1. Human resources development
Inge Pool
Training Officer,TBCTA

2. Outline of presentation
Defining the problem
Strategic approach to HRD
Role of Task Force Training in HRD
Conclusion

3. Defining the problem Shortage of staff, due to e.g.:
poor working conditions
effects of HIV/AIDS on health workforce
Distribution of workforce
Lack of skilled staff HRD

4. Defining the problem selection of participants: information systems
being trained  performing well:
link with supervision & training-on-the-job
continuing education
communication  learning:
quality of training

5. Goal for HRD for TB control
Staff at different levels are competent to successfully
implement and sustain TB control activities which
includes new and revised strategies and tools
addresses responsibilities of staff for both TB & HIV

6. Steps in strategic approach to HRD
Review current situation and prepare short & medium term plans
In-service training
Follow-up and links to supervision
Information systems
TB control in basic training
Manage finances
Implement, monitor, evaluate & revise the plan

7. Steps in strategic approach to HRD
Strengthen organizational structure
Focal point for training co-ordination
Training coordination group

8. TB Coalition for Technical Assistance (TBCTA)
American Lung Association (ALA)
American Thoracic Society (ATS)
Centers for Disease Control and Prevention (CDC)
International Union Against Tuberculosis and Lung Disease (IUATLD)
KNCV Tuberculosis Foundation
World Health Organization (WHO)
We are the Task Force Training of TBCTA. TBCTA is a coallition of six partners working in TB control. Training specialists of these six organisations collaborate in a Task Force training.
The representatives of these six organisations are:
.....
ALA Americam Lung association
ATS American Thoracic society
CDC Centre for disease control
Iuatld - international Union against TB and lung disease
KNCv - Royal Dutch tuberculosis association
WHO - world health organization
PMU - project managment unit, TB coalition for Technical assistance
......staff officer training, KNCV, coordinator TFT, working for PMU

9. Task Force Training Purpose Support NTPs, and academic and medical
institutions to strengthen HRD in TB control
The purpose of the TAsk Force Training is:
......
We work through the following strategies:

10. Activities Task Force Training
Develop training guidelines/materials
Organize regional workshops for training focal points of HBCs
In our first meeting, a little more than a year ago, in spetember 2001, we concluded that the information on country specific training needs is limited.
For the work of the Task Force Training, the activities of the TBCTA-partners and more in general, the DOTS expansion a good assessment of country specific training needs is necessary. We need to determine the resources and barriers to DOTS implementation, with regard to Human resource development.
So, we decided to organise regional workshops. In which we, together with particpants with various backgrounds and experiences will work on
- the assessment of HRD/training needs and
facilitate
- the development of training/HRD strategic plans for each country.
This workshop for the African region is the first workshop. Based on these experiences we will organise a second workshop for the Asian region, next year.
I think the workshop is an unique event:
-first because of the topic. Training, or better HRD-as we prefer to look broader than just organising training courses - is a topic on may conferences, workshop and courses. But rarely one spends four whole days in one workshop determing the HRD needs and in designing strategic plans for HRD
- second because of the audience in which country training focal points, TB consultants, USAID country persons and international training specialist meet and learn from each other.
On behalf of the Task Force Training I wish you a valuable and instructive experience at this workshop, which I hope will support you in your work to slow the TB epidemic.

11. Training guidelines/materials (1)
Training for better TB control. HRD for TB control: a strategic approach within country support. WHO/CDS/TB/
Checklist for review of the training component of the National Tuberculosis Control programs. WHO/CDS/TB/2003.draft
The training Co-ordinators handbook: basic skills and tools for managing HRD for TB control. WHO/CDS/TB/2002 draft

12. Training guidelines/materials (2)
Management of TB Training for Health Facility Staff. WHO/CDS/TB/

13. Regional workshops Goal Enhance skills in needs assessment and HRD
Determine HRD needs, resources and barriers
to DOTS implementation in HBCs
Target audience
Training focal points/program managers HBCs
Technical consultants
USAID country persons

14. Regional workshops African region 8 countries
The Netherlands, November 2002
3 days follow-up, Addis Ababa, November 2003
Asian region
6 countries
Bangkok, September 2003
3 days follow-up, Vietnam, November 2004

15. Outcomes Increased skills and knowledge in HRD
Shift in thinking from training to HRD
Plan for priority activities for HRD
The purpose of the TAsk Force Training is:
......
We work through the following strategies:

16. Common issues at workshops
Need for HRD coordinator
A lot of in-service training
Need for quality improvement
Need for curricula & materials
Problem of evaluation and follow-up
Need to strengthen basic/pre-service training
Gaps in availability of data for HRM and HRD

17. Follow-up on HRD by TBCTA
Follow-up workshops
Continuation of skills building
Evaluation of implementation of plan of activities
Technical assistance at country level
TB consultants
TB HRD specialists

18. Conclusion HRD is essential to solve the HR crisis
Acceleration is urgent
Shift focus from training to HRD
Quality should not be sacrificed for the sake of speed and urgency