EDUCATION AND TRAINING IN TRANSFUSION MEDICINE IN THE DEMOCRATIC REPUBLIC OF CONGO: Necessity to harmonise the contents and program of courses

Transcription

1 EDUCATION AND TRAINING IN TRANSFUSION MEDICINE IN THE DEMOCRATIC REPUBLIC OF CONGO: Necessity to harmonise the contents and program of courses Ndakala NOD (*) Kabamba MP (*) Kapinga S (*) Situakibanza H ( ) Bapitani B( ) Olish JP( ) * =CNTS, = University of Kinshasa, = Directorate of medical education, = Safe Blood for Africa DRC

2 Plan de présentation 1. Contexte 2. Introduction 3. Objectifs 4. Materiel etméthode 5. Résultats 6. Conclusion

3 Contexte RDC Superficie : km2. Population : Hab Frontière avec 9 pays 11 provinces 4 langues nationales Tx de croissance : 1,033% Prévalence HIV:3,07% Mortalité infantile(< 5ans) :165%0 Mortalité maternelle : 549/ Espérance de vie :49 ans Système de santé à 3 niveaux 3 grandes Universités officielles Nombreuses Universités privées e instituts supérieurs d enseignement médical 06/06/2012 3

4 Contexte (suite) Pays post conflits Reforme du MSP (Création CAG)

5 Introduction Transfusion medicine, relatively new branch of medicine, has evolved rapidly in recent years thanks to: improvement in knowledge on spread of infections transmissible by blood transfusion (TTI), notably HIV; Hepatitis viruses; New transfusion techniques and pratices; Awareness of risks associated with transfusion.

6 Introduction(continued) In spite of these advances, teaching curricula and training in this field are still underdeveloped in Africa.

7 Introduction(continued) In DRC, the findings are: Absence of a structured program in transfusion medicine in the curricula of medical schools and in institutes of higher education and universities; Diversity and increased number of partners for technical support in education; Teaching program and contents more theoretical than practical; Few teaching materials; Unqualified supervisors and trainers

8 Problem of the teaching curriculum in transfusion medicine Faced with this situation, the question was to find out : «What are the contents of the teaching provided in the country in Blood safety or in Transfusion medicine?»

9 Objectives General: To contribute to the improvement in the quality of blood transfusion practice in DRC Specific To analyse the contents of training and teaching materials in transfusion medicine To harmonise the contents of teaching in transfusion medicine in DRC.

10 Materials and method Type of study : Descriptive Period : October to November Method: 10 training and teaching materials in transfusion medicine were analysed. Parameters : Contents of the training, Duration of the training, Targets of the training, Qualification awarded following the training

11 1st GENERATION

12 2 nd GENERATION

13 3 rd GENERATION

14 4 th GENERATION

15 Results Of 10 teaching materials examined: 7 have similar contents, 3 have different contents, by : Their volume of contents to teach, The time allocated for their teaching, Their methodology and type of teaching. No complete and structured content was found in the curriculum of medical, secondary, higher or university education

16 Results(continued) N Title Editors/ Partners supporting the training Topics and duration of the Training Targets of the Training Type of Training Diploma Continuous Distance Training Manual in Blood Transfusion Standard operating procedures on blood safety Training Manual of peer recruiters NBTS NBTS NBTS Blood transfusion practices in hospitals (5 days) Blood transfusion practices in hospitals / Organigram and rapid decision tree for hospital services providers (3 days) Awareness of the community on voluntary blood donation (3 days) Doctors, Nurses, Lab Tech Doctors, Nurses, Lab Tech Peer recruiters / members of associations X X X

17 N Title 4 Blood and blood products safety Results(continued) Editors/ Partners supporting the training WHO 5 WHO Topics and duration of the Training Trainers Manual Blood safety principles and recommandations 6 WHO Blood safety 7 WHO 8 WHO 9 10 Appropriate use of blood products Motivation and sensitisation of the community for voluntary blood donation Safe Blood For Africa Foundation Safe Blood For Africa Foundation Screening ofr HIV and other infectious agents Blood group Targets of the Training Type of Training Diploma Continuous Distance Trainer _ X X Peer recruiters / members of associations _ X X Doctors, Nurses Lab Tech _ X X Lab Tech _ X X serology Lab Tech _ X X Correct performance of rapid tests for laboratory technicians Asessement of blood needs; techniques of recruitment and rétention of voluntary blood donors Lab Tech _ X X Peer recruiters / members of associations _ X X

18 Discussion From the above it emerges that: The diversity of training materials and teaching programs do not promote transfusion practice; Knowledge and practices in the subject are fragmentary and heterogenous; Risks of transfusion-related adverse events would therefore be increased; Staff trained under these conditions are not qualified and not competent to ensure blood safety or to offer quality services.

19 Conclusion Everything needs to be defined: the pedagogic objectives the place of blood transfusion safety in the curricula of medical studies ( IEM; ISTM, faculty of Medicine) the need for a structured program for teaching of interns; residents, The continuous training of staff who are already employed; It is indispensable and urgent to introduce the teaching of transfusion medicine in the programs of universities providing courses in Medicine

20 Conclusion (continued) Discussion should take place on the teaching of immunohaematology. It would be imperative at the country level to harmonise the contents of training materials and of the programs to reduce variation in the teaching contents, to think of developing a single content for transfusion medicine.

21 Remerciements PEPFAR Comité Education de l AfSBT Patricia Knox Beryl Armstrong

22 THANK YOU