Participatory training techniques
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Transcript of Participatory training techniques
Participatory training techniques
WORKSHOP“OST in Developing Countries:
A Primer”Atul Ambekar, Alok Agrawal (India)
Training for OST staff
• A multi-disciplinary team of staff is involved in service delivery – Doctor – Counsellor – Nurse – Programme Managers – Outreach workers and peer educators – Programme monitors / evaluators
• Relative advantages and disadvantages of training them together or training them separately?
Induction Training on OST0A five day training programme 0Conducted soon after recruitment of staff 0Conducted for a mixed group of staff (nodal officers,
doctors, nurses, counselors, data managers, programme managers and outreach workers)
0Class-room type training 0 Highly interactive and participatory 0 Exposure visit – an essential component
0BASED UPON A MANUAL 0Outcome:
0 Trained staff who begin service delivery after receiving a certificate
Organization of the manual
Rajat Ray, Anju Dhawan, Atul Ambekar (2011), Implementing OST : A Training manual for service providers, NACO, Government of India, New Delhi
Highlights of the manual 0 Developed as a ‘guide’ for facilitators
0 Not a substitute for practice guidelines or operating procedures0 Flexibility for facilitators for local adaptation
0 Applicable to a variety of OST settings 0 Entire training programme has been designed to be
participatory in nature0 Strives to address all three components – knowledge,
attitudes and skills0 Manual encourages training programmes for mixed group
of participants
0Organization of the manual0Content 0Format
Organization of the manual
Content of the manual0 Initial pages:
0 Acknowledgements 0 Message from DG, NACO0 Foreword (from NACO)0 Table of contents
0 Background 0 “About the manual”0 TOR for facilitators 0 Preparations for the training programme0 Draft agenda
0 Sessions (arranged chronologically) 0 Annexure
0 Record formats 0 Evaluation and feedback sheets
Areas covered in the training0Drugs, Drug Dependence, Harm Reduction, Principles
of drug treatment, OST: Basic knowledge (and attitude)0Assessment and Diagnosis: Clinical skills 0OST (induction, maintenance, dispensing): Clinical
skills 0Psycho-social interventions: Clinical skills 0Exposure to a functioning OST centre 0Programme management: Dispensing, record
maintenance, stock keeping, reporting, referral and linkage: knowledge , attitude and skills
Content of the manual0 Initial pages:
0 Acknowledgements 0 Message from DG, NACO0 Foreword (from NACO)0 Table of contents
0 Background 0 “About the manual”0 TOR for facilitators 0 Preparations for the training programme0 Draft agenda
0 Sessions (arranged chronologically) 0 Annexure
0 Record formats 0 Evaluation and feedback sheets
Training sessions
Day Sessions
Day 1
Introduction exercise: meeting strangers and building a rapport
Basics of Drugs: Overview of drugs and drug use disorders
Drug-related problems and harms
Local drug abuse scenario
General principles of drug treatment and harm reduction
Day Sessions
Day 2
Opioid substitution therapy – overview
Assessment and diagnosis
Assessment and diagnosis: role-play and case demonstration / presentation
Buprenorphine- pharmacology
Training sessions
Day Sessions
Day 3
Implementing OST with buprenorphine: induction, stabilisation, discontinuation
Special clinical situations – adolescents; women; HIV; other medical conditions, dual diagnosis
Psychosocial interventions
Role-play / demonstration of psychosocial interventionsScheme for implementing OST in Government centres: an overview
Training sessions
Day Sessions
Day 4
Exposure to the OST clinic, including demonstrationDebriefing and experience sharing
Programme management–I Procurement and supplies
Programme management–II Record maintenance and reporting
Training sessions
Day Sessions
Day5
Programme management-III Referral and networking, engaging civil societyProgramme management-IV Minimum standards of care, reportingOpen session
Working together: meeting between stakeholders
Training sessions
Content of each session
0Objectives 0Materials and method 0Steps 0Highlights (as box items)0Contents of the presentation
0Organization of the manual0Content0Format
Organization of the manual
Format
0The manual has been designed to be available in two versions: 1. Hard copy:
0Description of all the sessions0Handouts of slides along with ‘notes’ for the
facilitator
Format
0The manual has been designed to be available in two versions: 1. Hard copy:
0Description of all the sessions0Handouts of slides along with ‘notes’ for the
facilitator 2. Digital version: (available as a CD or online)
0The manual proper as a pdf file0Power point presentations as hyper links
Training techniques used in the manual
0Participatory presentation and discussion
0Group Work 0Observations and de-briefing 0Role Plays
Group work
0Ideal size: 4 – 10 people 0Shared characteristic: Same place of work /
same profession 0Fosters team building and bonding 0Provides opportunity for those to be heard
who may be silent in front of larger audience 0Encourages learning from the peers \0Helps assessment of pre-existing knowledge
and understanding by the facilitator
Role play
0Best suited for skill-based sessions 0Ideally at least the first such role play should
be almost scripted 0 Based on a pre-decided case vignette 0 Played by two facilitators (one playing client and
another playing the staff)
0Should be followed by feedback and discussion
Observation and De-briefing
0Gives a more ‘real’ and ‘hands-on’ experience 0Requires logistic arrangements and
preparations 0Should be coupled with de-briefing 0The facilitator should be well conversant with
the 0 Setting observed 0 Setting in which participants are likely to work
Refresher Training 0Ideal time: About 6 months after the initiation
into programme and then annually 0May be smaller in duration than the Induction
training 0Requires more skilled and experienced
facilitators 0The agenda needs to be tailored and customized
as per the perceived needs of the participants 0May have to be coupled with a stock taking
exercise or a programme review
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