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Track 1.0 Program Meeting 2
Background
I-TECH was founded in April 2002 by the Health Resources and Services Administration and the Centers for Disease Control & Prevention to be the “International AIDS Education & Training Center (AETC)”
I-TECH is a joint collaboration between the University of Washington and the University of California San Francisco
Additional funds from USAID since 2003 for work in Caribbean
$30 million in total funding for 2007.
Today, I-TECH has 225 staff worldwide working from 10 field offices in partnership with approximately 100 non-governmental organizations.
Track 1.0 Program Meeting 3
I-TECH Mission
I-TECH promotes activities that increase human and organizational capacity for providing HIV/AIDS clinical care and support in countries and regions hardest hit by the AIDS epidemic.
I-TECH supports the ongoing development of health care worker training systems that are locally-determined, optimally resourced, highly responsive and self-sustaining. Project efforts target development and support of training content, delivery and systems.
Track 1.0 Program Meeting 4
CountriesI-TECH supports capacity development in 25 countries, including more
than a dozen countries in the large Caribbean region.
Botswana
Caribbean (Antigua, Bahamas, Barbados, Dominica, Grenada, Guyana, Haiti, Jamaica, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, Surinam, Trinidad & Tobago)
Ethiopia India Kenya Malawi Mozambique Namibia South Africa Tanzania Thailand Vietnam Zimbabwe
Track 1.0 Program Meeting 6
Clinical Mentoring Overview
I-TECH builds on nearly two decades of experience from the 11 U.S.-based AIDS Education and Training Centers. I-TECH also uses evidence-based training practices derived from literature on health behavior change, adult learning theory, and clinical care.
Our clinical mentoring approach is consistent with World Health Organization guidelines.
Track 1.0 Program Meeting 9
Objectives of the Toolkit
To facilitate successful clinical mentoring encounters
To support clinical mentors who are working in varied clinical settings in resource-constrained countries
To provide a set of adaptable tools for in-country providers
To provide a practical resource to organizations conducting clinical mentoring-like activities
Track 1.0 Program Meeting 10
Use of Toolkit
NOT meant to be prescriptive!
No two mentorships are alike
Tools are designed to be adaptable
NOT a substitute for skilled trainers/mentors
Mentors can use it to help inform activities, but they are ultimately responsible for organizing materials in a coherent and appropriate manner
Designed as a resource for both mentors and persons at facilities in the absence of mentors
A capacity building product
Track 1.0 Program Meeting 11
Development Process: Version 1
Formulated an outline of the different components of the toolkit at a clinical mentoring meeting with I-TECH staff in July 2005
Compiled resources developed by I-TECH staff and clinical consultants that could lend themselves to field work for inclusion in the toolkit
Contracted with consultants and had staff fill in some missing gaps
Conducted small number of usability tests and content review of the toolkit in January 2006
Finished a pilot-version February 1, 2006
Version one completed in July 2006
Track 1.0 Program Meeting 12
Seven Sections of Toolkit
Overview of Clinical Mentoring: I-TECH's approach.
Getting Started: Hiring mentors and site preparation.
Needs Assessment: Provider competencies and systems.
Training: Training methods, communication, and TOT worksheets.
Curricula: Courses, workshops, and video.
Monitoring and Evaluation: Methods and tools.
Resources: References materials, glossary, image library, Web materials
Track 1.0 Program Meeting 13
Clinical Mentoring Toolkit Multi-platform organized to accommodate lowest IT
denominator: CD-ROM
http://www.go2itech.org/HTML/CM06/toolkit.html
Original Version 1.1 launched at World AIDS Conference in Toronto in August 2006
Widely disseminated 300+ requested via website from over 45 countries
300+ distributed in Toronto
Average visitors to online toolkit version: 56 hits/day
Total files downloaded from website: 20,500+
Track 1.0 Program Meeting 14
Next Steps – Revise Toolkit
Solicit feedback and participation of partners using online survey https://catalysttools.washington.edu/survey/sburnett/42240
Review, revise, adapt or remove existing materials
Develop and pilot new tools Prioritization of what mentor can affect, what is achievable
and how to prioritize a certain number of tasks to make them meaningful
Identifying and training leaders during mentorship
Anticipating barriers during mentorship and addressing them
How to teach history taking, differential diagnosis and physical exam skills
Track 1.0 Program Meeting 15
Next Steps – Revise Toolkit (2)
Organize around core competencies for clinical mentors
Expand image library
Capture lessons learned and experiences from clinical mentors
Translate into multiple languages
Portuguese
Spanish
French
Track 1.0 Program Meeting 16
Sample Competencies
Assessing and improving your skills as a clinical mentor.
Identifying and training potential clinical mentors among your on-site trainees.
Assessing and improving the HIV-specific knowledge and practice skills of trainees.
Constructing and evaluating a clinical mentoring project at a clinical site.
Track 1.0 Program Meeting 17
Track 1.0 Partner Expertise
Pediatric mentoring
Family Centered Care
Integration of TB/HIV, PMTCT/HIV
Focus on outcomes over time
Multiple tools and curricula
Nursing expertise
Documenting lessons learned
Track 1.0 Program Meeting 18
Launch date for Version 2.0: August 2008 at World’s AIDS Conference in
Mexico City