Kenya Medical Training College (KMTC) and NESI/University of Antwerp are closely collaborating to improve the pre-service training in immunisation at nursing and midwifery training institutions in Kenya. With its network of 31 colleges across the country, KMTC is one of the leading health training institutions in Kenya, and is also the driving force advocating for updating EPI curricula at all pre-service nursing and midwifery training institutions in the country.
The first activity conducted was a study to determine the technical competences (knowledge, skills and attitudes) of nurse lecturers in EPI at KMTC colleges. The study also aimed to determine factors that could influence EPI competencies among nurse lecturers and to propose recommendations to address the needs. The study showed that socio-demographic, individual characteristics and institutional factors directly or indirectly influence technical competencies of the nurse tutors in the implementation of the EPI pre-service training programme. The main findings of the study indicated 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, number of students, and quality of training materials and demonstration equipment, directly affect the nurse tutors performance in teaching EPI.
Following the results of this survey, an EPI prototype curriculum induction workshop was organised in Mombasa, Kenya, from 15 to 19 November 2017. During this workshop, the recently revised WHO EPI prototype curriculum was used as the basis for the training. The workshop was attended by 15 participants drawn from the various KMTC colleges. Facilitators of the workshop were from KMTC, the Nursing Council of Kenya/Department of Education, and from Mbagathi County Referral Hospital.
The main objective of the workshop was to strengthen the teaching and learning of immunisation within the existing curriculum for the pre-service Kenyan Registered Community Health Nursing (KRCHN) programme. Specifically, the workshop aimed: (1) to get consensus on the EPI content to be incorporated in the pre-service KRCHN curriculum; (2) to develop the EPI content to be incorporated in the KRCHN curriculum; and (3) to develop tools for use in the implementation of the EPI training.
At the end of the workshop, the following outputs were achieved:
- Content developed for the 7 curriculum topics in line with KMTC policy
- Topic 1: Immunisation systems and operations
- Topic 2: Immunisation policies, norms and standards
- Topic 3: Immunisation service delivery strategies and innovative approaches
- Topic 4: Target diseases for immunisation and disease surveillance
- Topic 5: Vaccinology and the EPI vaccines
- Topic 6: Immunisation service delivery and vaccine administration
- Topic 7: Immunisation programme management
- EPI skills identified
- Resources identified required for EPI skills
- Strategy drafted to implement the EPI curriculum content