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FIELD ACTION REPORT
Open Access

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 and Alphonce Kalula
Global Health: Science and Practice October 2018, 6(3):584-593; https://doi.org/10.9745/GHSP-D-18-00030
Stembile Mugore
aEvidence to Action Project, IntraHealth International, Washington, DC, USA.
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  • For correspondence: smugore@e2aproject.org
Mercy Mwanja
bUganda Nurses Midwives Council, Kampala, Uganda.
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Vumilia Mmari
cTanzania Ministry of Health, Dar es Salaam, Tanzania.
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Alphonce Kalula
dEast, Central and Southern Africa Health Community College of Nursing (ECSACON), Arusha, Tanzania.
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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.

Tables

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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 OutcomesLearning Outcomes
    • Provide FP services in the community

    • Provide FP services according to guidelines and protocols

    Content OutlineContent 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)
    NURSINGNURSING AND MIDWIFERY
    FP ObjectivesObjectives
    • 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.

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Global Health: Science and Practice: 6 (3)
Global Health: Science and Practice
Vol. 6, No. 3
October 03, 2018
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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
Global Health: Science and Practice Oct 2018, 6 (3) 584-593; DOI: 10.9745/GHSP-D-18-00030

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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
Global Health: Science and Practice Oct 2018, 6 (3) 584-593; DOI: 10.9745/GHSP-D-18-00030
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