supervised practical training spread over two to three months and with performance reports. Only after completion of both theory and practical sessions will certification be approved. The training must be carried out by individuals and institutions approved/accredited by the relevant DHMT. Deferent levels of training will be in line with the capacity building objectives described in Section 3.1.4. Additional training content may be identified to meet the needs of specific target audiences, for example materials for treatment literacy, adherence to anti-retroviral therapy (ART), stigma reduction, or domestic hygiene and sanitation. The Kenya Medical Training College (KMTC), if adequately prepared, has the institutional potential to facilitate the roll-out of HCBC training countrywide in liaison with NASCOP and DHMTs. 4.2.2 Identifying/Appointing Qualified Trainers/Facilitators A high standard of training cannot be maintained without qualified trainers. Since the key care elements in HCBC have a clinical orientation and involve nursing care, a trainer with a clinical background and relevant training skills from an accredited training institution is required. 4.2.3 Harmonizing Training Venues and Monitoring of Trainings Training venues will be established and approved by the relevant DHMT. Different venues are suitable for different groups of trainees. Assessing learning needs and determining the training content for the various levels will ensure that sessions are relevant and appropriate. On-site training has been found to be most effective in HCBC activities and notable in cutting costs, hence facilitating larger numbers to be covered through training. 4.2.4 Formalizing Certification of Trainees A systematic serialization of all HCBC certificates awarded to successfully trained health professionals and community health workers is mandatory. This will ensure that certification is limited to individuals and cadres who are properly trained using the approved curriculum and training materials. DHMTs in all districts in the country, in collaboration with NASCOP, are currently implementing this requirement to ensure identification of authentic qualifications. 4.3 Financing and Ensuring Sustainability S ustainable financial support for HCBC is very challenging for communities. These programmes are often vulnerable to inconsistent and sporadic sources of funding. The following strategies can HCBC Implementation Strategies A healthy community is everybody’s business
16 HOME- AND COMMUNITY-BASED CARE IMPLEMENTATION FRAMEWORK help to promote the sustainability of the HCBC programme. 4.3.1 Preparing Annual Operational Plans Preparing, managing and reporting on the HCBC budget for the fiscal year will focus attention and reflection on the district priorities and therefore facilitate sourcing of funds for recurrent expenditures.
- Fall '19
- Health care provider