ISSN: 2375-379X
Health Sciences Research  
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Improving Human Resources for Health (HRH) through Professional in-Service Trainings in Program Management, Monitoring and Evaluation Short Courses: The Need, the Processes and the Outcome
Health Sciences Research
Vol.1 , No. 4, Publication Date: Oct. 8, 2014, Page: 93-101
1654 Views Since October 8, 2014, 1066 Downloads Since Apr. 14, 2015
 
 
Authors
 
[1]    

Obinna Oleribe, Excellence & Friends Management Consult/Care Center (EFMC), Abuja Nigeria.

[2]    

Kenneth Onyewuchi, Excellence & Friends Management Consult/Care Center (EFMC), Abuja Nigeria.

[3]    

Peter Nsubuga, Global Public Health Solutions, Atlanta Georgia, USA.

[4]    

Patrick Nguku, Nigeria Field Epidemiology and Laboratory Training Program (NFELTP), Abuja Nigeria.

[5]    

Princess Osita-Oleribe, The Heller School for Social Policy and Management Brandies University, Waltham, Massachusetts, USA.

[6]    

Emeka Nwachukwu, Excellence & Friends Management Consult/Care Center (EFMC), Abuja Nigeria.

[7]    

Beatrice Masika, African Field Epidemiology Network (AFENET), Kampala Uganda.

[8]    

Sani- Gwarzo, Federal Ministry of Health (FMOH), Abuja Nigeria.

[9]    

Patience Akinola, Excellence & Friends Management Consult/Care Center (EFMC), Abuja Nigeria.

[10]    

Frank Nkwopara, Excellence & Friends Management Consult/Care Center (EFMC), Abuja Nigeria.

[11]    

Gitta Sheba, African Field Epidemiology Network (AFENET), Kampala Uganda.

[12]    

David Mukanga, African Field Epidemiology Network (AFENET), Kampala Uganda.

[13]    

Okey Nwanywanwu, Global Health Services Network LLC Michigan, USA.

 
Abstract
 

Introduction: Appropriately skilled human resources for health (HRH) is critical to the achievement of most public health interventions especially in developing countries. Poor program management, reporting and evaluations are the bane of most public health programs in a number of low and middle-income countries, with human resource challenges being a contributing factor. This paper shares key experiences in implementing professional program management, monitoring and evaluation in-service trainings aimed at strengthening the capacity and competencies of health workers thereby improving the quality of health services across all levels in Nigeria. Methods: Excellence and Friends Management Consult (EFMC), in partnership with African Field Epidemiology Network (AFENET), Uganda and Global Public Health Solutions, USA and with funding from US Centers for Disease Control and Prevention (CDC) in 2012/2013 initiated, planned and executed two professional program management courses – Nigerian Professional Monitoring and Evaluation Short Course (NPMEC) and HIV and AIDS Program Management Short Course (HAPMSC). These courses lasted for three and six months respectively. Exceptional students were requested to submit a project proposal for an additional 3-month post-training project, for seed grants. A post course evaluation was conducted in June/July 2014 to ascertain the impact of the course on the career and work packages of the trainees. Results: The two professional courses trained 118 trainees (M= 72, F= 46) and implemented 103 approved projects covering various aspects of public health. The training was described in just two words: “LIFECHANGING” by a course a participant. In a post training evaluation, 66.7% of the respondents agreed that the trainings had within the period under review positively changed their jobs. Discussions/Conclusions: The EFMC professional program management, monitoring and evaluation short course contributed to the Human resources of Health stock in Nigeria, which has been said to be critical. There is dire need for a new crop of program managers with appropriate skills and competencies to monitor and evaluate programs for accountability of project budget execution, evidence-based planning and improving the health services and outcomes of Nigeria. Support for this training will help develop a critical mass of individuals who will jumpstart the generation of reliable data from Nigerian public health interventions for evidence based decisions and programming.


Keywords
 

Program Management, Human Resources for Health, EFMC, Nigeria, Monitoring and Evaluation, Short Course


Reference
 
[01]    

Leatherman S, Ferris TG, Berwick D, Omaswa F, Crisp N: The role of quality improvement in strengthening health systems in developing countries. Int J Qual Health Care 2010, 22(4):237–43.

[02]    

Frenk J: The Global Health System: Strengthening National Health Systems as the Next Step for Global Progress. PLoS Med 2010, 7(1): e1000089. doi:10.1371/journal.pmed.1000089

[03]    

Joseph KB Matovu, Rhoda K Wanyenze, Susan Mawemuko, Olico Okui, William Bazeyo and David Serwadda: Strengthening health workforce capacity through work-based training. BMC International Health and Human Rights 2013, 13:8 http://www.biomedcentral.com/1472-698X/13/8

[04]    

Ravishankar N, Gubbins P, Cooley RJ, Leach-Kemon K, Michaud CM, Jamison DT, Murray CJL: Financing of global health: tracking development assistance for health from 1990 to 2007. Lancet 2009, 373:2113-2124

[05]    

Narasimhan V, Brown H, Pablos-Mendez A, Adams O, Dussault G, Elzinga G, Nordstrom A, Habte D, Jacobs M, Solimano G, Sewankambo N, Wibulpolprasert S, Evans T, Chen L: Responding to the global human resources crisis. Lancet 2004, 363:1469-1472.

[06]    

Schieber GJ, Gottret P, Fleisher LK, Leive AA: Financing Global Health: Mission Unaccomplished. Health affairs 2007, 26:921.

[07]    

Donna S Jones, Mufuta Tshimanga, Godfrey Woelk, Peter Nsubuga, Nadine L Sunderland, Shannon L Hader and Michael E St Louis: Increasing leadership capacity for HIV/AIDS programmes by strengthening public health epidemiology and management training in Zimbabwe. BioMed Central, Human Resources for Health 2009, 7:69 doi:10.1186/1478-4491-7-69.

[08]    

Beaglehole R, Bonita R, Horton R, Adams O, McKee M: Public health in the new era: improving health through collective action. Lancet 2004, 363:2084-2086.

[09]    

Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E, Habte D, Hanvoravongchai P, Jacobs M, Kurowski C, Michael S, Pablos-Mendez A, Sewankambo N, Solimana G, Stilwell B, de Waal A, Wibulpolprasert S: Human resources for health: overcoming the crisis. Lancet 2004, 364:1984-1990.

[10]    

Drager S, Gedik G, Dal Poz MR: Health workforce issues and the Global Fund to fight AIDS, Tuberculosis and Malaria: an analytical review. Hum Resour Health 2006, 4:23.

[11]    

Vujicic M, Weber SE, Nikolic IA, Atun R, Kumar R: An analysis of GAVI, the Global Fund and World Bank support for human resources for health in developing countries. Health Policy Plan 2012.

[12]    

World Health Organisation: Working together for health: the world health report. Geneva: WHO Press; 2006.

[13]    

Jenny H Ledikwe, Letitia L Reason, Sarah M Burnett, Lesego Busang, Stephane Bodika, Refeletswe Lebelonyane, Steven Ludick, Ellah Matshediso, Shreshth Mawandia, Mpho Mmelesi, Baraedi Sento and Bazghina-werq Semo: Establishing a health information workforce: innovation for low- and middle-income countries. Human Resources for Health 2013, 11:35 http://www.human-resources-health.com/content/11/1/35.

[14]    

Gabrielle O’Malley, Thomas Perdue and Frances Petracca: A framework for outcome-level evaluation of in-service training of health care workers. Human Resources for Health 2013, 11:50, http://www.human-resources-health.com/content/11/1/50.

[15]    

Randi Burlew, Amanda Puckett, Rebecca Bailey, Margaret Caffrey and Stephanie Brantley: Assessing the relevance, efficiency, and sustainability of HIV/AIDS in-service training in Nigeria. Human Resources for Health 2014, 12:20 http://www.human-resources-health.com/content/12/1/20.

[16]    

Nash D, Elul B, Rabkin M, Tun M, Saito S, Becker M, Nuwagaba-Biribonwoha H: Strategies for more effective monitoring and evaluation systems in HIV programmatic scale-up in resource-limited settings: Implications for health systems strengthening. J Acquir Immune Defic Syndr 2009, 52(Suppl 1):S58–62.

[17]    

Mate KS, Bennett B, Mphatswe W, Barker P, Rollins N: Challenges for routine health system data management in a large public programme to prevent mother-to-child HIV transmission in South Africa. PLoS One 2009, 4:e5483.

[18]    

Otwombe KN, Wanyungu J, Nduku K, Taegtmeyer M: Improving national data collection systems from voluntary counselling and testing centres in Kenya. Bull World Health Organ 2007, 85:315–318.

[19]    

Ekouevi DK, Karcher S, Coffie PA: Strengthening health systems through HIV monitoring and evaluation in Sub-Saharan Africa. Curr Opin HIV AIDS 2011, 6:245–250.

[20]    

Gething PW, Noor AM, Gikandi PW, Ogara EA, Hay SI, Nixon MS, Snow RW, Atkinson PM: Improving imperfect data from health management information systems in Africa using space-time geostatistics. PLoS Med 2006, 3:e271.

[21]    

World Health Organization: Everybody’s business: strengthening health systems to improve health outcomes: WHO’s framework for action. 2007. [http://www.who.int/healthsystems/strategy/everybodys_business.pdf.]

[22]    

Peter Nsubuga, Okey Nwanyanwu, John N Nkengasong, David Mukanga and Murray Trostle: Strengthening public health surveillance and response using the health systems strengthening agenda in developing countries. BMC Public Health 2010, 10(Suppl 1):S5.

[23]    

National Agency for the Control of AIDS (NACA): Federal Republic of Nigeria Global AIDS Response Country Progress Report; Nigeria GARPR 2012, Abuja Nigeria pg10. National Agency for the Control of AIDS (NACA), 2012.

[24]    

United States Embassy in Nigeria: Nigeria HIV Fact Sheet. Abuja, Nigeria: United States Embassy in Nigeria; 2011. http://photos.state.gov/libraries/nigeria/487468/pdfs/December%20HIV%20Fact%20Sheet.pdf.

[25]    

Patel MS, Phillips C: Strengthening field-based training in low and middle-income countries to build public health capacity: Lessons from Australia’s Master of Applied Epidemiology program. Aust New Zeal Health Pol 2009, 6:5. doi:10.1186/1743-8462-6-5

[26]    

White ME, McDinnell SM, Werker DH, Cardenas VM, Thacker SB: Partnerships in International Applied Epidemiology Training and Service, 1975–2001. Am J Epidemiol 2001, 154:993–9

[27]    

Peter Nsubuga et al.: Field Epidemiology and Laboratory Training Programs in sub-Saharan Africa from 2004 to 2010: need, the process, and prospects. Pan African Medical Journal. 2011; 10:24.

[28]    

Management Sciences for Health (MSH): HRH Human Resources For Health Action Framework (HAF); a Guide to Develop and implement strategies to achieve an effective and sustainable Health workforce. MSH 2009.

[29]    

World Bank: World Development Report 2004: Making Services Work for Poor People. Washington, DC: World Bank 2003.

[30]    

Conn CP, Jenkins P, Touray SO: Strengthening health management experience of district teams in The Gambia. Health Policy Plann 1996, 11:64–71.

[31]    

McEwan E, Conway MJ, Bull DL, Malison MD: Developing public health management training capacity in Nicaragua. Am J Public Health 2001, 91:1586–1588.

[32]    

Rowe LA, Brillant SB, Cleveland E, Dahn BT, et al: Building capacity in health facility management: guiding principles for skills transfer in Liberia. Hum Resour Health 2010, 8:5.





 
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