checklist for review of the human resource development component

26
i WHO/HTM/TB/2005.350 Checklist for review of the human resource development component of national plans to control tuberculosis Prepared by: Karin Bergström Stop TB Department World Health Organization Geneva, Switzerland With contributions from: Jeffery Glassroth, ATS* Wanda Walton, CDC, Atlanta* Inge Pool, KNCV* Jan Voskens, KNCV* Susan Bacheller, USAID* * Task Force Training of the Tuberculosis Coalition for Technical Assistance US Centers for Disease Control and Prevention

Upload: truongminh

Post on 02-Jan-2017

225 views

Category:

Documents


0 download

TRANSCRIPT

i

WHO/HTM/TB/2005.350

Checklist for review of the human resource

development component ofnational plans to control tuberculosis

Prepared by:

Karin Bergström

Stop TB Department World Health Organization

Geneva, Switzerland

With contributions from: Jeffery Glassroth, ATS*

Wanda Walton, CDC, Atlanta* Inge Pool, KNCV*

Jan Voskens, KNCV* Susan Bacheller, USAID*

* Task Force Training of the Tuberculosis Coalition for Technical Assistance

Logos of ATS, CDC, KNCV, USAID to be added

US Centers for Disease Control and Prevention

ii

This publication was partially funded by the Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, United States Agency for International Development, through the Tuberculosis Coalition for Technical Assistance, a cooperative agreement to accelerate implementation and expansion of the DOTS strategy in developing countries.

© World Health Organization 2005

All rights reserved.

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.

All reasonable precautions have been taken by World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The named authors alone are responsible for the views expressed in this publication.

iii

Contents

1. Introduction............................................................................................................1 2. Human resource (HR) development in the national TB control

programme (NTP) ..................................................................................................2 3. Review organizational structure to manage HR development at national

level of the NTP......................................................................................................3 4. Review overall direction of the plan for HR development for TB control ...........5 5. Review current situation ........................................................................................7 6. Review system for follow-up after training and links to overall TB control

programme supervision within NTP ..................................................................12 7. Review management and use of information for management of HR

for TB control.......................................................................................................13 8. Review short- and medium-term plans to strengthen teaching of TB control

in basic training programmes for medical doctors, nurses and othercategories of staff involved in TB control ...........................................................15

9. Review management of finances .........................................................................17 10. Review implementation and monitoring of the plan for HR development. .......18 11. Review activities to evaluate implementation of the plan for HR development,

and revise based on findings from monitoring and evaluation..........................20 12. Follow-up .............................................................................................................22

iv

1 1

1. Introduction Competent health-care providers and managers are critical to the successful implementation of the DOTS strategy to reach and sustain the targets for global tuberculosis (TB) control. The development and maintenance of a competent workforce for TB control is therefore a key component of the activities of national TB control programmes (NTPs).

For many years, NTPs have been implementing training activities for health-care workers and managers involved in TB control. However, as experience with the implementation of various training programmes has increased, so too has awareness of the need to pay additional attention to the quality of training, the need for better management of training programmes and the need for ongoing follow-up after training, staff rotation and staff turnover. The management of human resources for TB control therefore needs consolidation and strengthening.

The checklist described in this document has been developed as a tool to assist those involved in a systematic review of the human resource development component of the NTP. This component is often referred to as “training”. In this document, the term training is used in a broader context than the more traditional interpretation of the term, where training refers to organization and implementation of training courses. Training in this document is often replaced by the term “HR development” to stress the need for a broader and more long-term approach within NTPs.

The checklist is based on the content outlined in the WHO document, Training for better TB control: human resource development for TB control – A strategic approach within country support (WHO/CDS/TB/ 2002.301). It can be used in part or in total, depending on the purpose of the review. However, it is recommended that sections 2–4 are always included.

The checklist is structured in the form of questions to be answered and issues to be considered during the review process. It is strongly recommended that as much detail as possible is recorded to reflect the scope of item under review. Simple yes/no responses should be avoided. For some items, bullet points are included that cover issues to consider in guiding the user in responding. Users of the checklist with insufficient experience in HR management for TB control, including training and education, may be unable to assess all items to the level of detail indicated. If this is the case, it is recommended that a subject expert undertake an in-depth review of the HR component. However, the document can be used by a non-HR expert to identify gaps and areas for further review.

The layout of the checklist provides space for notes and observations. However, the size of this space is not an indication of the amount of information needed. The checklist should be adapted based on the purpose of the review.

If the document is used by an external consultant to the programme during a programme review or programme assessment, the person assigned the responsibilities of coordinating HR development in the NTP should be the key person answering the questions listed in the checklist. If this function is not assigned to a specific person, a key problem has already been identified at this stage in the review. The reviewer will subsequently have to obtain as much information as possible from various persons and sources.

For further information on conducting a comprehensive programme review, please refer to the WHO document, Guidelines for conducting a review of a national tuberculosis programme (WHO/TB/98.240).

22

2.H

uman

res

ourc

e (H

R) d

evel

opm

ent i

n th

e na

tiona

l TB

con

trol

pro

gram

me

(NT

P)

Item

und

er r

evie

w

Obs

erva

tions

2.1

Is H

R d

evel

opm

ent,

incl

udin

g tra

inin

g an

d ed

ucat

ion

for

TB c

ontro

l, a

spec

ific

and

clea

rly d

escr

ibed

com

pone

nt in

th

e co

ntex

t of N

TP p

rogr

amm

e im

plem

enta

tion,

im

prov

emen

t and

exp

ansi

on?

Is it

des

crib

ed a

s a se

para

te c

ompo

nent

in th

e D

OTS

Ex

pans

ion

Plan

?

2.2

Are

trai

ning

and

edu

catio

nal e

ffor

ts p

lann

ed a

nd

impl

emen

ted

in c

lose

col

labo

ratio

n an

d co

ordi

natio

n w

ith

othe

r pro

gram

me

stre

ngth

enin

g ef

forts

, suc

h as

the

avai

labi

lity

of d

rugs

and

a fu

nctio

ning

labo

rato

ry n

etw

ork?

A k

ey a

spec

t of t

he ro

le o

f the

trai

ning

coo

rdin

ator

is to

pla

n tra

inin

g ac

tiviti

es to

occ

ur a

long

side

thos

e re

late

d to

dru

g su

pply

, ava

ilabi

lity

of re

gist

ers,

labo

rato

ry su

ppor

t st

ruct

ure

incl

udin

g tra

nspo

rt of

sput

um sp

ecim

ens a

nd su

perv

isor

s tra

ined

in D

OTS

stra

tegy

impl

emen

tatio

n, to

ena

ble

the

DO

TS st

rate

gy to

be

impl

emen

ted.

33

3.

Rev

iew

org

aniz

atio

nal s

truc

ture

to m

anag

e H

R d

evel

opm

ent a

t nat

iona

l lev

el o

f the

NT

P

Item

und

er r

evie

w

Obs

erva

tions

3.1

Is th

ere

a de

sign

ated

per

son,

with

in th

e N

TP, t

o co

ordi

nate

all

HR

dev

elop

men

t act

iviti

es?

If y

es, i

s thi

s per

son

sole

ly re

spon

sibl

e fo

r thi

s act

ivity

or

is c

oord

inat

ion

of H

R d

evel

opm

ent o

nly

one

of m

any

resp

onsi

bilit

ies?

3.2

Is th

ere

a tra

inin

g co

ordi

natio

n gr

oup

with

repr

esen

tativ

es

from

trai

ning

inst

itutio

ns, f

ield

staf

f, pr

ofes

sion

al

orga

niza

tions

and

oth

er d

isea

se c

ontro

l pro

gram

mes

such

as

HIV

/AID

S?

Whe

n re

view

ing

this

item

ass

ess w

heth

er:

•th

e gr

oup

has s

peci

fic te

rms o

f ref

eren

ce (T

OR

); •

the

grou

p is

smal

l eno

ugh

to e

nabl

e co

nstru

ctiv

e w

ork;

ther

e ar

e cl

ear,

rele

vant

sele

ctio

n cr

iteria

for m

embe

rs;

•th

e fu

nctio

nal a

rran

gem

ents

are

spec

ified

e.g

. mee

ting

freq

uenc

y, w

hich

will

ena

ble

the

grou

p to

fulfi

l the

TO

R.

44

Item

und

er r

evie

w

Obs

erva

tions

3.3

Are

ther

e cl

early

spec

ified

and

ass

igne

d ro

les a

nd

func

tions

for m

anag

emen

t tra

inin

g at

sub

natio

nal l

evel

s (r

egio

nal/p

rovi

ncia

l, di

stric

t) an

d ar

e as

sign

ed st

aff

train

ed fo

r the

se fu

nctio

ns?

Not

e: T

his q

uest

ion

refe

rs to

the

resp

onsi

bilit

ies a

t di

stric

t/reg

iona

l/sta

te le

vel f

or th

e or

gani

zatio

n of

trai

ning

ac

tiviti

es; f

ollo

w-u

p af

ter t

rain

ing

and

iden

tific

atio

n of

ne

w st

aff t

hat n

eed

train

ing

as a

resu

lt of

staf

f tur

nove

r. Q

uest

ions

rela

ted

to ro

les a

nd fu

nctio

ns o

f ser

vice

de

liver

y st

aff a

re a

ddre

ssed

in q

uest

ion

5.1

belo

w.

Whe

n re

view

ing

this

item

ass

ess:

•jo

b de

scrip

tions

for m

anag

emen

t tra

inin

g;

•ho

w fu

nctio

ns h

ave

been

ass

igne

d;

•ho

w a

ssig

ned

staf

f hav

e be

en tr

aine

d to

per

form

thes

e fu

nctio

ns;

•w

heth

er n

atio

nal/r

egio

nal t

rain

ing

inst

itutio

ns a

re

activ

ely

invo

lved

.

55

4.

Rev

iew

ove

rall

dire

ctio

n of

the

plan

for

HR

dev

elop

men

t for

TB

con

trol

Item

und

er r

evie

w

Obs

erva

tions

4.1.

Are

ther

e cl

ear m

ediu

m- a

nd lo

ng-te

rm g

oals

for n

atio

nal

HR

dev

elop

men

t for

TB

con

trol?

Con

side

r the

follo

win

g as

a b

asis

for t

he re

view

of i

tem

4.1

:

The

long

-term

goa

l for

HR

dev

elop

men

t for

TB

con

trol i

s to

reac

h an

d su

stai

n a

situ

atio

n w

here

by:

Staf

f at d

iffer

ent l

evel

s of t

he h

ealth

syst

em h

ave

the

skill

s, kn

owle

dge

and

attit

udes

(i.e

. com

pete

ncie

s) n

eces

sary

to su

cces

sful

ly im

plem

ent a

nd

sust

ain

TB c

ontr

ol a

ctiv

ities

, inc

ludi

ng th

e im

plem

enta

tion

of n

ew a

nd re

vise

d st

rate

gies

and

tool

s, an

d in

rela

tion

to H

IV m

anag

emen

t, an

d th

at

ther

e ar

e su

ffici

ent n

umbe

rs o

f sta

ff of

all

cate

gori

es fo

r pro

gram

me

impl

emen

tatio

n.

66

Item

und

er r

evie

w

Obs

erva

tions

4.2

Are

ther

e cl

ear,

com

preh

ensi

ve st

rate

gies

to re

ach

the

goal

s as d

escr

ibed

in it

em 4

.1 a

bove

?

Con

side

r the

follo

win

g as

a b

asis

for t

he re

view

of i

tem

4.2

:

The

stra

tegy

, des

crib

ing

how

to re

ach

the

goal

, sho

uld

incl

ude

at le

ast t

he fo

llow

ing

com

pone

nts:

esta

blis

h/im

prov

e ex

istin

g in

-ser

vice

trai

ning

pro

gram

mes

for T

B c

ontro

l; �

esta

blis

h/im

prov

e ex

istin

g sy

stem

s and

stru

ctur

es to

iden

tify

perf

orm

ance

def

icie

ncie

s rel

ated

to la

ck o

f ski

lls a

nd to

ena

ble

staf

f to

acqu

ire th

e ne

cess

ary

com

pete

ncie

s for

TB

con

trol a

ctiv

ities

thro

ugh

form

al o

r on-

the-

job

train

ing

(sup

ervi

sion

and

follo

w-u

p);

�es

tabl

ish/

impr

ove

exis

ting

syst

ems t

o, o

n an

ong

oing

bas

is, i

dent

ify n

ew st

aff w

orki

ng in

TB

con

trol a

nd e

nabl

e th

em to

par

ticip

ate

in th

e ap

prop

riate

tra

inin

g pr

ogra

mm

es a

s soo

n as

they

take

up

a ne

w p

ositi

on (s

taff

rota

tion)

; �

revi

ew a

nd re

vise

as n

eces

sary

bas

ic tr

aini

ng p

rogr

amm

es fo

r med

ical

doc

tors

, nur

ses a

nd o

ther

hea

lth-c

are

wor

kers

invo

lved

in th

e im

plem

enta

tion

of T

B c

ontro

l act

iviti

es, t

o en

sure

that

new

gra

duat

es a

re fu

lly p

repa

red

for w

ork

in T

B c

ontro

l; �

coor

dina

te tr

aini

ng re

late

d to

TB

con

trol w

ith tr

aini

ng fo

r oth

er d

isea

se c

ontro

l int

erve

ntio

ns su

ch a

s for

HIV

/AID

S pr

even

tion

and

cont

rol;

�co

ordi

nate

with

rele

vant

dep

artm

ents

to e

nsur

e ad

equa

te d

eplo

ymen

t and

rete

ntio

n of

staf

f.

77

5.

Rev

iew

cur

rent

situ

atio

n

Item

und

er r

evie

w

Obs

erva

tions

5.1

Are

job

desc

riptio

ns fo

r sta

ff in

volv

ed in

TB

con

trol u

p to

dat

e to

cor

resp

ond

with

cur

rent

pol

icie

s and

re

com

men

datio

ns fo

r TB

con

trol,

dist

ribut

ed a

nd k

now

n to

all

staf

f con

cern

ed?

List

the

cate

gorie

s of s

taff

invo

lved

and

revi

ew

sepa

rate

ly.

88

Item

und

er r

evie

w

Obs

erva

tions

5.2

Rev

iew

cur

rent

trai

ning

pro

gram

mes

for d

iffer

ent

cate

gorie

s of h

ealth

-car

e st

aff i

nvol

ved

in th

e TB

pr

ogra

mm

e ac

cord

ing

to th

eir f

unct

ions

. Det

erm

ine

whe

ther

the

train

ing

prog

ram

mes

pro

vide

par

ticip

ants

w

ith th

e ne

cess

ary

know

ledg

e, sk

ills a

nd a

ttitu

des

rela

ted

to th

eir f

unct

ions

in T

B c

ontro

l.

List

the

train

ing

prog

ram

mes

/cou

rses

and

revi

ew/a

sses

s se

para

tely

:•

the

over

all o

bjec

tive

of th

e co

urse

; •

are

the

cour

se o

bjec

tives

dire

ctly

rela

ted

to jo

b de

scrip

tions

?•

are

ther

e sp

ecifi

c m

easu

rabl

e le

arni

ng o

bjec

tives

for

the

cour

se a

nd a

re th

ey d

irect

ly re

late

d to

job

desc

riptio

ns?

•do

trai

ning

met

hodo

logi

es a

nd te

chni

ques

ena

ble

the

parti

cipa

nts t

o de

velo

p th

e sk

ills b

ased

on

the

lear

ning

obj

ectiv

es?

•is

ther

e en

ough

tim

e al

loca

ted

to d

iffer

ent p

arts

of

the

cour

se to

mee

t the

lear

ning

obj

ectiv

es?

•is

eva

luat

ion

of c

ours

e pa

rtici

pant

s (re

actio

n an

d le

arni

ng e

valu

atio

n) in

clud

ed?

•pa

ss/fa

il –

is th

ere

a sy

stem

to su

ppor

t par

ticip

ants

w

ho d

o no

t mee

t min

imum

stan

dard

s?

99

Item

und

er r

evie

w

Obs

erva

tions

5.3

Rev

iew

trai

ning

mat

eria

l for

all

cate

gorie

s of s

taff

tra

inin

g. L

ist a

ll m

ater

ial a

nd re

view

sepa

rate

ly.

Det

erm

ine

whe

ther

the

NTP

trai

ning

mat

eria

l use

d is

up

to d

ate,

bas

ed o

n pa

rtici

pato

ry te

achi

ng m

etho

dolo

gies

, co

rres

pond

s to

the

lear

ning

obj

ectiv

es a

nd is

bas

ed o

n sk

ills d

evel

opm

ent.

List

the

train

ing

prog

ram

mes

/cou

rses

and

revi

ew/a

sses

s se

para

tely

:•

is th

e N

TP u

sing

gen

eric

trai

ning

mat

eria

l? If

yes

, ha

s the

mat

eria

l bee

n ad

apte

d?

•if

the

mat

eria

l has

bee

n de

velo

ped

loca

lly, i

s it

deve

lope

d ba

sed

on a

task

ana

lysi

s for

the

spec

ific

job?

•is

the

mat

eria

l dev

elop

ed b

ased

on

parti

cipa

tory

te

achi

ng a

nd le

arni

ng m

etho

dolo

gies

? •

is th

e m

ater

ial u

p to

dat

e (r

efle

cts t

he im

plem

enta

tion

of th

e D

OTS

stra

tegy

) and

tech

nica

lly c

orre

ct?

1010

Item

und

er r

evie

w

Obs

erva

tions

5.4

Rev

iew

sele

ctio

n an

d tra

inin

g of

cou

rse

faci

litat

ors f

or

the

diff

eren

t tra

inin

g pr

ogra

mm

es. D

eter

min

e w

heth

er

the

curr

ent s

elec

tion

of c

ours

e fa

cilit

ator

s is o

ptim

al to

en

sure

qua

lity

and

sust

aina

bilit

y of

trai

ning

act

iviti

es.

Whe

n re

view

ing

this

item

ass

ess:

•ho

w tr

aini

ng in

stitu

tions

are

invo

lved

in in

-ser

vice

tra

inin

g;•

if th

ere

is a

poo

l of c

ours

e fa

cilit

ator

s for

diff

eren

t tra

inin

g co

urse

s;

•if/

how

the

faci

litat

ors h

ave

been

trai

ned

in

educ

atio

nal m

etho

dolo

gies

and

faci

litat

or sk

ills;

if/ho

w th

e fa

cilit

ator

s hav

e be

en tr

aine

d in

diff

eren

t as

pect

s of T

B p

rogr

amm

e m

anag

emen

t; •

if/ho

w th

e fa

cilit

ator

s hav

e be

en tr

aine

d in

how

to

eval

uate

cou

rse

parti

cipa

nts;

if/ho

w th

e fa

cilit

ator

s hav

e be

en tr

aine

d in

cou

rse

man

agem

ent.

1111

Item

und

er r

evie

w

Obs

erva

tions

5.5

Rev

iew

org

aniz

atio

n of

trai

ning

cou

rses

(sho

rt- a

nd

long

-term

pla

ns).

Det

erm

ine

whe

ther

the

curr

ent

orga

niza

tion

of c

ours

es a

ddre

sses

all

need

s for

cap

acity

bu

ildin

g fo

r TB

con

trol a

nd w

heth

er o

rgan

izat

ion

is

real

istic

.

Whe

n re

view

ing

this

item

ass

ess:

•on

goin

g in

-ser

vice

trai

ning

for s

taff

not

pre

viou

sly

invo

lved

in th

e pr

ogra

mm

e (in

new

are

as fo

r DO

TS

expa

nsio

n);

•tra

inin

g of

new

staf

f (as

a re

sult

of st

aff t

urno

ver)

; •

refr

eshe

r tra

inin

g an

d up

datin

g of

pro

gram

me

staf

f; •

train

ing

to re

med

y pe

rfor

man

ce d

efic

ienc

ies

iden

tifie

d du

ring

supe

rvis

ion;

train

ing

sche

dule

s – w

hen

cour

ses a

re o

rgan

ized

and

co

ordi

natio

n w

ith o

ther

pro

gram

me

activ

ities

; •

num

ber o

f cou

rses

org

aniz

ed o

ver a

def

ined

per

iod

of ti

me;

how

reso

urce

requ

irem

ent a

re a

sses

sed;

how

logi

stic

s are

arr

ange

d.

1212

6.

Rev

iew

syst

em fo

r fo

llow

-up

afte

r tr

aini

ng a

nd li

nks t

o ov

eral

l sup

ervi

sion

with

in N

TP

Item

und

er r

evie

w

Obs

erva

tions

6.1

Rev

iew

the

orga

niza

tiona

l stru

ctur

e fo

r fol

low

-up

afte

r tra

inin

g. Is

a sy

stem

in p

lace

for f

ollo

w-u

p af

ter

train

ing?

Whe

n re

view

ing

this

item

ass

ess:

•ho

w is

follo

w-u

p af

ter t

rain

ing

orga

nize

d?

•w

ho is

resp

onsi

ble?

how

is fo

llow

-up

cond

ucte

d?

•ho

w is

info

rmat

ion

from

follo

w-u

p co

mm

unic

ated

ba

ck in

to th

e tra

inin

g sy

stem

? •

how

is tr

aini

ng fo

llow

-up

linke

d an

d co

ordi

nate

d w

ith re

gula

r pro

gram

me

supe

rvis

ion?

6.2

Are

supe

rvis

ors t

rain

ed fo

r fol

low

-up

afte

r tra

inin

g?

Whe

n re

view

ing

this

item

ass

ess:

the

role

s and

resp

onsi

bilit

ies o

f sta

ff c

ondu

ctin

g fo

llow

-up

afte

r tra

inin

g;

•w

heth

er sp

ecifi

c co

urse

s on

how

to d

o fo

llow

-up

afte

r tra

inin

g ar

e or

gani

zed.

1313

7.

Rev

iew

man

agem

ent a

nd u

se o

f inf

orm

atio

n fo

r m

anag

emen

t of H

R fo

r TB

con

trol

Item

und

er r

evie

w

Obs

erva

tions

7.1

Are

info

rmat

ion

need

s cle

arly

det

erm

ined

? D

eter

min

e w

heth

er in

form

atio

n is

ava

ilabl

e in

a ti

mel

y m

anne

r and

w

heth

er it

is u

sed

for d

ecis

ion-

mak

ing

rega

rdin

g tra

inin

g.

Whe

n re

view

ing

this

item

ass

ess:

how

are

dec

isio

ns a

nd p

riorit

ies m

ade

base

d on

es

sent

ial i

nfor

mat

ion

(fun

ctio

ns o

f per

sonn

el, w

hen

train

ed, w

hen

due

for c

ontin

ued

train

ing,

etc

., id

entif

icat

ion

of n

ew st

aff)

? •

how

is n

ew st

aff (

as a

resu

lt of

staf

f tur

nove

r)

iden

tifie

d in

dis

trict

s whe

re D

OTS

trai

ning

has

al

read

y ta

ken

plac

e?

1414

Item

und

er r

evie

w

Obs

erva

tions

7.2

Ass

ess e

xist

ing

data

man

agem

ent p

roce

dure

s. D

eter

min

e w

heth

er th

e pr

oced

ures

are

func

tioni

ng a

nd

prov

idin

g th

e es

sent

ial i

nfor

mat

ion

for o

ptim

al p

lann

ing

and

man

agem

ent o

f tra

inin

g ac

tiviti

es.

Whe

n re

view

ing

this

item

ass

ess:

who

is u

sing

diff

eren

t typ

es o

f inf

orm

atio

n (d

istri

ct

coor

dina

tors

, nat

iona

l man

ager

s);

•cu

rren

t for

ms a

nd p

roce

dure

s for

col

lect

ing,

re

cord

ing,

tabu

latin

g an

d an

alys

ing

data

for t

rain

ing

man

agem

ent a

nd w

heth

er th

ey m

eet t

rain

ing

man

agem

ent n

eeds

.

1515

8.

Rev

iew

shor

t- an

d m

ediu

m-te

rm p

lans

to st

reng

then

teac

hing

of T

B c

ontr

ol in

bas

ic tr

aini

ng

prog

ram

mes

for

med

ical

doc

tors

, nur

ses a

nd o

ther

cat

egor

ies o

f sta

ff in

volv

ed in

TB

con

trol

Item

und

er r

evie

w

Obs

erva

tions

8.1

Is th

ere

a w

orki

ng g

roup

for s

treng

then

ing

the

TB

cont

rol c

ompo

nent

in b

asic

trai

ning

cur

ricul

a fo

r m

edic

al d

octo

rs, n

urse

s and

oth

er c

ateg

orie

s of s

taff

in

volv

ed in

TB

con

trol?

Whe

n re

view

ing

this

item

ass

ess:

the

TOR

for t

he w

orki

ng g

roup

; •

the

mem

bers

of t

he w

orki

ng g

roup

; •

the

crite

ria fo

r the

sele

ctio

n of

the

mem

bers

; •

how

the

chai

rper

sons

and

secr

etar

y ar

e se

lect

ed;

•th

e fu

nctio

nal a

rran

gem

ents

(fre

quen

cy o

f mee

tings

, pr

ovis

ion

for e

xtra

ordi

nary

mee

tings

, etc

.).

1616

Item

und

er r

evie

w

Obs

erva

tions

8.2

Rev

iew

cur

rent

situ

atio

n an

d de

term

ine

whe

ther

the

curr

ent c

urric

ula

(ref

erre

d to

in it

em 8

.1 a

bove

) are

ad

dres

sing

the

need

s for

cur

ricul

um st

reng

then

ing

incl

udin

g te

achi

ng/le

arni

ng m

ater

ial a

nd a

dditi

onal

tra

inin

g of

facu

lty.

Whe

n re

view

ing

this

item

ass

ess:

the

rele

vanc

e of

the

curr

icul

a (c

onte

nt a

nd

met

hodo

logi

es) t

o th

e ne

eds f

or D

OTS

im

plem

enta

tion;

•th

e re

leva

nce

of te

achi

ng/le

arni

ng m

ater

ial;

•th

e re

leva

nce

of th

e te

ache

r tra

inin

g;•

linka

ges t

o ov

eral

l cur

ricul

um d

evel

opm

ent

activ

ities

.

8.3

Are

ther

e sh

ort-

and

med

ium

-term

pla

ns to

stre

ngth

en

the

teac

hing

of T

B c

ontro

l in

basi

c tra

inin

g pr

ogra

mm

es

for m

edic

al d

octo

rs, n

urse

s and

oth

er c

ateg

orie

s of s

taff

in

volv

ed in

TB

con

trol?

Whe

n re

view

ing

this

item

ass

ess:

if ob

ject

ives

are

spec

ific,

mea

sura

ble,

atta

inab

le,

real

istic

, and

tim

e bo

und

(SM

AR

T) a

nd th

e lin

kage

s be

twee

n ob

ject

ives

and

stra

tegi

es c

lear

and

logi

cal;

•th

e sc

hedu

le o

f act

iviti

es a

nd re

sour

ce re

quire

men

ts

the

assi

gnm

ent o

f res

pons

ibili

ties.

1717

9.

Rev

iew

man

agem

ent o

f fin

ance

s

The

ques

tions

rela

ted

to m

anag

emen

t of f

inan

ces i

n th

is se

ctio

n on

ly re

pres

ent a

brie

f ove

rvie

w a

nd a

re n

ot in

tend

ed to

repl

ace

a co

mpr

ehen

sive

revi

ew o

f the

pr

ogra

mm

e’s f

inan

cial

man

agem

ent.

Item

und

er r

evie

w

Obs

erva

tions

9.1

Is th

ere

a sp

ecifi

c bu

dget

for t

he tr

aini

ng c

ompo

nent

/is

the

train

ing

com

pone

nt c

lear

ly id

entif

iabl

e in

the

over

all

NTP

bud

get?

9.2

Is th

ere

a cl

ear s

yste

m fo

r fin

anci

al m

onito

ring

and

repo

rting

use

d fo

r dec

isio

n-m

akin

g?

Whe

n re

view

ing

this

item

ass

ess:

the

finan

cial

pla

nnin

g an

d m

onito

ring

cycl

e;

•ex

istin

g m

echa

nism

s for

fina

ncia

l con

trol;

•th

e fin

anci

al re

porti

ng –

inst

itutio

nal a

nd d

onor

re

quire

men

ts.

1818

10.

Rev

iew

impl

emen

tatio

n an

d m

onito

ring

of t

he p

lan

for

HR

dev

elop

men

t

Item

und

er r

evie

w

Obs

erva

tions

10.1

Rev

iew

the

timel

ines

s of i

mpl

emen

tatio

n of

act

iviti

es.

Are

act

iviti

es in

the

plan

s for

HR

dev

elop

men

t im

plem

ente

d in

a ti

mel

y m

anne

r?

Whe

n re

view

ing

this

item

ass

ess:

the

prep

arat

ion

and

use

of a

nnua

l wor

k pl

ans;

the

use

of G

antt

char

ts;

•co

ordi

natio

n of

act

iviti

es.

10.2

Rev

iew

dep

loym

ent o

f HR

. Are

HR

dep

loye

d ac

cord

ing

to d

eter

min

ed n

eeds

and

are

all

man

pow

er n

eeds

met

? D

eter

min

e w

heth

er th

ere

are

suff

icie

nt st

aff a

t all

leve

ls

to im

plem

ent t

he D

OTS

stra

tegy

and

reac

h th

e gl

obal

ta

rget

s for

TB

con

trol?

Whe

n re

view

ing

this

item

ass

ess:

the

staf

fing

at c

entra

l lev

el;

•th

e st

affin

g at

pro

vinc

ial a

nd d

istri

ct le

vel;

•th

e st

affin

g at

per

iphe

ral l

evel

; •

coor

dina

tion

with

HR

dep

artm

ent o

f min

istry

of

heal

th to

solv

e pr

oble

ms w

ith st

aff v

acan

cies

and

lo

ng-te

rm n

eeds

for a

dditi

onal

staf

f.

1919

Item

und

er r

evie

w

Obs

erva

tions

10.3

Rev

iew

tim

elin

ess o

f allo

catio

n of

reso

urce

s (ex

clud

ing

HR

; see

item

10.

2). A

re re

sour

ces a

lloca

ted

in a

tim

ely

man

ner a

ccor

ding

to p

lans

?

Whe

n re

view

ing

this

item

ass

ess:

cash

flow

s;•

dist

ribut

ion

of tr

aini

ng/le

arni

ng m

ater

ials

.

10.4

Rev

iew

regu

lar s

uper

visi

on a

nd fo

llow

-up

afte

r tra

inin

g.

Are

act

iviti

es im

plem

ente

d ac

cord

ing

to p

lans

?

Whe

n re

view

ing

this

item

ass

ess:

follo

w-u

p af

ter t

rain

ing

vers

us re

gula

r pro

gram

me

supe

rvis

ion.

2020

11.

Rev

iew

act

iviti

es to

eva

luat

e im

plem

enta

tion

of th

e pl

an fo

r H

R d

evel

opm

ent,

and

revi

se b

ased

on

find

ings

from

mon

itori

ng a

nd e

valu

atio

n

Item

und

er r

evie

w

Obs

erva

tions

11.1

Is th

e tra

inin

g an

d ed

ucat

ion

plan

eva

luat

ed o

n a

regu

lar

basi

s? (T

his s

ectio

n re

late

s to

the

qual

ity o

f the

pla

n.)

Whe

n re

view

ing

this

item

ass

ess:

whe

ther

the

goal

s and

obj

ectiv

es o

f the

pla

n ar

e ap

prop

riate

;•

whe

ther

the

plan

ned

activ

ities

wer

e th

e m

ost

appr

opria

te re

late

d to

nee

ds.

11.2

Is th

e tra

inin

g pr

oces

s eva

luat

ed o

n a

regu

lar b

asis

?

Whe

n re

view

ing

this

item

ass

ess:

whe

ther

act

iviti

es w

ere

impl

emen

ted

as p

lann

ed;

•th

e pr

oces

s of t

rain

ing

and

educ

atio

n, w

heth

er th

e tra

inin

g cu

rric

ula

wer

e im

plem

ente

d as

pla

nned

us

ing

the

plan

ned

teac

hing

met

hodo

logi

es, m

ater

ials

an

d ev

alua

tion

met

hods

.

2121

Item

und

er r

evie

w

Obs

erva

tions

11.3

Are

trai

ning

pro

duct

s (co

urse

par

ticip

ants

) eva

luat

ed?

Whe

n re

view

ing

this

item

ass

ess:

the

eval

uatio

n m

etho

ds c

hose

n ar

e ap

prop

riate

in

rela

tion

to th

e m

easu

rabl

e le

arni

ng o

bjec

tives

; •

perf

orm

ance

test

ing

met

hods

incl

udin

g th

e us

e of

pa

ss/fa

il cr

iteria

.

11.4

A

re tr

aini

ng p

lans

revi

sed

acco

rdin

g to

find

ings

fr

om m

onito

ring

and

eval

uatio

n?

Whe

n re

view

ing

this

item

ass

ess:

whe

n an

d on

wha

t bas

is p

lans

are

revi

sed;

the

proc

ess o

f rev

isio

n;

•w

hen,

on

wha

t bas

is a

nd h

ow m

etho

ds fo

r stu

dent

ev

alua

tion

are

mod

ified

.

2222

12. Follow-up

The final stage of the review is follow-up. It is important that this stage is carefully planned and that deadlines are set for the implementation of follow-up activities.

The review report should be finalized and recommendations approved for the relevant authorities. The NTP manager and the TB Training Coordinator are subsequently responsible for implementation of the recommendations. This process should be viewed as an event in the dynamic process of change. The plan for HR development for TB control should be periodically reviewed and updated based on needs and experiences in implementation. The cycle of this dynamic process is planning, implementation, monitoring, evaluation and replanning.