Human capacity-building plan for scaling up HIV/AIDS treatment

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Objective: provide technical support for training

Many institutions have successfully established training programmes at the country level and will be able to build on their own experience to significantly scale up training. Although such institutions will not have difficulty in taking on board new developments and standards, other institutions are challenged to start to develop their own training capacity.

In the absence of mechanisms for technical support on training, institutions usually depend on random contacts and risk receiving inadequate advice or duplicating work, such as developing training material.

Nevertheless, many institutions have developed impressive training capacity, and several training providers have started to self-organize mutual support. At the global level, a working group on training has formed under the umbrella of the International HIV Treatment Access Coalitioniv. One of the products of the working group has been a draft inventory of existing training programmes related to providing antiretroviral therapy compiled by the Forum for Collaborative AIDS Research.

Likewise, some service providers have initiated training programmes at the regional level to share their experience with future trainers from neighbouring countries, some of which are supported by WHO regional offices in collaboration with GTZ (Deutsche Gesellschaft für Technische Zusammenarbeit GmbH).

Technical assistance to countries in adapting international training packages based on analysis of national needs and in supporting training institutions in using them is critical for translating normative guidance into concrete action. WHO proposes to provide such proactive technical support in collaboration between its regional and country offices and key partners active in the regions.

Strategic approach

Increasing institutional, in-country training capacity as outlined in existing and emerging national 3 by 5 human resource plans will be supported by targeted technical assistance to training providers and potential training customers at the global, regional and country levels. WHO seeks to provide technical support in collaboration with existing training competence, experience and networks.

At the regional level, regional and country offices will actively promote WHO training courses (see the objective on publishing core training packages) in collaboration with several partner institutions that are capable of taking on the functions of training trainers. Such partners active in multiple regions include nongovernmental organizations, the Global AIDS Program of the United States Centers for Disease Control and Prevention, Médecins Sans Frontières, the Prince Leopold Institute of Tropical Medicine (Antwerp, Belgium) and many others. WHO, together with such a network of training supporters, will actively push for adapting training packages to local contexts and developing the institutional capacity of potential training providers to tutor key groups involved in scaling up antiretroviral therapy. To ensure that such proactive support is coordinated with national scale-up plans, it is suggested to work through in-country capacity-building task teams under the umbrella of the appropriate national mechanisms for HIV/AIDS coordination (see the objective on developing a national approach to training and human resources).

At the global level, WHO will support the expansion of already initiated efforts to inventory and update training resources at an international level and to complement this database with a referral service. Eventually, such a Capacity-Building Help Desk can develop into a platform for a number of organizations (many of them organized under the umbrella of the International HIV Treatment Access Coalition) to offer a range of technical support services, including programme twinning and/or brokering between fund-seekers and donors (see the objective on securing funding for capacity-building and training).

Expected activities and results

  • Regional training of trainers. WHO regional and country offices will work with partners active in each region to provide proactive technical assistance for adapting training packages, identifying potential training providers and equipping them with the necessary skills to implement training, with a focus on mobile approaches to training the trainers.
    Involvement of partners. WHO will invite expressions of interest by existing institutions to take on functions of training trainers consistent with the WHO guidelines at the regional and country levels. WHO aims to develop a network of training supporters that can play a critical role in rolling out training programmes.
    Service for countries. Countries can request technical assistance for developing their training capacity. Likewise, WHO and partner institutions will proactively invite countries to participate in programmes for training trainers to create the necessary core cadre of trainers at the national level.
  • International backing through a Capacity-Building Help Desk. WHO will establish an international Capacity-Building Help Desk to complete and maintain the global antiretroviral therapy training inventory and technical expertise inventory initiated by the International HIV Treatment Access Coalition. WHO will complement this with a personal referral service for training material and human and institutional expertise for WHO headquarters and regional offices and other interested institutions. The Capacity-Building Help Desk will also serve as a point of access for WHO regarding reviewing training materials and developing training courses and standards for antiretroviral therapy.
    Involvement of partners. WHO will work directly with the International HIV Treatment Access Coalition through one of the partner organizations with established links to groups involved in scaling up antiretroviral therapy to expand existing inventories into an international Capacity- Building Help Desk. This service will be located in Geneva, support the work of WHO headquarters and regional offices and be directly accessible to countries.
    Service for countries. Countries will be able to draw on the resources of the Capacity-Building Help Desk through the regional offices or directly via the Internet, e-mail or telephonevi. The Capacity- Building Help Desk will offer support to the public and private sectors as well as civil society organizations that have capacity-building needs.
  • In-country training support. At the country level, WHO will support the establishment of capacitybuilding task teams bringing together, under the guidance of the appropriate national mechanism for HIV/AIDS coordination, national government and nongovernmental stakeholders of capacity-building as well as international organizations represented in the country (see the objective on developing a national approach to training and human resources). WHO will contribute to equipping this group with the necessary knowledge to act as a national entry point for technical assistance requests from training providers.
    Involvement of partners. At the national level, partners are encouraged to participate in WHOsupported capacity-building task teams.
    Service for countries. In countries, institutions requesting technical assistance for training can turn to clearly defined task teams serving as entry points to targeted support.

Indicators and milestones