5 years Experience of Training Courses on Health Management for Health Officers in Lao PDR
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1 5 years Experience of Training Courses on Health Management for Health Officers in Lao PDR Yoshihisa Watanabe, Takaaki Kinoue Research Center for International Health Development, Tokai University Graduate School of Medicine, Japan
2 Debate, 1996 Lecture, 1998 Group Work, 2002 Practice, 2007 Training Course for Health Futurists by Tokai University in collaboration with WHO-WPRO, WPRO, supported by JICA 1 st Course countries 13 2 nd Course countries 8 3 rd Course countries 11 4 th Course countries 9 5 th Course countries 8 6 th Course countries 10 7 th Course countries 10 8 th Course countries 14 9 th Course countries th Course countries th Course countries th Course 12 countries 12 Course Total 27 participants participants participants participants participants participants participants 14 participants 14 participants 12 participants 12 participants countries 13 Participants 27 countries 134 participants
3 Tokai Training Course Participants from Lao PDR Dr. Khampiou Syhakhang Dr. Somchanh Xaisida Dr. Bouathong Sisounthone Dr. Southsavienne Vilay Dr. Vinyanh Cheryansaijou Dr. Sonxay Phanyanouvong Dr.Boungnong Boupha Mr. Ounheuane Latsabandith Dr. Souraxay Phrommala Dr. Somchit Akkhavong Dr. Amone Sirivong Sisavath Souttha Mr. Niraxay Dr. Soulisack Mingboupha Dr. Amphone Phalammixay Dr. Panom Phongmany Mr.Viengxay Viravong Dr. Khampiou (1996) Dr. Somchit (2003) Dr. Amphone (2006) Dr. Boungnong (2001) Dr. Amone (2004) Dr. Panom (2006) Dr. Souraxay (2003) Mr. Sisavath (2005) Mr. Viengxay (2007)
4 Expansion of Training Course Tokai Training Course in Japan 5 weeks Every Year In-Country Training Course in Lao PDR 2-3 weeks 2-3 times /year Post Graduate Course at Tokai Univ. 4 years Doctoral Course 2 years Master Course
5 FY2002 FY2003 FY2004 FY2005 FY2006 In-Country Training Course Training Course on Health Management for Health Managers, in Lao PDR Main Course (3 weeks), Central Training of Trainers (1 week) Main Course (3 weeks), Central Main Course (3 weeks), Central Training of Trainers (1 week) Main Course (2 weeks), District Training of Trainers (1 week) Main Course (2 weeks), District Main Course (2 weeks), District Training of Trainers (1 week) Main Course (2 weeks), District Main Course (2 weeks), District Number of Participants Central Level 85 Provincial Level 105 District Level Total Prof. Dr. Boungnong Director of National Institute of Public Health Dr. Ponmek Minister of Health Dr. Somchai FPH, Mahidol Univ. Dr. Kinoue Tokai University
6 Procedure of ICTC in Lao PDR 01/ / / 2003 Curriculum Committee 1 st Training Course Central, Provincial Level Secretariat Meeting MOH Dr. Boungnong Boupha (2001) Dr. Somchanh Xaisida (1996) JICA Dr. Miyoshi (MOH Advisor) NIOPH, MOH Dr. Boungnong Boupha (2001) Dr. Kongsap Akkavong Dr. Somboune (Dean, School of Public Health) JICA Dr. Miyoshi (MOH Advisor) Tokai University Y. Watanabe T. Kinoue Tokai University Y. Watanabe T. Kinoue Mahidol University Dr. Somchai Durongdej 04-10/ 2003 Textbook Lao Version Glossary on Management Terminology NIOPH, MOH Dr. Kongsap Akkavong NIOPH, MOH Dr. Somboune (Dean, School of Public Health) Tokai University Y. Watanabe T. Kinoue Mahidol University Dr. Somchai Durongdej 11/ nd Training Course TOT (Training of Trainers)
7 Difference of Courses Type of Course Duration Target Contents Training Course for Central & Provincial Health Managers 3 weeks Deputy Director & Manager of of MOH, Lecturer of of University, College Director & Deputy Director of of Provincial Health Department Useful Knowledge as as Health Managers Lesson Learn from Experience Some Practice to to understand Technique Training Course for District Health Managers 2 weeks Deputy Director & Director of of District Health Department Useful Technique and and Methodology Practice to to utilize Technique and and Method in in Daily Work TOT (Training of Trainers) 1 week Selected Participants from Ex-Training Courses (Central, Provincial, District) Theory, Method, Formula which should be be have as as Trainer Teaching Method (How to to Attract Trainee)
8 FY No. Number of Participants Date Type /2003 CP 2 11/2003 TOT /2004 CP 4 07/2004 TOT Duration (Week) Central Participants Provincial District Total CP TOT CP TOT /2004 CP /2005 D /2005 TOT /2005 D /2006 D /2006 TOT /2006 D /2007 D Total Participants Total Organizations Person /Organization
9 Program of ICTC in Lao PDR 1 st Course (Central & Provincial) 3 weeks 12 th Course (District) 2 weeks 1.Health Policy 2.Method ologies 3.Case Study 4.Field Study Health overview in Lao PDR Health policy of MOH Health problem in Lao PDR Demography Epidemiology Strategic Management Situation Analysis Priority setting Organizing & Staffing Leadership Team Building, Directing Monitoring & Evaluation WHO Activities in Lao PDR UNICEF Activities in Lao PDR JICA Activities in Lao PDR KIDS Smile Project Health Project in MOH AIDS, EPI Project of MOH HIS of MOH Field Study Reporting Presentation Hospital Management Strategic Information Health Information System TQC/TQM Health Financing Health Research Project Proposal Writing 1.Health Policy 2.Method ologies and Case Study 3.Field Study Health Policy towards Poverty Alleviation Human Resource Development 10 Minimum Requirements (10MR) for District Hospital Strategic Planning and Management Leadership and Team Building Situation Analysis Needs Assessment SWOT Analysis Vision, Mission and Goal TQC/TQM Health Financing Project Monitoring and Evaluation District Hospital Management Health Research Management Tools Field Study Reporting Presentation
10 Way of Training Course Central Course Lecture Group Discussion and Practice Group Presentation Field Study (Apply Learned Methodologies) District Course Lecture Group Discussion and Practice Group Presentation Field Study (Apply Learned Methodologies)
11 Management of Training Course Management is to Adapt Changing Environment. Management is to take Balance between Scarce Resource and Unlimited Needs.
12 Situation Analysis Project Monitoring and Evaluation Lectures SWOT Analysis TQC (Brain Storming/ KJ Method)
13 Key Lectures -Strategic Management Vision Mission Goal Target SWOT Analysis BSC (Balanced Score Card) Internal Factor S Strength W Weakness External Factor O Opportunity T Threat Practice District Health /District Hospital -SWOT Analysis -Set Vision, Mission, Goal and Target
14 3) Presentation 2) KJ Method Key Lectures -Analysis Situation Analysis Needs Assessment TQC /TQM Method (Kaizen) -Brain Storming - KJ Method 1) Brain Storming
15 Key Lectures -District Hospital Management Management vs. Administration Mission Statement Hospital Accreditation Patient Satisfaction Stock Management Facility /Equipment Management Financial Management Why is Management important? Lose Money Expired Drugs Lose Opportunity Lose Motivation Useless Stock
16 Field Study Service Team Preventive Care EPI, MCH, health education Curative Care Outpatient care, Inpatient Care, delivery, Emergency Care, Home Care Hospital Services Laboratory, Radiology, Pharmacy, Drug Revolving Fund, Kitchen, Facility Maintenance. Management Team Plan, Organization, Staff Allocation, Procedure, Record, Statistics, Report, Work Evaluation, Performance Evaluation, Quality Evaluation, Staff Education/ Training/ Promotion. (Effectiveness, Efficiency, Benefit) Community Team Lifestyle (Consciousness on on Education, Food safety, Nutrition, Hygiene, Smoking, Drinking) Health Care Needs (Consciousness on on Health, Child health, Maternal health, Delivery, Immunization, HIV Contraceptive) Leadership and Activity on Health Promotion (District Health Office, Health Center, Village Chief, Health Volunteer) Program and Participation (Provider, Facilitator, Villager)
17 Field Study -Report Service Team Management Team Community Team
18 TOT (Training Of Trainers) Detail Knowledge on Lecture Trainer s Skill Effective communications skills Knowledge Management How to Manage Presentation How to Evaluate Knowledge Transfer Dry Run Lecture Simulation Practice Instruction /Coordination
19 Structure of Lecturers 1 st Training Course (03/2003) 2 nd Training Course (02/2004) 12 th Training Course (02/2007) Others Japan 3 16% Thailand 3 16% Japan 3 16% Lao PDR 10 52% Thailand 4 31% Lao PDR 5 39% Japan 4 31% 2 22% Lao PDR 7 78%
20 Proposal Continue Manager's Course Newly appointed Managers (Central, Province) District Managers Establish Staff s s Course Specialty Course (Accountants, Administrators, Clerks etc.) Hospital Management, Stock Management etc. Lecturers should be all Laotians TOT graduates TOT by TOT Graduates
21 I hope Good Health Management for People s s Happy Life Thank You Very Much
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