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

2. 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

3. 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.

4. 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)

5. 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 

6. 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

7. 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

8. 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

9. 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

10. 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.

11. 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