:00 TB in special groups Dr. Wagdy Amin

Thursday, March 5, 2015

09:00 - 11:00 Post test Dr. Wagdy Amin

11:30 – 01:00 Training Evaluation Dr. Wagdy Amin

01:30 – 03:00 Closing ceremony and certificates distribution Dr. Wagdy Amin


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B.

EVALUATION

By

The

Participants


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The most or the least valuable topics

There are many topics interesting and beneficial in the training program, e.g.:

Strategic planning

DR-TB

Childhood Tuberculosis

How to develop a research proposal

In some participant’s opinion, the tow (2) least interesting and beneficial topics in the training

program are:

Some comments from the participants:

ACSM is too long

Increase the time for Field visits


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Comments and suggestions given by the participants for the next course (Themes,

subjects, period, etc)

The participants were satisfy by this training course and wants to be longer than the time

allocated for this training course despite it is 5 weeks

The participants suggested to transformed this training course into diploma certificate

in TB control and elimination

All the speakers were well knowledge and competent in their fields, they tried their best to

transferee the knowledge and techniques to the participants

The course started at February 1st and end at March 5

th 2015, for 5 weeks

There are 3 invited countries: Sudan, Jordan, and Yemen; 15 participants were attended

from the 3 countries.

The course covered all TB control components ,some managerial skills , post 2015 stop

TB strategy and strategic planning toward TB elimination

The course aimed at:

Ensuring the accurate diagnosis and effective treatment to all TB patients.

Political commitment with increased and sustained finance , Legislation, planning, human resources management and training

Case detection through quality-assured bacteriology, Strengthening TB laboratories and drug resistance surveillance

Standardized treatment with supervision and patient support. TB treatment and program management guidelines, International Standards of TB Care (ISTC), PPM, community-patient involvement

Sustained effective drug supply management: Availability of TB drugs, TB drug management

Monitoring and evaluation system and impact measurement : TB recording and reporting systems, Global TB Control Report, data and country profiles, WHO planning and budgeting tool, TB epidemiology and surveillance are very important to TB control

The course was conducted in the form of:

Lectures using PowerPoint presentations, self learning , using TB training modules,

Group studies, Working groups , Field Trips , Problem based learning and Case studies

The course was conducted in the National Training Center for Tuberculosis and Chest

diseases, MOHP, Cairo, Egypt

The lectures and study sessions usually started from 9 am and finished at 3:00 pm ( 5

hours study duration)

The training included the theoretical and practical sessions related to TB control

Supervisory visits were conducted to DOTS units and group presentations with comments

and discussions were conducted between the candidates and the facilitators, there was

good participation from the candidates, they followed the regulations of the country and

the training center.


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The participants were selected according to the selection criteria like:

1. nominated by their respective Governments

2. holders of medical University degree and Working in the field of TB control at least

2 years

3. medical doctors , biomedical scientists, priority will given to participants affiliated to

the National Programs in their countries,

4. a mid-career leader position, with experience one or more of the relevant subjects

of the course,

5. age between twenty five (25) and fifty (50( years of age with at least three years

practical experience, desirable that 20% of the participants will be high carreer

health professions, 60% mid-carreers and 20% junior staff.

6. Participants exceeding age limit, if accepted, will not be entitled to life insurance and

medical care,

7. To have a good command of spoken and written English,

8. May have attended the previous TB control training course in Egypt

9. To have the nationality of the nominating country,

10. To be in good health, both physically and mentally, to complete the course.

Participants who were succeeded complete the course awarded a certificate of attendance.

Pre, Post examination and course evaluation were conducted at the end of the training

course

Strong points:

Well preparation and organization of the training course (noticed by participants)

Well collaboration from JICA staff

Participation of, central laboratory team from Ministry of Health and Population ,

National AIDS Program of Egypt , infection control department, quality

department and universities

It covered all important topics of TB control and post 2015 strategy

Well participation from candidates and they followed the regulation of the country

and the training center

Training material was printed and distributed to the participants at the time

Participants did not lose the connection with their countries due to internet

accessibility in the TB center

All the course materials were copied on flash memories

Weak points:

Delay in the beginning of the start as planned before because of some

administrative obstacles

Delay response from some invited countries in nomination of their participants

Apologies of two participants ( 2 from Sudan) before the starting of the course

Delivery of 75% of the total budget of the training course

From the participants point of view , they want to focus in some topics as TB/HIV

, MDR TB , childhood tuberculosis and strategic planning


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Relevance

The training was relevant to new era of TB control aimed at moving toward TB

elimination activities such as: early and active case detection, treatment, and stop

TB strategy

The training was helpful for doctors in TB management and how to achieve the

millennium development goals (MDGs) in the field of tuberculosis and how to

build leaders of future TB managers.

The training relevance measured in how the participants applied the knowledge

they got from these training courses so, this appeared in their answer in the

questionnaires distributed for course evaluation and we will make a follow up for

the ex participants through emails , a group in the facebook to be communicated

with them and follow how the course was useful for them in their work

Effectiveness

The training was very effective to raise the awareness of the participants about TB

problems, case detection and management, it's reflected in increase case detection

rate and decrease the incidence and prevalence of TB burden in their countries.

The training achieved the trainees' needs in increasing their awareness about TB

problems, increase their skills in TB management and motivate them to increase

their efforts to implement TB control activities

The effectiveness of the training course was measured by:

Reaction: (measures learners’ satisfaction with the program and captures planned

actions). The trainees were satisfy by the training courses on TB control and

elimination and this appeared in the training evaluation sheets filled by the

trainees and answering the post test and got marks better than the pre test

Learning: measures changes in knowledge, skills and attitudes. The trainees were

being able to answer most the questions of the post test and applying the

knowledge they obtained during work groups.

Application: (measures changes in on-the-job behavior). During follow up for the

ex participants through emails, mission of WHO teams to evaluate NTPs of the

regions, through meetings with the NTP managers or a group in the facebook to

be communicated with them and follow how the course was useful for them in

their work and how this course will be applicable.

Investment: (measures changes in business impact variables) these measured in

cost effectiveness of using the resources of NTP units in how to improve the TB

control by available resources and measuring the improvement using the

indicators learned during the course.

Efficiency

The training was very beneficial for the participants and for their TB programs.

The trainees from each country will be apple to apply the knowledge they

obtained in their fields and these noticed in group discussion during training, from

the post test evaluation sheet and from their discussions during the conducted

supervisory visits.


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Impact

During this course, 15 participants were trained to contribute to strengthening and

capacity development of NTPs of their countries

This will help to achieve the targets of NTPs to meet the 2015 MDG by 2015, and to

eliminate the TB by 2023, development of appropriate human resources with sound

scientific knowledge and management skills is crucial

Documents

Course Report, March 2015 Report Feb 2015.pdf · Ibrahim +249912291715 ... 11:00 Chilhood Tuberculosis Prof. Malak Shahin ... Monitoring and evaluation system and impact measurement