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- SIVAC Initiative- 20-24 April 2015 www.sivacinitiiative.org
REPORT:
Strengthening National Immunization Technical Advisory Groups (NITAGs)
Technical Capacities
Regional Training on NITAGs Capacity Building
Nairobi 20-24 April, 2015
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Table of content Context and rationale ......................................................................................................................... 3
Objectives of the training ................................................................................................................... 4
Format and content of the training .................................................................................................... 4
Participants’ profile ............................................................................................................................ 5
Meeting operations ............................................................................................................................. 6
Training expectations ......................................................................................................................... 6
Objective 1: To enhance participants understanding of the concepts in vaccinology
(including the principles for issuing evidence-based recommendations) and their skills to
critically assess quality of data in published papers ...................................................................... 7
Objective 2: To develop participants teaching capacity and skills to run workshops for
NITAGs using the training manual developed by the SIVAC Initiative ......................................... 10
Evaluation of the training ................................................................................................................. 11
Evaluation of objective 1 of the training ...................................................................................................... 11
Evaluation of individual sessions ............................................................................................................. 11
Knowledge of topics ................................................................................................................................ 12
Understanding the principles and methods of using evidence to develop evidence based
recommendations ................................................................................................................................... 14
Topics that require further training........................................................................................................... 14
Overall evaluation of objective 1: ............................................................................................................ 15
Evaluation of objective 2 of the training ................................................................................................... 16
Participants overall feedback on the workshop ........................................................................................... 17
Objectives achievement .......................................................................................................................... 17
Time allocated for each session .............................................................................................................. 19
Overall satisfaction .................................................................................................................................. 19
Next Steps .............................................................................................................................................. 20
Conclusion and next steps .............................................................................................................. 21
Appendix 1: Training programme .................................................................................................... 23
Appendix 2: List of participants ...................................................................................................... 27
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Context and rationale
The SIVAC Initiative implemented by AMP was established in 2008 with the main objective of supporting
national authorities in low and middle-income countries set-up and strengthen their NITAGs. In 2012, WHO
designated the Health Policy and Institutional Development Unit (HPID) of the “Agence de Médecine
Préventive” (AMP) as a WHO Collaborating Centre on evidence-informed immunization policy-making
considering its experience with National Immunization Technical Advisory Groups (NITAGs).
The SIVAC Initiative has supported the creation and/or strengthening of 14 NITAGs and organized over 20
training workshops in collaboration with partners in Africa, South-East Asia, Europe, Eastern-Mediterranean
and West Pacific WHO regions, with the aim of building NITAGs capacity to function in accordance with
WHO guidelines.
Building from this experience, the SIVAC Initiative has developed a training catalogue that describes the
project strategy and key interventions to reinforce NITAGs’ capabilities to provide decision-makers with
sound technical and evidence-based recommendations. As presented in the catalogue of trainings, SIVAC
capacity building strategy comprises regional and national training programmes with the following goals:
i. For regional trainings:
+ To develop local expertise to sustain NITAG capacity building (e.g. training local experts as
technical resources and facilitators of future regional and national NITAGs trainings) );
+ To promote a learning-by-experience approach through sharing of best practices and lessons
learned among countries with a similar context
ii. For national trainings:
+ To address specific country needs as related to NITAG scope of work or topics of
consideration.
The target groups identified in the training catalogue are:
+ National experts as potential future facilitators for NITAGs trainings
+ NITAG chairs and secretariats
+ NITAG members including core members, liaison members, and ex-officio members
To implement this strategy, the SIVAC Initiative developed a training manual that comprises three core
units and one with optional modules (“a la carte”). Each Unit has a set of materials: a facilitator guide,
facilitation methods, slide deck, and an aide-memoire with resources for the participant. The three core
units are: 1) Establishment and mode of operations of an efficient NITAG; 2) Analysis of Health Systems,
Immunisation, and policy-decision process and 3) Development of evidence –based recommendations. The
“a la carte” training includes the following modules: 1) Socio-anthropological approach to vaccination; 2)
Principles and use of economic assessments of vaccines and immunisation programmes in decision-
making; 3) the GRADE approach for systematic reviews
As the number of NITAGs is increasing, it is expected that they will require support to build and strengthen
their technical capacity. It is also anticipated that already existing NITAGs will also need to reinforce their
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capacities. It is important to ensure that support will be available when needed. AMP is proposing that a
pool of experts be trained to assist NITAGs in obtaining the necessary skills for an optimal functioning.
As capacity building is a continuous process, the availability of local technical assistance to NITAGs will
help maintain NITAGs technical skills.
It is against this background that the SIVAC Initiative organized training for NITAGs capacity building in
Nairobi (Kenya) on April 20 to 24, 2015 as a pilot of the implementation of the strategy described in the
training catalogue.
The course was jointly facilitated by the SIVAC Initiative, the Vaccines for Africa Initiative (VACFA) of the
Institute of Infectious Disease and Molecular Medicine at the University of Cape Town, South Africa and an
educational trainer from the Kenya Medical Research Institute (KEMRI, Kisumu site). The AMP training Unit
also assisted in the design and implementation of the course.
Objectives of the training
+ Objective 1: To enhance participants’ understanding of the principles for issuing evidence-based
recommendations in immunisation and their skills to critically assess quality of data in published
papers
+ Objective 2: To develop participants teaching capacity and skills to facilitate workshops for NITAGs
organized by the SIVAC Initiative
Format and content of the training
The training was a 5-day residential workshop organized in two parts according to the above objectives of
the training.
Part one of the training, which ran for two days, focussed on objective 1. Lectures, group discussions, and
practice sessions were used to deliver the following topics:
+ Introduction to vaccinology
+ Evidence-Based Medicine (EBM) and EBM’s role in vaccinology
+ Practical guide to search for scientific evidence from PubMed database
+ Developing evidence-based recommendations in immunization
In the second part of the training (day 3 to day 5) the trainers focussed on teaching skills and familiarizing
participants with the SIVAC training manual as stated in objective 2. This section was provided in the form
of lectures, group work and practice sessions. The sessions covered included:
+ Introduction to the NITAG training manual with a focus on training 1 and 3
+ Specificities of adult learning
+ Participatory approach for optimal learning
+ Familiarization with the NITAGs training manual
+ Practice: Delivering a training session
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The training programme is provided in appendix 1.
Participants’ profile
The training targeted public health experts who:
+ Are familiar with NITAGs operations or with immunization decision-making and programme
management
+ Have a working relationship with their respective countries’ Ministry of Health or
+ Hold relevant positions in partner institutions providing technical support to national authorities
Participants were from the WHO country office in Côte d’Ivoire (representing the inter-country support team
for West Africa, IST), from India, Kenya, Mozambique, and Nigeria. Two consultants from the SIVAC
Initiative attended the workshop. EPI focal persons at WHO Regional offices in AFRO and SEARO as well
at WHO IST for East and Southern Africa and West Africa were also invited although did not attend (they
sent their apologies for not attending).
Participants are listed in appendix 2.
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Meeting operations
At the start of the training, facilitators and participants agreed that country specific issues discussed be
treated as confidential.
Training expectations
The training expectations of participants at the start of the training are provided below:
No. of participants Expectation
********* Learn how to critically appraise evidence and make sense of results for decision making
********* Deepen understanding of research for evidence in vaccination
******* Understand the steps for transparent grounds of a recommendation on immunization
****** Be familiar with the core topics proposal by the SIVAC-Initiative for strengthening NITAG capacities
***** Practice searching techniques for finding evidence on vaccination
** Practice teaching of the core topics and receive constructive feedback from peers and the training team
* Share experiences/barriers to introduction of evidence based recommendations e.g. availability of good quality evidence
* Share challenges experienced in other countries with NITAG and how these challenges are being handled
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Objective 1: To enhance participants understanding of the concepts in vaccinology (including the principles for issuing evidence-based recommendations) and their skills to critically assess quality of data in published papers
There were two topics covered under this objective:
i. Vaccinology and Evidence-Based Medicine
The presentation on ‘introduction to vaccinology’ aimed at making participants understand the common
terms used in vaccinology (epidemiology, vaccination & immunization, research)
The presentations on ‘Evidence Based Medicine (EBM)” and on “ the role of EBM in vaccinology’ and
EBM utilization in vaccinology covered the following: what is EBM; History of EBM; Examples of EBM
utilization in vaccinology, the steps and process of conducting research for evidence-based
recommendation on immunization.
Participant discussions: Participants discussed the challenges of developing local evidence
based recommendations when local evidence was unavailable. Discussion on this issue highlighted
an important role that NITAG members can play to further the development of local evidence. For
example, by identifying areas with little or no evidence and advising the relevant government
department on ways to get the local evidence. Discussions on this issue also acknowledged
situations where no local evidence exists; regional evidence could be considered with caution. In
most LMICs, contextual challenges that may confound the evidence are very similar.
ii. Developing evidence-based recommendation in immunization
The lecture on ‘NITAGs process to issue evidence based recommendations’ provided an overview of
the process followed by NITAGs in issuing evidence based recommendations including tools and methods
for searching and critically appraising the evidence
Participant discussions: The important take-home message from the discussions was that
operations and recommendations developed by NITAG should follow its operational manual. It is
important that policy makers recognize NITAG as an advisory body that provides high quality advice
to the national authorities and decision-makers, thus the importance for NITAGs to follow a
structured and transparent method for issuing their recommendations. The process for constituting
NITAGs should be well integrated in the decision making process so that NITAG formation and
operations are not easily disrupted.
The session on ‘the KENITAG experience’ aimed at illustrating how the Kenya NITAG was formed and the
methodology used in developing a recommendation on the influenza vaccine.
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Participant discussions: NITAG establishment – it was clarified that the approval of a NITAG
rests with the relevant Ministry within each national government.
Participants requested information on what support is available from the SIVAC Initiative. The
SIVAC Initiative provides technical and financial support for the establishment and initial operations
of a NITAG, however national governments are then expected to gradually take up the financial
responsibilities of the NITAG. The Kenya NITAG was presented and discussed as an example
where the SIVAC Initiative provided financial and technical support for establishment of a NITAGn
the start-up period.
Discussions arose about the best way to establish a NITAG. It was agreed that establishment of the
committee in a sustainable manner was best done on basis of a formal legislative or administrative
order (e.g. a Ministerial decree) . Nigeria is currently pursuing an administrative/executive route for
establishment of its NITAG given that legislative action would take too long. The Kenya NITAG was
formed following incorporation of the need for a NITAG in the 2013 national immunization policy.
The Minister of Health appointed members of the Kenyan NITAG.
It was shared that housing the secretariat within the national immunization programme is beneficial
in that it provides a sustainable source of secretariat support, and that the decisions taken by
NITAG are likely to be disseminated and/or accepted by the national immunization programme.
However, for members of the national immunization programme to fulfil satisfactorily their roles in
the NITAG secretariat they would need a certain amount of time dedicated to their added duties.
Additional experiences from the country-level followed: Mozambique shared that the composition of
the NITAG secretariat is derived from people working at the national programme for vaccines.
Including policy makers into the NITAG working processes would helped speed up formation of
policy that is signed off by the Minister of Health. India’s NITAG has been in existence since 2000
but new developments in 2013 have allowed it to have a more active role in immunization than
before. The speaker pointed out the importance of having a political mandate at national level for
country ownership and commitment of the NITAG.
NITAG membership and member replacement: Participants discussed different methods of
identifying core members of the NITAG. Aside from nomination of members by the head of the
national immunization programme to the Minister, they discussed the possibility of recruitment of
nationals through advertising Although some expressed concern that this method may result in an
overwhelming number of applications. The approach on how to identify members should be a
country specific decision rather than a standard approach to each country given the unique social,
legal, governance, and political environments encountered in each country.
Some participants expressed concerns about potential political influences during appointment of
members. It was noted that depending on each country’s context, political appointments might be a
trade-off that the NITAG has to make in order to get political support in its operations. Participants
from Nigeria stated that appointment of members given the federal system of government with many
competent people across several regions eligible for appointment would be difficult. The experience
of appointment of members in other countries was shared. In Kenya, the Head of the Unit of
Vaccines and Immunization Services (UVIS) made a list that was shared with the Cabinet Secretary
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for Health for input and final approval. The list of members presented to the Ministry of Health in
Benin was not approved and a new list had to be generated. Ghana plans to advertise NITAG
positions, thereafter a panel will review and decide on the final list of members.
In Nigeria, membership of NITAG may have to be higher beyond the recommended 10-15 given the
size of the country.
Replacement of members was discussed:. In the Mozambique NITAG, where a member comes
from a particular organization, if the member needs to be replaced, the organization from which the
member comes from is asked to nominate a replacement. However, it is made clear to the nominee
and the institution that he/she will not represent his/her institution interest but is a member of NITAG
in his/her own right.
NITAG operations: Participants discussed other challenges around the formation of NITAGs,
compared the roles and functions of Inter-agency Coordinating Committee (ICC) and NITAG,
membership and decision-making, and resources to support the start of the NITAG functions.
Participants were encouraged to share their histories of the challenges of getting the NITAGs up
and running in their countries. To address the challenges of core members not having sufficient time
to perform comprehensive literature searches, the Mozambique NITAG in its last meeting agreed to
make use of postgraduate students in public health to support literature searches and compile
background documents in support of NITAG meeting deliberations
Conflict of interest: Different types of conflict of interest were discussed. Concerns were raised that
NITAG core members as experts in the field are likely to have conducted pharma-sponsored
research in the immunization field and therefore potential areas of conflict or influence may arise. In
managing these different types of conflict, it was explained that the NITAG procedural manual
should have clear guidance on how to manage different types of conflict, as they require different
actions.
The topic on ‘conducting a literature search’ provided an overview of the process for conducting and
recording a literature search. Practical demonstration of framing a PICO approach question, developing a
search query as well as searching for evidence in PubMed database was provided to the participants.
The topic on ‘evidence critical appraisal’ introduced the tools for critically appraising evidence with
particular focus on the CASP tools. During the group work session that followed, participants were divided
into two groups and developed a recommendation framework for a particular vaccine issue, prioritised the
data needed for the recommendation framework, practiced conducting and recording a search, retrieved an
article and used the CASP tools to assess the quality of the article retrieved. The findings of each group
were presented back in plenary.
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Objective 2: To develop participants teaching capacity and skills to run workshops for NITAGs using the training manual developed by the SIVAC Initiative
Part 2 of the training was devoted to objective 2 and was covered from day 3 to 5. It included:
i. The presentation of the NITAG training manual
During the session on ‘introduction to the NITAG training manual’ participants were provided with an
overview of the manual’s content and structure. Thereafter they were divided into two groups and were
taken through 2 teaching units of the manual:
+ Training 1 on “Establishment and mode of operations of an efficient NITAG”
+ Training 3 on “Development on an evidence-based recommendation on immunisation”
Participant suggestions to improve the training manuals: Participants’ suggestions to improve the
content of the manual are listed below:
+ Organisation of the manual
o Combine the modules in to one document - the presentation of the manual in numerous
different folders was confusing
o For each training provide a draft time-table
+ Emphasis on the operationalisation of the NITAG:
o More information on the functioning of working groups should be provided
o Mention the need to make use of the country annual work plan and the country multiyear
plan in developing the NITAG work plan
o Include a template for a WG report
ii. The presentation of the NITAG Resource Centre (NRC)
The presentation covered the NRC structure, how it could be used by NITAGs in their functioning and
interactions with other groups.
Participant discussions: Participants suggested that a tool/guidance be provided on how to navigate
through the website. This could take the form of a video, an interactive interface, or some answers /
questions in the existing FAQ (Frequently Asked Questions) section.
iii. Presentation of teaching methods
At the introduction of the training a number of participants did not consider training methods as important or
relevant to them. By the end of the training session they were more eager to utilize what they had learned.
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Different teaching methods were presented to participants using interactive approaches. These were: “how
to make a presentation instructive”; “anti-presentation role play” and “the carousel exercise”
iv. Practices sessions on the training manual
Each participant was assigned a section of the NITAG training manual. They were allocated a time to
prepare their presentation. Some followed the materials proposed by SIVAC but a number of them modified
their slides to fit the presentation, incorporating some of teaching technics (carrousel, brainstorming, etc.)
Each participant had 30mns for their presentation. Feedback sessions allowed for constructive comments.
Participants embraced the activity.
Evaluation of the training
Participants’ feedback was obtained at two stages: First by getting participants’ feedback on the individual
topics of each of the training’s objectives and secondly by collecting overall feedback on the training
In addition the report of the educational designer attached to this report elaborates specifically on the
instructional part of the training in terms of:
+ Participants satisfaction and knowledge increase
+ Suggestions for improving the training and the material used
Evaluation of objective 1 of the training
Evaluation of individual sessions
Question: After your participation in part one of the workshop, tell us how you rate the following sessions.
Answer: The results are provided in the figures below:
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0
2
4
6
8
10
Poor Good Very good Excellent
No
. o
f r
esp
on
de
nts
Score assigned
Intro to vaccinology
n=11
0
2
4
6
8
10
Poor Good Very good ExcellentN
o. o
f r
esp
on
de
nts
Score assigned
History of EBM & EBM
in vaccinology
n=11
Knowledge of topics
Question: After your participation in part one of the workshop, tell us how you rate yourself on knowledge
of the following topics.
Answers: The responses are provided below:
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0
2
7
2
0
2
4
6
8
10
Same as before
Slightly improved
Improved Dramatically improved
No
. o
f r
esp
on
de
nts
Score assigned
Principles of EBM
n=11
01
7
3
0
2
4
6
8
10
Same as before
Slightly improved
Improved Dramatically improvedN
o. o
f r
esp
on
de
nts
Score assigned
Steps in dvpt of EBM
recommendations
n=11
0
2
45
0
2
4
6
8
10
Same as before
Slightly improved
Improved Dramatically improved
No
. o
f r
esp
on
de
nts
Score assigned
Search for evidence
n=11
0
45
2
0
2
4
6
8
10
Same as before
Slightly improved
Improved Dramatically improvedN
o. o
f r
esp
on
de
nts
Score assigned
Appraising published
literature
n=11
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Understanding the principles and methods of using evidence to develop evidence based
recommendations
Question: Tell us how well you think you have understood the principles and methods of “from evidence to
evidence based recommendation”. Please give further answers/details on this question if relevant.
Answers
Topics that require further training
Question: Is there any aspect of the process of recommendation making on which you would need further
training? If so, which one?
Answers: These were the responses listed:
+ Appraising quality of published literature
+ Structuring the recommendation note & technical reports
+ Grading of recommendations (weak to strong)
+ Drafting an EB recommendation
+ Conducting a literature search
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Participants commented that additional information is required on:
+ How to make recommendations when insufficient good quality evidence is available
+ How to take different aspects into perspective/consideration to make the EBR
+ The process of synthesizing evidence
+ How to manage conflicting literature
+ Managing practical difficulties on the ground
It was stated that regular practice would be able to bring more clarity.
Overall evaluation of objective 1:
Question: After your participation in this part of the workshop, tell us how you rate the topics chosen for the
workshop and the structure of the workshop.
Answers
Question: Would you have any suggestions on how the training could be improved in regards to
objective 1 of the programme?
Answers: Participants provided suggestions to improve the workshop:
+ The group work on selecting elements and specific data within a recommendation framework,
developing a research question, conducting a search and appraising the quality of a paper was
better done as one group work session rather than split over two days.
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+ There is need to train NITAGs on legal issues and use of students in EBM & EBR
+ A better structure for the manuals (e.g. divide for new & existing NITGAs) is required.
+ Manuals should have been circulated before workshop for pre-reading.
Question: After your participation in objective 1 of the workshop, do you have any general comment?
Answers: General comments on the workshop are provided below:
+ Good group work & hands on literature search
+ Very admirable facilitators
+ Other countries used as case studies
+ Timing of the training was good
+ Useful workshop to help NITAGs
Evaluation of objective 2 of the training
Establishment and mode of operations of an efficient NITAG
Question: How well have you understood the principles presented in training 1 “establishment and mode of
operations of an efficient NITAG”?
Answers: The responses are provided below:
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Question: Is there any aspect about NITAG establishment and mode of operations on which you would
have needed further information or training? If so, which one?
Answers: Their responses are provided below:
+ Confidentiality agreements
+ Agenda setting
+ Terms of reference for working groups
+ Template for technical reports by working groups
+ Decree/legal backing to establish NITAGs
+ Functions and support provided by the NITAG secretariat
Question: Tell us how you rate the methodology used to present the training manual.
Answers: The responses are provided below:
Participants overall feedback on the workshop
Seven questionnaires were collected (out of 9 participants, one of whom has already left at the time of
evaluation).
Objectives achievement
Question: Participants were asked to rank their achievement of each objective of the workshop on a 0-5
scale (0: not achieved - 5: totally achieved)
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+ Objective 1: To enhance participants understanding of principles for issuing evidence-based
recommendations and their skills to critically assess quality of data in published papers
+ Objective 2: To develop participants teaching capacity and skills to run workshops for NITAGs using
training manual developed by the SIVAC Initiative
Answers: Participants responded that both objectives were equally well achieved (though a slightly higher
level of achievement for Objective 1).
Achievement of Objectives
Number of respondents assigning each score (n=5)
Score 0 0,5 1 1,5 2 2,5 3 3,5 4 4,5 5
Nb for objective 1 4 3
Nb for objective 2 1 4 2
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Time allocated for each session
Question: For each of the 22 sessions, participants were asked to indicate on scale between '–' and '+' ,
where '–' meant needs less time, '+' meant needs more time, and' =' meant time is appropriate.
The evaluation shows that the majority of participants felt that the overall duration of the training should be
increased.
All participants indicated that more time should have been allocated to the session on KENITAG
experience Sessions where the time allocated was not enough according to the evaluation results include:
Introduction to Vaccinology; Evidence-Based Medicine; NRC presentation; carrousel method, learning
styles, anti-presentation and brainstorming
Overall satisfaction
Question: Participants were asked to rate their satisfaction with the logistics of this workshop (venue,
communication prior to the meeting, rooms) on a 0-5 scale.
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Answers: Only 5 participants answered this question, and rated the logistics between 3 and 5 (see details
in the figure below).
Logistics
Number of respondents assigning each score (n=5)
Score 0 0,5 1 1,5 2 2,5 3 3,5 4 4,5 5
Nb 1 2 2
Question: Participants were asked to rate their overall satisfaction for this workshop on a 0-5 scale:
Answers: All participants rated their overall satisfaction between 4 and 5 (see details in the graph below)
Overall satisfaction
Number of respondents assigning each score (n=7)
Score 0 0,5 1 1,5 2 2,5 3 3,5 4 4,5 5
Nb 3 2 2
Question: Participants were asked to state any other element that would help improve the next workshop.
Answers: Five participants answered. Their answers are:
+ You are doing well already
+ Satisfactory
+ A brief session on the last day where country representatives can give a 5-10 minutes briefing on
how they plan to disseminate the training in their settings
+ Pre-Course Reading Material
+ Time set aside during the day to read the training material
+ More discussion and case studies from different country experiences
Next Steps
Question: Participants were asked to tell how confident they are to organize NITAGs capacity building
workshops
Answers: 6 participants answered. Their answers are:
+ Very confident (n=2)
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+ Fairly confident
+ Somewhat confident - need time to internalize and prepare / pilot the sessions with time
measurement
+ I'll be able to support more our NITAG
+ This training was very helpful to get an idea of what resources are available for the training. As a
follow on, it would be helpful to build into it an action plan to disseminate
Question: Participants were asked to indicate which kind of follow-up support they would need from the
SIVAC Initiative
Answers: Five participants answered. Their answers are:
+ Other country experience / visit
+ To support disseminate this training further and do national Training of Trainers
+ Additional trainers to support
+ Share innovation by email
+ Regular email exchange
+ Opportunity for capacity building
+ Technical support for young NITAG country
Conclusion and next steps
The pilot implementation of the training of national facilitators for NITAGs capacity building workshops was
well received by participants who have indicated that this training was timely and responded to a need at
country level.
This workshop enabled to identify components of the SIVAC materials that need to be improved to be a
useful resource for NITAGs in their operations. From the discussion and participants’ feedback, it was
observed that after a NITAG training or orientation, there would still be a need for continuous support until
members are well familiarized with the tools and methods of working for an optimal functioning of their
committees. The experts trained at this workshop might be valuable resources for countries NITAG; their
support to NITAGs could be assistance in the development of operational documents, clarification of certain
concepts, inputs in the development of evidence-based recommendation, organization of “refresher”
sessions.
To help participants get the skills to provide this support to their NITAG, SIVAC will follow-up with them to:
+ Involve them as co-facilitators of national orientation / training workshops for NITAGs
+ Provide support to organize working sessions with secretariat or a limited number of members (2-4),
i.e. to deepen specific points: Guidance to a Working Group on the process for preparing a
recommendation; clarification on some aspects of NITAG functioning (manual of procedures…)
+ Co-facilitation with SIVAC of regional workshops
For the rollout of the training the following activities are planned:
+ Revision of the training content
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+ Finalization of remaining sections/training units of the training manual
Section on NITAG evaluation in training 1
Training 2 on Analysis of Health Systems, Immunization Context and Policy-Decision
Process
Three “A la carte” trainings
Economic assessments of vaccines and immunization programs in decision-making
Socio-anthropological approach to immunization
The GRADE approach
+ Translation in French
+ Rolling out training workshops
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Appendix 1: Training programme
Time Topic Person(s) responsible
Sunday 19 April
Check-in
Facilitators to meet between 5:00 and 7:00 pm
Monday 20 April
Introduction
8:00 8:30 Registration Admin
8:30 8:40 Welcome address Antoinette Ba-Nguz, SIVAC Coordinator Prof Were KENITAG chair
8:40 8:50 Participants Introduction Antoine Durupt Programme officer SIVAC
8:50 9:00 Presentation of the training programme
Antoinette Ba-Nguz
Objective 1: To enhance participants understanding of the concepts in vaccinology (including the principles for issuing evidence-based recommendations) and their skills to critically assess quality of data in published papers Topic 1.1: Vaccinology, Evidence-Based Medicine
9:00 9:30 Introduction to vaccinology Benjamin Kagina Post-Doctoral Fellow, University of Cape Town
9:30 10:00 Questions & Answers
10 :00 10 :30 Coffee Break
10: 30 11 :15 Evidence-Based Medicine ( EMB) and EBM’s role in vaccinology (part 1)
Benjamin Kagina
Topic 1.2: Developing Evidence-based recommendation in Immunization
11.15 11.45 NITAGs process to issue EB recommendation
Antoinette Ba-Nguz
11:45 12:45 Evidence-Based Medicine ( EMB) and EBM’s role in vaccinology (part 2)
Leila Hussein Abdullahi Research Fellow VACFA,(UCT)
12.45 13.00 Questions & Answers
13:00 14:00 Lunch
14:00 14:30 The KENITAG experience Marybeth Maritim, University of Nairobi Co-Chair KENITAG
14:30 15:45 Group work Antoinette BA-Nguz (lead)
15:45 16:15 Literature search strategies
Jeanette Dawa; Consultant KENITAG
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Time Topic Person(s) responsible
16:15 16: 45 Coffee Break
16:45 18:00 Group work Benjamin Kagina (lead) Facilitators
18:00 18 :15 Closure Benjamin Kagina
Tuesday 21 April 2015
Topic 1.2: Developing Evidence-based recommendation in Immunization (Cont’d)
09:00 09:30 Evidence Critical Appraisal Antoinette Ba –Nguz
09:30 10:30 Group work ( cont’d) Benjamin Kagina (lead)
10 :30 11 :00 Coffee Break
11:00 13:00 Group work Benjamin Kagina (lead)
13:00 14:00 Lunch
14:00 14:30 Participants feedback on the previous sessions
Antoine Durupt
Objective 2: Develop participants teaching capacity and skills to run workshops for NITAGs using training manual developed by the SIVAC Initiative
Topic 2.1: Introduction to the NITAGs training manual
14:30 14:40 Presentation of the NITAGs training manual
Antoinette Ba-Nguz
14:40 16:00 Group reading: Trainings 1 and 3
Jeanette Dawa, Antoine Durupt, Antoinette BA-NGUZ
16:00 16 :15 Questions & Answers
16:15 16:30 Closure &Tea
Wednesday 22– Friday 24 April Objective 2: Develop participants teaching capacity and skills to run workshops for NITAGs using training manual developed by the SIVAC Initiative (cont’d)
Time Topic Person(s) responsible
Wednesday 22 Topic 2.2 The NITAG Resource Centre (NRC)
08:30
09:15 Presentation of the NRC Antoine Durupt
09:15 10:00 Presentation of training & Pre-test & Business cards exercise
Emmanuel Owino Training coordinator for the Vaccine Pharmacovigilance training KEMRI – Kisumu Lucile Diemert Instructional Designer AMP
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Time Topic Person(s) responsible
Topic 2.3: Specificities of adult learning
10:00 10:30 Training and teaching Emmanuel Owino Lucile Diemert
10:30 11:00 Coffee break
11:00 11:30 Fundamental principles Emmanuel Owino Lucile Diemert
11;30 12:30 Different learning styles Emmanuel Owino Lucile Diemert
12:30 13:30 Lunch
Topic 2.4: A participatory approach for optimal learning
13:30 14:00 Anti-presentation – Role play Emmanuel Owino Lucile Diemert
14:00 15:00 Educational and interactive presentations
Emmanuel Owino Lucile Diemert
15:00 15:30 Group work Lead: Emmanuel Owino & Lucile Diemert
15:30 16:00 Coffee break
Topic 2.5: The SIVAC Training programme for NITAGs
16:00 17:00 Individual work for familiarization with NITAG training manual
Participants
17:00 17:30 Feedback on day
Thursday 23
Topic 2.5 (cont’d) : The SIVAC Training Programme for NITAGs
08:30 10:30 Presentation of the training modules
Participants
10:30 11:00 Coffee break
Topic 2.6 Practice Lead: Emmanuel Owino & Lucile Diemert
11:00 12:30 Lectures preparation Participants
12:30 13:30 Lunch
13:30 14:00 Lecture: Participant 1
14:00 14:30 Lecture: Participant 2
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Time Topic Person(s) responsible
14:30 15:00 Feedback from the audience
15:00 15:30 Lecture: Participant 3
15:30 16:00 Coffee break
16:00 16:30 Lecture: Participant 4
16:30 17:00 Feedback from the audience
17:00 17:30 Feedback on day
Friday 24
Topic 2.5:Practice (Cont’d)
8:30 9:00 Lecture : participant 5
9:00 9:30 Lecture : participant 6
09:30 10:00 Feedback from the audience
10:00 10:30 Lecture: participant 7
10:30 11:00 Coffee break
11:00 11:30 Lecture: participant 8
11:30 12:00 Feedback from the audience
12:00 12:30 Feedback on the day
12:30 14:00 Lunch
14:00 14:30 Next steps Antoinette Ba-Nguz
14:30 15:00 Training evaluation Facilitators
15:00 15:30 Closure Participants receive their certificates
15:30 16:00 SIVAC- Individual Country teams side meetings on follow-on activities
SIVAC team
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Appendix 2: List of participants
Name Country Institution / Position Email address
Participants
Dr SACARLAL Jahit Mozambique CoPI / Chair [email protected]
Dr OKPOSEN Bassey Nigeria CMO/Head RI & ESS NPHCDA
Dr MAHMUD Mustafa Z. NPHCDA [email protected]
Dr ETSANO Andrew NPHCDA [email protected]
Dr BAGANA Murtala M. CHAI [email protected]
Dr INAMDAR Leena India Senior Advisor -Evidence to Policy Immunization Technical Support Unit Ministry of Health and Family Welfare
Ms OKERO Amolo Kenya SIVAC Consultant [email protected]
Dr DAWA Jeannette SIVAC Consultant [email protected]
Dr N'ZUE Kofi Côte d'Ivoire EVP Focal point - OMS Bureau in Ivory Coast [email protected]
Facilitators
Ms Leila Hussein Abdullahi South Africa Vaccines for Africa Initiative (VACFA) University of Cape Town (UCT),
Dr Benjamin Mugo Njeru Kagina [email protected]
Mr Antoine Durupt France Programme Officer - SIVAC/AMP [email protected]
Ms Lucile Diemert Instructional designer - Training unit / AMP [email protected]
Dr Antoinette BA-NGUZ Kenya SIVAC Senior Coordinator for Africa / AMP [email protected]
Mr Emmanuel Owino Educational trainer [email protected]
Dr Marybeth Maritim Vice-Chair KENITAG/ Senior Lecturer Department of Internal Medicine - UON