Education & Training: Pre-service training 2015

Meeting organized by SOMIPEV for the harmonization of the vaccination module between the faculties of medicine

Morocco, Casablanca 13 June, 2015

On June 13, 2015 representatives the faculties of medicine of Marrakech, Casablanca, Rabat, Ouida, Tanger and Fès met together with MOH and NESI in Casablanca. The meeting was organized by SOMIPEV to harmonize the vaccination module between all faculties of medicine in Morocco. Training materials developed by SOMIPEV and the 'Société Marocaine de Pédiatrie', with support of NESI, were presented and will be distributed to all trainers within the faculties of medicine in Morocco.

Technical competencies of nurse lecturers on the Expanded Programme on Immunization in Kenya Medical Training College

Kenya 1 January, 2015 to 31 December, 2015

Kenya Medical Training College (KMTC), in collaboration with NESI/University of Antwerp, initiated a field based study to assess the "technical competencies of nurse lecturers on the Expanded Programme on Immunization in Kenya Medical Training College". With its network of 31 colleges across the country, KMTC is one of the leading health training institutions training up to 90% of health workforce in Kenya. This study is a follow-up of the evaluations carried out in Kenya in 2011, accessing the status of EPI training at pre-service health training institutions. In Kenya, KMTC is taking the lead in driving the EPI pre-service curriculum implementation at the nursing schools.

The aim of the study was to determine the technical competences of nurse lecturers in EPI at KMTC. The specific objectives were to determine the socio-demographic, individual and institutional factors that could influence EPI competencies among nurse tutors. Ethical approval was obtained by the KMTC ethical research committee and by the National Commission of Science and Technology and Innovation. In addition, all participants signed a consent letter. A descriptive cross sectional study design was used to collect quantitative data using structured questionnaires for nurse tutors and qualitative data was obtained using key informant interviews, focus group discussions and observations. Purposive sampling was used to select 117 nurse tutors from 23 Nurse training colleges. Quantitative data were analysed into percentage frequencies and cross tabulations to compare variables. Qualitative data were analysed according to themes and sub-themes and were used to support the quantitative data.

The study shows that socio-demographic, individual characteristics and institutional factors directly or indirectly influence technical competences of the nurse tutors in the implementation of the EPI pre-service training programme. The main findings of the study indicate that: (1) a significant number of respondents did not recently participate in refresher courses aiming at boosting tutors' competencies in teaching EPI; and (2) institutional factors like staffing, numbers of students, and quality of teaching materials and equipment, directly affect the nurse tutors performance in teaching EPI.

Therefore, recommendations identified to improve the quality of EPI training given by nurse tutors at KMTC include:

  1. development of a staff capacity improvement programme to ensure continued education of the EPI tutors, while nurse tutors are encouraged to assume personal responsibility for their own academic advancement; 
  2. development of clear staff profiles with corresponding required academic competencies; 
  3. ensuring adequate training facilities, teaching materials and equipment; 
  4. standardising the number of hours of EPI theory and clinical training; and 
  5. standardising the maximum number of students per class.

The results of the study will be communicated to all participating colleges during departmental meetings and Academic Board meetings, and will be further disseminated through symposium presentations and publications.

Development of Training Materials

Workshop to review the findings of the field testing of the EPI/IMCI interactive training tool

Congo, Brazzaville 13 April, 2015 to 15 April, 2015

The workshop to review the findings of the field testing of the EPI/IMCI interactive training tool was organised by WHO/AFRO in Congo-Brazzaville, from 13 to 15 April 2015.

During 2013/2014, an interactive resource on immunisation and Integrated Management of Childhood Illnesses (IMCI) was developed by WHO/AFRO, in collaboration with NESI and ITEM interactive. This interactive resource is mainly targeting healthcare workers at the peripheral level, but can also be used for training at nursing schools. The EPI/IMCI interactive resource is a comprehensive training package including: video chapters with narrations in three languages; questions and answers section before and after each chapter to reinforce key messages; references; glossary; transcript of video chapters; and certificate after completion of the programme. The interactive resource is supplemented by a pocket guide.

After completion of the draft EPI/IMCI interactive training tool, it was piloted during 2014 in three countries: Congo-Brazzaville, Sao Tomé and Zambia. Following in-depth review of the draft EPI/IMCI interactive resource by partners and field testing in the three countries, a workshop was organised in April 2015 to compile all feedback and develop the final version of the training tool.

The workshop addressed the key observations and issues arising from piloting the training tool in the three countries. Also the key findings from evaluating the performance of healthcare workers after training with the EPI/IMCI tool was discussed. Taking all feedback from the piloting phase into consideration, each chapter was reviewed in detail and recommendations for improvement were made if necessary.

The workshop concluded with a discussion on next steps including the timeline to finalise the training tool, and how to disseminate the tool.


Workshop to peer review the AFRO EPI prototype curricula and revised MLM modules and hand-outs

Congo, Brazzaville 7 April, 2015 to 15 April, 2015

A workshop to peer review the AFRO EPI prototype curricula for medical and nursing/midwifery schools and the revised MLM modules and hand-outs, was organised by WHO/AFRO in Congo-Brazzaville from 7 to 15 April 2015.

Training needs assessments conducted in various countries during the last decade pointed out several bottlenecks in EPI training at health training institutions. To facilitate the systematic revision of EPI curricula at training institutions, two EPI prototype curricula (one for medical schools and one for nursing/midwifery schools) were developed in 2006 by WHO/AFRO, NESI/University of Antwerp, UNICEF, USAID and Gavi and were revised in 2013/2014. Both prototype curricula are available in English and French. The general objective of the EPI prototype curricula is: "to strengthen the teaching and learning of immunisation within the existing curriculum for pre-service education programmes for medical doctors, nurses/midwives and other health professionals".

The objective of the workshop was to review the EPI prototype curricula for doctors and nurses and the EPI MLM modules to ensure the information is up-to-date with new developments in vaccines and immunisation, to harmonise the content, and develop final versions ready for editing and subsequent dissemination and use. These standardised training materials were revised and pretested during 2013/2014.

The participants of the workshops were divided in two groups: one group addressing the EPI prototype curricula and one group addressing the EPI MLM modules. Each day a plenary session was organised to review progress made and to ensure consistency between both types of documents.

Specific tasks for each group included:

  • To ensure strict coherence of reference pedagogical format
  • To ensure harmonisation of headings, exercises, figures and tables
  • To ensure comprehensive compilation of acronyms
  • To ensure comprehensive compilation of updated and appropriate references
  • To make propositions of adequate and updated illustrations
  • To ensure finalisation of the table of contents of respective reviewed documents
  • To ensure harmonisation of Portuguese (only MLM), English and French versions of all documents

Ensure alignment with current immunisation policies and strategies: GIVS/DoV/GVAP, African Regional Strategic Plan for Immunisation

The group reviewing the EPI prototype curricula comprised of six experts from the following institutions: Kwame Nkrumah University of Science & Technology (Ghana); Kenya Medical Training College (Kenya); JSI (Kenya and USA); WHO (Malawi); and NESI (Belgium). Good progress was made with reviewing and harmonising the content of the respective documents, which are now ready for final editing and subsequent dissemination.

Recommendations were made by workshop participants to scale up the implementation of the revised EPI prototype curricula by: equipping training institutions with updated training materials; systematically organising ToT workshops on the use of the revised EPI prototype curricula; contributing/participating in teaching, field placement and evaluation activities by immunisation partners; developing a dedicated website with updated training and reference materials. The NESI website could play a crucial role in this. At the same time, training institutions are encouraged to allow for adequate time for teaching EPI theory and running practical sessions, while strategies should be developed for more effective supervision of these practical training sessions.

Last updated: 29 March, 2018