Formal Invitation Letter for Training

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Formal Invitation Letter for Training Powered By Docstoc
					MALE CIRCUMCISION VOLUNTEER
        PROGRAMME:
   Feasibility Assessment In
            Namibia
                    Dr. Justin K. Nyatondo
                       I-TECH Namibia

                       Contributing Authors:
   Epafras Anyolo, MOHSS George Obita, WHO Dino Rech, WHO
                    Alexis Ntumba, IntraHealth
Presentation outline

•   Objectives of the assessment
•   Rationale for using volunteers
•   Methodology
•   Key findings
•   Recommendations
•   Progress to date
Objectives of the Assessment

•   To assess selected sites for readiness to receive
    volunteers
•   To provide technical support to the male
    circumcision (MC) Task Force to develop a plan
    to introduce the volunteer programme in
    Namibia.
•   To provide recommendations on areas that need
    strengthening
Rationale for use of volunteers
•   Despite significant steps in scaling up MC
    services in Namibia human resource constraints
    remain a major barrier
     Lack of personnel
     Trained MC providers overloaded with other duties
     Current legal framework only allows doctors to
      perform MC
•   Use of volunteers has been used with success in
    other programmes in Namibia
     Eye Camps (cataract surgery)
     Operation Smile (cleft palate)
Assessment team

•   Team led by two WHO consultants accompanied
    by representatives from:
     Ministry of Health and Social Services
     Development partners:
       o   I-TECH Namibia
       o   IntraHealth
       o   USAID
       o   CDC
•   Five hospitals visited: Windhoek Central,
    Oshakati, Onandjokwe, Rundu, and Nyangana
Methodology
•   Methods used included
     Interviews - management and staff using a standardised
      checklist
     Observation - infrastructure, lay-out, equipments, and
      supplies
     Document review
•   Key Areas considered:
       Facility space
       Staffing
       Equipment and supplies
       Current and future demand
       Volunteer hosting logistics
       Facility willingness to receive volunteers
Findings

•   Facility space:
     All facilities have dedicated surgical space for MC that can be
      made available full time
•   Staffing:
     Doctors performing MC are available at all sites
     Three sites have a team comprising of at least a doctor, nurse
      and counsellor trained on MC for HIV prevention
     Very little time is dedicated to MC due to competing work
      demands hence low numbers of MCs done to date
     Staff at Rundu and Nyangana hospitals not trained on MC for
      HIV prevention
Findings (2)

•   Equipment and supplies:
     Generally equipment and supplies are available,
      including medicines and consumables
     A limited number of MC specific surgical kits
     Current levels of MC kits capacity limited to a
      maximum of 5-10 cases a day
Findings (3)
•   Current and future demand
     Windhoek and Oshakati hospitals had waiting
      lists ~60 – 100 clients despite no active demand
      creation
       o   Average waiting time up to 6 months
     Average number of MCs done per week ranged
      from 0 – 5 across the five facilities
     Indication from hospitals and partners is that
      potential demand could be high with mobilization
Findings (4)

•   Volunteer hosting logistics:
     All hospitals are easily accessible and have good nearby
      hotels/lodges
     No logistics planning has been done yet.
     Country experience in hosting eye camp volunteers is reassuring
     Focal persons available at most sites
•   Facility willingness to receive volunteers:
     All hospital teams expressed willingness and enthusiasm to
      receive volunteers
•   Demand Creation:
     Ensure adequate demand prior to volunteers’ arrival
Recommendations
•   Facility space:
     Do lay out planning for waiting room and counselling space
•   Staffing:
     Ensure availability of adequate trained support staff throughout
      the volunteer mission
•   Equipment and supplies:
     Increase the number of MC kits to a minimum of 20 per hospital
     Strongly recommend the introduction and training on diathermy
     Consider use of MC disposable kits
Progress…..

 •   Formal invitation letter to WHO inviting volunteers to
     Namibia drafted
 •   Ideal period for initial volunteer mission provisionally
     set for Aug - Sept 2010
 •   MoHSS and partners building capacity at sites
     through
        MC dedicated staff recruited (Dr & nurses)
        Training
        Procuring instruments and consumables
        Making necessary infrastructural adjustments at
         facilities
 •   Good in country partner support available to
     address gaps

				
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