Assessment of potential training institutions for international FP training March 18, 2014

Objectives of the training Title: Comprehensive rights- based FP training Objectives: Comprehensive training needs assessment for the capacity and capability of the institutions to provide international comprehensive competency-based training in FP (clinical and few programmatic aspects) Also assessed the potential for national capacity building

Comprehensive Training Needs Assessment Comprehensive training needs assessment done that examined the training capability and capacity of the training system including the type of reference materials and training materials, trained trainers and untrained trainers, tutors, preceptors and training/practicum sites. Did not assess availability, accessibility, acceptability and quality of FP/RH services but indirectly estimated through various literature reviews – National Contraceptive SCM assessment, data on method use, IDHS discontinuation data (for quality of services), etc.

Methodology Review of training materials (the national training curriculum and clinical training in contraceptive technology update developed by the JNPK)and national FP guidelines developed by POGI CTU evaluation (BKKBN and HOGSI and supported by BKKBN) IDHS 2012, Assessment of CCS, Provincial data from BKKBN – problem data against targets Visits to institutions -- (main purpose for skills lab adequacy and training materials, use of competency based training—acquisition of knowledge and skills) (more details in parameters used)

Institutions assessed Yogyakarta Centre for reproductive health, University of Gajja Madah Faculty of Medicine, UGM Clinical training sites- Dr. Sardito Hospital, Yogyakarta, Jakarta Raden Selah Hospital, Jakarta Department of Reproductive Endocrinology JNPK office for understanding the current system of in-service training Surabaya Dr. Soetomo Hospital (Department of OBGYN ), Denpasar Prima Medical Service, Denpasar (Department of OBGYN) BKKBN Provincial offices in Yogyakarta, Surabaya and Denpasar 

Parameters used and scoring (scale 1-5) UGM and Dr. Sarjito Raden Selah Surabaya Denpasar Interest and commitment of the institution 4 2 1 Skills in curriculum development 3 Skills in CBT Non-clinical trainers (NC) Clinical trainers (C)   NC 3 C 3 - C 4 C2 C4

Parameters used and scoring (scale 1-5) Skills lab Pre-clinical 5 Clinical 3 Clinical –? Clinical - 2 Clinical -0 (did not visit, from report) Case load Adequate for training up to 10 ? No Counselling 3 1 BKKBN provincial support 4 2

Issues of general interest Vasectomy and tubal ligation training (theory, skills training – model and clients) (Standard taught in Surabaya) Counselling training not linked to clinical training Target setting Instruments– packaging according to procedures Infection prevention

Recommendation Faculty of Medicine, UGM and Dr. Sarjito Hospital has the potential to host the south-south Cooperation for Comprehensive, rights-based FP training Possibility of consortium approach needs to be explored

Work plan Written commitment from selected training institute and trainers Curriculum - TOT and service providers (standard procedures) (clinical and programmatic) Duration of training Training coordinator and trainers Training sites- Clinical, facility and contraceptive logistics system in the district Trainers’ training Training site requirements including case load Models – pelvic, NSV, arm for implants, instruments, etc.

Work plan Accommodation Getting bio-data of trainees including job description Clearance from Medical Council and Medical Association Assessments of trainees – pre, during and post Assessment of training and trainers Reassessment of the institution