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Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University
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Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Dec 23, 2015

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Allan Newman
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Page 1: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Training Health Workers for Ebola

Chandrakant Ruparelia MD, MPH

Sr. Technical Advisor

Jhpiego-an affiliate of Johns Hopkins University

Page 2: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Key Take Away Messages

Need to train large healthcare providers and train them soon

Use of technology to quickly disseminate minimum must know information and skills demonstrations.

Use in-country facility based staff who can supervise/coach other staff members as they practice specific skills.

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Page 3: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Outline

Key competencies and components of training health care workers (HCWs) for Ebola

Challenges to training HCWs in affected countries

Approaches to training HCWs

Resources for training HCWs

Page 4: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Environment in which HCW Function During Ebola Outbreak

Stress Burnout Fears Unfavorable attitudes Stigma and discrimination High work load Inadequate supportive supervision Lack of resource and safe work environment

Page 5: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Essential Competencies for Health Workers for Ebola

Early detection and management of a case of Ebola Virus Disease

Protect others and self from accidental exposure to blood and body fluids from a case of EVD by following appropriate IPC practices

Page 6: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Key Components of Training

Ebola basics and clinical case management Infection prevention and control for Ebola

Hand Hygiene Screening and isolation for Ebola PPE Cleaning and disinfection Linen processing Waste management Safe handling of human remains

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Page 7: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Challenges

Train more HCWs, fast, repeatedly Deploying staff for training Availability of trainers Well defined training strategies and approaches Travel policies

Page 8: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

General Guidance to Design Training for HEWs in Ebola Affected Areas

Determine appropriate techniques for training Determine how many opportunities you have to

train the HCWs Plan how you can reach the number of HCWs

needed to be trained, at the same time maintaining quality and speed.

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Page 9: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

More Specifically

Use blended learning approach.

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Knowledge

Demonstration of Skills

Skills Practice

Skills AssessmentKnowledge Assessment

Final Skills Evaluation

Offered using technology Supported by clinical trainers

Competent HCWs

Page 10: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Resources and Tools

Ebola resource center http://www.hrhebolaresources.org/

Technical resources (www.cdc.gov, www.who.int)

Tools for offering online courses: www.moodle.org, www.sakaiproject.org

Tools for authoring e-Learning materials

Examples of e-learning courses

Page 11: Training Health Workers for Ebola Chandrakant Ruparelia MD, MPH Sr. Technical Advisor Jhpiego-an affiliate of Johns Hopkins University.

Thank You

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