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IDCAP Mobile Teams

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IDCAP Mobile Teams

Training programs are widely believed to have more lasting effect when they are performed at the trainees place of work, and some limited evidence does exist to support this theory. But adoption of this approach has been slow to catch on due to the cost and complexity of implementation. In April 2010, Accordia and its partners launched the Integrated Infectious Disease CapacityBuilding Evaluation (IDCAP) which combines classroom and On-Site Support (OSS) training with proven Continuous Quality Improvement (CQI) activities to boost individual and facility level performance. The OSS is delivered by multidisciplinary Mobile Teams that perform training and other activities where it matters most at the point of care for millions of Ugandan adults and children.
Products Available for Use 7 mobile teams comprised of highly trained individuals available for deployment January 2012

Structure of the Mobile Teams The Mobile Teams consist of a doctor (who is also an expert in the CQI process), a clinical officer, a laboratory professional, and a rotating slot for the local District Health Team nurse. Training of the Mobile Teams In preparation for the onsite support (OSS) visits, the Mobile Teams underwent rigorous trainings facilitated by both local and international instructors to prepare them for the complex task of delivering in-service education at rural facilities across Uganda. Below is a list of all the trainings they attended.
IDCAPs Integrated Management of Infectious Disease (IMID) Core Course

HIV Care/ART Data Management

Team Building

Communication

Leadership

Principles of Adult Learning

Mentorship

Conflict Resolution

In addition to attending IDCAPs IMID Core Course, the Mobile Teams received an orientation on how to deliver multidisciplinary training (MDT) modules, and on how to coach and mentor site staff. The teams work closely with trainees who attended the classroom based IMID course in their work environment. This helps to reinforce the knowledge that the trainees learned in the classroom and provides an opportunity for mentoring in the workplace. Data management training included participation in a fiveday training in HIV Care/ART data management from the Ministry of Health (MOH). During OSS visits, the Mobile Teams coach site staff in the use of data to improve the quality of care at their facilities. Not only do staff learn how to collect data on specific indicators, but they also learn how to analyze the data and implement processes that can improve the performance of those indicators. The lab technologists on the Mobile Teams also received an orientation on laboratory tools and job aids developed specifically for IDCAPs OSS. With their expertise and training, the Mobile Teams were significantly involved in conducting pilots to determine the design of IDCAPs OSS. They also visited IDCAP sites to conduct orientations, discuss trainee selection criteria and support the establishment of the data surveillance system. Delivering OSS Every month, for 9 months, the Mobile Teams spent two weeks travelling from one IDCAP site to another to deliver IDCAPs On-Site Support (OSS) package: multidisciplinary training courses for the entire site team; individual mentoring sessions with clinical and laboratory staff; and Continuous Quality Improvement (CQI) activities to help drive the improvement of processes of care at the facility. The teams spent two days at each site. IDCAPs Mobile Teams are not only trained to efficiently deliver in-service clinical training to adult health workers but they also impact processes of care at the clinic. They work closely with different cadres to assess inefficiencies in the workplace and mentor them through finding appropriate solutions. This dynamic group of health professionals is the key to delivering and reinforcing on-site education and building capacity locally to sustain changes. Their extensive expertise can be expanded to other skill delivery systems beyond the topics of infectious disease. For example, as new guidelines and treatments are adopted, they must be disseminated to health workers in a timely manner. Developing countries often do not have existing resources for this task. With their knowledge of methods of delivery, IDCAPs Mobile Teams can efficiently deliver new guidelines and trainings in the workplace thus reducing human resource disruptions in settings that can scarcely afford them.

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