Capacity Building | MEPI | KITSO | PEPFAR | Fogarty
EDUCATION & TRAINING: PEPFAR
In alignment with the needs of Masa, Botswana's National ART Program, the BHP PEPFAR (President's Emergency Plan for AIDS Relief) program addresses three critical areas—training, monitoring and evaluation.
Begun in 2004, the BHP-PEPFAR Master Trainer and Site Support Program is aimed at developing sustainable training capacity in clinical care and treatment of HIV/AIDS patients, expanding CD4, viral load, and other laboratory testing to decentralized laboratories, and strengthening the Botswana Ministry of Health's monitoring and evaluation capacity to evaluate the efficacy of Masa.
Funded by the United States Government Department of Health and Human Services, the project consists of three program components:
Clinical Master Trainer/ARV Site Support Program (CMT)
CMT activities include training and support of 32 hospital and 72 clinic ARV sites (more than 3,800 healthcare workers have been trained by CMTs to date); assistance with establishing new ARV rollout sites at the request of the MoH; development and implementation of the four-day Nurse Dispenser and 30-day Nurse Prescriber and Dispenser training; implementation of the Newborn Care and Neonatal Resuscitation (Perinatal Education) curriculum; spearheading the establishment of Failure Management Registries at ARV sites (20 of the 32 sites now have a functioning failure management reporting system.); and expanding efforts in TB/HIV Integration; Universal HAART through the PMTCT program; Paediatric scale up; Site-level Drug Supply Management; and QAI support to teams at ARV sites.
Laboratory Master Trainer/ARV Site Support Program (LMT)
LMT activities include establishing and supporting decentralized laboratories. Currently there are 21 decentralized labs performing 59% of CD4s and eight decentralized labs performing 30% of viral loads countrywide. The LMTs have trained more than 125 laboratory staff and are conducting five-day theoretical and practical trainings of the new laboratory training manual for which they spearheaded development. Topics of the Laboratory Training Manual include the following:
Supporting the Establishment of the Monitoring and Evaluation (M&E) Unit within the Department of HIV/AIDS Prevention and Care (DHAPC), MoH
Data quality is emphasized and data audits are conducted on a regular basis at ARV sites. The M&E Unit, at the request of the MoH, is also involved in many operational research activities at present and provides data management support for these projects. The M&E Unit staff field calls regarding reporting uniformity and deadlines, PIMS II and IPMS support, and new pharmacy data collection.
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