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training strategy within the CASA project in Ethiopia
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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 teamIstituto Superiore di Sanità, Rome (Italy)
CASA project Plenary Meeting • Mekelle University • October 23, 2014
OBJECTIVE
2
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 3
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)
CASA project Plenary Meeting • Mekelle University • October 23, 2014 4
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 5
• 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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 6
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
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?
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
8
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 9
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 10
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 11
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 12
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 13
APPLICATION FORMfor CASA multimedia courses
To be filled in to be enrolled in the course
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
14
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!
15
CASA project Plenary Meeting • Mekelle University • October 23, 2014
WHAT TO DO
Stage 3 – Garantee SUSTAINABILITY
THB, ISS, CCM
TO BE DISCUSSED
16
on the basis of scientific evidence
- results of operational research and training- analysis of critical issues- funding opportunities - … … … …
CASA project Plenary Meeting • Mekelle University • October 23, 2014 17
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
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
18
Examples: when to start, how long, how many times to attend, etc.
Example: explanations, new content required, more references, etc.
CASA project Plenary Meeting • Mekelle University • October 23, 2014 19
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 20
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 21
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 22
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
CASA project Plenary Meeting • Mekelle University • October 23, 2014 23
thank you!
[email protected]@iss.it
Questions?