Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
TB Control
Training Course
December, 1st – 26
th 2013
[Type the document subtitle] | comp
THE
THIRD
COUNTRY
TRAINING
PROGRAM
Course Report of
TB Control Training
Organized by
National Tuberculosis Control Program (NTP) – Egypt
In collaboration with
Japan International Cooperation Agency (JICA)
World Health Organization (WHO)
Cairo, December 1st to 26
th 2013
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
2
REPORT CONTENT
A. IMPLEMENTATION REPORT
1. Administration
1) Course title
2) Duration
3) Date of distribution of General information booklet.
4) Number of applicants and selected applicants
5) List of participants
2. Course Conduct
1) Syllabus
2) Proportion Of lecture, practice, study tour and others, and proportion
born by local instructors and Japanese experts
3) Study tour
4) List of textbooks
5) List of lecturers (including Japanese experts) and their subjects
6) List of major equipment brought by Japanese expert (s)
7) List of major equipment used in the course
8) Others
B. EVALUATION
1. Evaluation by participants (summary)
2. Evaluation by the implementing institute
3. Results of achievement test
C. GENERAL COMMENT BY THE IMPLEMENTING INSTITUTE ON
THE COURSE CONDUCTED, INCLUDING THE DRAFT OF COURSE
CONTENT FOR THE NEXT YEAR
1. General comment
2. Course content
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
3
A.
IMPLEMENTATION
REPORT
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
4
1. Administration
1) Course title : TB Control
2) Duration: December 1st to 26th, 2013
3) Date of distribution of G. I.: April 18th, 2013
4) Number of applicants and selected
applicants : 17 selected applicants out of 21
Annex I
5) List of Participants :
No. Name Gender Country Age Job title Related Job experience
1 Sylvia Jawabreh Female Palestine 42
Director of paramedical departement , Jericho health directorate
lab technaction
2 Mohammad Abbadi
Male Palestine 46
Director of paramedical departement , Jenin PHC
Lab. Director [email protected]
3 Ahlam Al-Tamimi
Female Palestine 41
Head Nurse of section, preventive medicine, Habron health dep.
TB/HIV [email protected]
4 Hanan Salous Female Palestine 47
HEAD OF THE DEPARTMENT PREVENTIVE MEDICINE
EPI-STIDS - AIDS-TB
5 Omar Al Hindawi Male Jordan 34
TB Coordinator , Aqaba Governorate
CDC/TB Coordinator
6 Khan Amanullah Male Pakistan 49
Senior Mrdical officer, chest departement, K.G.N Teaching hospital
chest / TB OPD
7 Abdul Mubeen Male Pakistan 44
Provincial Program Manager, TB program, Gilgit- Baltistan,
FPO national Program PHC, monitoring & supervision
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
5
No. Name Gender Country Age Job title Related Job experience
8 Nasim Akhtar Female Pakistan 39 Senior Registrar
9 Amin Mandokhail
Male Pakistan 33 Technical Advisor
fload affected and border area
10 Ghulam Murtaza Male Pakistan 53 Manager TB Control Balochistan
Prevention Program 15 years
11 Santino Chan Awier
Male South Sudan
39
TB / Leprosy and Buruli Ulcer coordinator
TB Training [email protected]
12 Mach khorrian Gbangich
Male South Sudan
34 State TB/L Coordinator
TB Training [email protected]
13 Nasser Al Shaqsi Male Oman 36 Regional Infection Control & TB
Infection control
14 Rasha Sayed Mohamed
Female Sudan 30
Medical Technologist in TB Ref. Lab.
TB Lab [email protected]
15 Abo Horira Abdel Razig
Male Sudan 28 TB Coordinator , Red Sea State
TB control [email protected]
16 Ahmed Tatrad Ghafer
Male Iraq 43 TB Coordinator - Dialy - Iraq
TB control [email protected]
17 Mohamed Mahdi Mohamed Saleh
Male Iraq 44
TB coordinator - Rasafa - Baghdad
TB control [email protected]
The participants during MD Department in Maamoura chest hospital
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
6
2. Course Conduct
1) Syllabus
09:00 – 11:00 11:30 – 01:00 01:30 – 03:00
Dec-01 (Sun)
Registration, opening ceremony Pre test
Dr. Wagdy Amin
NTP Egypt
Dr. Alaa Mokhtar
Country presentations
Dr. Wagdy Amin
Dec-02 (Mon)
Stop TB Strategy and post 2015 strategy Dr. Alaa Mokhtar
Suspect Management Dr. Magdy Fawzy
International standards for TB care Dr. Esam El Moghazy
Dec-03 (Tue)
Treatment of TB case Dr. Magdy Fawzy
Latent tuberculosis infection Dr. Wagdy Amin
New Diagnostic Tools of TB Dr. Faten Shoukry
Dec-04 (Wed)
TB Situation (Globally & Regionally) TB Epidemiology
Dr. Samiha Baghdadi
HIV-TB co-infection
Dr. Tarek Nameer
Anti TB Drug Management
Dr. Khalid Soltan
Dec-05 (Thu)
Childhood Tuberculosis Prof. Malak Shehen
Monitor the patient during treatment Dr. Wagdy Amin
Extra-pulmonary TB Dr. Magdy Fawzy
Dec-06 (Friday)
Dec-07 (Sat)
Case finding & TTT strategies of DR –TB Dr. Magdy Fawzy
Designing Treatment regimens of DR-TB
Dr. Magdy Fawzy
Clinical Pharmacology of 2nd
line Anti-TB drug
Dr. Sherry Victor
Dec-08 (Sun)
special situations in the treatment of DR-TB
Dr. Ashraf A Hasseb
Management of side effects
Dr. Ashraf A Hasseb
Patient’s initial evaluation & TTT Follow up
Dr. Magdy Fawzy
Dec-09 (Mon)
Exercises on Designing Treatment regimens of DR-TB
Dr. Magdy Fawzy
DR TB registration
Dr. Sherry Victor
Inform MDR Patient and his family Dr. Alaa Mokhtar
Dec-10 (Tue)
Supervision in NTP Egypt and How to conduct supervisory visits?
Dr. Nabila Wahib
Recording & Reporting forms
Dr. Amal Galal
ENRS
Dr. Amal Galal
Dec-11 (Wed)
Country Presentations -2 Dr. Wagdy Amin
ENRS Dr. Amal Galal
Web TB S Dr. Amal Galal
Dec-12 (Thu)
Supervisory Visit to Maamoura Chest Hospital Dr. Wagdy Amin - Dr. Abdel Malek Mahmoud
Dec-13 (Friday)
Dec-14 (Sat)
Laboratory network in Egypt Direct Smear Microscopy (DSM)
Dr. Howaida Kassem
Culture and Sensitivity
Dr. Azza Hegazy
Quality Assessment
Dr. Azza Hegazy
Dec-15 (Sun)
Pharmacovigillance of TB Drugs Dr. Sherry Victor
Research priorities in TB Control Dr. Magdy Fawzy
How to develop a research proposal?
Dr. Ihab Shehad
Dec-16 (Mon)
Infection control in TB Dr. Amal Salah
How to develop a research proposal?-2 Dr. Ihab Shehad
How to Write a report? Dr. Ihab Shehad
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
7
09:00 – 11:00 11:30 – 01:00 01:30 – 03:00
Dec-17 (Tue)
P Process - Formative Research Ms. Shourok Tahir
P Process - Program Analysis Mr. Abdel Bary Bakr
Social Marketing & Advocacy Mr. Abdel Bary Bakr
Dec-18 (Wed)
P Process - Monitoring & Evaluation Ms. Shourok Tahir
P Process Strategic Design Mr. Abdel Bary Bakr
P Process - Media Planning Mr. Abdel Bary Bakr
Dec-19 (Thu)
Field Visit to TBMUs: Helwan Chest Unit Dr. Nabila Wahib- Shoubra Chest Unit Dr. Abeer Shamd El Din
Dec-20 (Friday)
Dec-21 (Sat)
Role of chest Radiology on Diagnosis of Tuberculosis
Prof. Mostafa El Shazly
TB in complex emergencies
Dr. Alaa Mokhtar
Evaluation
Dr. Wagdy Amin
Dec-22 (Sun)
Infection control in TB
Dr. Amal Salah
Role of HIO in TB control
Dr. Nasr Diab
Role of Refugees units in TB Control in Egypt
Dr. Eman Kamal
Dec-23 (Mon)
Intermediate Lab Visit Dr. Faten Shoukry
TB/DM Collaborative framework Dr. Essam El Moghazy
Presentations Skills Dr. Alaa Mokhtar
Dec-24 (Tue)
Challenges of TB Control Dr. Alaa Mokhtar
Pitfalls in TB Managements Prof. Magd Galal
Bottlenecks in DR-TB Managements Dr. Sherry Victor
Dec-25 (Wed)
Field visit to PPM unit Dr. Nasr Diab (3 ساعات ) Dr. Hisham Kassem ) ) ساعتان
Dec-26 (Thu)
Post test
Dr. Alaa Mokhtar
Course evaluation
Dr. Wagdy Amin
Closing Ceremony Certificates distribution
Dr. Wagdy Amin
Dec-27 Departure
In Maamoura Lab.
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
8
B.
EVALUATION
By
The
Participants
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
9
Conducting a training courses only for doctors and other courses for paramedical
staff
Increasing the duration of the training
The course transformed to diploma certificate in TB control
All the speakers were well knowledge and competent in their fields, they tried their
best to transferee the knowledge and techniques to the participants
Overall the course was very good and benefit
Chest radiology session is better to be more elaborated covering many aspects in
chest radiology with practical sessions, showing actual chest radiographs for patients
and group discussions
Some participants have been suggested that the course will be conducted by Arabic
language.
The course started at December 1
st and end at December 26
th 2013, for 4 weeks
There are 6 invited countries: Sudan, South Sudan, Jordan, Pakistan, Oman, Palestine
Authority and Iraq; 17 participants were attended from the 7 countries.
The course covered all TB control components and some managerial skills
The course aimed at:
Update the knowledge of tuberculosis and its control
Improve analytical skills necessary for the situation analysis for TB control,
Develop skills about Electronic Nominal Registration System to improve the TB
recording and reporting system in their areas of responsibilities.
Improve participants knowledge in MDR-TB management
Improve participants knowledge in TB drug management
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.
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
10
The participants were selected according to the selection criteria like: they were
nominated by their respective Governments , holders of medical University
Graduate, medical doctors , biomedical scientists, technologist, nurses, priority will
given to participants affiliated to the National Programs of TB program in their
countries, a mid-career leader position, with experience on one or more of the
relevant subjects of the course, age between twenty five (25) and fifty (50 years
with a least three years practical experience, desirable that 20% of the participants
will be high carrier health professions, 60% mid-carriers and 20% junior staff, in a
good command of spoken and written English, have the nationality of the
nominating country, and 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
Every week exam usually conducted to stimulate the participants to study the topics
and increase their alert state during presentations.
Strong points:
Well preparation and organization of the training course (noticed by
participants)
Well collaboration from JICA staff
Participation of WHO staff , central laboratory team from Ministry of Health
and Population , National AIDS Program of Egypt , infection control
department and universities
It covered all important topics of TB control
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 response from some invited countries (e.g. Pakistan and Iraq) in
nomination of their participants
Apologies of Four participants ( 2 from Palestine and 2 from Iraq) before the
starting of the course
To some extent ( The language barrier of some participants )
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 and childhood tuberculosis
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
11
Relevance
The training was relevant to TB control activities such as: 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 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.
--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1
st – 26
th 2013
12
Impact
During this course, 19 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 of
halving TB prevalence and deaths by 2015, and to eliminate the TB by 2050,
development of appropriate human resources with sound scientific knowledge
and management skills is crucial