Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 9962
Country/Region: Botswana
Year: 2010
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $700,000


Jhpiego is an international non-profit health organization affiliated with Johns Hopkins University. Jhpiego enhances the health and saves the lives of women and families in limited-resource settings. For nearly four decades, we have put evidence-based health innovations into everyday practice to overcome barriers to high-quality healthcare services for the world's most vulnerable populations.

Goals and Objectives

To ensure that the Government of Botswana (GOB), through its Health Training Institutions (HTIs) develops the capacity to consistently and sustainably produce healthcare professionals with the knowledge, skills, and confidence they need to provide quality HIV services; and that healthcare workers including students, faculty and staff of the HTI, are supported by a comprehensive and proactive workplace wellness program.

Major Activities

Strengthening the skills of faculty and preceptors through technical updates on HIV/AIDS while coaching them in mastering state-of-the-art instructional skills. Close linkages will be forged between pre-clinical education and clinical practice.

Target population

Approximately 302 healthcare providers across several cadres.

Geographic Coverage

National. The program entails working with the Ministry of Health (MOH) and the 8 HTIs across the country.

Making the Most of Other HIV Resources

Jhpiego will leverage other resources e.g. expanding Francis Xavier Bagnoud Center kiosks to a network platform for increased accessibility.

Jhpiego is exploring collaboration with the American International Health Alliance HIV/AIDS Twinning Center to integrate HIV/AIDS into their curriculum.

Jhpiego will leverage technical assistance from groups such as CISCO to strengthen the network capabilities of HTIs. Through this partnership, Jhpiego will facilitate access to technical assistance on network strengthening, tapping into CISCO's corporate social responsibility agenda.

Jhpiego will use the instructors trained to train other HTI instructors. This ensures both sustainability and transfer of skills. These subsequent trainings will be supported directly by the MOH and/or HTIs.

Cross-Cutting issues

Jhpiego will build the HTIs capacity to ensure quality and to increase quantities of healthcare providers. These providers will receive high-quality instruction that will be based on the latest HIV/AIDS information. Jhpiego's approach will contribute to human resources for health via the curriculum revisions and content updates at national level for continued relevance and appropriateness.

Instrumental to this process will be both the national working and technical working groups expected to drive specific clinical, technical, policy or instructional matters identified as critical through stakeholder consultations. These groups will be at the core of driving the PSE agenda in the country. The networking and instructional skills received by the project participants (faculty) will be used broadly through their responsibilities that transcend HIV/AIDS matters.

Enhancing Sustainability

Jhpiego's close collaboration with the MOH and HTI faculty in implementing our activities enhances both the program's sustainability and the GOB's capacity to produce high-quality healthcare professionals.

Specific activities which ensure sustainability include: our support and mentorship of the National and Technical Working Groups, comprised of HTI Principals and Deputies and other senior faculty members, in developing policy recommendations to the MOH and revising and updating curricula; ongoing mentoring of the MOH HIV/AIDS Training Coordinator via program implementation, local and regional professional-development opportunities; and providing supportive supervision to HTI faculty as they plan and deliver development workshops to their colleagues.

National working and technical working groups will be at the core of driving the PSE agenda in the country.

Jhpiego emphasizes a competency-based approach in skills development thereby ensuring highly skilled professionals in all program areas. This pool of trainers will continue to be a resource in the country well beyond the PSE project timeframe. Additionally, Jhpiego's relationship with groups such as CISCO opens up long-term approaches to partnerships that enhance student learning.

Monitoring and Evaluation (M&E)

Jhpiego will regularly monitor program activities and will report on essential indicators with and without HQ reporting requirements.

PEPFAR-recommended indicators will be included in the M&E plan as appropriate. Jhpiego will calculate these indicators on the project level to inform implementation and management of the project.

Funding for Health Systems Strengthening (OHSS): $700,000

10.X.SS09: JHPIEGO - Health care worker Wellness & Pre-service Training - 700,000.00

In 2010, the Pre-service Education project will enter its third year. The overall goal of this project is to ensure that the GOB, through its Health Training Institutions (HTIs), develops the capacity to consistently and sustainably produce healthcare professionals who graduate with the knowledge, skills, and confidence they need to provide quality HIV services upon deployment; and that the healthcare workers in Botswana, including students, faculty and staff of the HTIs are supported by a comprehensive and proactive workplace wellness program. There is a strong focus on faculty development. Jhpiego will improve preclinical education in HIV/AIDS at the HTIs, build bridges between preclinical education and clinical practice, and enhance workforce wellness programs.

In COP 2010: Training and skills upgrade: As follow-on to COP 09 activities, Jhpiego will offer the following courses through the year. A new cohort of faculty and preceptors will be recruited to participate in these courses: Effective Teaching Skills; Student Performance Assessment; Preceptor Development; and Learning Technology courses.

Needs Assessment Reference Group Support: Jhpiego will support the implementation of those recommendations finalized in year 2 by the Reference Group (subgroup of National Working Group).

Support for the National Working Group and Technical Working Group: Jhpiego will continue to support both the National Working Group and Technical Working group on developing recommendations for policy implementation to the MOH. Additionally, we will host the second annual TWG/NWG congress.

Distance Education Program: Midwifery: Jhpiego will implement a distance learning program through one HTI that offers the 18 month midwifery program in a select geographic area.

Workforce Wellness and Clinical updates: Jhpiego will continue to provide updates as requested by the MOH and to support the strengthening of the MOH HIV Team's capacity for providing clinical updates to HTI faculty. Jhpiego will seek ongoing opportunities to strengthen the workforce wellness program through materials development and mentoring workforce wellness committees.

In-service Training Recommendations: In collaboration with the MOH, Jhpiego will conduct a comparative analysis of in-service training models employed in Botswana and make recommendations. Jhpiego's evaluation will determine components of training systems that are most efficient, flexible and effective, thereby resulting in recommendations directly contributing to GOBs capacity to produce a skilled and competent workforce.

Activities for supportive supervision and quality assurance: The Jhpiego PSE Advisor, working with appropriate HQ TA, will mentor HTI faculty in the planning and delivery of local faculty development workshops within their institutions. The Jhpiego PSE Advisors will visit clinical sites to improve the supportive supervision of service providers participating in the clinical education of students.

Activities directly related to Human Resources for Health (HRH): The majority of 2010 project costs will be related to training and supporting HTI faculty. Faculty development workshops include Effective Teaching Skills, Student Performance Assessment, and Learning Technology. Select faculty attending these workshops will be provided supportive supervision within their institutions so that they may plan and execute development workshops for their colleagues. Additionally, the quality of the local area network of computers will be improved in one HTI. This computer network will provide a site for educational materials currently on single electronic kiosks within the libraries, materials housed by faculty and those created by faculty following faculty development workshops.

Cross Cutting Budget Categories and Known Amounts Total: $760,000
Human Resources for Health $760,000