Investing in the next generation of nurses and midwives

In Tanzania, private health training institutions
produce approximately 60% of the human resources for health that staff private
health facilities. However, there’s a historical lack of standardized
practicum training for students that study at these private medical training
institutions. The Sustaining Health Outcomes through the Private Sector project,
SHOPS Plus, is a global flagship USAID initiative for private sector health. In
Tanzania, the project works to increase provision of priority health products as
well as health services through strategic expansion of private sector
approaches in the health system. SHOPS Plus has been a partner with the
ministry developing guidelines for clinical teaching, conducting training,
and providing clinical instructions at the clinical areas. With SHOPS Plus we
are able to develop a standardized training material for clinical
instructors. We were able to train clinical instructors in different phases,
starting with master trainers and national TOT. From there we started
training the private sector health training institutions and facilities.
The materials are used by the clinical instructors themselves who will be
trained to ensure that they provide clinical teaching according to standards
but also the materials are used by the Minister of Health to monitor the
process of clinical teaching as well as conducting and coordinating training for
the clinical instructors. The first cohort of students underwent the private-to-private practicum in June 2018. The students rotating were organized across five
practicum clinical areas under the supervision of a clinical instructor as
well as the clinical tutor from the college. Students learn by observing, they
also learn by assisting the clinical instructor, they participate in nursing
rounds, there is bedside teaching also, and the students also get opportunities
to attend hospital-based clinical nursing conferences. The work done by the project exemplifies how public-private partnerships can be put into play to leverage on the structural and human
resources available within the private sector to improve hands-on skills and
practical skills for nurses in the provision of priority health products
and services. The model has been adopted by an additional 10 private facilities
across the country. The office of the director of nursing services is
committed to expanding this even further through the institutionalization of the
clinical instructor training.

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