Training of trainers (TOT) on Syndromic management of STI, MOH

Duration: June 5 -10/2015 Venue: Bahir dar Health science collage

Date/Day Time Activity Responsible Remark
Day1 08:30-09:00 am Registration MOH
Monday
09:00-09:10 am Introduction of Participants and Course Agenda MOH
09:10-09:20 am Opening Speech MOH

09:20-09:30 am Ground rules and expectations All Facilitators

09:30-10:00 am Pre-test All Facilitators
10:00-10:10 am Group Formation All Facilitators
10:10-10:30 am Tea Break
PART I. CLINICAL TRAINING SKILLS (CTS)
10:30 am-12:00 pm Session-1 Principles of educating Health Care Providers All Facilitators

Presentation
Group Activity
12:30-01:30 pm Lunch
01:30-03:30 pm Session 2: Prepare and Use Audiovisual Aids All Facilitators
Presentation
Group Activity
Session-2 Prepare and Use of AV Aids (PowerPoint Tips)
03:30-03:50 pm Tea Break
03:50-05:20 pm Session 2 Group exercise All Facilitators

05:20-05:30 pm Daily Evaluation

1
Day 2 08:30-8:45 am Warm-up, Agenda and Recap
Tuesday
8:45-9:15AM Section 2 Group exercise presentation All Facilitators
9:15-10:15AM Session 3: Deliver Interactive Presentations All Facilitators
 Presentation
10:15-10:30AM Session 4: Facilitate Group Learning Activities All Facilitators
Presentation
Group Activity
10:30-10:50 am Tea Break
10:50-11:20 Continue Session 4: Facilitate Group Learning Activities All Facilitators
Presentation
Group Activity
11:20 am-12:30 Am Session 4 Group exercise All Facilitators
12:30AM-01:30PM Lunch
1:30-2:20PM Session 5: Facilitate Development of Clinical Skills All Facilitators
Presentation
02:20-03:05 pm Session-6 Plan and Organize training Event All Facilitators
Presentation
Group Activity
3:05-3:30AM Section 6 Group work All Facilitators
03:30-04:00 pm Tea Break
04:00-04:25 pm Continue Section 6 Group work All Facilitators
04:25-04:35 pm Daily Evaluation All Facilitators

Date Time Activities

Day 3 8:30-10:30AM  Course overview and introduction (20 minutes) Facilitator

2
 Date Time Activities
Wednesda  Module 1 objectives (5 minutes)
y  Transmission of STIs (35 minutes)
 Epidemiology of STI (15 minutes)
 Epidemiology of STI continued (15 minutes)
 Complications and impacts of STI (25 minutes)
 The link between STI and HIV/AIDS (10 minutes)

10:30-10:50AM TEA BREAK

10:50 -11:20AM  Strategies for STIs prevention and control (10 minutes) Facilitator
 Challenge of controlling STI and STI control program in Ethiopia (20
minutes)

11:20-12:30AM  Module 2 objectives (5minutes) Facilitator

 Approaches to STI diagnosis (5minutes)
 Approaches to STI diagnosis continued(15minutes)
 Syndromic management (25minutes)
 Criticism of the syndromic approach (20 minutes)


12:30-2:00PM LUNCH BREAK

2:00-2:10PM  Criticism of the syndromic approach continued (10 minutes) Facilitator

3
 Date Time Activities
2:10-2:25  Using flow charts (20 minutes) Teach Back

2:25-3:30pm  Module 3 objectives (5minutes) Teach Back
 Introduction to history taking and examination (15 minutes)
 Communication skills for establishing a good rapport with a patient (15
minutes)
 Gathering information (35 minutes)

3:35-3:55PM TEA BREAK

3:55-4:45PM  Skills practice (50 minutes) Facilitator

4:45-5:35PM  Module 4 objectives(5 minutes) Facilitator

 Urethral discharge and/or dysuria (45 minutes)

8:30-8:45AM Recap of Day3

Day4
Thursday 8:45-9:15 AM  Genital ulcers (30 minutes) Facilitator
9:15-9:55AM  Vaginal discharge (40 minutes) Teach Back
9:55-10:35  Lower abdominal pain (40 minutes) Teach Back

10:35-10:55AM TEA BREAK

10:55-11:50AM  Scrotal swelling (20 minutes) Teach Back
 Inguinal bubo (15 minutes)

4
Date Time Activities
 Neonatal conjunctivitis (20 minutes)

11:50-12:30  Treatment issues (15 minutes) Teach Back

 Follow up visit for patients with STI (15)

12:30-2:00PM LUNCH BREAK

2:00-3:00PM  Exercise 4.1 (60minutes) Facilitator

3:00-3:30PM  Module 5 objectives (5 minutes) Teach Back

 Issues to consider during management of STI in children and adolescents (15
minutes)
 Management of STIs in children and adolescents (10 minutes)

3:30-3:50PM TEA BREAK

3:50-4:20PM  Exercise on case studies 5.1 (30 minutes) Facilitator
4:20-5:30  Module 6 objectives (5 minutes) Teach Back
 Syphilis in pregnancy and congenital syphilis (30 minutes)
 Genital warts(15minutes)
 genital scabies(10minutes)
 pediculosis pubis(10minutes)
 Neonatal herpes (10minutes)

Day5 8:30-8:45AM Recap of Day 4 Teach Back

Friday 8:45-9:20AM  Module 7 objectives (5 minutes) Teach Back

5
Date Time Activities
 Importance and type of STI screening( 5minutes)
 Syphilis screening( 10minute)
 Cervical infections screening( 15minutes)

9::20-10:15AM  STI in MARPs (55minutes) Teach Back

10:15:10:30  Module 8 objectives (5 minutes) Teach Back
 Basic principles of health education and counseling (10minutes)

10:30-10:50AM TEA BREAK

10:50-11:00AM  Basic principles of health education and counseling continued (10minutes)

11:00-12:30AM  Counseling for STI(25 minutes) Teach Back

 HIV testing and counseling( 30minutes)
 Educate and provide condom (30 minutes)

12:30AM- LUNCH BREAK

2:00PM
2:00PM-3:00PM Case study 8.1 ( 60 minutes) Facilitators
3:00-3:30PM  Module 9 objectives (5 minutes) Teach Back
 Principles and approaches to partner management (5 minutes)
 Partner notification through patient referral (15minutes)

3:30-3:50PM TEA BREAK

3:50-4:10PM  Challenges of partner referral and treating partner(s) (20 minutes) Teach Back
4:10-4:55PM  Module 10 session one objective and Components of STI program Teach Back
(5minutes)
 Clinical care, Leadership and coordination, Procurement and supply
management, Advocacy and social mobilization and Surveillance

6
 Date Time Activities
(40minutes)

4:55-5:30  Module 10 session two objective ( 5minutes) Teach Back

 Quantification and forecasting, Storage and distribution of STI drugs (10
minutes)
 Rational STI drug use with discussion (15 minutes)

8:30-8:45AM Recap of Day 3 Teach Back

8:45-9:35AM  Module 11 objective ( 5 minutes) Teach Back
 Introduction to monitoring and evaluation of STI program( 5 minutes)
 Tools in M&E( 5 minutes)
 Surveillance and its components(30 minutes)
 Evaluation( 5 minutes)
Day 6
Saturday

9:35-10:05AM  Group work on the STI HMIS formats(30 minutes) Facilitator

10:05-10:30  Post test Facilitator

10:30-10:50AM TEA BREAK
10:50-11:20AM  closing remarks and certificate (30 minutes) FMOH