| Resource
materials, documents and related reports :
2008
2007
2006
2005
2004
2003
 Technical support 2007 North West 2007 EPI Symposium
Rustenburg, South Africa, 22-23 August 2007
The North West Symposium was organised by the South African Vaccination and Immunisation Centre (SAVIC), in partnership with North West Province Department of Health, in the context of an Academic-Public Alliance between the University of Limpopo and the University of Antwerp (Belgium) with the National Department of Health of South Africa.
The meeting aimed to assemble experts and practitioners in the field of vaccinology and immunisation from academia, public and private health care workers and officials, scientists, WHO, UNICEF, Vaccine Industry and other stakeholders as appropriate. The meeting will blend the EPI special interest areas of socio-behavioural science, health systems management and policy issues, curricula and training, and epidemiology of vaccine-preventable diseases, to provide the audience with an advanced knowledge and understanding of the current and future challenges of vaccinology and immunisation at a local, regional and global level.
Support for curriculum reform at the medical faculty of the University of Kinshasa
Kinshasa, Democratic Republic of Congo, 5 - 9 November and 17–21 December 2007
In the context of an ongoing curriculum reform process for Schools of Health Sciences in Kinshasa, NESI worked together with the Belgian NGO Are@Santé, to support the introduction of a competence-based approach for teaching and evaluating of health sciences. The school of public health and the Medical Faculty of the University of Kinshasa are taking the lead in this process together with the Université Pédagogique Nationale, the Institut Supérieur des Techniques Médicales de Kinshasa, and the Commission Permanente des Études. The workshops enabled the participating teachers to understand different teaching approaches and how these can be used for competence-based teaching on immunisation. The second meeting was focused on evaluation. This covered methods for evaluating the quality of teaching as well as on evaluating the immunisation competencies of students.
Technical support 2006 Regional consultation on routine immunization schedule
EMRO, Cairo, Egypt, 16-18 October 2006
The Regional consultation on routine immunization schedule for the Eastern Mediterranean Region was organized by WHO/EMRO. The objectives of the consultation included: review of vaccination schedules of all Member State countries; review available data on optimal schedule for routine and new EPI vaccines; to review vaccination schedules beyond the first year of life; and to develop standardized schedule for EMR including recommended vaccines beyond the first year of life. NESI was invited to actively participate in the consultation and give a presentation on ´European experience with adolescent immunisation´.
 Download Regional Consultation Cairo 2006 presentation NESI : 50,7 K
Technical
support 2005 Development
of expanded programme on immunisation (EPI) curriculum
prototype for pre-service institutions (medical schools
and nursing/midwifery schools)
Human resources development in health care, which
is a dynamic and evolving process, is fundamentally
important to the satisfactory delivery of health services,
including immunisation services, and is essential towards
achieving self-reliance and sustainability in Africa.
It is therefore essential that a health workforce sufficient
in numbers, well educated, trained and motivated, is
available to provide immunisation services of good
quality. The education and training of health workers
has become a key strategy for human resources development
in Africa. The incorporation of EPI into undergraduate
medical education, nursing/midwives and other health
professional training programmes is a logical step
towards improving and strengthening immunisation service
delivery, logistics, surveillance, communication, and
management in practice.
In the African Region, many health professional schools
have initiated revisions of their curricula during
the past decade, and have made efforts to incorporate
EPI into their teaching agendas. However, training
needs assessments conducted during the past five years
have pointed out that health curricula often do not
reflect the changing needs of health services. For
example, even as the number and complexity of new vaccines
continues to grow, EPI content is rarely outlined or
is incomplete or outdated in the curricula of the majority
of the pre-service institutions.
As a way to address this deficient situation, WHO/AFRO
and NESI initiated a curricula revision/adaptation
process in collaboration with multiple professional
bodies. Two draft EPI prototype curricula, one for
medical doctors and one for nursing/midwifery schools
have been developed. These documents will serve as
a working document to develop the WHO/AFRO (regional)
prototype. A bilingual workshop will be organised in
2006 to get a consensus on the EPI prototype curricula
and to make recommendations on how to incorporate EPI
into the pre-service training agendas.
Inter-country
meeting on measles/rubella control/elimination
Cairo,
Egypt, 10 –13 December 2005
The Inter-country meeting on measles/rubella control/elimination was hosted
by WHO/EMRO. The meeting was attended by EPI managers and other representatives
from 21 countries of the EMRO region: Afghanistan, Bahrain, Egypt, Iran, Iraq,
Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi
Arabia, Somalia, Sudan, Syria, Tunisia, United Arab Emirates and Yemen. In addition,
a number of participants from UNRWA, CDC, GAVI, UNICEF, WHO/EMRO, WHO/AFRO, WHO/HQ
and NESI attended the meeting. NESI provided a significant financial contribution
to this meeting.
The main objectives of the meeting were:
- discuss new
advances and strategies related to measles elimination
and rubella control;
- to follow-up on the progress
made in participating Member States in implementing
measles elimination and rubella control activities;
- to review, update, and revise national plans for
measles elimination and rubella control
- and to discuss
and recommend activities to strengthen national measles
elimination and rubella control programmes.
Internal & External
Evaluation of MLM Training provided in Countries from
2000 to 2004
September 2004-July 2005
The Mid-Level Management (MLM) training is a short but labour-intensive course
providing managers of immunisation programmes at national, regional and district
level with new, advanced skills in planning, management, monitoring and evaluation.
While course specific evaluation is included in the syllabus of the MLM course
itself, there is a need for a summative evaluation in order to assess the role
of MLM training in the improvement of the immunisation programme management in
the African Region.
The general objective of the MLM evaluation was to
assess the effectiveness and the impact of different
components and approaches to inter-country and national
EPI MLM training (2000-2004) and its contribution to
the management of EPI services at country level.
The evaluation of the Mid-Level Management training
in the African Region was conducted in two phases.
The initial phase constituted an internal evaluation
through a desk review of MLM training data at the Inter-country
and Regional offices. The internal evaluation team
was represented by AFRO/VPD staff, the EPI capacity
building officer being a key member, AFRO inter-country
office staff and an AFRO consultant. The second, external
phase of the evaluation, was conducted by a multidisciplinary
team composed of experts from WHO, UNICEF, UNF, USAID
and NESI. The external evaluation included AFRO and
some selected countries (Ethiopia, Ghana, Lesotho,
Senegal and Zambia). The methodology of the evaluation
included: desk review of EPI documentation, field visits
and observations, interviews with MLM course participants,
facilitators, supervisors, MoH officials, country-based
partners, focus group discussions with course participants
and facilitators.
The findings from the internal evaluation and individual
country evaluations is consolidated into an overall
evaluation report ‘Mid-Level Management Training
in Immunisation in the African Region 2000-2004’ reflecting
regional trends, strategies, historical evolution and
achievements as well as diversities and common grounds
in MLM training in various country situations.
Download
MLM Summative Evaluation Report : 3,3 MB
Twenty-second
Inter-country Meeting of National EPI Managers
Cairo, Egypt, 4-7 July 2005
The 22nd Inter-country meeting of National Managers of the Expanded Programme
on Immunisation (EPI) was organised by WHO Regional Office for the Eastern Mediterranean
(WHO/EMRO) and UNICEF Middle East and North Africa Regional Office (UNICEF/MENARO).
The meeting was attended by the national EPI managers
and WHO and UNICEF field staff (coming from Afghanistan,
Bahrain, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon,
Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi
Arabia, Somalia, Sudan, Syria, Tunisia, United Arab
Emirates, and Yemen), WHO & UNICEF Regional Office
staff and Headquarters staff. Members of the EPI Regional
Technical Advisory Group (RTAG) also participated in
the meeting.
The objectives of the meeting were:
- To review national
and regional progress, achievements and constraints
of the Expanded Programme on Immunisation;
- To discuss
and introduce new concepts and recent advances in
respect to new vaccines, immunisation and target
diseases control, elimination, and eradication strategies
and activities;
- To discuss and recommend activities
to improve access to high quality and safe routine
immunisation services and to strengthen national
and regional vaccine preventable diseases control,
elimination, and eradication initiatives.
Dr Amr Abbassy (Alexandria University) and Dr Najwa
Khuri Bulos (Jordan University Hospital) acted as technical
advisers for NESI and presented on ‘NESI report
on collaboration between academia and national EPI
since last year’s meeting’. One of NESI’s
primary activities, to stimulate awareness about the
importance of EPI training in pre-service health training
institutions, was reinforced.
Workshop
for peer technical review of three Mid-Level Management
(MLM) and finalisation of MLM Modules handouts
Harare, Zimbabwe, 25-29 April 2005
This workshop was organised by WHO/AFRO and participants were co-opted from countries,
ICP, the Regional Office, and Headquarters. Additionally, various partners (CVP/PATH,
NESI, and vaccines manufacturers) attended the meeting.
The objectives of this workshop were to: conduct a
peer technical review of the MLM Modules on Transport
Management, Maintenance, and Financing; and finalise
handouts for the 16 priority MLM Modules. Since most
health professionals have competing demands and often
have little time to prepare slides for their trainings
and lectures, a set of PowerPoint slides with lecture
notes that summarise the main points in each module
were created.
The three new MLM Modules are pilot tested during
the 2005 inter-country MLM courses for Anglophone countries
and Francophone countries. The finalised set of PowerPoint
slides were used during the two inter-country MLM courses
organised in 2005. Users can present each set separately
and add or delete slides from the sets to comply with
their local requirements/conditions.
Resource
materials, documents and related reports 2004 Training
Needs Assessment (TNAs)
African countries that are given priority to, are requested
to provide WHO/AFRO with a detailed training plan in
relation to capacity building in the area of EPI. Countries
are to investigate what has been done, what is ongoing,
and what is needed to improve pre- and in-service activities
prior writing such a plan.
With this in mind, NESI co-conducted two Training Needs
Assessments (TNAs) to describe the status of immunisation
training in Uganda (June 2004) and Niger (May 2004),
to identify any potential new EPI training needs based
on the assessments, and to prepare recommendations for
actions to improve EPI training within the countries.
Together with WHO/AFRO, NESI selected the international
and national experts, established an Agreement for Performance
of Work (APW) on financial contributions for the assessments,
and reviewed and finalised the assessment reports. A
semi-structured questionnaire, which was developed by
WHO/AFRO, was used by the consultant for the evaluation
of the situation in both countries.
Training Needs Assessments (TNAs) are key elements for
each country during the establishment of the national
training plan. As NESI is involved in curricula revision,
it is important to know all the details of how a country
is currently performing in pre- and in-service EPI training.
Resource
materials, documents and related reports 2003 Training
Needs Assessment (TNAs)
NESI co-conducted two Training Needs Assessment (TNAs)
to describe the status of immunisation training in the
Democratic Republic of Congo (August 2003) and in Cameroon
(September 2003)
Update
of pre-service training materials in Kenya, Tanzania,
and Uganda
The need for future collaboration and better adjustment
and updating of training materials used for pre-service
training and for field-worker training in immunisation
was clearly stressed during NESI’s first training
workshop, ‘Introduction of new vaccines in East
Africa: learning lessons and maintaining services’
held in Nairobi on 9 - 11December, 2002. At this meeting,
NESI committed itself to help the updating process for
training materials for pre-service training in three
East African countries: Kenya, Tanzania, and Uganda.
 Download
Update of pre-service training materials in Kenya, Tanzania,
and Uganda summary : Word document (80k)
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