Implementing pre service training for Health Logistician Developing the curriculum

1. Implementing pre service training for Health Logistician Developing the curriculum TECHNET consultation 2010 Kuala Lumpur; Malaysia P. Jaillard, AMP

2. Health logistics : key missing link in health development • Immunization : one of the health interventions • Numerous global disease control initiatives (reproductive health, HIV/AIDS, TB, malaria) ==> increased number of supplies (vaccines, drugs and health products) • Supply chain of many developing countries stretched to maximum capacity • Ad hoc measures, such as increasing storage capacity or frequency of transportation no longer adapted • Need a complete overhaul of the logistics systems : adaptation to the context • Implementation of a functioning global logistics system, coordinated from central to peripheral level. • Function must be performed by qualified professionals, trained, recognized and supported.

3. Goal and Objectives Improve health outcomes through better management of public health supply chains and logistics How to achieve it ? • Key international agencies and countries recognize that: • strong supply chains and logistics required for positive health outcomes • supply chain management requires significant technical and managerial capacity • Governments and national institutions demand technically qualified staff for positions with supply chain responsibilities and provide them with appropriate career tracks, support and incentives • Cadres of qualified, professional logistics managers are working in/for public health. A D V O C A C Y T R A I N I N G

4. Professionalization of health logistics • In-service training regularly provided to health personnel/technicians in charge of logistics functions • Not sufficient, will not enable health systems to meet the new challenges: • Provided to non-professional officers • Provided to medical staff who would better remain available for health care • Limited to « ad hoc topics », with little global view and plan • Health logistics : complex function; requires technical and management capacity, dedicated and recognized professionals. • Pre service training essential to build up a workforce of professional health logisticians.

5. Pre service training • Situation analysis conducted in 5 african countries (WHO-Bioforce, 2005) • Health logistics as a profession to support public health: • is necessary, • needs definition • needs institutional implementation and • should be accompanied by a training plan. Competency requirements vary: • From more managerial at central level • To more technical at peripheral level.

6. Pre service training curriculum • Consensus workshops (Ouidah 2008; Kinshasa 2010) • Participants : WHO, UNICEF, Bioforce, AMP, USAID, JSI, IRSP, academics, countries, … • Decision to focus initially on intermediate (district) level: • Generic professional skills framework composed of 7 areas • Generic job descriptions for intermediate levels (district and region) • Training curriculum for a diploma course (Bachelor / Master, European 180 ECTS) • Master for training curriculum reviewed 6

7. Professional skills framework • Plan logistics activities of health facilities and programs at intermediate level. • Manage and coordinate logistics of health programs and facilities. • Manage the supply chains for vaccines, drugs and other health products. • Coordinate the use, maintenance (including sub-contracting) of medical and technical equipment. • Coordinate the maintenance of facilities and housing, including water and sanitation of health structures. • Ensure effective logistics support to health emergencies and humanitarian operations. • Foster intersectoral collaboration and community participation.

8. Pre service training curriculum • 13 modules in 3 blocs :

9. Training program master wasdevelopped • for each module: • Title • Field of activity • Total duration • Objectives (operational/training) • Contents and training organization • Detailed program • Evaluation system • lessonsduration • 1 form / module • 1 form / session • 1 form / lesson

10. Pre service training curriculum • Training duration – engeneering • 12-month course • 9 months theoretical courses + 3 months practical training program • 4/8 weeks residential course + 11 months practice + distance learning + supportive supervision (EPIVAC training model) • Diploma • Options to bedefined: • High school + 3 years : Bachelor of Science  Master • Target for the pre service training • Health technicians from Ministries of Health. • Applicants - students with 2 or 3 years in university-level study programs (120 ECTS) or technical diploma

11. Pre service training curriculum • Training institution • University • Technical training institution •  Regional center to optimize resources • Training material • Census of existing training material (WHO, other organization, academic…) • Selection of e-tools • Adaptation of developed material • Development of missing material • Trainors • Technical training institution • University • Experts from organizations • Tutors for practical training to be identified in country • You !

12. Pre service training curriculum • Recommendations : • Pre service training curriculum should be implemented by dedicated • educational institutions organized as a network to achieve a critical mass • of health logisticians • Network : • training institutions (regional, national; universities, technical training institution), • experts and trainers, trainees • Countries, technical/financial institutions • existing networks (technet, IAPHL, resalog…) • Evaluation system • Academic evaluation by training institution • Institutional curriculum by agencies/intercountry organizations

13. Challenges • How to ensure the sustainability of the pre service curriculum for health logistics ? • Risk of brain drain, demotivation of trained logistician, gap between country needs and competencies provided … • Ensuring that countries • Recognize the status of health logisticians as a profession and develop a career path within the health system • Recognize the qualification of trained logisticians and use certified health logistician for health interventions (incl. outsourcing) • Forster the link between countries, organizations and training institutions • Develop mechanisms for financial sustainability of training institution (in country, external...)

14. THANK YOU FOR YOUR ATTENTION www.aamp.org www.bioforce.asso.fr