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CASA project Plenary Meeting Mekelle University October 23, 2014 1 Paola De Castro CASA project training: Opportunities and challenges ISS CASA team Istituto Superiore di Sanità, Rome (Italy)

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training strategy within the CASA project in Ethiopia

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Page 1: De castro training_casa_oct 2014 mekelle

CASA project Plenary Meeting • Mekelle University • October 23, 2014 1

Paola De Castro

CASA project training:Opportunities and challenges

ISS CASA teamIstituto Superiore di Sanità, Rome (Italy)

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CASA project Plenary Meeting • Mekelle University • October 23, 2014

OBJECTIVE

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Training and operational research are the two pillars on which (our) CASA is built

Contribute improving the quality of care of patients with HIV-infection and related co-infections in Tigrai (not only CASA project) and… …

Holistic approachengaging the complete system, not only one of its components

This presentation is focused on training

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DVD will be provided

TYPES OF TRANING

Multimedia

Training team: Teachers and facilitatorsISS staff and their collaborators Other experts

Physicians from Italian University of Genoa Other experts on specific issues (example SPSS) Local experts

Hospitals, health centers, health facilities, communities

Onsite Abroad

Stages at ISS (Italy), conferences and workshops worldwide(example Casablanca)

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A. Clinical aspects of HIV infection

B. Statistics in medicine

C. Communication

DETAILS OF MULTIMEDIA TRAINING (1)

3 Large areas

All areas contain different

topics that may be of interest

for just one group , or for all

1. Physicians, Health Officers2. Nurses3. Data Managers4. Patients associations (CBOs)

4 Groups of beneficiaries

Training modules were designed

according to the information needs

of the 4 groups of beneficiaries

therefore

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• Physicians • Health Officers• Nurses• Data Managers• Community Health Workers• Community Based Organizations• others

WHO WILL ATTEND THE COURSES?

DETAILS OF MULTIMEDIA TRAINING (2)

All participants involved in the CASA project can participate in the courses and get a certificate

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At the moment, all training is at BASIC level (general principles)In the future, advanced courses may be developed on specific topics,according to your interests and local requirements

A. Clinical aspects of HIV infection

B. Statistics in medicine

C. Communication

WHAT WILL YOU LEARN

DETAILS OF MULTIMEDIA TRAINING (3)

TEACHING MATERIAL

• Power point presentations with subtitles

(in English and Amaric?)

• Trascript of the voice (oral presentations)

• Reference documents (journal articles,

list of useful references and websites).

Three areas

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CASA project Plenary Meeting • Mekelle University • October 23, 2014 7

• improve clinical skills• improve knowledge of epidemiological aspects of HIV• learn how to monitor and manage clinical data collected in HF• improve communication with patients• develop networks of collaboration • search and use reliable online information • take advantage of information sharing• write a research article or an abstract• organize a workshop• present a communication in a conference• plan activity to reach specific goals

WHY ATTEND THE COURSES?

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CASA project Plenary Meeting • Mekelle University • October 23, 2014

Details on multimedia training in Area (A)

Clinical aspects of HIV infections and related co-infections

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Nurses, CBO, Data managers

Physicians/researchersmay also wish to attend

Beneficiaries Main goals

to provide clinical information aimed to help health workers such us nurses and health officers in their clinical activities. Some central topics such as HIV infection and related co-infection/comorbidity, when to start, what to use, how to monitor, how to use antiretroviral therapy, the new WHO guidelines, etc… will be faced.

Example of Lesson already available The natural history of untreated HIV infection: from acute phase to opportunistic infections

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Nurses, data managers

Physicians/researchersmay also wish to attend

Details on multimedia training in Area (B)

Statistics in Medicine

Beneficiaries Main goals

to provide basic knowledge to understand how statistic methods can be used in medicine and improve epidemiological competences The acquisition of basic elements will facilitate reading and comprehension of scientific articles, and will introduce some of core skills required to carry out research successfully.

Example of Lessons already available •Study Design: basic elements •Type of statistical variables •Describing data: measure of locations

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to acquire basic scientific writing skills, communicate research results in meetings and workshops, improve communication with patients, search and use online scientific literature”

to improve communication with patients and among the peers to take full advantage of information sharing, develop networks of collaboration, learn how to search and use scientific literature

to improve communication with patients, take full advantage of information sharing, develop collaboration and learn how to search online information

to improve planning ability to reach the project objectives , acquire and use HIV/AIDS information to inform patients and their families, get full advantage of collaboration

Details on multimedia training in Area (C)

Scientific Communication

A specific learning program was designed for each of the four groups (about 10 lessons per area). Some lessons are in common for all groups

Main beneficiaries Main goals

4. CBOs

3.Nurses

2. Health officers

1. Physicians/researches

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Details on multimedia training in Area C

Scientific Communication

Example of Lesson already available:

Communication skills: key points

The basic structure of a journal article

Citing the work of others: how and why

How to select the right journal to publish your article

Communication through social media

Beneficiaries

All groups

Physicians/researchers

Physicians/researchers

Physicians/researchers

All groups

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Lessons will be available in DVD (distance learning)(your shelf in your place)Contact: local coordinator Atakilti

Other important details on multimedia training

Starting from 2015Duration: 2 months per courseAll courses 6 months

WHERE

WHEN

To be administered at the end of each course when participants complete all lessons. ISS staff will summarize main concepts before examination

QUESTIONNAIRE

CERTIFICATE OF ACCOMPLISHMENTIf participants correctly answer at least 70% of the questions per each course

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APPLICATION FORMfor CASA multimedia courses

To be filled in to be enrolled in the course

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CASA project Plenary Meeting • Mekelle University • October 23, 2014

WHAT TO DO IN PRACTICE

Step 1. Be enrolled in the course fill in the application form

Step 2. Attend the lessons in the appropriate subject areas

Step 3. Do the test questionnaire (to be administered in paper format)

Step 4. Attend the plenary meeting of course participants

Step 5. Receive CASA certificate of accomplishment

Stage 1 – ATTEND Multimedia training

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CASA project Plenary Meeting • Mekelle University • October 23, 2014

WHAT TO DO IN PRACTICE

Stage 2 – APPLY new knowledge

Improve patient care in hospitals and HF

Use communication skills to build a network of collaboration including CBOs

Plan your activity, monitor results achieved and adjust your strategy if necessary

Report results in meetings at different levels

Use and share your knowledge with others

Examples

How to make it all evidence-based?

Rely on data!

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CASA project Plenary Meeting • Mekelle University • October 23, 2014

WHAT TO DO

Stage 3 – Garantee SUSTAINABILITY

THB, ISS, CCM

TO BE DISCUSSED

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on the basis of scientific evidence

- results of operational research and training- analysis of critical issues- funding opportunities - … … … …

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FOCUS ON TRANSLATION

It is also necessary to be able to translate concepts in such a way as to be easily understood by the target persons

For example Physicians, health officers, nurses or CBOs will best approach patients using their own language Pilot course and local reports will provide useful hints

Translation is a complex concept associated withlanguage, level of education, local cultures and traditions

All project material is available in English and some documents will be available also in Amaric thanks to the THB

BUT

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CASA project Plenary Meeting • Mekelle University • October 23, 2014

WHAT SUPPORT IS AVAILABLEfor multimedia courses?

Contact: Atakilti

e-mail: [email protected]

Technical issues and logistics

All content-related issues

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Examples: when to start, how long, how many times to attend, etc.

Example: explanations, new content required, more references, etc.

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WHEN?Friday, November 24, 2014 Hr 9-14 am

WHERE?Adi Shum Duhn

WHO WILL ATTEND?Volunteers from this meeting?

A one-day Pilot Course (including lessons and tests) will start soon based on the lessons already available in all the three multimedia training areas .

The pilot course will permit to test the effectiveness of:

•Teaching materials

•Teaching methods

•Facilities at local level

•Overall organization

•Language difficulties

PILOT COURSE

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Understand the aim of overwhole project and training

Activily participate in the training activities

Establish positive collaboration among all beneficiaries

Develop motivation and trust in and between the networks

Monitor results achieved (questionnaire or other means)

Report results and process data from course questionnaires

Adjust the strategy when necessary (ex. Pilot course)

Celebrate results achieved!!!

Key words to guarantee the success of the training and project as a whole

communication

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Invitation to reflect on and discuss

Strenghts, Weakenesses,

Opportunities and Threats

•See the bigger picture (non only here, not only now)•Zoom in and out of the problem•Go from from potential to tangible learning•Overcome the illusion of competence •Avoid the risk of overlearning…•Put it all into practice

FINAL CONSIDERATIONS

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To make the best use of the CASA training material

the THB agreed to run a parallel training initiative

utilizing the same multimedia training you will have in DVD,

but open to people outside CASA project

Accordingly, they will organize training sessions

at Adi Shum Dun

in collaboration with CCM Marco Landi (CCM)

NEWS

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thank you!

[email protected]@iss.it

Questions?