(WP)CDS(P)/ICP/GPA/001-E Report series no: RS/94/GE/36(PHL)
English only
REPORT
~ETING
//
OF NATIONAL AIDS PROGRAMME MANAGERS
Convened by the
WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC
Manila, Philippines 29 August-6 September 1994
WHO!WP!?n LIBRARl llanila Philiv'IJtnu
Not for sale Printed and distributed by World Health Organization Regional Office for the Western Pacific Manila, Philippines September 1994
18 N0\/1994
1
NOTE
The views expressed in this report are those of the participants of the meeting of national AIDS programme managers and do not necessarily reflect the policies of the World Health Organization.
This report has been prepared by the Regional Office for the Western Pacific of the World Health Organization for governments of Members States in the Region and for those who participated in the meeting of national AIDS programme managers which was held in Manila, Philippines from 29 August to 6 September 1994.
CONTENTS
SUMMARY 1. 2. INTRODUCTION ....................................... ... .... .. ......... .. . . ... . ..... .. .............. 1 PROCEEDINGS OF THE TRAINING COURSE .................................. :.. .... .. .... 1 2.1 2.2 2.3 2.4 2.5 3. Opening ceremony ................ ...................................................... .. ....... 1 Course purpose ................... ........... ...... .... ...... ... . .... . .... .... .. .... . ....... ... ... 2 The organization of the course ... ........................... .......... ......................... 2 Course content ................... ... .. ..... ... .. .. .. ... ..... .. .. ...... ............ ... ...... . ... .. 2 Closing ceremony .................. ....... ... ............ .. ... ........ ..... . ............ ........ . 4
RESULTS OF THE TRAINING PROGRAMME ................................................ 5 3.1 3.2 3.3 3.4 3.6 3. 7 Educational gains ....................... ................. . .. . ... . , . ... ............................ 5 Process and outcome ................... ..... .. .... . .. ... ......... .. ... ... ....... ... .......... ..... 5 Organization of the meeting .......... ........................................... ...... ......... 6 Administrative aspects ................ ..... ................ . ........ .............. ............... 6 Other comments ........................ ......... .... .. ..... . ...·....... .. ... . .... .. ... .. .. ........ 6 Recommendations from consultants ...... .... ........................ . ........ .... .. .... .. .... 7
ANNEXES: ANNEX 1 - LIST OF PARTICIPANTS ............ ... ...... .. .... .. .................... .......... 9 ANNEX 2- OPENING REMARKS ................ .......... . ............................. ...... 15 ANNEX 3 -PROGRAMME OF WORK ............ ................................ .. .... ....... 17 ANNEX 4- EVALUATION QUESTIONNAIRE ..... ...... .................. ........ ......... 21
Key words: Acquired immunodeficiency syndrome- prevention and control/ National health program I Training program I
1. SUMMARY
The World Health Organization Regional Office for the Western Pacific (WPRO) organized a regional training meeting for participants from Member States from Asia on the management of national acquired immunodeficiency syndrome (AIDS) programmes. The meeting was held in Manila, Philippines, from 26 August to 6 September 1994. The meeting involved a management training course developed by the Global Programme on AIDS, World Health Organization (WHO) Headquarters in Geneva. The meeting was attended by 24 participants from 12 countries. The list of participants, including the consultants, and the secretariat is attached as Annex I . The training course covered 12 learning modules involving elements of strategic planning, activity planning and the implementation of human immunodeficiency virus (HIV)/ AIDS prevention activities, monitoring and evaluation. A flexible approach to the training course was used and the methodology suggested in the modules was changed when necessary. Greater use was made of the group process than the modules advocated. The course evaluation indicated that all of the participants felt their attendance was worthwhile to them personally, with various reasons expressed including the acquisition of new knowledge and skills and the chance to interact with other participants. Most of the participants indicated that their attendance was also worthwhile to their national AIDS programmes. The participants felt the training modules were usually clear and easy to follow, informative, and generally appropriate to their own national AIDS programmes. Most participants were positive about the modular approach to learning. The module on monitoring and evaluation was perceived as being particularly very important. Some participants expressed the desire to have greater opportunity to exchange ideas and experiences with other participants in plenary sessions.
1. INTRODUCTION
Since 1991, annual meetings have been held with national AIDS programme managers from the Asian countries in the Western Pacific Region. The first two meetings focused mainly on a review of the HIV I AIDS problems in the countries and the national AIDS programme. In 1993, the meeting covered elements of programme planning, priority setting, multisectorial involvement, reviewing programme implementation, Global Programme on AIDS policy guidelines, conducting surveillance, ensuring confidentiality, approaches to educating youth in and out of schools, updating workplans, some day-to-day management skills and relevant field experience. This meeting involved a management training course developed by the Global Programme on AIDS, WHO Headquarters in Geneva. The purpose of the course was to improve the management of national AIDS programmes by presenting a systematic process for developing and managing a comprehensive AIDS prevention and control programme and providing the opportunity for AIDS programme managers to increase their knowledge and practise skills for implementation and methods of monitoring and evaluation. This was the second time the training course was held in the Western Pacific. The first was held in Guam in March 1994.
2. PROCEEDINGS OF THE TRAINING COURSE
2.1
Opening ceremony The course began with an opening address by the Regional Director, Dr S.T. Han.
Dr Han welcomed the participants to the meeting. He reminded the participants that for the world as a whole AIDS is already a pandemic and that it is spreading very rapidly. He noted that WHO estimated that about 15 million people have already been infected with the AIDS virus and that the public health and socioeconomic implications of the disease were enormous . Dr Han said that the majority of countries in the Region were in a good position to prevent an AIDS epidemic, since the number of people infected is still low. He warned, however, that now is the time to act. Dr Han noted that there is an increase in the incidence of sexually transmitted diseases (STDs) in the Region, and that this was a major factor in the transmission of HIV. He said that it is now that prevention activities can have an effect. The same behaviour changes required to prevent STDs will help prevent the transmission of HIV. These behaviour changes should be a major focus of any HIV I AIDS programme. Dr Han referred to the lOth International Conference on AIDS which was held in Japan in August this year. He noted several significant outcomes from the Conference. These included new ways to reach out to vulnerable populations; innovative means to manage
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sexually transmitted diseases; progress in understanding the pathogenesis of HIV infection and the immune response that is crucial for long-term survival; and for the first time, real hope in reducing mother-to-child transmission. He encouraged participants to consider new alternatives and new options in meeting these challenges and applying the WHO global strategy. Finally, Dr Han expressed his wish that the participants had an informative, productive and stimulating meeting and that they would leave the course with a renewed commitment to doing everything in their power to stop the spread of HIV in their countries. 2. 2 Course purpose
The purpose of the course was to improve the management of national AIDS programmes by: presenting a systematic process for developing and managing a comprehensive national AIDS prevention and control programme; providing an opportunity to increase knowledge and practise skills needed to implement that process; and describing the process for monitoring and evaluation.
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2.3
The organization of the course
A set of modules was the main source of instruction for the course. The modules contained information on how to effectively plan and manage a national AIDS programme and included exercises designed to give participants practice in applying that information. Course participants read the information in the modules and completed the exercises individually or in groups, according to the instructions in the module. The facilitators recognized the need for a flexible approach to the course and adapted the methodology as needed. The meeting was divided into three groups. Each group had two facilitators who introduced the modules, answered questions, led group discussions, explained ideas and clarified information with individuals or groups. The course programme is given in Annex 3. There was a varied range of experience among the participants . Some were new in their role as programme managers, some had several year's experience as programme managers and some had no direct involvement in the day to day management of HIV/AIDS programmes. A wide range of WHO publications and resource material was on display . Participants were able to order resource materials. 2.4 Course content
Modules 1 to 5 were covered thoroughly; however, the facilitators used group discussion more frequently than suggested in these modules. Module 1 provided a brief overview of the global HIV I AIDS pandemic, introduced the course and explained the use of a flowchart to provide an overview of the development of a national AIDS programme. It emphasized the importance of a comprehensive, multisectoral and coordinated approach to implementing a successful national AIDS programme. It also explained the need for the establishment and maintenance of national AIDS committees and technical advisory committees. This module provided a useful introduction to the course.
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Module 2 provided information on the natural history and basic epidemiology of HIV/AIDS. It described how to determine current and estimate future HIV prevalence. It used the process of matrix development to identify and describe target populations. The systematic approach in this module provided the framework for future modules. Module 3 described WHO recommended objectives, strategies and interventions. These provided new knowledge for many participants. It also described how to develop national policies and guidelines. Module 4 built on the information gained in modules 2 and 3. It described how to identify priorities for a national AIDS programme and how to set programme targets. The process of prioritization was well received by most participants. Module 5 was the first activity module. It addressed the intervention of promoting safer sexual behaviour in detail. The main value of this module was that it stimulated discussion concerning the implementation of the activities. Strategies to overcome these problems were discussed. A flexible approach was taken for covering the material in modules 6 to 12. Facilitators used a range of activities to provide an overview of the topic and allow for group participation. The material in these modules was covered to a satisfactory level although some participants did comment that there was insufficient time to cover the material thoroughly. Module 6 described the steps for planning to ensure that an adequate supply of condoms is available to successfully promote condom use. In some countries cultural and religious factors were incompatible with promoting condom use as a major prevention strategy. Module 7 described the link between HIV I AIDS and other STDs. It outlined the essential steps for assessing STD care services, how to identify deficiencies in those services and how to plan activities to remedy the deficiencies. This module was particularly useful for the countries which have a high prevalence of STDs Module 8 described steps for planning how to provide a safe blood supply and aseptic conditions for invasive skin-piercing and dental procedures. In general, this module was relevant for most countries. Module 9 described how to plan activities to prevent HIV transmission through injecting drug use (IDU). This module was useful for the countries which have an IDU problem. Module 10 dealt with care and social support for people with HIV/AIDS, their family and the community. Participants recognized the need for preparing health professionals and the community for caring and supporting people with HIV infection and AIDS. They saw this as a strategy to prevent discrimination and stigmatization. In some groups this module stimulated considerable discussion about confidentiality, discrimination and mandatory testing. Module 11 described how to use the process of writing a national plan to unify and coordinate programme priorities, targets and activities. This module needs to be revised in light of experience gained from first generation plans. The strengths and weaknesses of first generation plans were discussed. The need for second generation plans to be more focused on the circumstances of each country was emphasized. Module 12 described the process of monitoring and evaluating an AIDS programme. The feasibility of evaluation processes described varied widely from country to country depending on the availability of resources.
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In addition to the group modular training sessions, two large group meetings were held. The first was on the fifth day. It included a demonstration of the softwares Epiinfo Epimodel and Epimap and a plenary session. Issues discussed at the plenary session included the (cost ) effectiveness of counselling and testing, the effectiveness of mandatory testing and encouraging a more holistic approach to preventing the spread of HIV through the promotion of healthy lifestyles. The second plenary session was on the final day. Suggestions raised during this session included: using audiovisual aids to enhance the programme; using a field trip to enhance the programme; including a high prevalence country in the meeting in order to provide information about approaches that have proved to be successful and unsuccessful; conducting a one-hour plenary session after the completion of each module; conducting these training programmes at country level; placing countries with similar problems in the same group;
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- placing more emphasis on integrating HIV I AIDS programmes within the primary health care structure. 2.5 Closing ceremony
The meeting was closed by Dr Liu Xirong, Director, Programme Management, WHO Western Pacific Regional Office. Dr Liu Xirong acknowledged that there was no better way of improving programme planning, implementation, monitoring and evaluation skills than by sharing knowledge and experience with colleagues. He reiterated that the participating countries from Asia were in the fortunate position of being able to use strategies to prevent and control the AIDs epidemic at an early stage. He said that complacency and duplication of effort had to be avoided, and that this called for the dedication, hard work and planning skills of programme managers. The speaker acknowledged that each country and national culture had unique aspects which needed to be taken into account if plans were to succeed. He encouraged participants to build on these cultures and traditions to meet the challenges ahead and wished them success in revising and updating their plans. Dr D. Maducdoc, Programme Manager, AIDS/STD Unit, Department of Health, Manila thanked WHO for sponsoring the programme on behalf of the participants. He commented on the value of the training programme and how it served to stimulate and motivate programme managers to face the challenge presented by the HIV epidemic.
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3. RESULTS OF THE TRAINING PROGRAMME
3 .1
Educational gains The stated objectives of this meeting were three-fold: (1) to review experiences in the management of national AIDS/STD programmes;
to increase awareness of a systematic process for developing and managing a (2) comprehensive national AIDS prevention and control programme; to strengthen knowledge and practise skills needed for the implementation of that (3) process; and (4) to integrate a monitoring and evaluation process into AIDS/STD programmes .
The range of experience represented by the participants varied from some who were quite new in their role as programme managers, to those with several years' experience, to a few who were not directly involved in day-to-day programme management. In their written evaluations (the course evaluation form is provided in Annex 4): almost all the participants indicated that they felt the first objective was either well or very well met; all the participants indicated that the objective to increase awareness was well or very well met; and
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- most of the participants indicated that the objective to strengthen knowledge and skills was well or very well met. Those who did not think this objective was met indicated that they were familiar with the knowledge and skills presented in the training course. Most participants indicated that they had learnt new skills and concepts, and would be able to apply these skills and concepts in their home countries. A number of participants indicated that the systematic approach to programme planning as described in the modules was helpful. Participants commented that the focus on prioritizing and on monitoring and evaluation was useful. There was a general belief that many of the evaluation indicators specified in the modules as recommended by the Global Programme on AIDS would be difficult and expensive to implement. Less difficult and costly options were discussed. 3.2 Process and outcome
The participants were generally satisfied that they had sufficient opportunities within small groups to express their ideas and problems. With much of the meeting time devoted to working through the modules, the participants were less satisfied with the opportunities to exchange knowledge and experiences with other participants outside their small groups. It was suggested that more plenary sessions would facilitate the process of sharing and exchanging ideas.
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The participants felt the modules were usually clear and easy to follow, informative and generally appropriate to their own national AIDS programmes. However, some participants commented that the language used in the modules was too complex for the country participants for whom English was a second language. In addition, the inconsistent use of terms in the modules was confusing and many simple concepts were described in an unnecessarily complex manner . 3. 3 Or~anization
of the meeting
The participants rated the small group discussions as the most helpful method of working through the modules. Individual feedback from the facilitators was generally rated as being usually helpful, while the large group discussions were rated as-sometimes helpful. Most of the participants felt the scheduling and length of time devoted to the different methods was satisfactory. The participants did express some disappointment that while they were able to share and discuss within their small groups, there was not the same opportunity to do so with participants in the other groups. Participants were divided in their views about the length of the programme. Some thought the length was satisfactory, some thought it was too short. All of the participants expressed satisfaction with the facilitators, with the majority indicating that they were always helpful. 3 .4 Administrative aspects
Most of the participants were most satisfied with their travel arrangements and the administrative support provided by WHO 3.5 Other comments
All of the participants felt that further meetings should be held for national AIDS programme managers, with a majority indicating they should be held at least every year. Other topics that participants wanted addressed at future meetings included: the development of a holistic approach to the prevention of HIV transmission; managing change; evaluation of the cost-effectiveness of programmes; monitoring/evaluation and surveillance; AIDS and tuberculosis; advocacy and negotiation; addressing discrimination;
- the integration of STD and AIDS prevention programmes. In addition it was suggested that: the different participants from each country could be divided into different groups to encourage cross-fertilization of ideas;
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- the skills learned from this meeting could be applied to other programmes; - WHO continue to provide support for national AIDS programmes; and - WHO should produce a newslettel' for AIDS programme managers. 3. 7 Recommendations from consultants
The consultants used for this training course were also involved in a training programme in Guam (10-18 March 1994). Based on the experience of facilitating this training course twiCe they recommend that consideration should be given in future versions of the course to: (1) re-editing the modules to ensure terms are used consistently and that the language and concepts presented are simple and clear; (2) including graphical summaries of the planning process throughout the modules.
(3) encouraging facilitators to use a more interactive approach to learning. This would include experiential group work. In addition the use of audiovisual aids and field trips could be encouraged to stimulate learning. This approach would require the use of experienced group facilitators; (4) developing an additional module to cover the skills required to manage change. It could include successful management styles, negotiation skills, advocacy skills, coping with resistance to change and stakeholder analysis; (5) revising the module on the national plan to reflect the lessons learnt through the first generation plans; (6) revising the module on monitoring and evaluation to focus on more feasible techniques, and include cost-effective evaluation techniques.
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ANNEX l
FINAL LIST OF PARTICIPANTS, CONSULTANTS, OBSERVERS AND SECRETARIAT
1. PARTICIPANTS
BRUNEI DARUSSALAM
Dr Vicky Lim Poh Kee Medical Officer Ministry of Health Bandar Seri Begawan Dr Hun Chhunly Director General of Health Phnom Penh Dr Seng Sutwantha AIDS Counterpart for Nursing Project Ministry of Health Phnom Penh
CAMBODIA
CHINA
Dr Sun Xinhua Programme Officer Epidemic Prevention Department Ministry of Public Health Beijing Dr He Xiong Assistant Researcher Beijing Municipal Health Bureau Beijing Mr Pan Xue-Lei Assistant Researcher National Institute of Health Education Beiiing Madame Situ Wen Programme Officer Division of International Organizations Ministry of Public Health Beiiing
HONG KONG
Mr Antony John Lowes Dickinson Principal Assistant Secretary Health and Welfare Branch 7/F., Main Wing Central Government Offices Lower Albert Road Hong Kong
10 Annex 1 JAPAN Dr Ichiro Tomizawa Division of Infectious Disease Control 1-2-2 Kasumigaseki Chiyoda-ku Tokyo 100-45 Dr Masami Matsuda Chief Division of International Training Department of International Cooperation The Research Institute of Tuberculosis 3-1-24 Matsuyama, Kiyose Tokyo 204 LAO PEOPLE'S DEMOCRATIC REPUBLIC Dr Sithat Insisiengmay Director, National Institute of Hygiene Secretary, National Committee for the Control of AIDS Vientiane Dr Chanthone Khamsibounheuang Programme Coordinator National Committee for the Control of AIDS Vientiane MACAO Dr Joao Maria Larguito Claro Director Department of Health Services Macao Dr Hjh. Harrison Aziz bte. Shahabudin Deputy Director of Health Selangor State Health Services Jabatan Kesihatan Negeri Selangor Tingkat 4 Podium Selatan Bgn. Sultan Salahuddin Abdul Aziz Shah 40590 Shah Alam Selangor
MALAYSIA
Dr Zainudin Abdul Wahab Assistant Director AIDS/STD Unit Kementerian Kesihatan Malaysia J alan Dungun Bukit Damansara 50490 Kuala Lumpur PHILIPPINES Dr D. Maducdoc Programme Manager AIDS/STD Unit Department of Health San Lazaro Compound Sta Cruz Manila
11 Annex 1 Dr Evelyn Grace B. Gacad Medical Specialist IV Health Manpower Development and Training Service San Lazaro Compound Sta Cruz Manila REPUBLIC OF KOREA Ms Mee Kyung Kee Research Scientist Centre for AIDS Research National Institute of Health fulQyl
Dr So-Young Ahn Communicable Disease Control Division Ministry of Health and Social Affairs Kwacheon-Si Kyeon~gi-Do
SINGAPORE
Ms Ang Beng Choo Director Nursing Professional Standards Nursing Division Ministry of Health College of Medicine Building 16 College Road Singapore 0316 Dr Tran Xuan Nhi Vice-Minister Ministry of Education and Training Hanoi Dr Nguyen Van Kinh Officer of National AIDS Programme National AIDS Committee Ministry of Health 138A Giangvo Street Hanoi
VIETNAM
2. CONSULTANTS
Ms Pamela Messervy Senior Advisor (Nursing) Ministry of Health Wellington New Zealand
12 Annex 1 Mr Clifford Chang AIDS Communication Specialist South Pacific Commission Noumea New Caledonia Mr Wayne Antkowiak Communicator Communicable Diseases Control Section Department of Public Health and Social Services Government of Guam P.O. Box 2816 Agana
3. OBSERVERS
AUSTRALIAN INTERNATIONAL DEVELOPMENT ASSISTANCE BUREAU
Ms Margaret Thomas Second Secretary Development Assistance/ AIDAB 104 Paseo de Roxas cor. Perea St. Legaspi Village Makati Dr Aristides Tan STD/ AIDS Coordinator Department of Health Integrated Field Office IX Zamboanga City Dr Gwendolyn Rose Biteng Medical Specialist II Department of Health Integrated Field Office I San Fernando, La Union
DEPARTMENT OF HEALTH
RESEARCH INSTITUTE OF TUBERCULOSIS
Dr Takashi Yoshiyama Researcher Department of International Cooperation 3-1-24 Matsuyama, Kiyose Tokyo 204
5. SECRETARIAT
Dr R.M. Sarda Global Programme on AIDS World Health Organization Regional Office for the Western Pacific Manila
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Annex 1 Mrs L. Kerse Global Programme on AIDS World Health Organization Regional Office for the Western Pacific Manila Dr G. Poumerol Global Programme on AIDS World Health Organization Geneva Switzerland Dr P. Exon Global Programme on AIDS World Health Organization Geneva Switzerland
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ANNEX 2 OPENING REMARKS OF DR S.T. HAN, REGIONAL DIRECTOR WHO REGIONAL OFFICE FOR THE WESTERN PACIFIC AT THE MEETING OF NATIONAL AIDS PROGRAMME MANAGERS 29 AUGUST TO 6 SEPTEMBER 1994 MANILA
LADIES AND GENTLEMEN, It is a pleasure to Manila. I do not need to tell you that for the world as a whole AIDS is already a pandemic, and one that is spreading very rapidly. We estimate that about fifteen million people have already been infected with the AIDS virus. This is really a serious public health problem and its socioeconomic implications are enormous. As AIDS Programme Managers, you need the greatest support possible from your governments,from nongovernmental organizations and from donor agencies. ~elcome
you to this meeting of National AIDS Programme Managers here in
In the majority of the countries in the Region, we are in a good position to prevent an AIDS epidemic, since the number of people infected is still low. Although you still have some time to work out realistic strategies suited to your specific needs and cultural situations, now is the time to act. It is now that prevention activities can have an effect. Sexual transmission accounts for the majority of AIDS cases, and is preventable by changes in behaviours. This should be a major focus of your programmes. There is a rising incidence of sexually transmitted diseases in the Region, and this is a major factor in the transmission of HIV. These diseases too, can be prevented by increasing the awareness of populations at risk and promoting the same behaviour changes required to prevent the transmission of HIV.
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Annex 2
The lOth International Conference on AIDS was held in Japan from 7 to 11 August. There were significant outcomes. These included new ways to reach-out to vulnerable populations; innovative means to manage sexually transmitted diseases; progress in understanding of the pathogenesis of HIV infection and the immune response that is crucial for long-term survival; and for the first time, real hope in reducing mother-to-child transmission. In a very practical manner, the Yokohama Conference on AIDS has contributed greatly to consolidating action against AIDS, especially in this Region. The situation in Asia offers unique challenges. I would like to encourage you all to consider new alternatives and new options in meeting these challenges and applying our global strategy. In your meeting over the next seven days, you will share many things that will help you to run your AIDS programmes. You will see that the work of a programme manager is going to be a full-time job. You will learn more on how to plan, implement, monitor and evaluate activities. You will learn how to do HIV surveillance and reporting. You will also have a chance to review some education guides for children and young adolescents both in school and out-of-school and learn about effective AIDS education for your people. Most importantly though, I hope you leave this course with a renewed commitment to doing everything in your power to stop the spread of AIDS in your countries. I wish you a very informative, productive and stimulating meeting.
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ANNEX 3
PROGRAMME OF WORK
Monday. 29 August 0830-0900 0900-0930 0930-1000 Registration Opening ceremony Morning tea
1. Introduction 1000-1100 Individual work and group discussion
2. HIV I AIDS problem, control activities and target populations for prevention 11 00- 1200 1200-1300 1300-1400 1400-1415 Individual work and group discussion Lunch break Group discussion Afternoon tea
3. Interventions and policies 1415-1500 1500-1530 1600 Tuesday. 30 August Individual work Group discussion Cocktails
4. Programme prevention priorities 0800-0900 0900-0930 0930-1000 1000-1030 Individual work Group discussion Morning tea Group discussion continued
5. Promoting safer sexual behaviours 1030-1200 1200-1300 Individual work Lunch break
18 Annex 3 1300-1330 1330--1430 1430-1500 1500-1530 Individual work continued Group discussion Afternoon tea Group discussion continued
Wednesday. 31 August
6. Condom procurement and distribution 0800-0930 0930-1000 1000-1200 12p<)-1300 Individual work Morning tea Group discussion Lunch break Group discussion Review of modules 1-6 Afternoon tea Review of modules 1-6
I 13f><l-1330 '
13r0-1430
14~0-1500 ISr-1530
I Thursf:iay. 1 September
08~-0930 09~0-1000
I
7. Provision of STD care Individual work Morning tea Group discussion Lunch break Group discussion continued Afternoon tea Group discussion
1~-1200
1200-1300 1300-1430 1430-1500 1500-1530
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Ahnex a Friday. 2 September 8. Prevention of mv transmission through blood 0800-0930 0930-1000 1000-1100 Country group work and discussion Morning tea Group discussion 9. Prevention of mv transmission through injecting drug use 1100-1200 1200-1300 1300-1400 Country group work and discussion Lunch break Group discussion 10. HIV/AIDS care and social support 1400-1430 1430-1500 1500-1530 Country group work and discussion Afternoon tea Country group work and discussion continued
Monday. 5 September HIVI AIDS care and support continued 0800-0900 0900-0930 0930-1000 Group discussion Plenary session Morning tea 11. The national plan 1000-1130 1130-1200 1200-1300 Country group work and discussion Group discussion Lunch break 12. Monitoring and evaluation 1300-1330 1330-1430 1430-1500 1500-1530 Individual work Country group discussion Afternoon tea Country group discussion continued
20 Annex 3 Tuesday. 6 Stmtember Monitoring and evaluation continued
0800-0930 0930-1000 1000-1045 1045-1130 1130-1200
Group discussion Morning tea Course overview Course evaluation Closing ceremony
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ANNEX4
MEETING OF NATIONAL AIDS PROGRAMME MANAGERS 29 August-6 September 1994 Manila, Philippines
EVALUATION QUESTIONNAIRE
1. 1.1
Educational gains Indicate how well the following objectives were met. (a) to review experiences in the management of national AIDS/STD programmes; very well ( ) well () not very well ( ) poorly ( )
(b)
to increase awareness of a systematic process for developing and managing a comprehensive national AIDS prevention and control programme; very well () well () not very well () poorly ()
(c)
to strengthen knowledge and practise skills needed for the implementation of that process. very well ( ) well ( ) not very well ( ) poor! y ( ) If these objectives were not very well met or were poorly met, please comment:
1.2
Have you learnt new skills at the meeting? yes() Please comment: no()
22 Annex 4
1.3
Can you apply these skills in your country? yes() Please comment: no()
1.4
Have you learnt new concepts at the meeting? yes() Please comment: no()
1.5
Can you apply these concepts in your country? yes () Please comment: no()
2. 2.1
Process and Outcome Did you have sufficient opportunity to express your ideas or problems at the meeting? yes() Please comment: no()
23 AnnexA·
2.2
Did you have sufficient opportunity to exchange knowledge and experience with other participants? yes() Please comment: no()
2.3
Did you find that the modules provided were: (a) clear and easy to follow always ( ) \lSually ( ) sometimes ( ) never ( ) Please comment
b)
informative always ( ) usually ( ) sometimes ( ) never ( ) Please comment
(c)
appropriate for your National AIDS Programme always ( ) usually ( ) sometimes ( ) never ( ) Please comment
24 Annex 4
2.4
Specify which of the modules distributed for the meeting you found most useful :
2.5
Specify which of the modules distributed for the meeting you found less useful :
2.6
Indicate with a (x), how often you found the following methods of presentation helpful. individual work with individual feedback from the facilitator (only answer this question if your group did individual work) always ( ) usually () sometimes () never () small group discussions always () usually ( ) sometimes ( ) never ( ) full meeting discussions always () usually ( ) sometimes ( ) never ( ) Please comment:
3. 3.1
Organization of the meeting Were the duration and schedule of different modules satisfactory? yes () Please comment: no ()
25 Annex 4
3.2
Were the facilitators helpful? always ( ) usually ( ) sometimes ( ) never ( ) Please comment:
3.3
Did you find the mix of countries and/or individuals appropriate? yes() no()
If no, please comment:
4.
Administrative aspect Were the organization or administrative arrangements for travel, accommodation, per diem, meeting rooms and secretarial support satisfactory? yes() Please comment: no()
4.1
5.
Did you find the time allowed for the meeting satisfactory? yes() Please comment. no()
26 Annex 4
6. (a)
Your overall conclusion Was your attendance worthwhile to you personally?
yes()
no()
Please comment on the reason for your answer.
(b)
Was your participation worthwhile to your National AIDS Programme?
yes ()
no ()
Please comment on the reason for your answer.
(c)
Do you feel that further meetings are required? yes() no()
Please comment on. the reason for your answer
(d)
Please state how often you think regional meetings for National AIDS Programme Managers should be held.
(e)
Please comment on the topics that should be included at any future meetings.
27 Annex 4
7.
Is there any better way to achieve the meeting objectives? yes() no()
If yes, please describe briefly:
8.
What follow-up activities, if any, would you recommend: (a) by national government -
(b) by WHO-
(c) by other agencies (specify type) -
9.
Overall comments, suggestions, if any:
Name and Country (Optional)