Adaptation of the Training Resource Package to Strengthen Preservice Family Planning Training for Nurses and Midwives in Tanzania and Uganda

Stembile Mugore; Mercy Mwanja; Vumilia Mmari; Alphonce Kalula

doi:10.9745/GHSP-D-18-00030

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FIGURE
Illustrative Representation of the TRP Adaptation Process
Abbreviations: FP, family planning; PSE, preservice education; TRP, Training Resource Package for Family Planning.

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TABLE 1.

Changes to the Tanzanian Curriculum Before and After the TRP Workshop

Before Curriculum Review (2009)	FP Curriculum Content and Learning Outcomes Revised After the TRP Workshop (July 2015)
Learning Outcomes	Learning Outcomes
Provide FP services in the community	Provide FP services according to guidelines and protocols
Content Outline	Content Outline
Define FP	Define FP
Identify advantages of FP	Identify myths and misconceptions related to FP methods
Explain various methods of FP	Explain advantages of FP
Counsel clients on FP methods	Describe short- and long-acting reversible contraceptive methods
	Explain elements of FP service delivery
	Take obstetric and gynecological history
	Perform physical examination
	Counsel the client on informed choice
	Screen client for medical eligibility for contraceptive choice
	Initiate the chosen contraceptive method (oral contraceptive, injectable, implant, intrauterine devices, and natural and barrier methods)
	Plan for a follow-up visit
	Refer for permanent methods (vasectomy, tubal ligation) when appropriate

Abbreviations: FP, family planning; TRP, Training Resource Package for Family Planning.

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TABLE 2.

Changes to the Ugandan Curriculum Before and After the TRP Workshop

Before Curricula Review (2005–2008)	Revised Objectives, Competencies, and Content After the TRP Workshop (December 2015)
NURSING	NURSING AND MIDWIFERY
FP Objectives	Objectives
Describe all FP methods	Identify clients for FP/RH services
Competencies	Communicate and promote FP/RH effectively to different population groups
Provide all FP methods	Counsel clients for voluntary informed choice
Content Outline	Provide clients with oral pills, progestin-only injectables, ECPs, implants, IUDs, SDM, Cervical Mucus Method, and barrier methods according to national FP/RH guidelines
Define FP	Integrate FP with other services including MNCH, STIs, and HIV/AIDS
History of FP	Identify clients with FP/RH complications
Benefits and disadvantages of FP	Manage clients with FP/RH complications
Management of FP services	Manage FP clients with STIs and HIV/AIDS
MIDWIFERY	Refer clients to other FP/RH services appropriately
FP Objectives	Document, manage, and utilize data related to FP/RH
Assess clients for different FP methods	Content Outline
Explain FP services	Define FP
Competencies	Benefits of FP
Counsel clients on FP	Rights-based FP/RH service delivery
Content Outline	Counseling for FP and voluntary informed choice
History of FP	Cultural beliefs and practices related to FP
Benefits and disadvantages of FP	Methods of FP/contraceptive technology (oral pills, progestin-only injectables, ECPs, implants, IUDs, SDM, Cervical Mucus Method, condoms – male and female, other barrier metohds)
Management of FP services	Medical Eligibility Criteria for contraceptive methods
Monitoring and evaluation of FP services	Provision of FP methods
	Elements of successful FP monitoring, FP/RH service delivery
	Provision of FP for special groups (adolescents, postpartum clients, postabortion care, HIV/AIDS, ending mother-to-child transmission of HIV, men)
	Myths and misconceptions of FP

Abbreviations: ECPs, emergency contraceptive pills; FP, family planning; IUDs, intrauterine devices; MNCH, maternal, newborn, and child health; RH, reproductive health; SDM, Standard Days Method; STIs, sexually transmitted infections; TRP, Training Resource Package for Family Planning.