LHW Systems Review - Oxford Policy Management

Training system5 Training system5.1 Purpose• To ensure the LHWs and the LHSs are taught the basic necessary skills andknowledge to provide a high quality service;• To allow for the implementation of new strategies and advances in primary healthcare, where appropriate, through LHWs;• To induct and socialise LHWs and LHSs in the values and objectives of the role; 21and• To facilitate integration and collaboration between the health facility and the LHWPby using health facility staff as trainers.5.2 Performance measures• For 90 percent of working LHWs to score over 80 percent in the Knowledge Test; 22• For all working LHWs with over one year’s experience to have: 23o completed their initial three months’ training and one year’s task-based training;o attended 15 days’ refresher training per year from 2004;o continuous training at their monthly meeting at the health facility;ooreceived performance feedback on their work from a supervisor; andbeen given additional training on common problems related to maternal health(‘training on safe motherhood’);• For all working LHSs with over one year’s experience to have completed their initialthree months’ training and nine months’ task based training; 24• To have a sufficient number of trainers available to train recruited LHWs at the facilitylevel, to train LHSs at the district level, and to provide annual refresher training toLHWs. 25 This was estimated to be 9,000 trainers;• For there to be no transfers of district or health facility staff for the 15 months’ coretraining for LHWs; 26• To keep the core curriculum up to date, reflecting any policy changes in priorities onLHW service provision (e.g. EPI, TB Dots, training on safe motherhood). 275.3 In operation5.3.1 DescriptionHigh-quality functioning of the training system is critical to the success of the LHWP. Thetraining of tens of thousands of LHWs over the past 15 years has made provision of training,along with the selection of LHWs, a core organisational competency of the LHWP. By the21The initial three-month training period is reportedly the time when new recruits, on the understanding that this is a serious job,take the decision on whether or not to leave.22The Knowledge Test constructed for the 3rd Evaluation is based on the LHWs core curriculum. The performance standardcomes from the Strategic Plan: 21.23PC-1, LHWP: 29–31.24PC-1, LHWP : 37–825PC-1, LHWP: 31–2.26The Programme is required to train an adequate number of health facility staff in all districts so that, if transfers occur atfacility level while LHWs are in training, there will be other staff available to continue the training programme.27Strategic plan, LHWP: 20.17