Veronica Reis (Jhpiego) - Training and Human Resources Management

1. Training and Human Resources Management
Working Meeting on Comprehensive
Cervical Cancer Prevention and Control
in UNFPA EECARO and ASRO Countries
May 18-20, 2011
Antalya, Turkey
Veronica Reis, MD, MPH
SRH/MNH Senior Technical Advisor
Jhpiego, an Affiliate of Johns Hopkins University

3. Cervical Cancer Prevention Framework
Perspective
Sociocultural/Gender
Education
Community outreach
CLIENT/PATIENT
SERVICE TECHNOLOGY
Policies, program structure, Efficacy
management Safety
Availability and accessibility Procedures and supplies
Quality of services Laboratories (including quality
Health Information Systems control)
Referrals Costs
QUALIFIED PROVIDERS Acceptability
ACCP Program manager manual, 2004.

4. ESSENTIAL HUMAN RESOURCES
PROGRAM MANAGER/STAFF
Specialists
Oncologists Specialty Hospital
SUPERVISORS
Radiologists
Gynecologists
Pathologists General Hospital
Cytotechnicians
Midwives/Nurses/Physicians PHC
Community Health Workers Community

5. KEY COMPETENCIES / TRAINING AREAS
 Counseling
 Screening (VIA, Paptest, HPV DNA test)
 Treatment of precancerous lesions (Cryotherapy,
LEEP, cold knife conization)
 Managment of invasive cancer
 Maintenance of equipment
 Supervision skill, M&E
 Note: The screening methods and treatment should be
chosen based on the resources and health systems
infrastructure in the country.

6. TAKE HOME MESSAGE 1
LOOK BEFORE YOU LEAP-ASSESSMENT
 Targeted approach
 Efficient use of limited
resources
 Leverage existing infra-
structure
 Create partnerships

7. TAKE HOME MESSAGE 2
BUILD CAPABILITY
 Implement competency
based training approach
 Develop a core team
of qualified trainers
 Use standardized
learning resource
packages

8. EFFECTIVE CLINICAL TRAINING
 Learning by doing
 Focus on how participant
performs
 Key Elements:
 Competency based
 Adult learning
principles
 Behaviour modeling
 Humanistic techniques
8

9. CHARACTERISTICS OF CBT
 Competencies Identified
 Need to know information to
support skills development
 Detailed training materials:
 Designed for specific
competencies
 Support acquisition of
knowledge
 Facilitate clinical skills
development
 Strengthen appropriate attitude
 Assessment focused on
competency
9

10. Standardized Learning Resource Package
COMPONENTS
 Reference manual
 Participants and Trainers
Handbook
 Performance assessment
tools
 Cervical Atlas
 Interactive CD-ROM
based images
 Job aids
 Documentation and
reporting tools

11. Training for professionals from referral sites in Moz

12. CLINICAL TRAINER DEVELOPMENT
FRAMEWORK
PROFICIENT
PROVIDER
CLINICAL
TRAINER
MASTER
TRAINER

13. Making Training Systems Effective
Performance
Managing
Needs Training
Assessment
Designing Delivering Evaluating
Training Training Training

14. TAKE HOME MESSAGE 3
EXPANSION-INTEGRATION AND OWNERSHIP
 Transfer of Learning
 Supportive supervision
 Task shifting and
task sharing
 Institutionalization

15. Standards-based Management
of Health Service Delivery
Set Implement
Standards Standards
1 2
4 3
Reward Measure
Achievements Progress

16. TAKE HOME MESSAGE 4
PREPARE AND PLAN
FOR EXPANSION
 Demand generation
 Community Health Workers
 Training Resources
 Master trainers
 Clinical Trainers
 Faculty/Instructors
 Quality Assurance
 Supervisors
 Logistics, equipment
supplies
 Repair and maintenance

17. THANK YOU…
RICKY LU VERONICA REIS
RH/FP/Cervical Cancer Director SRH Technical Advisor
rlu@jhpiego.net vreis@jhpiego.net