Health workers training program in response to COVID-19

Pratiman-Neema Memorial Foundation partnered with Brown University, Project Hope, Nepal Study Center, The University of New Mexico and the Ministry of Social Development of Province 5 of Nepal to organize no cost “Train-the-Trainer program” on Strengthening Health Workforce Preparedness and Response to COVID-19.

The training program has been organized to provide the critical skills and knowledge necessary for health workers to respond rapidly and efficiently to COVID-19 in Nepal. This partnership has been designed to engage master trainers and coach new trainers in order to quickly build a cadre of competent instructors in Nepal, who can then train other health workers in their community, or “scale down” the training to ensure widespread adoption of the critical skills and knowledge necessary for health workers to respond rapidly and efficiently to COVID-19 in their workplaces and communities while protecting their own health. To ensure appropriate social distancing, the instructors have taught the course on digital platforms, including tele-training and online interactive training modules. The curriculum has been designed in line with WHO standards best practices and guidelines.

In the first level of the training program, 19 medical health professionals such as doctors, nurses, public health workers, medical practitioners from 5 different districts (Rupandehi, Dang, Pyuthan, Gulmi, Bardia) of Province 5 were selected for the Master Trainer program. The four days of the intensive online training program was organized from 11th May 2020 to 14th May 2020. In the second level of the training program, the trainers would now scale down to transfer their knowledge and skills to train other health workers in their hospitals, districts, and other local communities. Each trainer is expected to train at least 200 medical health professionals and should organize at least 4 training sessions within a month.

Nepal Study Center of the University of New Mexico and Brown University has designed pre and post-test and surveys of the training program. The quantitative and qualitative research analysis will be done further for the impact evaluation.

COVID-19 TOT-NEPAL

NEPAL COVID-19 TOT Summary Page 

COVID-19 Four Days Training Modules and Materials

Brief Background of Global Health Worker Training Program

Nepal COVID-19 TOT Schedule

Day 1: Background on COVID-19

The first day of the training session covers the background information on COVID-19; Infection, Prevention and Control (IPC) measures and strategies in health care and community settings. This also includes video demonstrations of the relevant topic.
[Trainers:  Dr. John Foggle, Assistant Professor of Emergency Medicine at the Warren Alpert Medical School of Brown University.] 

Background Module: Introduction to Response Training

Infection, Prevention and Control-IPC Module

Simulation: No Touch Policy

Simulation: Protecting Health Care Workers

Day 2:  Surveillance and Contact Tracing

The second day of the training program holds the session related to Surveillance concepts including active and passive contact tracing and the approach to response. It also includes other main topics such as screening and triage along with the case exercises.
[Trainers: Dr. Naz Karim, Assistant Professor of Emergency Medicine at the Warren Alpert Medical School of Brown University.] 

Surveillance Module

Screening and Triage Module

Simulation: Screening and Triage

Training Exercise: Surveillance (Contact Tracing )

Day 3: Diagnosis and Disease Management

The third day of the training program covers the topics related to understanding the concepts, protocols, approaches, and guidelines for Diagnosis and Management. This also includes Stabilization and Resuscitation sessions along with informative video demonstrations.
[Trainers: Dr. Stephanie Garbern, Assistant Professor in Emergency Medicine at the Warren Alpert Medical School of Brown University.] 

Diagnosis and Management Module

Stabilization and Resuscitation Module

Simulation Case: A Stable Patient with Suspected Case

Day 4: Risk Communication and Messaging

The fourth day of the training program highlights the concepts, principles, tools and approaches for Risk Communication and Messaging including impacts of stigma and approaches to reduce stigmatization. This also includes other main topics such as Operations and Medical Surge Capacity Development including table topic exercises.
[Trainers: Dr. Ramu Kharel, Emergency Medicine doctor from UT Southwestern Medical Center.]

Surge Capacity and Development Module

Risk Communication and Messaging Development Module

Training Exercises: Risk Communication and Public Health Messaging

Table Topic Exercise

LIST OF PARTICIPANTS OF COVID-19 TOT-NEPAL 

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