WS07 REPORT.pdf - Training and Research Support Centre

TRAINING AND RESEARCH SUPPORT CENTRE
and
UNIVERSITY OF ZIMBABWE DEPARTMENT OF
COMMUNITY MEDICINE (DCM)
PUBLIC HEALTH WINTER SCHOOL
SHORT COURSE TRAINING
REPORT OF THE PUBLIC HEALTH
WINTER SCHOOL TRAINING
July 9-14 2007
UZ Health Sciences Building,
Harare, Zimbabwe
July 2007
Report produced by TARSC 8/07

Table of contents
Executive Summary
1 Background
2. The course
2.1 Introduction to the course
2.2 Introduction to epidemiology and public health
2.3 Epidemiology of HIV and AIDS: Current situation.
2.4 HIV and AIDS Prevention, treatment and care.
2.5 Epidemiology and management of TB and Malaria
2.6 Nutrition and food security: issues and multisectoral responses
2.7 Assignment one : On Public health
2.8 Zimbabwe’s health services and district health systems
2.9 Primary health care policies and practice
2.10 Managing and retaining health workers at district level
2.11 Essential drug supplies and rational drug use
2.12 Health care financing in Zimbabwe
2.13 Financing of HIV and AIDS prevention, treatment and care
2.14 Mechanisms for community participation in health
2.15 Panel discussion: Non health sector roles in health:
2.16 Assignment two: On Community diagnosis to improve health
2.17 Presentation skills
3. The course evaluation, text and closing sessions
3.1 Test of knowledge
3.2 Course evaluation
3.3 Follow up and other sources of training
3.4 Course certificates and closing remarks
Appendix 1: Training programme
Appendix 2 : Student list
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Executive Summary
The University of Zimbabwe, Department of Community Medicine (UZ-DCM) together with the
Training and Research Support Centre (TARSC), held for the third year the Public Health
Winter School short course-training programme at UZ Health Sciences Building from the 9 th -
14 th of July 2007.
The structure and content of the course was based on the findings from a needs and capacity
assessment carried out by the two institutions in 2005 and the feedback from the July 2005
and July 2006 Winter School courses.
The programme was aimed at building capacities for people working particularly at district
level in health-related work, but who may not have had the benefit of formal training in health.
The course included people from government, education, social welfare, from health related
civil society, from researchers working at community level and parliament technical staff
including reporters. The course aimed to build an understanding of public health and of health
systems, particularly at district level. The course covered
• Principles of public health and epidemiology
• Major public health issues, including HIV and AIDS, TB, Malaria, nutrition
• Elements of health systems, health financing, essential drug supplies and human
resources for health
• Zimbabwe’s health services at national, district and primary healthy care level
• Community and non health sector roles in health
An open invitation was made for applicants and of the pool of 50 applicants a total of 29
people were accepted and 27 participants attended the course, 20 women and 7 men.
Participants included district level officers from various government ministries, non
governmental organisations, civil society and research organisations working on HIV and
AIDS programmes and reporters from the parliament of Zimbabwe. Participants came from or
worked in various districts across the country. There were enquiries from foreign students
some from as far as Nigeria but these could not be taken on this year as they all needed
sponsorship.
The resource persons and facilitators for the course came from the University of Zimbabwe,
Training and Research Support Centre, Ministry of Health and Child Welfare, National AIDS
Council of Zimbabwe, Food and Nutrition Council of Zimbabwe, Non governmental
organisations (CWGH, WAG) Parliament of Zimbabwe and City of Harare Health Department.
Sessions were accompanied by handouts and course materials. Two assignments were done
by the students in groups to test their public health and health systems knowledge. The
second assignment also involved development and feedback on a community based project.
This will be followed up on to support community level research skills.
Students completed a course evaluation form at the end of the training to give feedback on
the strengths and weaknesses of the training. The evaluation indicated that students found
the course relevant to their work and the course useful. Students rated trainers and materials
as good. The majority of students understood the lectures, and found the handouts and
assignments clear and appreciated the Zimbabwe relevant content. For future courses
students proposed the inclusion of various other topics not covered especially introduction to
research methods and grant proposal writing. The course included discussion on further
training opportunities for these areas. Various subjects were also suggested for the proposed
follow up advanced course.
An end of course test was completed with all students passing. The Dean of the School of
Medicine Prof MM Chidzonga gave closing remarks and handed out Certificates of completion
to students marking the end of the Course.
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1 Background
The University of Zimbabwe, Department of Community Medicine (UZ-DCM) together with the
Training and Research Support Centre (TARSC), held the third Public Health Winter School short
course-training programme at UZ Health Sciences Building from the 9 th -14 th of July 2007.
The programme is aimed at building capacities for people working particularly at district level in
health-related work, but who may not have had the benefit of formal training in health. The course
thus aims to include people from local government, from health related services and sectors
working in areas related to health at district level, from civil society and from community leaders
with roles in health.
The course aims to build an understanding of public health and of health systems,
particularly at district level.
The course covered
• Principles of public health and epidemiology
• Major public health issues, including HIV and AIDS, TB, Malaria, nutrition
• Elements of health systems, health financing and human resources for health
• Zimbabwe’s health services at national, district and primary health care level
• Community and non health sector roles in health
Participants were selected from 50 applicants who responded to an open call, and a total
of 27 participants attended the course, 20 women and 7 men. Participants included
district level officers from various government ministries, non governmental
organisations, civil and research organisations working on HIV and AIDS programmes
and the committee clerk and reporters from parliament of Zimbabwe.
The course involved teaching, presentations and mentored assignments. The course
programme is shown in Appendix 1. Students carried out two mentored assignments during the
course to consolidate their knowledge in areas of Public health, and Health systems.
Handouts were provided for each session in the programme, and a list of reference materials and
useful websites made available for follow up reading on subject areas. An end of course test was
completed and certificates of completion were given at the end of the course.
The course was jointly administered by UZ DCM and TARSC. Proceedings of the one
week training course are briefly outlined below. A full set of handouts and reading
materials is provided with the course. The sessions provided time for questions and
discussion. These discussions were very lively and gave time for delegates to raise
issues arising from their work in the districts. They are not recorded here.
2. The course
2.1 Introduction to the course
The background, course overview, objectives and participant introduction was facilitated
by Professor S Rusakaniko UZ-DCM and Dr Rene Loewenson TARSC.
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An Introduction to public health
2.2 Introduction to epidemiology and public health
Dr Rene Loewenson TARSC, gave a general introduction to the principles of public
health and key concepts in epidemiology and how they are used in public health. She
defined public health, and outlined using examples from Zimbabwe the basic elements
of public health, the measures and concepts in epidemiology, how the data is collected
and used and how it is applied to address public health.
2.3 Epidemiology of HIV and AIDS: Current situation.
Dr A Mahomva (Elizabeth Glazier Pediatric HIV and AIDS Foundation ) gave an outline
of the epidemic pattern of HIV and AIDS: the transmission mechanisms and natural
history of AIDS and the trends globally and in Zimbabwe of the epidemic. She informed
delegates of the distribution and determinants of HIV, and the current levels and trends
in the HIV and AIDS epidemic through prevalence, incidence and mortality data. She
used the evidence to describe patterns of vulnerability and susceptibility in HIV and AIDS
and the major public health challenges this raises and the opportunities for responses.
2.4 HIV and AIDS Prevention, treatment and care.
Dr T R Bwakura, a Specialist physician ( Ministry of Health OI Clinic) outlined the options for
prevention, treatment and care for HIV and AIDS, as well as for opportunistic infections. He also
outlined the current options for Antiretroviral treatment (ART) and the issues related to
managing treatment and care in Zimbabwe.
2.5 Epidemiology and management of TB and Malaria
Dr C Duri (Harare City Health Department) outlined the current distribution of
Tuberculosis (TB) in Zimbabwe, its distribution and causes. His presentation explored
that TB is, and what TB infection is, the major sources of TB infection and the
progression from infection to disease. He outlined the current TB trends including the
new XDR strains and how TB can be controlled and managed, making clear the roles of
communities and health services.
On Malaria, Dr J Chirenda UZ DCM provided information on the epidemiology of
malaria, the burden of malaria, and its transmission in Africa, Zimbabwe. He discussed
with delegates the burden posed by malaria on health systems, on households and local
economies and how these can be prevented and dealt with. Dr J Chirenda gave a
practical presentation on experiences of managing malaria.
Both sessions outlined and discussed the steps to establish a community approach to
TB and Malaria management with participants.
2.6 Nutrition and food security: issues and multisectoral responses
Mr F Makamba University of Zimbabwe department of food science gave a lecture on
nutrition, defining terms and outlining the major elements of individual, household, and
national food needs, how these are met and the elements of malnutrition. He outlined
the impact of HIV and AIDS on nutrition and the nutritional requirements for PLWHA. He
presented the national policies for food security and nutrition and how the interventions
on nutrition interact with wider health and social issues. There was active discussion on
this issue, particularly on issues relating to community level and to nutrition issues facing
people living with HIV and AIDS.
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2.7 Mentored assignment one : On Public health
This exercise aimed to use the teaching on public health to test how participants will
apply this knowledge. It took the example of developing an action plan for district level to
use resources to address the most important health problems through approaches
outside the curative health services. Students were put in 5 groups mixing the different
institutions. Each group was asked to prepare an plan for a non curative intervention at
district level to manage a health problem in a district. They worked in groups and
presented their plans in a plenary for discussion with guidance from Prof S Rusakaniko
and Dr Loewenson.
Participants developed assignments on the following areas
Group One presented an intervention to reduce asbestosis among Zvishavane Mine
Employees. The intervention presented aimed to sensitize all managers and line
mangers on the effects of asbestosis and make respiratory health an organizational
investment priority. The measures included those to equip them the organization with
workplace safety behavior monitoring skills, training of 500 underground mine
employees on Health Education and Promotion to raise awareness of asbestosis
through literature and visual aides, and an evaulation to gauge the effectiveness of the
intervention
Group Two presented an intervention on Malnutrition in Zaka District. It aimed to identify
the why there is a high prevalence of malnutrition in children under five leading to high
mortality and morbidity rates. It proposed measures to enlist community and partner
participation to enhance nutrition and create sustainable food resources.
Group Three presented an intervention on a Diarrhea Outbreak In Epworth District. It
provided measures to create awareness of the problem amongst key stakeholders,
sensitization stakeholders to take social responsibility for the problem, particularly
through school health masters and community health workers. It included a plan to
develop safe water sources and to promote general and personal hygiene, sanitation
and waste management. The intervention also included promotion of oral rehiyrdration
solution and of food hygiene.
Group 4’s presentation was on Rabies in Mangwe District: The group proposed
measures to eliminate rabid dogs and reduce the number of people bitten by dogs in
Mangwe district by 2010 by reducing contact between dogs and wildlife animals and
reducing rabid dogs in the district. Their actions involved fencing of homesteads,
securing game reserve fences, strict enforcement of by laws on poaching and building
consensus through advocacy, vaccination of dogs, educating the community on rabies
and rabies surveillance.
Group 5 presented an intervention to deal with a cholera outbreak in Kwekwe Amaveni
suburb. They outlined the context of the area in terms of the density of living conditions,
poor waste disposal, overcrowding, bursting of sewage pipes, dumpsites located near
houses, erratic water supplies and vegetable and fruit markets located where there are
no toilets and water toilets. Their actions included dialogue with city fathers on
relocation of dumpsites. repair of burst sewer pipes, regular collection of garbage and
improved water supplies. They also proposed upgrading the vegetable market standards
and carrying out public awareness campaigns.
The group assignments were reviewed by the students and the facilitators and feedback
given on each.
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An Introduction to health systems
2.8 Zimbabwe’s health services and district health systems
Mr S Chihanga, Ministry of Health & Child Welfare, talked about Zimbabwe’s health
systems. He outlined the MOH&CW vision and mission, the organogram for the
ministries and the health care providers in Zimbabwe. His presentation covered the
relationships and operational context of the different providers, and the roles and
responsibilities of different levels of the health system. Finally he outlined the
composition of district health executives, including the role of local govt and community
level representatives.
2.9 Primary health care policies and practice
Mrs J Maradzika UZ-DCM introduced the concepts of Primary Health Care (PHC). She
gave a background to PHC, its attributes and components and the PHC policies and
practices in Zimbabwe within the context of the overall National Healthy policy
framework and the mission and core values of the MOHCW. She gave examples of
different aspects of PHC as practiced in Zimbabwe. She presented the value of these
approaches in addressing the major health problems within districts, using specific
examples.
2.10 Managing and retaining health workers at district level
Mr A Mbengwa Zimbabwe Association of Church Hospitals outlined the human
resources policy in the public sector, the challenges faced in relation to health worker
migration, retention, production and distribution and the strategies used for retention of
staff, including those relating to incentives and conditions of service. He outlined other
strategies used by Ministry of Health to deal with health worker losses and provide for
health system needs. He commended the establishment of the Primary Care Nurses
through the PCN training programme and noted that this had alleviated the staffing
problems at rural health centres.
2.11 Essential drug supplies and rational drug use
Ms Simoyi National Pharmaceutical Services gave a lecture on the national essential drugs
programme. She defined essential drugs and outlined the advantages of an essential drugs
programme in a country like Zimbabwe, the components of the programme and the
elements of drug management, including community roles in rational drug use.
2.13 Health care financing in Zimbabwe
Mr Shepherd Shamu ZEPARU, gave a presentation on health care financing in
Zimbabwe. He described how funds are raised for health across different sources, the
levels of financing and how funds are distributed to different providers and consumers in
Zimbabwe. He explained how national health accounts are carried out in Zimbabwe and
what their results show. He discussed the major resource allocation approaches for
health and their equity, adequacy, effectiveness and efficiency. Mr Shamu outlined how
the current situation relates to national policy goals.
2.12 Financing of HIV and AIDS prevention, treatment and care
Dr T Magure Executive Director National AIDS Council, in this paper presented on his
behalf by Mr S Chirenje talked about demand for HIV and AIDS resources in Zimbabwe,
the global and national resourcing of this demand and the current sources of funds for
HIV and AIDS. This included the Global Fund and the National AIDS Trust Fund. He
outlined the level of resources mobilised, the areas these resources are spent on, how
funds are allocated and the mechanisms used for this at district and community level and
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how these should function. He discussed the issues and challenges in resourcing the
response to HIV and AIDS and how these are being met.
2.13 Mechanisms for community participation in health
Ms Linda Mashingaidze and Mr Itai Rusike Community Working Group on Health
(CWGH), presented the concepts and levels of organization of community and of
participation in health, the mechanisms for community participation in PHC and district
health systems, including for co-operation within wider intersectoral action for health and
the issues, and challenges faced in implementing such participation. She talked about
the role of civil society, of individuals and of households and the mechanisms for cooperation
with health service providers and within wider intersectoral action for health.
2.14 Panel discussion: Non health sector roles in health:
The panel discussion session was chaired by Dr J Chirenda UZ-DCM and papers were
presented and discussed by Ms A Mukono, Clerk of the Parliamentary Committee on
Health, Parliament of Zimbabwe on the role of parliament and Mrs E Masiiwa, Women’s
Action Group on the role of womens organisations. Their presentations outlined the roles
in intersectoral action for health, how they are linked to the health sector and health
services and to district level health interventions.
Across all the above sessions students raised questions to presenters and issues for
discussion and some sessions had very active discussions on issues raised.
2.15 Assignment two: On Community diagnosis to improve health
This exercise aimed to support a local community based exercise that applies the knowledge
learned in the winter school. It used the knowledge learned in the sessions on public health and
health systems to design a community based research exercise to
• Make a community level diagnosis of a common health problem in the district and propose
ways of acting on it, or
• Assess the effectiveness of a health service or intervention in the district and propose ways
of improving it, or
• Identify the barriers that specific groups in the community have to access health care and
identify ways of addressing these.
It aimed to use the information shared in the course to apply to a local context. Students
were asked to work in groups or as individuals. Participants chose to work in groups in
the organizations they had come from with some cross fertilization across groups, as
they wanted to be able to continue after the school to implement the work. The groups
were mentored on their aims and methods and presented on programmes they designed
for their selected rural and urban districts.
The projects identified included the following
The delegates from NAC proposed to assess the challenges preventing children (0-5) in
Marondera Urban from accessing ART and within six months come up with
recommendations to resolve the problem. Specifically they presented a programme to
- establish the proportion of children (0-5) attending growths monitoring clinics out
of the total children (0-5) within the catchments area
- establish the number of children in need of ART and the proportion of the
children showing clinical signs of HIV referred for treatment
- identify the household factors demographical knowledge and social economic
factors affecting use of growth monitoring services assessing uptake of children’s
ART
- increase accessibility to ART services amongst children (0-5).
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Through this they hoped to improve the quality of life of HIV positive children (0-5) and to
reduce infant deaths/illnesses due to AIDS in the area.
A Group working on workplace issues outlined a programme to assess the effectiveness
of condom distribution and information dissemination in the prevention of HIV/AIDS in
the workplace at phosphate industrial companies in Harare. They aimed to
- assess the adequacy and appropriateness of current interventions ie assessing
whether workers are able to access other preventive services that is VCT, STI
treatment
- find out the attitude of workers on condom distribution and use
- determine the knowledge of workers on the mode of transmission, treatment and
care, prevention of HIV
- make recommendations to improve the HIV/AIDS programmes
- find out other available preventive interventions like STI treatment and VCT , and
- identify barriers against the current HIV/AIDS prevention intervention
The delegates from CWGH explored the reasons for diarrhea in Chikwaka area
(Goromonzi) . Their programme sought to find out the hygiene practices of children
under the ages of 3-16 years old in Chikwaka area in Goromonzi district, particularly
their hand washing practices before eating food and after visiting the toilet. The
programme sought to find out the environmental factors affecting this, including the
hygiene enabling facilities in the children’s houses and school environment and the
safety and quality of water supplies as well as the children’s knowledge and attitudes
towards food hygiene, hand washing, use of safe water and sanitation.
The group of students from UZ-UCSF aimed to identify the barriers that men and women
aged 24 to 45 years living with HIV and AIDS have in accessing Anti-Retroviral Therapy
(ART) in Chitungwiza District and to explore how to overcome these barriers.
They presented work to find out the social, cultural, political, and economic factors
hindering the accessibility of ART to men and women aged between 20 – 45 years and
to find out if there are any myths and misconceptions associated with ART.
The discussions on the assignments reviewed the presentations through group and
facilitator feedback from Dr Loewenson. Follow up steps were agreed on to further
develop and submit proposals for delegates to be included in follow up research training
and mentoring for their projects. Delegates were asked to submit a concept note with
information on the
- Title
- Names, institution and addresses
- The problem statement and justification
- The general and specific objectives
- The methods, including how authorities / ethical permission will be obtained for
the work
- The resources needed.
Projects included would be mentored as part of follow up field training to further develop
skills and linked to research, ethics, and reporting training from UZ DCM and TARSC.
2.16 Presentation skills
Ms Barbra Kaim TARSC, facilitated on presentation skills and key points for preparing
and delivering presentations and for using visual aids. Participants responded positively
to the session and requested that in the next course it be scheduled before students give
their assignment presentations.
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3. The course evaluation, text and closing sessions
3.3 Test of knowledge
Participants completed a test designed to assess the levels of knowledge gained on
content raised in the lecture sessions. The test also aimed to assess the extent to which
materials were understood by students. All students passed the test, the majority
performing well.
3.2 Course evaluation
Participants completed a course evaluation form at the end of training. A total of 22 of
the 27 participants completed the evaluation forms. This was designed to collect
feedback on the strengths and weaknesses of the training programme for future
planning.
All of those completing the evaluation,
- All (100% ) found the course relevant to their work
- Three quarters (77%) noted that the course is very useful
- About two thirds (68%) reported that the trainers were good and
- Over half (55%) rated the course materials as good and a further 41% reported
that the materials were very good. Delegates were keen that materials be
updated yearly in each course.
Generally lectures were understood, with some gaps in understanding (See Table 1).
Some sessions were less well understood than others. Sessions that were less well
understood included
- Nutrition and food security
- Zimbabwe’s health services
- Human resources for health
- Health care financing
- Financing of HIV and AIDS
In the discussion that was held with the participants it was noted that more time was
needed for some sessions.
On average sessions were rated as relevant and useful and hand outs as clear and
useful (See Tables 2 and 3). Sessions rated as most useful were
- Introduction to epidemiology
- Epidemiology of AIDS
- Management of AIDS
- Epidemiology of TB and malaria
Improvements were called for in the handout on Nutrition and food security for the future
course.
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Table 1: Distribution of responses on understanding of sessions
% Students response on understanding of
Area of training
sessions
Understood Did not
Understood all most of it understand
Introduction to epidemiology 68 32 0
Epidemiology of AIDS 68 32 0
Management of AIDS 68 32 0
Epidemiology of TB and malaria 50 41 9
Management of TB and malaria at district level 50 50 0
Nutrition and food security 24 41 35
Zimbabwes health services 41 50 9
Primary health care & district health 50 50 0
Managing, retaining and organizing human
0
resources for health at district level (*) 23 50
Essential drug supplies (*) 50 50 0
Health care financing (*) 18 77 0
Financing of HIV and AIDS 32 59 9
Community participation 50 50 0
Panel on non health sector roles on health 50 50 0
(*) Non-response make up the balance
Table 2: Responses on relevance and usefulness of course sessions
% Students response on relevance
Area of training
and usefulness of session
Relevant
and useful
Somewhat
useful
Not useful or
relevant
Introduction to epidemiology 86 14 0
Epidemiology of AIDS 95 5 0
Management of AIDS 95 5 0
Epidemiology of TB and malaria 82 18 0
Management of TB and malaria at district level 64 36 0
Nutrition and food security 45 50 5
Zimbabwes health services 55 45 0
Primary health care & district health 68 32 0
Human resources for health 50 50 0
Essential drug supplies 77 23 0
Health care financing 77 23 0
Financing of HIV and AIDS 68 32 0
Community participation 77 23 0
Panel on non health sector roles on health 50 45 5
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Table 3: Responses on clarity and usefulness of handouts
Area of training
% Students response on clarity and
usefulness of handouts.
Clear and Partly clear
useful and useful
Not at all clear
and useful
Introduction to epidemiology 91 9 0
Epidemiology of AIDS 95 5 4
Management of AIDS 86 14 4
Epidemiology of TB and malaria 73 27 0
Management of TB and malaria at district level 59 41 4
Nutrition and food security 27 73 0
Zimbabwes health services 55 45 0
Primary health care & district health 77 23 0
Human resources for health 68 32 0
Essential drug supplies 86 14 0
Health care financing 59 41 0
Financing of HIV and AIDS 64 36 0
Community participation 73 27 0
Panel on non health sector roles on health 59 41 0
Assignments were also generally rated as clear and useful, with 82% rating assignment
one on public health in this way and a similar 82% giving this rating to assignment two
on community diagnosis.
3.3 Follow up and other sources of training
Prof S Rusakaniko and Dr Loewenson facilitated a discussion on priorities not covered in
the course and further training. Participants suggested that they were keen to get
training in the following areas.
o Laboratory services in public health
o Reproductive health issues, youth rights and involvement in public health.
o Introduction to research methods
o Counselling as a contributor to health
o Water and sanitation
o Project planning, management and monitoring and evaluation
o Disease surveillance
o Role of media in public health and reporting on public health issues
o Herbal medicines and public health
In relation to further training almost all participants indicated an interest in doing a follow
up course. It was agreed that interested students will work on their assignment two
projects and develop them further as part of the training, that would also involve two
rounds of research training including field work, report writing and reporting back.
3.4 Course certificates and closing remarks
It was a moment of jubilation as the Dean of the School of Medicine of the University of
Zimbabwe Prof MM Chidzonga gave the closing remarks and handed over certificates
of completion of the course to the participants. He commended the progamme and the
inclusion of participants from diverse backgrounds ranging from rural communities to
national institutions like the parliament of Zimbabwe. Thanks were given to the resource
people, to the course coordinator Mr Thomas Chikumbirike, Course conveners Prof S
Rusakaniko and Dr R Loewenson and the UZ-DCM and TARSC staff for their untiring
efforts and collaboration in making the course a success.
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Appendix 1: Training programme
1.1
0800-0900 hrs
1.2
0900-1015 hrs
COURSE TITLE
INTRODUCTION
1015-1045 hrs Tea Break
Registration and administration
Monday July 9
• Course overview, objectives, delegate
introduction and background
• Outline of course programme,
assignments, practical arrangements
INTRODUCTION TO PUBLIC HEALTH
1.3 1045-1230 Introduction to epidemiology and public
health
1230-1330 hrs Lunch
1.4
1330-1500 hrs
1500-1515 hrs Tea break
1.5
1530-1700 hrs
Epidemiology of HIV and AIDS: Current
situation.
Prevention and treatment of HIV and
AIDS
FACILITATOR
Thomas Chikumbirike, Zvikie
Mlambo TARSC
Dr R Loewenson, TARSC
Prof Rusakaniko, UZ DCM
Dr R Loewenson TARSC/EQUINET
Dr A Mahomva -Elizabeth Glazier
Pediatric HIV and AIDS Foundation
Dr Bwakura -MOHCW OI Clinic ,
Harare Hospital
1.6
0830-0945 hrs
1.7
0945-1100 hrs
1100-1115 hrs Tea Break
1.8
1115-1245 hrs
1245-1400 hrs Lunch
1.9
1400-1700 hrs
Tuesday July 10
Epidemiology and management of TB
at district and community level
Epidemiology and management of
malaria at district and community level
Nutrition and food security: issues and
multisectoral responses
Assignment 1 Introduction and student
group work time
Dr C Duri –City Health Dept ,infectious
diseases hospital
Dr J Chirenda - UZ DCM
Mr F Makamba, Food and Nutrition
University of Zimbabwe
Prof Rusakaniko UZ DCM,
R Loewenson TARSC
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1.13
0830-1000 hrs
1000-1015 hrs Tea Break
Thursday July 12
Managing, retaining and organising human
resources for health at district level
Mr A Mbengwa ZACH:
1.14 1015-1115 Essential drug supplies and rational drug use Ms T Simoyi – NPS Ministry of Health
1.15
1115-1300 hrs
1300-1400 hrs Lunch
Health care financing: resource mobilization,
budgeting and resource allocation at district level
Shepherd Shamu ZEPARU
1.16 1400-1500 Financing of HIV and AIDS Dr Magure NAC
1500-1515 hrs Tea break
1.17 1515-1700 Mechanisms for community participation in health L Mashingaidze, I Rusike CWGH:
Friday July 13
0830-1000 hrs Review of Case study work/ mentored assignment Dr R Loewenson, TARSC
1000-1030 hrs Tea break and admin/ resource files
1.18
Panel discussion: Non health sector roles in
health:
1030-1300 hrs
Parliament,
Women’s affairs
1300-1400 hrs Lunch
Chair :Dr J Chirenda –UZ DCM
Ms A Mukono- Parliament of Zim:
Ms E Masiiwa- WAG:
1.19 1400-1445 Test of knowledge T Chikumbirike , TARSC
1445-1500 hrs Tea break
1.20 1500-1615 Presentation skills: B Kaim, TARSC
CONCLUDING SESSIONS
Saturday July 14
1.21 0830-1000 Course evaluation and discussion, Follow up Dr R Loewenson , TARSC
1000-1015 hrs Tea Break
1.22
1015-1130 hrs
1.23
1130-1230hrs
1230 hrs Closing
Wednesday July 11
0830-1000 hrs Report back and discussion
Case study work/ mentored assignment
1000-1015 hrs Tea break
DISTRICT HEALTH SYSTEMS
1.10
1015- 1145 hrs
Organization of Zimbabwe’s health services
and district health systems
Priorities not covered in the course: further training
needs and information sources
Course certificates and closing remarks
Prof S Rusakaniko UZ DCM
Mr S Chihanga MOHCW
1.11 1145-1300 Primary health care policies and practice Ms J Maradzikwa– UZ DCM:
1300-1400 hrs Lunch
1.12 1400-1700 Assignment 2 Introduction, group work Dr R Loewenson TARSC
1500-1515 hrs Tea break
Prof Rusakaniko UZ DCM
Prof MM Chidzonga
Dean Faculty of Medicine
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Appendix 2 : Student list
# Name, institution, position in institution, address email address
1 Precious Moyo Study Coordinator UZ-UCSF 15 Philips Avenue
precious@uz-ucsf.co.zw
Belgravia Harare Tel: 704890/ 0912259659
2 Tsungai Matiure Programme Coordinator Health and Social Services Unit tsungaimatiure@yahoo.co.uk
Methodist Church in Zimbabwe Box CY 71 Causeway Harare Tel: 04-724069/
721154
3 Sherla Greenland Project Manager ZICHIRE Project 28 Van Praagh Ave sherla@zichire.com
Milton Park Tel: 04- 725166/ 747173
4 .Tamsin Steenbok Project Coordinator ZICHIRE Project
tasmin@zichire.com
28 Van Praagh Ave Milton Park Tel: 04- 725166
5 Marshal Mujoma Research Counselor UZ-UCSF 15 Philips Avenue Belgravia munjoma@zol.co.zw
Harare Tel: 704890 Fax: 704897
6 Trace Chipinda Assistant Coordinator UZ-UCSF 15 Philips Avenue Belgravia trace@uz-ucsf.co.zw
Harare Tel: 704890/ 0912646123 Fax: 704897
7 Irene Zuya Nurse Counselor UZ-UCSF 15 Philips Avenue Belgravia Harare irynzee@yahoo.com
Tel: 704890 Fax: 704897
8 Patricia Dhlakama Clinic Manager UZ-UCSF 15 Philips Avenue Belgravia patricia@uz-ucsf.co.zw
Harare Tel: 704890/ 0912285034 Fax: 704897
9 . Lillian Chigada Outreach Worker UZ-UCSF 15 Philips Avenue
chigadal@yahoo.com
Belgravia Harare Tel: 704890/ 0912646128 Fax: 704897
10 Grecenia Ndlovu Clinic Manager UZ-UCSF 15 Philips Avenue
grecenia@uz-ucsf.co.zw
Belgravia Harare Tel: 704890/ 0912283635 Fax: 704897
11 Tariro Mavi CWGH 114 McChlery Avenue, Eastlea, Harare Ph -04—788100/ Tpmavi2000@yahoo.co.uk
12 Edger Mutasa CWGH 114 McChlrey Avenue, Eastlea, Harare Ph -04—788100/
0912313762
13 C M Mukamuri Teacher CWGH 114 McChlrey Avenue, Eastlea, Harare Ph – muchamukamuri@cooltoad.co
055-22770/0912280146
14 Senele Dlomo Programme Officer TARSC 47 Van Praagh Ave, Milton Park senele@tarsc.org
Harare Tel: 04-708835
15 Fortunate Machingura Programme Officer 47 Van Praagh Ave Milton Park fortunate@tarsc.org
Harare Tel: 04-708835
16 Chenai Bridget Chikosha Hansard Reporter Parliament of Zimbabwe Box CY bridget_chikosha@yahoo.com
298 Causeway Harare Tel: 04-700181-9 / 0912612048
17 Lucia Nyawo Committee Clerk Parliament of Zimbabwe Box CY 298 Causeway lucynyawo@yahoo.com
Harare Tel: 04-700181-9 / 0912892769
18 Jessie Kunaka ZPP 13 Barmoral Flat Arcadia Harare Ph: 023817801
19 S Marima CWGH 114 McChlrey Avenue, Eastlea, Harare Ph -04—788100/
0912363824
20 Moses Nyamasoka Programme Officer National AIDS Council Box CY1474 mosesnyamaz@yahoo.co.uk
Causeway Harare Tel: 011513327 Fax: 04791243/ 011513327
21 Sukai Govo Monitoring and Evaluation Officer National AIDS Council sgovoh@yahoo.co.uk
Box CY1474 Causeway Harare Tel: 04-708043/ 011868331
22 Agrippa T A Zizhou Programme Office National AIDS Council Box 1286
Marondera Tel: 079-22008/ 0912936452
23 Tambudzayi Godfrey Musabayana National AIDS Council Mashonaland West
province P Box 609 CHINHOYI Tele: 067 22741/3/ 0912393446
24 Pascal Masocha Programmes Officer National AIDS Council Box 1507
Masvingo 039-263924 /011443957
25 Sibusisive Marunda National Orphan and Vulnerable Children Coordinator
National Aids Council No. 5 Dundry Close Strathaven Harare Tel: 0912947633/
791172
26 Dorothy Ndudzo Zimbabwe Chemical Plastic & Allied Workers Union
Health & Safety Officer Box 4810 , Tel: 04-753103 Harare
27 Francisca Binza Programme Assistant ZAN 154 Samora Machel Ave Harare
Tel: 700832/ 795337/ 0912978103
gtmusabayana@yahoo.com
sochworks@yahoo.co.uk
smarunda@nac.org.zw
NA
fbinza@zan.co.zw /
fbinza2002@yahoo.com
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