The Role of CHART and the Importance of Continuing Education for PMTCT - PowerPoint PPT Presentation

1 / 37
About This Presentation
Title:

The Role of CHART and the Importance of Continuing Education for PMTCT

Description:

Encarta Dictionary ... evidence-based medicine. Focusing on quality ... (Adapted from Institute's of Medicine's Health Professions Education: A bridge to ... – PowerPoint PPT presentation

Number of Views:84
Avg rating:3.0/5.0
Slides: 38
Provided by: bba98
Category:

less

Transcript and Presenter's Notes

Title: The Role of CHART and the Importance of Continuing Education for PMTCT


1
The Role of CHART and the Importance of
Continuing Education for PMTCT
Wendy Sealy Training Coordinator CHART Barbados,
HIV/AIDS Programme Management Unit, Ministry of
Health, Barbados. Symposium on Management of
Mother-to-Child Transmission of HIV/AIDS Feb. 5
6, 2009
2
Objectives
  • Outline the role of the CHART Network in the
    training and education of healthcare workers in
    the Caribbean region.
  • Identify the role of continuing education in
    healthcare
  • Describe the importance of continuing education
    in PMTCT

3
Why CHART?
Caribbean HIV/AIDS Regional Training
4
HIV Infection Rates in Adults by Region of the
World in 2004
Source UNAIDS
5
The Pan-Caribbean Partnership against HIV/AIDS
  • Established February 2001
  • PANCAPs five-year strategic agenda seeks to
  • decrease the no. of new HIV infections
  • provide care and support for those affected by
    HIV/AIDS
  • reduce stigma and discrimination, and
  • mobilize the response to the epidemic

6
  • CHART began as an idea at more than one
    location
  • An idea shared with neighbours
  • In early 2001, CARICOM CAREC requested needs
    assessment related to HIV/AIDS care support
    training in the Caribbean region
  • Key stakeholders in the region shared their
    experience and thoughts with the assessment team
    from CDC/GAP, Univ. of Washington and US
    Southeast AIDS Education Training Center (AETC)

7
  • Gestational period 14 years
  • Multiple pregnancy !

8
  • The Vision Statement
  • The Caribbean HIV/AIDS Regional Training
    (CHART) Network leads the way in training
    excellence with the aim of reducing the burden
    and impact of HIV, AIDS and related conditions in
    every Caribbean country and territory.

9
Mission Statement
  • The mission of the CHART Network is to strengthen
    the capacity of national healthcare personnel and
    systems to provide access to quality HIV and AIDS
    prevention, care, treatment and support services
    for all Caribbean people through the development
    of a robust and sustainable training network.

10
Location of Training Centres
  • Jamaica
  • Bahamas
  • Haiti-GHESKIO/ PIH Zami Lazante
  • Barbados
  • OECS HAPU
  • Trinidad and Tobago
  • Regional Coordinating Unit, UWI, Mona, Jamaica

11
The shape of
PANCAP
FUNDING
TECHNICAL SUPPORT
12
A Caribbean Map
CHART Coordinating Center
CAYMAN IS.
ST. KITTS
BELIZE
NEVIS
PANCAP
13
Governance Structure
  • CHART Network Governance Structure consists of
  • Advisory Board which meets once a year
  • 2. Executive Council at least twice a year
  • NB. The organization is governed by a
    constitution and Bye-Laws

14
Regional Partners
  • PANCAP
  • CARICOM
  • Caribbean Association of Pharmacists
  • Caribbean Dental Group
  • CAREC/PAHO
  • Caribbean Nurses Organization
  • CRN
  • CCNAPC
  • CFNI/PAHO
  • CHRC
  • OECS Regional Coordinating Mechanism
  • Others

15
International Partners
  • I-TECH
  • ANAC
  • BroadReach
  • CDC-GAP
  • FXB
  • HRSA
  • HIV/AIDS Alliance
  • IAS-USA
  • Lutheran Medical Center
  • MEASURE/MACRO
  • Merck
  • Universities
  • Cornell
  • Harvard
  • UAB
  • Vanderbilt
  • UNAIDS
  • USAID
  • Others

16
Categories of personnel being trained across the
CHART Network
  • Physicians
  • Nurse practitioners
  • Clinical nurses
  • Public Health nurses
  • Pharmacists
  • Dentists
  • Laboratory workers
  • Social workers
  • Counsellors
  • Community health aides
  • Accompagnateurs
  • Contact investigators
  • Health administrators
  • PLWHAs

17
Priority Themes (1)
  • Comprehensive Treatment, Care and Support
  • Team approaches to care, support and treatment
  • The approach to the patient and the family
  • PMTCT
  • VCT
  • Use of ARVs
  • Prophylaxis and Rx of Opportunistic Infections in
    the Caribbean
  • Dx and Rx of TB
  • Rx of STIs
  • Appropriate use of the laboratory techniques

18
Priority Themes (2)
  • Nutrition for non-nutritionists
  • Record keeping informatics
  • Notification
  • Confidentiality
  • Prevention in the context of care
  • Stigma and discrimination
  • Psychosocial care
  • The health care worker as an advocate
  • Basic counselling skills for the health care
    worker

19
a flexible model
  • By prior arrangement, teams of trainers
  • will work either at CHART Centres or other
    training sites
  • Learning activities
  • will occur at points of delivery of care as
    much as possible
  • Trainers
  • Caribbean nationals and experienced persons from
    outside of the Caribbean
  • Learners
  • may sometimes go abroad

20
The Model levels of training
  • Taken from the US AIDS Education and Training
    Centers (AETC) Model

21
Level 1 mainly didactic
  • Large groups
  • Typically
  • Lectures
  • Journal club
  • Grand rounds
  • Special topic seminars

Learners largely in passive mode some
interaction.
22
Level 2 Skills-building workshops
  • Smaller groups, interactive, e.g.
  • Case discussion
  • Simulated patients
  • Role play

23
Level 3 Working with real patients and situations
  • Clinical observation of patient care
  • Interaction with patients during care
  • Mini-residencies
  • Preceptorships
  • Telemedicine

24
Level 4 Clinical consultation mentorship style
  • Interaction between the mentee and the mentor
    via
  • Telephone or fax
  • Internet
  • On-site consultation
  • Other

25
Focus present and future
  • Scaling up Number and Quality of Training Efforts
  • National Training Centers as Centers of
    Excellence
  • linked to Health Facilities for Study Tours and
    Preceptorships
  • Database of trainers
  • Regular Clinical Consultation
  • Study Tours
  • Training Certification
  • Strengthening In-service and Pre-Service
    Training

26
Importance of Continuing Education
  • DEFINITIONS
  • Continuing Education
  • Specialist courses to update professionals
    regular courses or training designed to bring
    professionals up to date with the latest
    developments in their particular field. Encarta
    Dictionary
  • Educational classes or experiences for licensed
    professionals that extend, update, or renew their
    knowledge of practices in their field.
    Answers.com
  • For the profession of pharmacy is the structured
    educational activity designed or intended to
    support the continuing development of pharmacists
    and /or pharmacy technicians to maintain and
    enhance their competence (promote problem-solving
    and critical thinking). Accreditation Council for
    Pharmacy Education

27
The context of Continuing Education
  • Continuing education vs traditional education
  • The latter offers formal schooling which offers
    basic skills to start persons off in the world of
    work
  • The former however offers additional knowledge
    and skills to enhance the work of the participant
    and to apply lessons to their work experience

28
Benefits of Continuing Education
  • A more skilled workforce which is more productive
  • Employers more likely to hire or retain persons
    who have continuing education on their resume
    (organization likely to remain competitive)
  • Use of a variety of teaching/learning
    methodologies and interactive media to allow for
    continuing education through distance learning

29
Applicability of continuing education to pharmacy
practice
  • The development and maintenance of
    proficiency in five core areas
  • Delivering patient-centered care
  • Working as part of a multidisciplinary team
  • Practicing evidence-based medicine
  • Focusing on quality improvement
  • Using information technology
  • (Adapted from Institutes of Medicines Health
    Professions Education A bridge to Quality, 2003)

30
The Importance of Continuing Education in PMTCT
31
Barbados National PMTCT Curriculum Goals
  • To equip healthcare workers (HCW) with sufficient
    knowledge and basic skills to care for pregnant
    women with HIV and their infants.
  • To demonstrate the benefit of antiretroviral
    therapy (ART) in reducing the risk of
    mother-to-child transmission of HIV (MTCT) and
    caring for mothers and families

32
Curriculum Development process
  • Design- Conceptualization stage attention given
    to varied components including the philosophical
    underpinnings, goals, objectives, content,
    learning experiences and and evaluation.
  • Develop- planning, construction and logical step
    by step procedures used to produce written
    documents.E.g. vision statements, goals,
    standards, performance benchmarks.
  • Implement-Stakeholder contribution to
    operationalize the curriculum through meetings.
  • Monitor-Follow through to ensure that practice
    is in keeping with goals and objectives of
    national curriculum.
  • Evaluate-Data collection process on the field to
    determine the effectiveness of the curriculum
    design.
  • Review-Information gained from data analysis is
    used to guide appropriate adjustments.

33
Barbados National PMTCT Curriculum Process
  • Participation of a group of health care
    providers from the LRU, QEH and Polyclinics
    participated in I-TECH/CHART training activity in
    Bahamas for the Scaling up of PMTCT activities
    in the Caribbean region in 2005
  • The participation of CHART Coordinator and Health
    Education Officer of the MOH to the Technical
    Working Group meeting of the Bahamas National
    PMTCT Curriculum process in 2006
  • Establishment of a PMTCT Curriculum Committee in
    2007
  • PMTCT Stakeholder Meeting, May, 2007
  • Draft curriculum compiled by a curriculum
    specialist from I-TECH
  • PMTCT Technical Working Group meeting, September,
    2007
  • Piloting of the Barbados PMTCT National
    Curriculum, November 2007

34
Barbados National PMTCT Curriculum
  • Course Structure
  • Format
  • 5 full days
  • 10 Modules
  • Interactive, adult learning
  • Didactic (lectures)
  • Two main documents
  • Facilitator manual
  • Participant manual

35
Barbados PMTCT Curriculum Course content
  • Course Introduction
  • Module 1 Introduction to HIV/AIDS
  • Module 2 Introduction to PMTCT
  • Module 3 PMTCT Interventions/ARV Prophylaxis
  • Module 4 Adherence in HIV Care
  • Module 5 HIV Testing
  • Module 6 Infant Feeding
  • Module 7 Continuum of Care for Women, Children,
    Families
  • Module 8 Stigma and Discrimination
  • Module 9 Healthcare Worker Safety

36
Key Points
  • CHART promotes multidisciplinary team education
    and training programmes for health care workers
    including pharmacists in the Caribbean region.
  • PMTCT is concerned with care and services for
    pregnant women and their families.
  • Continuing education is lifelong learning geared
    at enhancing and strengthening the knowledge and
    skills of healthcare workers in their area of
    specialization.
  • The importance of PMTCT in continuing education
    in PMTCT assures that healthcare workers are able
    to access current information to enable them in
    providing quality care to clients.

37
Thank youAcknowledgements Dr. Anton Best,
SMOH (CD), Ministry of Health, BarbadosProf.
Brendan Bain, Director, CHART RCUwww.chartcaribb
ean.org
Write a Comment
User Comments (0)
About PowerShow.com