Family Planning Logistics Manageent - part - usaid

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INSTITUTIONALIZATION/Page Four curriculum modules and standardized inservice curricula for the three levels of service providers, i.e., Nu,-se-Midwives, CHEWs and VHWs. The senior advisor CSRT are the prototypes for IHP's FHS training institutionalization model having advanced through the KAS acquisition pathway (dotted line) and demonstrated cadre replication and TA competency following the institutionalization pathway (solid line). Current IHP technical assistance activities include standardization of physicians' FP inservice curriculum and FP curriculum modules for Nigeria's 11 schools of medicine and will utilize selected CSRT. CSRT Development Process A two-phased approach to creating the CSRT cadre was designed. Five topic areas were targeted as essential to CSRT task performance. They were: contraceptive technology, preceptorship, training theory and methodology, consultation/technical assistance and evaluation of training. The first phase consisted of an advanced TOT which focused on training and TOT theory and skills, contraceptive technology and client counseling theory. It was conducted in April 1991. Emphasis was placed on progressive application of both contraceptive technology and training/training of trainers theory through simulated practice (micro-training presentations). Video recording of each <strong>part</strong>icipant's multiple presentations was used to provide evaluative feedback for both the individual involved and the groups as a whole. Teamwork and collegial collaboration were advocated and practiced throughout. Topic and training designs were selected from the three standardized inservice curricula. A variety of training techniques were required, e.g., demonstration/return demonstration, song, small group discussion, exercise, lecturette. The impact of video replay coupled with immediate verbal and written feedback from peers, greatly accelerated the internalization of skill application for the presenters and their peer observers. Ensurance of CSRTs' competence and comfort in the implementation of the standardized curricula was seen as pre-requirement to training others as trainers. Within the past six months, CSRTs have been busily conducting a variety of training, curriculum revision and training proposal activities. A computerized data bank has been established to chronicle CSRT's individual training assignments in order to document their utilization and as a tracking mechanism for their ongoing individual professional development.
INSTITUTIONALIZATION/Page Five For example, recently one team of seven CSRTs finalized the national standardized inservice curricula for service delivery personnel (Nurse-Midwives, CHEWs and VHWs) and the TOT curriculum. This past month another CSRT team <strong>part</strong>icipated in the drafting of the FP modules for the nationwide Schools of Health Technology preservice CHEW curriculum. FHS' IEC contractor, Johns Hopkins, had also experienced a similar need for TOT in counseling and so collaborated and cosponsored the first phase of the CSRT developmental activities. In the future, it is anticipated that Johns Hopkins counseling training activities throughout the Nigerian Federation will utilize members of the CSRT. Phase Two of the CSRT development process is scheduled for early 1992. It is anticipated that the majority of the CSRT will have had at least one TOT experience between May 1991 and the first quarter of 1992. Phase Two will concentrate on the theory and skills of training consultation including training curriculum development, monitoring and evaluation of training activities and the management of training. Advancement of training skills will be encouraged through video-taped training sessions, focusing on role-play, exercises/games and case-study analysis as the chosen training methods. Sharing and analysis of the CSRTs' training experiences between May and early 1992 will be used as a case-study approach to the CSRTs' development process. In-country FHS Pathfinder training staff will assist the CSRT throughout this activity as they did during Phase One and will oversee the assignment of CSRT members to FHS sponsored TOT/TA activities while continuing to maintain the data bank mentioned above. To date, feedback from CSRT to both FHS/Pathfinder in Lagos and to IHP has included a broadening of training skills' application at levels I and II (dotted-line pathway) with an increase in utilization of CSRT members in the replication of personnel within Cadre I and the involvement of CSRT in the development of training programs to increase numbers in Cadre II. It is anticipated that after the completion of the CSRT's Phase Two activity in 1992, utilization of the membership in training others as trainers and in consulting with ministries or other agencies regarding training programs will also increase, thus contributing to Cadre III expansion, both in numbers and in skills' acquisition.
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NIGERIA July 22 - August 14, 1992 C
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Logistics Management Assistance Fam
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Logistics Management As; stance Fam
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APPENDIX 1
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APPENDIX 2
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ACRONYMS ................... TABLE
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ACRONYMS AIDS - Acquired Immune Def
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ACKNOWLEDGEMENT The consultants gra
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1. EXECUTIVE SUMMIlARY Introduction
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made at Central and Zonal levels wh
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2. RECOMMENDATIONS Forecasting and
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should be carried out with continue
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i. Collection and review of all ava
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Literacy Rate Male Female Main Ethn
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Percent of Current Users of Modern
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esult is errors and distortions in
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6. PROPOSED PUBLIC SECTOR CONTRACEI
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Proposed Cycle of Contraceptive For
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Note: Costs calculated on basis of
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ii. Zonal Warehouses None of the Zo
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equirements of contraceptives direc
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6.6 Management Information System (
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anaiysis and quick transmission of
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LEVELS NATIONAL INTERNATIONAL NATIO
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6.7.3 Present Staffing and Proposed
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to % W - %_p Inventory Management P
Page 79 and 80: iv. OVERSEAS TRAINING AND OBSERVATI
Page 81 and 82: 4. Shipment and Quality Control tes
Page 83 and 84: twice the rate: 1X 50 Xt42000 + 2 X
Page 85 and 86: 7. ROLES AND RESPONSIBILITIES OF TH
Page 87 and 88: - Collate and forward to Zonal Coor
Page 89 and 90: marketing of oral pills, foam table
Page 91 and 92: In 1989/90 the LGA-based radial out
Page 93 and 94: under joint storage arrangements. T
Page 95 and 96: 6. Order printing of required quant
Page 97 and 98: APPENDIX 3 FEDERAL MINISTRY OF HEAL
Page 99 and 100: 8. Contraceptive Stock i. ii. iii.
Page 101 and 102: JOB DESCRIPTION APPENDIX 4 TITLE: A
Page 103 and 104: TITLE: ASSITANT LOGISTICS MANAGEMEN
Page 105 and 106: TITLE: ASSISTANT LOGISTICS MANAGEME
Page 107 and 108: PERSONS CONTACTED APPENDIX 5 A. Fed
Page 109 and 110: Dr. Young-Amey, Medical Officer/PHC
Page 111 and 112: CONSULTANTS' TERMS OF REFERENCE APP
Page 113 and 114: APPENDIX 3
Page 115 and 116: FHS agrees that mobility of monitor
Page 117 and 118: IMO STATE FAMILY PLANNING DISTRIBUT
Page 119 and 120: Loqo Materials Distributed Accordin
Page 121 and 122: Family Planning Services/Products P
Page 123 and 124: APPENDIX 5
Page 125 and 126: Phase 4: Independent work __ Nigeri
Page 127 and 128: INSTITUTIONALIZATION OF FAMILY PLAN
Page 129: INSTITUTIONALIZATION/Page Three A s
Page 133: Appendix 6 List of the 30 States an
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