TRAINING TRAINERS IN PRIMARY HEALTH CARE IN DJIBOUTI

UNCLAS DJIBOUTI 000300

SIPDIS

STATE FOR AF AND AF/E
STATE PASS USAID
PARIS /LONDON FOR AFRICA WATCHER

E.O. 12958: N/A
TAGS: PREL PGOV SOCI EAID DJ
SUBJECT: TRAINING TRAINERS IN PRIMARY HEALTH CARE IN DJIBOUTI


1. (U) A USAID-funded week-long training session for health
practitioners in Djibouti began March 19, 2005 with an official event a
the National Health Training Center in the capital. Focus of the
training was to impart primary health care teaching skills to selected
candidates who would return to their respective districts and begin
training various cadres of health workers who manage rural health
clinics. These health clinic workers included nurses, traditional birth
attendants and community health extension agents.


2. (U) The candidates themselves number 22, and came from each of the
five districts in the country. Candidates from each district were
selected by the district medical doctor, and spent six days in this
intensive "training of trainers" course. The district medical
doctors were also included among the candidates for training.


3. (U) During the opening ceremony, Director of the Training Center,
Hassan Kamil thanked USAID Representative and the implementing partners
for their organization of the training course. USAID Chief of Party fo
the Health Sector Reform Project, Dr. Stanislas Nebie, cited the
collaborative effort that was put forth to make this launching of
the second component of USAID's three-component program successful. He
stressed that one of the important outcomes of this training will be to
improve supervision skills of these trainees, as this will ensure
continued high quality of health service delivery. Ambassador Ragsdale
noted overall U.S. health assistance to Djibouti as an effort to
improve the lives, and in particular the health of women and children.
She added that the training course was another important step in this
continuing and growing collaboration, with the aim of enhancing the
capacity of those responsible for delivery of health care
services in rural areas. Secretary General of the Ministry of Health,
Dr. Saleh Banoita, thanked USAID and the implementation team for
organizing the course, which he said would assist the Ministry of Healt
better reach and serve the most vulnerable people in the population--
women and children living in rural, isolated areas of the country.


4. (U) The training course included various sessions ranging from
professional competency of the trainers, technical state-of-the-art
knowledge of primary health care delivery to community collaboration an
supervisory skills. The session concluded March 24 with a ceremony,
attended by Ambassador and USAID Representative, and the issuance of
diplomas to those who completed the course. The trainers will return t
their districts to begin preparations for organizing local training
courses for health clinic workers, taking with them the training
materials they received during the course.


5. (U) Comment: The USAID implementation team in conjunction with the
National Health Training Center team, spent a great deal of time
preparing the training manuals, which would be used for this course as
well as those that will accompany the new trainers to their rural
districts. The weeklong course by an experienced training team was both
well-organized and well-attended. We note that the majority of
trainers were male. We hope that when they return to their respective
districts, there will be women in their training groups, since delivery
of ante-natal services for pregnant women as well as delivery of babies
are among the most important functions of the rural health clinics. It
would be very difficult in traditional, rural Islamic communities for
women to receive health care services from an exclusively male staff.
The USAID implementation team has as one of its tasks, to ask that the
Ministry of Health require each rural health clinic to have at least on
Mid-Wife, who would be responsible for delivery of all health care
services to women. This key factor will be monitored throughout the
project implementation. End comment.
RAGSDALE