course report of tb control trainingccs.gov.eg/ntp/pdf/tctp report 2013.pdf · latent tuberculosis...

TB Control

Training Course

December, 1st – 26

th 2013

[Type the document subtitle] | comp

THE

THIRD

COUNTRY

TRAINING

PROGRAM

Course Report of

TB Control Training

Organized by

National Tuberculosis Control Program (NTP) – Egypt

In collaboration with

Japan International Cooperation Agency (JICA)

World Health Organization (WHO)

Cairo, December 1st to 26

th 2013

--------------------------------------------------------------- TCTP Report – TB control – Cairo, December 1

st – 26

th 2013

2

REPORT CONTENT

A. IMPLEMENTATION REPORT

1. Administration

1) Course title

2) Duration

3) Date of distribution of General information booklet.

4) Number of applicants and selected applicants

5) List of participants

2. Course Conduct

1) Syllabus

2) Proportion Of lecture, practice, study tour and others, and proportion

born by local instructors and Japanese experts

3) Study tour

4) List of textbooks

5) List of lecturers (including Japanese experts) and their subjects

6) List of major equipment brought by Japanese expert (s)

7) List of major equipment used in the course

8) Others

B. EVALUATION

1. Evaluation by participants (summary)

2. Evaluation by the implementing institute

3. Results of achievement test

C. GENERAL COMMENT BY THE IMPLEMENTING INSTITUTE ON

THE COURSE CONDUCTED, INCLUDING THE DRAFT OF COURSE

CONTENT FOR THE NEXT YEAR

1. General comment

2. Course content


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3

A.

IMPLEMENTATION

REPORT


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4

1. Administration

1) Course title : TB Control

2) Duration: December 1st to 26th, 2013

3) Date of distribution of G. I.: April 18th, 2013

4) Number of applicants and selected

applicants : 17 selected applicants out of 21

Annex I

5) List of Participants :

No. Name Gender Country Age Job title Related Job experience

e-mail

1 Sylvia Jawabreh Female Palestine 42

Director of paramedical departement , Jericho health directorate

lab technaction

[email protected]

2 Mohammad Abbadi

Male Palestine 46

Director of paramedical departement , Jenin PHC

Lab. Director [email protected]

3 Ahlam Al-Tamimi

Female Palestine 41

Head Nurse of section, preventive medicine, Habron health dep.

TB/HIV [email protected]

4 Hanan Salous Female Palestine 47

HEAD OF THE DEPARTMENT PREVENTIVE MEDICINE

EPI-STIDS - AIDS-TB

[email protected]

5 Omar Al Hindawi Male Jordan 34

TB Coordinator , Aqaba Governorate

CDC/TB Coordinator

[email protected]

6 Khan Amanullah Male Pakistan 49

Senior Mrdical officer, chest departement, K.G.N Teaching hospital

chest / TB OPD

[email protected]

7 Abdul Mubeen Male Pakistan 44

Provincial Program Manager, TB program, Gilgit- Baltistan,

FPO national Program PHC, monitoring & supervision

[email protected]


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5

No. Name Gender Country Age Job title Related Job experience

e-mail

8 Nasim Akhtar Female Pakistan 39 Senior Registrar

TB [email protected]

9 Amin Mandokhail

Male Pakistan 33 Technical Advisor

fload affected and border area

[email protected]

10 Ghulam Murtaza Male Pakistan 53 Manager TB Control Balochistan

Prevention Program 15 years

[email protected]

11 Santino Chan Awier

Male South Sudan

39

TB / Leprosy and Buruli Ulcer coordinator

TB Training [email protected]

12 Mach khorrian Gbangich

Male South Sudan

34 State TB/L Coordinator

TB Training [email protected]

13 Nasser Al Shaqsi Male Oman 36 Regional Infection Control & TB

Infection control

[email protected]

14 Rasha Sayed Mohamed

Female Sudan 30

Medical Technologist in TB Ref. Lab.

TB Lab [email protected]

15 Abo Horira Abdel Razig

Male Sudan 28 TB Coordinator , Red Sea State

TB control [email protected]

16 Ahmed Tatrad Ghafer

Male Iraq 43 TB Coordinator - Dialy - Iraq


17 Mohamed Mahdi Mohamed Saleh

Male Iraq 44

TB coordinator - Rasafa - Baghdad


The participants during MD Department in Maamoura chest hospital


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2. Course Conduct

1) Syllabus

09:00 – 11:00 11:30 – 01:00 01:30 – 03:00

Dec-01 (Sun)

Registration, opening ceremony Pre test

Dr. Wagdy Amin

NTP Egypt

Dr. Alaa Mokhtar

Country presentations

Dr. Wagdy Amin

Dec-02 (Mon)

Stop TB Strategy and post 2015 strategy Dr. Alaa Mokhtar

Suspect Management Dr. Magdy Fawzy

International standards for TB care Dr. Esam El Moghazy

Dec-03 (Tue)

Treatment of TB case Dr. Magdy Fawzy

Latent tuberculosis infection Dr. Wagdy Amin

New Diagnostic Tools of TB Dr. Faten Shoukry

Dec-04 (Wed)

TB Situation (Globally & Regionally) TB Epidemiology

Dr. Samiha Baghdadi

HIV-TB co-infection

Dr. Tarek Nameer

Anti TB Drug Management

Dr. Khalid Soltan

Dec-05 (Thu)

Childhood Tuberculosis Prof. Malak Shehen

Monitor the patient during treatment Dr. Wagdy Amin

Extra-pulmonary TB Dr. Magdy Fawzy

Dec-06 (Friday)

Dec-07 (Sat)

Case finding & TTT strategies of DR –TB Dr. Magdy Fawzy

Designing Treatment regimens of DR-TB

Dr. Magdy Fawzy

Clinical Pharmacology of 2nd

line Anti-TB drug

Dr. Sherry Victor

Dec-08 (Sun)

special situations in the treatment of DR-TB

Dr. Ashraf A Hasseb

Management of side effects

Dr. Ashraf A Hasseb

Patient’s initial evaluation & TTT Follow up

Dr. Magdy Fawzy

Dec-09 (Mon)

Exercises on Designing Treatment regimens of DR-TB

Dr. Magdy Fawzy

DR TB registration

Dr. Sherry Victor

Inform MDR Patient and his family Dr. Alaa Mokhtar

Dec-10 (Tue)

Supervision in NTP Egypt and How to conduct supervisory visits?

Dr. Nabila Wahib

Recording & Reporting forms

Dr. Amal Galal

ENRS

Dr. Amal Galal

Dec-11 (Wed)

Country Presentations -2 Dr. Wagdy Amin

ENRS Dr. Amal Galal

Web TB S Dr. Amal Galal

Dec-12 (Thu)

Supervisory Visit to Maamoura Chest Hospital Dr. Wagdy Amin - Dr. Abdel Malek Mahmoud

Dec-13 (Friday)

Dec-14 (Sat)

Laboratory network in Egypt Direct Smear Microscopy (DSM)

Dr. Howaida Kassem

Culture and Sensitivity

Dr. Azza Hegazy

Quality Assessment

Dr. Azza Hegazy

Dec-15 (Sun)

Pharmacovigillance of TB Drugs Dr. Sherry Victor

Research priorities in TB Control Dr. Magdy Fawzy

How to develop a research proposal?

Dr. Ihab Shehad

Dec-16 (Mon)

Infection control in TB Dr. Amal Salah

How to develop a research proposal?-2 Dr. Ihab Shehad

How to Write a report? Dr. Ihab Shehad


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09:00 – 11:00 11:30 – 01:00 01:30 – 03:00

Dec-17 (Tue)

P Process - Formative Research Ms. Shourok Tahir

P Process - Program Analysis Mr. Abdel Bary Bakr

Social Marketing & Advocacy Mr. Abdel Bary Bakr

Dec-18 (Wed)

P Process - Monitoring & Evaluation Ms. Shourok Tahir

P Process Strategic Design Mr. Abdel Bary Bakr

P Process - Media Planning Mr. Abdel Bary Bakr

Dec-19 (Thu)

Field Visit to TBMUs: Helwan Chest Unit Dr. Nabila Wahib- Shoubra Chest Unit Dr. Abeer Shamd El Din

Dec-20 (Friday)

Dec-21 (Sat)

Role of chest Radiology on Diagnosis of Tuberculosis

Prof. Mostafa El Shazly

TB in complex emergencies

Dr. Alaa Mokhtar

Evaluation

Dr. Wagdy Amin

Dec-22 (Sun)

Infection control in TB

Dr. Amal Salah

Role of HIO in TB control

Dr. Nasr Diab

Role of Refugees units in TB Control in Egypt

Dr. Eman Kamal

Dec-23 (Mon)

Intermediate Lab Visit Dr. Faten Shoukry

TB/DM Collaborative framework Dr. Essam El Moghazy

Presentations Skills Dr. Alaa Mokhtar

Dec-24 (Tue)

Challenges of TB Control Dr. Alaa Mokhtar

Pitfalls in TB Managements Prof. Magd Galal

Bottlenecks in DR-TB Managements Dr. Sherry Victor

Dec-25 (Wed)

Field visit to PPM unit Dr. Nasr Diab (3 ساعات ) Dr. Hisham Kassem ) ) ساعتان

Dec-26 (Thu)

Post test

Dr. Alaa Mokhtar

Course evaluation

Dr. Wagdy Amin

Closing Ceremony Certificates distribution

Dr. Wagdy Amin

Dec-27 Departure

In Maamoura Lab.


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B.

EVALUATION

By

The

Participants


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9

Conducting a training courses only for doctors and other courses for paramedical

staff

Increasing the duration of the training

The course transformed to diploma certificate in TB control

All the speakers were well knowledge and competent in their fields, they tried their

best to transferee the knowledge and techniques to the participants

Overall the course was very good and benefit

Chest radiology session is better to be more elaborated covering many aspects in

chest radiology with practical sessions, showing actual chest radiographs for patients

and group discussions

Some participants have been suggested that the course will be conducted by Arabic

language.

The course started at December 1

st and end at December 26

th 2013, for 4 weeks

There are 6 invited countries: Sudan, South Sudan, Jordan, Pakistan, Oman, Palestine

Authority and Iraq; 17 participants were attended from the 7 countries.

The course covered all TB control components and some managerial skills

The course aimed at:

Update the knowledge of tuberculosis and its control

Improve analytical skills necessary for the situation analysis for TB control,

Develop skills about Electronic Nominal Registration System to improve the TB

recording and reporting system in their areas of responsibilities.

Improve participants knowledge in MDR-TB management

Improve participants knowledge in TB drug management

The course was conducted in the form of:

Lectures using PowerPoint presentations, self learning , using TB training modules,

Group studies, Working groups , Field Trips , Problem based learning and Case

studies

The course was conducted in the National Training Center for Tuberculosis and Chest

diseases, MOHP, Cairo, Egypt

The lectures and study sessions usually started from 9 am and finished at 3:00 pm ( 5

hours study duration)

The training included the theoretical and practical sessions related to TB control

Supervisory visits were conducted to DOTS units and group presentations with

comments and discussions were conducted between the candidates and the

facilitators, there was good participation from the candidates, they followed the

regulations of the country and the training center.


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The participants were selected according to the selection criteria like: they were

nominated by their respective Governments , holders of medical University

Graduate, medical doctors , biomedical scientists, technologist, nurses, priority will

given to participants affiliated to the National Programs of TB program in their

countries, a mid-career leader position, with experience on one or more of the

relevant subjects of the course, age between twenty five (25) and fifty (50 years

with a least three years practical experience, desirable that 20% of the participants

will be high carrier health professions, 60% mid-carriers and 20% junior staff, in a

good command of spoken and written English, have the nationality of the

nominating country, and in good health, both physically and mentally, to complete

the course.

Participants who were succeeded complete the course awarded a certificate of

attendance.

Pre, Post examination and course evaluation were conducted at the end of the training

course

Every week exam usually conducted to stimulate the participants to study the topics

and increase their alert state during presentations.

Strong points:

Well preparation and organization of the training course (noticed by

participants)

Well collaboration from JICA staff

Participation of WHO staff , central laboratory team from Ministry of Health

and Population , National AIDS Program of Egypt , infection control

department and universities

It covered all important topics of TB control

Well participation from candidates and they followed the regulation of the

country and the training center

Training material was printed and distributed to the participants at the time

Participants did not lose the connection with their countries due to internet

accessibility in the TB center

All the course materials were copied on flash memories

Weak points:

Delay response from some invited countries (e.g. Pakistan and Iraq) in

nomination of their participants

Apologies of Four participants ( 2 from Palestine and 2 from Iraq) before the

starting of the course

To some extent ( The language barrier of some participants )

Delivery of 75% of the total budget of the training course

From the participants point of view , they want to focus in some topics as

TB/HIV , MDR TB and childhood tuberculosis


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Relevance

The training was relevant to TB control activities such as: case detection,

treatment, and stop TB strategy

The training was helpful for doctors in TB management and how to achieve

the millennium development goals (MDGs) in the field of tuberculosis and

how to build leaders of future TB managers.

The training relevance measured in how the participants applied the

knowledge they got from these training courses so, this appeared in their

answer in the questionnaires distributed for course evaluation and we will

make a follow up for the ex participants through emails , a group in the

facebook to be communicated with them and follow how the course was

useful for them in their work

Effectiveness

The training was very effective to raise the awareness of the participants about

TB problems, case detection and management, it's reflected in increase case

detection rate and decrease the incidence and prevalence of TB burden in their

countries.

The training achieved the trainees' needs in increasing their awareness about

TB problems, increase their skills in TB management and motivate them to

increase their efforts to implement TB control activities

The effectiveness of the training course was measured by:

Reaction: (measures learners’ satisfaction with the program and captures

planned actions). The trainees were satisfy by the training courses on TB

control and this appeared in the training evaluation sheets filled by the trainees

and answering the post test and got marks better than the pre test

Learning: measures changes in knowledge, skills and attitudes. The trainees

were being able to answer most the questions of the post test and applying the

knowledge they obtained during work groups.

Application: (measures changes in on-the-job behavior). During follow up for

the ex participants through emails, mission of WHO teams to evaluate NTPs

of the regions, through meetings with the NTP managers or a group in the

facebook to be communicated with them and follow how the course was

useful for them in their work and how this course will be applicable.

Investment: (measures changes in business impact variables) these measured

in cost effectiveness of using the resources of NTP units in how to improve the

TB control by available resources and measuring the improvement using the

indicators learned during the course.

Efficiency

The training was very beneficial for the participants and for their TB

programs.

The trainees from each country will be apple to apply the knowledge they

obtained in their fields and these noticed in group discussion during training,

from the post test evaluation sheet and from their discussions during the

conducted supervisory visits.


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Impact

During this course, 19 participants were trained to contribute to strengthening

and capacity development of NTPs of their countries

This will help to achieve the targets of NTPs to meet the 2015 MDG of

halving TB prevalence and deaths by 2015, and to eliminate the TB by 2050,

development of appropriate human resources with sound scientific knowledge

and management skills is crucial

course report of tb control trainingccs.gov.eg/ntp/pdf/tctp report 2013.pdf · latent tuberculosis...

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