GESTIÓN DE LA GERENCIA DEL EDIFICIO M ARIO LASERNA EN LA ETAPA DE DISEÑO

The national or state Coordinating Group for IMCI Pre-Service Training should support teaching institutions in reviewing and replanning for IMCI teaching. The group can help in assessing the methods and materials used, measuring the immediate outcomes of teaching, and reviewing and revising plans of action. This support is considered a critical at the

national level. To the largest extent possible, the activities in this phase should be incorporated into the monitoring and evaluation systems already in place at teaching institutions. In other words, the working group should not create a special monitoring system specifically for IMCI, but should use the opportunity to expand and strengthen existing monitoring and evaluation systems.

Assist Teaching Institutions in Reviewing and Replanning Teaching

The national or state Coordinating Group for IMCI Pre-Service Training can help teaching institutions review their plans of action, gather feedback from teachers and students, and identify activities and resources needed to sustain or strengthen IMCI teaching. Members of the National

Coordinating Group may help with different tasks over a period of time, or they may combine several tasks into a review and replanning visit.

Objectives

The objectives of assisting teaching institutions are to:

· Identify achievements and difficulties associated with the implementation of a plan of action; and

· Define feasible and affordable actions to overcome difficulties and strengthen teaching.

3.1 NATIONAL COORDINATOR(S) o Assist teaching institutions in

reviewing and replanning teaching*

3.1 NATIONAL COORDINATOR(S)

þ Assist teaching institutions in reviewing and replanning teaching*

Phase Three – Review and Replan IMCI Teaching: Tasks at National Level

Timing

Review and replanning can begin anytime from 6 to 12 months after a teaching institution begins to implement a plan of action.

Who Should Assist Teaching Institutions?

Persons charged with assisting teaching institutions should have good knowledge of IMCI, teaching experience, and knowledge of the WHO guidelines for

planning, implementing and evaluating IMCI pre-service training.

Description

The purpose of national-level assistance is to help teaching institutions achieve their stated objectives for IMCI teaching. Teaching institutions should review their plans of action several months after implementation begins. This review should identify what has been achieved and what still needs to be done. It should produce a description of the main achievements, difficulties and future actions needed to sustain or strengthen IMCI teaching.

The review should determine whether teachers and students understand, accept and are able to use the methods and materials available for IMCI teaching,

learning and student assessment. To obtain this information, teaching staff should gather feedback from students and fellow teachers during teaching sessions. The task called Conduct and Monitor Teaching in Phase Two of this guide describes how to gather feedback from students and teachers. If necessary, teaching staff may collect additional information from students and teachers upon completion of a rotation, course or term that includes IMCI.

In addition to assessing the methods and materials used, teaching staff should measure the extent to which expected outcomes were achieved in terms of student knowledge and skills in IMCI. One way to do this is to review the results of student assessments. If these results are not available, or if additional information is needed, a sample of students can be assessed to decide if learning objectives were met.

In countries or regions where the effectiveness of IMCI teaching has been evaluated (see Phase Three of this guide), the results of these evaluations should be examined. The results of a prior evaluation will provide a broader picture of the effect IMCI teaching has had on the performance of graduates who have completed a full academic programme.

Phase Three – Review and Replan IMCI Teaching: Tasks at National Level

The National Coordinating Group for IMCI Pre-Service Training can support teaching institutions with any of the tasks described in this phase. The group is particularly encouraged to assist teaching institutions in revising their plans of action. When revising a plan of action, some learning objectives may be modified, and some may be added, particularly on subjects related to IMCI such as

breastfeeding counselling. National or international experience, and knowledge of available resources, can contribute greatly to the revision of a plan of action.

Suggested Activities and Materials

The national or state Coordinating Group for IMCI Pre-Service Training should identify qualified persons to assist teaching institutions in reviewing their plans of action, and in defining activities and resources needed to sustain or strengthen IMCI teaching. To the largest extent possible, activities should take place within the monitoring and evaluation systems already used by teaching institutions. It should not be overlooked, however, that the review process provides an

opportunity to broaden or strengthen existing monitoring and evaluation systems.

Support can be provided to teaching institutions in two primary ways:

· Review and replanning visit. A teaching institution, or group of teaching

institutions, may request assistance in reviewing and replanning IMCI teaching. They may request a visit from the National IMCI Focal Person, a member of the National Coordinating Group for IMCI Pre-Service Training, a WHO staff member, WHO consultant or other qualified person. Depending on the information needed, the visit can take from one to five days. It may

include gathering feedback from students and teachers. It should include identifying activities and resources needed to sustain or strengthen IMCI teaching. Before the visit, representatives from relevant academic units and clinical practice sites should review their plan of action and collect feedback and assessment information from students and teachers.

The objectives of a review and replanning visit are to:

- Review the plan of action;

- Describe the achievements and difficulties experienced with the implementation of the plan of action;

- Assess if IMCI teaching is achieving the stated objectives;

- Identify the actions and resources needed to sustain or strengthen IMCI teaching; and

Phase Three – Review and Replan IMCI Teaching: Tasks at National Level

A review and replanning visit may consist of the following activities (these activities are further described in section 3.2 of this guide):

- Work with key staff to review the teaching institution’s plan of action and identify achievements and difficulties with its implementation;

- Collect feedback from students and teachers on the quality of teaching, learning and student assessment;

- Observe classroom or clinical practice session(s);

- Assess the IMCI knowledge and skills of a sample of students and teachers;

- If an evaluation of the effectiveness of IMCI teaching has been conducted in a region or country, review the results of the evaluation; and

- Meet with key staff to provide feedback on the findings of the visit and

identify actions and resources needed to sustain or strengthen IMCI

teaching.

A variety of methods can be used to collect feedback from teachers and students, including written questionnaires, interviews and focus group

discussions. The review visit may include different methods for assessing the knowledge and skills of students and teachers. Annex 3 contains materials that can be adapted for a review and replanning visit, and an outline for a report of a review and replanning visit.

· Assistance with individual tasks and activities. Teaching institutions may

request assistance with individual tasks or activities related to reviewing and replanning IMCI teaching. Assistance may be requested from the National IMCI Focal Person, a member of the National Coordinating Group for IMCI Pre-Service Training, a WHO staff member, WHO consultant or other qualified person. It might consist of developing materials (e.g. a student questionnaire to evaluate teaching) or implementing certain activities (e.g. conducting focus group interviews with teachers and students). Annex 3 provides materials that can be adapted for use in individual tasks and activities.

Phase Three – Review and Replan IMCI Teaching: Tasks at the Teaching Institution

3.2

Review and Replan IMCI Teaching: Tasks at the Teaching