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2013

Regional workshop to revise EPI prototype curricula for medical and nursing/midwifery schools

Grand-Bassam, Ivory Coast 13 May, 2013 to 17 May, 2013

A regional workshop to revise the EPI prototype curricula for medical and nursing/midwifery schools in the African Region was organized by WHO/AFRO in collaboration with the Ministry of Health of Ivory Coast, GAVI Alliance, UNICEF, MCHIP/USAID, AMP and NESI/UA, in Grand-Bassam, Ivory Coast, from 13 to 17 May 2013.

The evaluation of the introduction of the 2006 EPI prototype curricula into African health training institutions conducted in 2011 within 9 countries pointed out that: (1) there is still a bottleneck between EPI pre- and in-service training; (2) the EPI content covered is not always updated and does not include new content related to the Decade of Vaccines/Global Vaccine Action Plan (GVAP) and current new vaccines; (3) EPI content was either not outlined in the curricula or was incomplete; (4) updated reference materials and demonstration equipment were lacking; and (5) lecturers and tutors lacked modern EPI training.

To address these issues, a bilingual regional workshop was organized in Ivory Coast to revise and update the EPI prototype curricula for medical and nursing/midwifery schools.

The objectives of the workshop included:

  • To update participants on the actual immunization policy and strategies, including GIVS and GVAP.
  • To get a consensus on the content of the EPI prototype curricula to be revised for both medical and nursing/midwifery school in the African Region.
  • To make recommendation for the implementation of the EPI curricula revision process within the African health pre-service training institutions.

A total of 69 participants and facilitators attended the workshop. Participants came from the following 26 countries: Angola, Benin, Burkina Faso, Burundi, Cameroun, Congo, Cote d'Ivoire, Ethiopia, Gabon, Ghana, Guinee-Conakry, Kenya, Madagascar, Malawi, Mali, Mauritania, Mozambique, Niger, Liberia, Uganda, RDC, Senegal, South Africa, Tanzania, Togo and Zimbabwe. Among the participants were 32 lecturers from medical and nursing/midwifery schools. The workshop was facilitated by WHO, UNICEF, USAID, AMP and NESI. Four translators ensured the correct translation between English and French.

The first session covered plenary lectures to update participants on the new policies and guidelines and current new vaccines; to refresh participants on the content of the current EPI prototype curricula; to share with participants the results of the 2011 evaluation of the introduction of the EPI curricula in health training institutions; and to share country experiences regarding EPI curriculum introduction. Following the plenary session, participants were then divided into 4 groups to get a consensus on the EPI content to be revised and to make recommendations for the implementation of the EPI curricula revision process at African health training institutions: Medical schools in Anglophone countries; Medical schools in Francophone countries; Nursing schools in Anglophone countries; Nursing schools in Francophone countries. The meeting concluded with a plenary session compiling the feedback and recommendations from the 4 working groups and to set a timeline for completing the EPI prototype curriculum revision process and starting the introduction of the revised curricula in African health training institutions.

The workshop was highly appreciated by the participants and the overall evaluation was above the 70% satisfaction threshold: content (86%); facilitation (88%); and participation (78%). 

2012

Strengthening teaching and learning of current immunisation practices within pre-service curricula of health professionals in South Africa

Johannesburg-South Africa 28 November, 2012 to 29 November, 2012

The national workshop on "Strengthening teaching and learning of current immunisation practices within pre-service curricula of health professionals in South Africa" was organised by the South African Vaccination and Immunisation Centre (SAVIC)/University of Limpopo and NESI/University of Antwerp, and was hosted in collaboration with the South African National Department of Health and WHO/AFRO, on 28-29 November 2012 in Johannesburg, South Africa.

This workshop was a follow-up of a meeting entitled "SAVIC Nursing Immunisation Curriculum Review and Update Workshop", which was held at the Vanderbijl Park, Gauteng Province, in April 2007.

In 2011, South Africa was one of the nine countries that participated in the evaluation conducted by WHO/AFRO and NESI to assess the status of the introduction of immunisation curriculum in training institutions of the African Region and its impact on the quality of training of medical and nursing school students. The results of this evaluation were shared and discussed during this workshop.

The strategic objective of the workshop was to strengthen the teaching and learning of current immunisation practices within the existing curriculum for basic (pre-service) education programmes for doctors, nurses/midwives and other health professionals. Specifically, the workshop aimed to facilitate country-wide implementation of WHO EPI prototype curricula into pre-service training institutions in South Africa.

The meeting was attended by over 60 participants from the following organisations/institutions:

  • WHO/AFRO, Representative from the Flemish Government, Representative from Ghana Ministry of Health, South African National Department of Health, Provincial Department of Health from Gauteng;
  • University of Limpopo (Medunsa and Turfloop Campuses), NESI/University of Antwerp;
  • Other South African universities: Pretoria, University of South Africa, Cape Town (UCT), Tshwane University of Technology, Free State, Stellenbosch, North West, Cape Peninsula University of Technology, Western Cape, Witwatersrand, Fort Hare, Nelson Mandela Metropolitan University;
  • Nursing Colleges: Limpopo Nursing College, Western Cape College of Nursing, Kwa-Zulu Natal College of Nursing - RK Khan Campus and Nginelezana Campus, Mpumalanga College of Nursing, SG Lourens Nursing College and Ann Latsky Nursing Colleges in Gauteng, South African Military Health Services Nursing College;
  • South African National Defense Force, South African Military Health Services;
  • GlaxoSmithKline, Pfizer, Sanofi Pasteur. 

2011

Evaluation of Pre-Service Training in the African Region

African Region 1 May, 2011 to 15 December, 2011

Training needs assessments conducted in various countries of the WHO African Region during the last decade pointed out several challenges in pre- and in-service training of immunisation theory and practice by medical and nursing schools. Some of these challenges presented below required concerted action by the school and national immunisation services to deal with deficiencies in immunisation teaching:

  • Harmony between pre-service and in-service training was lacking;
  • EPI content was either not outlined in the curricula or it was incomplete or outdated;
  • Reference materials and demonstration equipment were lacking;
  • Time allocation to EPI theory was inadequate and the practical sessions were not adequately supervised;
  • Some lecturers and tutors lacked modern EPI training.

This situation prompted a systematic revision of EPI curriculum for both medical and nursing/midwifery schools. To facilitate this exercise, two EPI prototype curricula for medical and nursing/midwifery schools were developed in English and French. The curricula were distributed to all training schools and WHO Offices in the African Region. Many health professional schools have revised their curricula making efforts to incorporate EPI into their teaching agendas.

The rapid development of innovations and new technologies in immunisation programmes requires that, graduated students as tomorrows' staffs, are updated regularly if they have to cope with strategic changes and technical advancements.

To measure the level of introduction, WHO/AFRO and NESI planned to undertake an evaluation to assess the status of the introduction of immunisation curriculum in the training institutions of the African Region and its impact on the quality of training of medical and nursing school students.

Objectives

To strengthen the teaching and learning of current immunisation practices within the existing curriculum for basic (pre-service) education programmes for doctors, nurses/midwives and other health professionals.

Specific Objectives

  • To determine the extent of revision of the immunisation course based on new developments in the programme;
  • To assess the technical knowledge and skills of teachers/tutors responsible for teaching EPI topics;
  • Ensuring whether:

- active methods and techniques are used for teaching/learning

- appropriate time is allocated to the course topics

- a sound balance exists between theoretical and practical sessions

- appropriate training materials in sufficient quantities are available in educational institutions

- appropriate supplies and demonstration equipment are available in educational institutions

- adequate learning and programme evaluation is conducted. 

Methodology

  • Country visit by external evaluators for data collection and analysis;
  • Review of curricula of pre-service training institutions;
  • Interviews with:

-        EPI teaching coordinators/teachers

-        Field attachment and practical site tutors

-        Deans/principals of the training institutions

-        EPI managers

-        Partners supporting pre-service training in the country

  • Focus group discussions with teachers and students;
  • Review of training materials used for in-country MLM training courses.

Country visits were conducted in Democratic Republic of Congo, Ethiopia, Ghana, Kenya, Madagascar, Niger, South Africa, Uganda and  Zimbabwe in 2011.

Last updated: 29 March, 2018