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Falah Trainings |
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Empirical evidence obtained from
research conducted over the years shows
that the major obstacles to accessing
care especially in the rural areas are
linked to the paucity of good quality
family planning services. The lack of
staff competence is largely related to
the absence of organized in-service
training programs for the providers.
Existing trainings are infrequent and
fragmented.
The main thrust of FALAH Project was at “Repositioning of
Family Planning/Births Spacing as a Key
Health Intervention”. A multipronged
approach was adopted to achieve
this goal. A central component of this
approach was to prepare a cadre of
providers within the public health
system who are technically competent and
are proactive to provide high quality
client centered family planning
services.
To achieve this goal, the Population
Council, in collaboration with Jhpiego
and the Implementing Partners organize the following trainings under
FALAH project: |
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Strengthening District Population &
Health Systems through Effective
Leadership and Client Centered Services
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Client Centered Family Planning Services
– Basic
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Client Centered Family Planning Services
– Advance
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Competency Based IUCD
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Minilap Training
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Non-Scalpel Vasectomy Training
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Client Centered Family Planning Services
and Group Methodology for LHWs
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Strengthening District Population &
Health Systems through Effective
Leadership and Client Centered Services |
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This training was specifically
designed for district managers of the
Health and Population Welfare
Departments and allied Departments such
as Education, Revenue and Finance and
Community development, elected
representatives and members of local
Non-Governmental Organizations working
in the social sectors. The main focus of
this nine day training was to create an
enabling environment for the provision
of family planning and birth spacing
services at the district level. The
training emphasizeds the transformational
model of leadership development whereby
participants are imparted skills to hone
in their latent potential and transform
themselves from being managers into
leaders who are visionaries and
catalysts of change. |
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Client Centered Family Planning Services
- Basic |
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The six
day basic training was designed for
male providers of the health department
that include medical officers,
dispensers, medical technicians, and
male FWAs of the Population Welfare
Department. The rational for this
training was that due to a
lack of proper orientation, male
providers especially of the Health
Department were not actively
participating in the promotion of family
planning services. It was important that
they are not only trained in providing
birth spacing services, but proactively
help in meeting the reproductive health
needs of the clients. |
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Trainer’s Guide was developed along
with a participant’s manual, wall
charts, transparencies and other
training materials that include case
studies, role play instructions.
Specimens such as, cycle beads, Medical
Eligibility Criteria Wheel of WHO,
Counseling Reference Desk Guide were provided
for use by the trainers. The manual for
National Standards for Family Planning
and participant’s handbook was also being
provided to the participants for ready
reference. |
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Client Centered Family Planning Services
- Advance |
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The six
days advanced training was designed
specifically for female providers of the
Health and Population Welfare
Departments. This training put
additional emphasis on the knowledge of
contraceptive technology and management
of side effects from the perspective of
service provision. CCFPS advance
workshop had almost the same composition
as of CCFPS basic except that the
training was more focused and more
detailed information was provided on the
management of problems and side effects
related to the use of different
contraceptive methods. Training sites
for the CCFPS (Advance) step down
trainings were in selected RTIs (Regional
Training Institutes) of the MoPW. |
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A
Trainer’s Guide was developed along
with a participant’s manual, wall
charts, transparencies and other
training materials that include case
studies, role play instructions.
Specimens such as, cycle beads, Medical
Eligibility Criteria Wheel of WHO,
Counseling Reference Desk Guide were provided
for use by the trainers. The manual for
National Standards for Family Planning
and participant’s handbook was also
provided to the participants for ready
reference. |
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In both
the basic and advance trainings, a
detailed session on Islam and birth
spacing was included to help providers in
briefing their clients on this aspect. |
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Competency Based IUCD |
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The six
days training on competency based IUCD
training was provided to Female
doctors, LHVs, FHTs, Midwives and nurses
(if service providers) working in BHUs,
RHCs, THQs and DHQs who had already
under gone the CCFPS advance training.
The focus of this training was on skill
development in IUCD insertion and
removal techniques. The training will be
conducted in the selected RTIs and the
RHS-A centers of the MoPW.
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Trainer’s
notebook with knowledge and skill
assessment tools, Participant’s
handbook, case studies and skill
learning guides and Reference manual
with essential clinical information were
given to the participants.
Audiovisual materials, such as infection
prevention and procedure videos and
Anatomic models to assist with skill
acquisition were provided to the
selected RHSA’s Center. |
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Non-Scalpel Vasectomy and Minilap
Trainings |
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FALAH
helped the public sector to develop at
least one vasectomy and minilap center
in each of the project district.
Training was designed on need
assessment results so as to fill the
gaps in skills to improve the capacity
of the staff providing VSC based
services. |
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One lady
doctor and one male doctor from each
FALAH district with previous surgical
experience working in health or
Population Welfare Department were
trained at the Master Training Centers
of Minilap and Vasectomy respectively. |
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Client Centered Family Planning Services
and Group Methodology for LHWs |
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This six
days training on for Client Centered
Family Planning Services and Group
Methodology for Lady Health Workers was
conducted in 15 FALAH project
districts. They are trained on the
client centered approach updating
contraceptive technology and conducting
women group meeting using IEC material
prepared by FALAH. |
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The FALAH
project aimeds to utilize the Lady Health
Workers to expand the coverage of family
planning services within their catchment
area through their regular home visits
and women group meetings. For this
purpose, the client
centered approach training was replicated in 15 project
districts. The training was
imparted to the LHWs at their routine
training sites that include BHUs, RHCs,
THQs, where the LHWs are posted. |
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Basic Minimum Family Planning / Birth Spacing Content Package for Medical,LHV, Midwifes and Nursing Schools
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FALAH, through its consortium partner worked to include family planning
within the reproductive health curriculum for doctors, nurses, midwives and Lady
Health Workers (LHWs). The aim ws to sustain the Birth Spacing paradigm that
FALAH introduced within the health system by ensuring that future providers are
well equipped with the knowledge and skills to better guide clients.
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Orientation Workshop on Basic
Minimum Family Planning / Birth Spacing Content Package for Medical Colleges
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The FALAH project provided orientation on the new curriculum to faculties in most of the medical universities in Pakistan, like University of Health Sciences, Khyber Medical University, Shaheed Mohtarma Banazir Bhutto Medical University, Larkana, DOW University of Health Sciences, Karachi and Liaquat University of Medical and Health Sciences, Jamshoro.
Skills lab were also established in four of the medical colleges (QMC, CMC, LUMHS and DOW) and four of such labs were established in the nursing schools located at Jhelum, DG Khan, Mardan and Thatta. Comprehensive trainings of the faculty members were conducted on the basic minimal family planning content package.
The faculty has reported having better understanding of concepts and enhanced comfort levels in teaching family planning concepts. The students also reported improvement in learning due to the availability of labs and opportunities for skill development using models. A focus on counseling skills, previously not part of medical education, was also widely appreciated.
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Training on Supportive Supervision
for LHSs
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The LHWs are the key community health workers at the grass root level who bridge the gap between the health facility and the community. Many places they are the sole providers of family planning and primary health care. To improve their knowledge and skills, a 6 days training of trainers on client centered family planning services and group methodology was imparted. A total of about 14,300 LHWs have been trained but as we all know that one time training is not sufficient to bring about a sustained change. For the sustained change, regular and continues education and reinforcement is needed.
The LHW program has a very good infrastructure of supervision and a LHS supervises about 25 – 30 LHWs on a regular basis and also holds a monthly meeting with LHWs where continues education is provided. Hence, it is important that LHSs are not only trained in CCFPS but also imparted training on supportive supervision. Keeping this in view, Population Council under FALAH project has designed a 5 days training on supportive supervision. Training has been provided to about 500 LHSs in 15 districts.
The objectives of the training were;
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Explain the concept of Supportive Supervision, its components and practical
applications
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Discuss the process and steps involved in supervision
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Apply/use the principles of SAHR in supervising the LHWs on the basis of their
ability to identify and meet the needs of their clients instead of meeting
predefined targets
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Improve their skills to observe and identify problems, assist, guide and support
their supervisee in order to improve their performance.
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