Training of Mentors on Anti Retro Viral Therapy
Training of Mentors on Anti Retro Viral Therapy Training Report
Dr. Shabnum Sarfraz Global Fund Project Office Fatima Memorial Hospital, Shadman, Lahore, Pakistan
Fatima Memorial Hospital | Introduction
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Training of Mentors on Anti Retro Viral Therapy Contents Introduction ............................................................................................................................................ 3 Objective of Training ........................................................................................................................... 3 Specific objectives ............................................................................................................................... 3 Desired outcome of the training .......................................................................................................... 3 Selection of Audience .............................................................................................................................. 3 Defining content of Training .................................................................................................................... 4 Selection of Trainers ................................................................................................................................ 4 Training Methodology ............................................................................................................................. 6 Agenda of the Workshop ......................................................................................................................... 7 Work Shop Proceeding ............................................................................................................................ 9 Session Outline .................................................................................................................................... 9 Session 1: The Multidisciplinary Adherence Team Referral Networking to enhance ART Adherence by Dr. Tayyaba Rashid........................................................................................................................................ 9 Session 2: Demystifying HIV & AIDS - A Global Issue by Prof. Dr. Aman Ullah Khan .................................. 9 Session 3: Overview of individual presentation preparation; Assigning of topics by Dr. Shabnum Sarfraz 9 Session 4: What is Adherence? Identifying Barriers and Facilitators to Adherence by Dr. Noreen Hashmi 9 Session 5: Counseling for ARV Adherence and Psychological Management of PLHIV by Dr. Imran Ijaz Haider ................................................................................................................................................... 10 Session 6: When to start ARV? What is the first line therapy? When to Switch ART Second and Third line Regimen? by Dr. Ashraf Ali Khan ............................................................................................................ 10 Session 7: Managing the side effects and complications during ARV Therapy Lab Monitoring by Dr. Ashraf Ali Khan ...................................................................................................................................... 10 Session 8: ART for HIV/Tuberculosis co-infection by Dr. Faisal Sultan ..................................................... 10 Session 9: ART for HIV/HBV co-infection by Dr. Faisal Sultan ................................................................. 10 Session 10: PPTCT- District Model- An overview by Dr. Saira Azhar ....................................................... 11 Fatima Memorial Hospital | Introduction
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Training of Mentors on Anti Retro Viral Therapy Session 11: ART for Pregnant Women by Dr. Hammad Nazeer .............................................................. 11 Session 12: Microteach and discussions ................................................................................................ 11 Objective ........................................................................................................................................... 11 Topics of Microteach ......................................................................................................................... 12 Evaluations and Panel of Evaluators ................................................................................................... 12 Top five Mentors ............................................................................................................................... 13 Comments of Participants ..................................................................................................................... 14 Annexure............................................................................................................................................... 15 Annexure 1: List of Participants ......................................................................................................... 15 Annexure 2: Trainer’s Evaluation Form .............................................................................................. 16 Annexure 2: Trainer’s Evaluation Form .............................................................................................. 16 Annexure 3: Pictures.......................................................................................................................... 17
Fatima Memorial Hospital | Introduction
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Training of Mentors on Anti Retro Viral Therapy INTRODUCTION Objective of Training
The Training of Mentors is primarily focused on developing Mentors of Anti Retro Viral Therapy who can then further train health care providers on ART, acting as individual knowledge centers. The workshop also attempts at building a network/ liaison of health care providers who are experts in ART.
Specific objectives
This three-day intensive training covers all aspects of ARV Therapy. By the end of this training, participants will be expected to have knowledge of following topics: 1.
When to start ARV
2.
What is the first line therapy?
3.
When to switch ART-Second and Third line Regimen
4.
Managing the side effects and complications during ARV Therapy
5.
Laboratory monitoring
6.
ART for HIV/tuberculosis co-infection
7.
ART for HIV/HBV co-infection
8.
ART for Pregnant Women
9.
Counseling for ARV Therapy
Desired outcome of the training
At the end of this three-day training, the participants are expected to come out as Mentors of ART, equipped with the right knowledge, tools and material to take up further trainings of health care providers. They also have a network of ART expert specialists to fall back upon and refer to, should the need present itself.
SELECTION OF AUDIENCE Fatima Memorial Hospital | Introduction
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Training of Mentors on Anti Retro Viral Therapy A stringent criterion was established, in order to ensure that only capable, qualified and sincere participants make it to the final workshop. The participants were required to have a background in medicine and/or allied sciences, a post-graduate degree or diploma and preferably some experience in HIV/AIDS. Invitations were sent to the Principle’s Offices in Medical colleges all over Pakistan, Heads of Nursing institutions and health academies, and the CHBC centers. The final participants included Senior Doctors and Nursing Staff, belonged to the Public and Private Sector Health Institutions (Annexure: 1 List of Participants).
DEFINING CONTENT OF TRAINING Since the program was meant to inculcate the latest and most appropriate knowledge on management of an HIV-positive patient, through the stages of HIV to AIDS, the content was designed to provide a holistic approach towards the management of PLHIV and hence included the following areas: i.
In-depth knowledge of the HIV regimens
ii.
In-depth knowledge about second and third line regimens, times and indications to switch
iii.
Management of side effects and complications during ART
iv.
ART treatment along with the co-infections
v.
Specific treatment of Anti Retroviral Therapy for Pregnant Women
vi.
Role of counseling of PLHIVs
vii.
Need of Adherence in PLHIVs
SELECTION OF TRAINERS The intensive 3 days Training of Mentors on Anti Retroviral Therapy required leading experts from the Infectious Diseases background with hands on experience of managing PLHIVs and may have spoken about HIV and ARV on various forums. After an extensive research, Fatima Memorial Hospital managed to arrange the following trainers: Dr. Faisal Sultan, CEO & Consultant, Shaukat Khanum Memorial Cancer Hospital & Research Center MBBS, Diplomate American Board of Internal Medicine & Infectious Disease Fatima Memorial Hospital | Defining content of Training
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Training of Mentors on Anti Retro Viral Therapy Dr. Faisal Sultan is currently working as the Chief Executive Officer and Consultant at SKMCH&RC. He is one of the leading names among Infectious Diseases experts in Pakistan. At the moment, he is actively involved in managing PLHIVs associated with a CHBC Center in Lahore. Dr. Syed Hammad Nazeer, Consultant, Shaukat Khanum Memorial Cancer Hospital & Research Center MBBS, Diplomate American Board of Internal Medicine & Infectious Disease Dr. Hammad is a Consultant Infectious Diseases at SKMCH&RC with hands on experience of managing PLHIVs with specific interest in managing Pregnant Women on ART. Before SKMCH&RC, he had been associated with Fatima Memorial Hospital in a similar capacity. Dr. Ashraf Ali Khan, Consultant, Shaukat Khanum Memorial Cancer Hospital & Research Center MBBS, Diplomate American Board of Internal Medicine & Infectious Disease Dr. Ashraf Ali Khan is working as Consultant at the Internal Medicine Department in SKMCH&RC. He has extensive experience of both managing in PLHIVs here and back in USA. Dr. Noreen Rahat Hashmi, Head - Community Medicine Department, Rahbar Medical & Dental College MD, Diplomate American Board of Internal Medicine, MPH Dr. Noreen Rahat Hashmi is an expert of Internal Medicine and has dealth extensively with PLHIVs in the US during her tenure as Internist as John Hopkins. She has recently moved to Pakistan and is currently serving Rahbar Medical & Dental College as the HOD for Community Medicine Department. Prof. Dr. Aman Ullah Khan, Technical Advisor, Nur Center for Research & Policy B.Sc., MBBS, DPH, MPH & TM, FCPS, PhD, FRSTM&H, FAPHA Prof. Dr. Aman Ullah Khan has served as the dean of College of Physician and Surgeons of Pakistan before joining Fatima Memorial Hospital. He has also served as the Professor of Institute of Public Health Pakistan. He has been involved in miscellaneous research activities on HIV/AIDS in Pakistan and abroad. He is the author of many publications. Dr. Tayyaba Rashid, Treatment Coordinator, Punjab AIDS Control Program MBBS
Fatima Memorial Hospital | Selection of Trainers
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Training of Mentors on Anti Retro Viral Therapy Dr. Tayyaba Rashid is the lead facilitator of all the activities of Punjab AIDS Control Program. She is currently working on the model of multidisciplinary adherence through teams and referral networking to enhance ART adherence in liaison with all the ART Centers in Punjab. Dr. Imran Ijaz Haider, Associate Professor, Head of Psychiatry Department, Fatima Memorial Hospital MBBS, DPM, MRCP Dr. Imran is the clinical psychiatrist at Fatima Memorial Hospital and one of the key people to set up an independent psychiatry unit. He is an expert in his area with hands on experience of managing PLHIVs. Dr. Saira Azhar, PPTCT Coordinator, Services Hospital Limited MBBS Dr. Saira is the PPTCT Coordinator on behalf of Punjab AIDS Control Program. She is responsible for the effective implementation of PPTCT model throughout the Punjab.
TRAINING METHODOLOGY The training sessions were interactive and participants were encouraged to reflect on the concepts and knowledge shared by the veteran trainers. With two and half days packed with these sessions, the latter half of the third day focused on micro presentations by the participants. The participants were allocated topics via blind balloting on the first day of the workshop, and briefed on the rules to follow. On the last day, they had to present their topics to a panel of seasoned professionals and they were judged on the basis of relevance, organization, preparation, class room presence and effectiveness. The ratings by the panel of judges were tabulated in real time, with the results being revealed right after the last participant’s presentation. On the basis of this evaluation the top five Mentors were chosen.
Fatima Memorial Hospital | Training Methodology
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Training of Mentors on Anti Retro Viral Therapy AGENDA OF THE WORKSHOP Day One: Friday October 5 2012 First day focused on ‘Basic Information on Adherence and ARV Therapy’ Facilitator
Session Name
Time (Name and Qualification)
Inaugural Ceremony and Group Photograph
9:00 –10:00 am
Session #1: The Multidisciplinary Adherence Team 10:00 –11:00 am
Referral Networking to enhance ART
Dr. Tayyaba Rashid
Adherence Tea/Coffee Break
11:00 –11:30 am
Session #2: Demystifying HIV & AIDS - A 11:30 –12:45 pm
Global Issue Jumma Prayers + Lunch
Prof. Dr. Aman Ullah Khan
12:45 - 02:30 pm
Session #3: Overview of individual presentation preparation;
02:30 –03:00 pm
Dr. Shabnum Sarfraz
Assigning of topics Session #4: What is Adherence? Identifying Barriers and Facilitators to
03:00 –04:00 pm
Dr. Noreen R. Hashmi
Adherence DAY TWO: Saturday October 6 2012 Second day focused on Management of Patients on ARV Therapy Session #5: Counselling for ARV Adherence and Psychological Management of PLHIV
09:00-10:00am
Dr. Imran Ijaz Haider
Fatima Memorial Hospital | Agenda of the Workshop
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Training of Mentors on Anti Retro Viral Therapy Session #6: When to start ARV? What is the first line therapy? When to Switch ART 10:00-11:25am
Second and Third line
Dr. Ashraf Ali Khan
Regimen? Tea Break
11:25-11:45am
Session #7: Managing the side effects and complications during ARV Therapy Lab
11:45-01:00pm
Dr. Ashraf Ali Khan
Monitoring Lunch Break
01:00-02:00pm
Session #8: ART for HIV/Tuberculosis co02:00-03:00pm
infection Tea Break
Dr. Faisal Sultan
03:00-03:10pm
Session #9: ART for HIV/HBV co-infection
03:10-04:00pm
Dr. Faisal Sultan
Day 3: Sunday October 7 2012 Third Day Focused on ARV Therapy in Pregnant Women and Children and Participant Evaluation for mentorship
Session #10: PPTCT- District Model- An 10:00-11:15am
overview Tea Break
Dr. Saira Azhar
11:15 am -11:30 am
Session #11: ART for Pregnant Women
11:30-01:00pm
Session #12: Microteach and discussions
Dr. Syed Hammad Nazeer Panel of Evaluators
02:00-03:30pm
Dr. Haroon Ihsan, Dr. Ali Razaque and Ms. Maha Rehman
Certificate distribution and Closing Ceremony
03:30-04:00pm
Fatima Memorial Hospital | Agenda of the Workshop
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Training of Mentors on Anti Retro Viral Therapy WORK SHOP PROCEEDING Session Outline
SESSION 1: THE MULTIDISCIPLINARY ADHERENCE TEAM REFERRAL NETWORKING TO ENHANCE ART ADHERENCE BY DR. TAYYABA RASHID The session primarily highlighted various aspects of ART adherence with respect to team referral networking. The role of adherence support workers was emphasized upon. Their role in improvement of patient adherence, knowledge, and understanding; provision of education and counselling in the patient's own language allows nurses and doctors to focus on other technical and clinical aspects of the patients’ treatment.
SESSION 2: DEMYSTIFYING HIV & AIDS - A GLOBAL ISSUE BY PROF. DR. AMAN ULLAH KHAN The session focused on the global and local spread of the disease todate. The disease stages along with the modes of transmission were also discussed briefly. The stigmas associated with PLHIVs were also shared in detail and the ways to remove such taboos were identified.
SESSION 3: OVERVIEW OF INDIVIDUAL PRESENTATION PREPARATION; ASSIGNING OF TOPICS BY DR. SHABNUM S ARFRAZ This was a short session outlining the guidelines and rules for the micro teach presentations. The topics for individual presentations were assigned to the participants via blind balloting. It further detailed about the expectations of the panel of evaluators and the outcome i.e. selection of five participants as Mentors for further trainings of Health Care Providers.
SESSION 4: WHAT IS ADHERENCE? IDENTIFYING BARRIERS AND FACILITATORS TO ADHERENCE BY DR. NOREEN HASHMI The session primarily focused on the importance of level of commitment towards adherence and the consequences in case of non-compliance. Effective strategies to encourage adherence and ways to counsel patients about adherence were also discussed in detail. Adherence issue of PLHIVs in Pakistan Fatima Memorial Hospital | Work Shop Proceeding
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Training of Mentors on Anti Retro Viral Therapy were also a part of discussion. The session included a group activity where participants were asked to present on various dimensions of ARV adherence and counselling.
SESSION 5: COUNSELLING FOR ARV ADHERENCE AND PSYCHOLOGICAL MANAGEMENT OF PLHIV BY DR. IMRAN I JAZ HAIDER The psychological management of PLHIVs were brought up for discussion in this session. The trainer shared the counselling aspects like listening, respect for the client, confidentiality, questioning, self decisions and help for other services, in relation to PLHIVs. The confidentiality and privacy of a PLHIV was also discussed at length.
SESSION 6: WHEN TO START ARV? WHAT IS THE FIRST LINE THERAPY? WHEN TO SWITCH ART SECOND AND THIRD LINE REGIMEN ? BY D R. ASHRAF ALI KHAN The session conferred evidence-based recommendations for ARV Therapy, identification of most effective first-line, 2nd line and subsequent regimens. The time of initiation of treatment and the importance of careful decision making for ARV initiation with evidence based timing and regimen selection were also discussed. The access of ARV Therapy in low-income countries like Pakistan was also the part of the session.
SESSION 7: MANAGING THE SIDE EFFECTS AND COMPLICATIONS DURING ARV THERAPY LAB MONITORING BY DR. ASHRAF ALI KHAN The clinical and laboratory monitoring of drugs, important toxicities, complications and adverse effects of ARV Therapy was the core of this session. Management of drug toxities were also shared by the trainer in detail.
SESSION 8: ART FOR HIV/TUBERCULOSIS CO -INFECTION BY DR. FAISAL SULTAN This session was primarily focused on HIV/TB co-infection as TB is responsible for 13% of deaths in HIV patients. The progression of HIV infection from latent to active TB was discussed in detail along with the clinical approach of TB co-infected PLHIV. The application of latest drug regimens for such co-infection was shared.
SESSION 9: ART FOR HIV/HBV CO-INFECTION BY DR. FAISAL SULTAN Fatima Memorial Hospital | Work Shop Proceeding
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Training of Mentors on Anti Retro Viral Therapy The session aimed for the finding of HIV/HBV co-infection. The aspects of counselling the patient for avoidance of alcohol, vaccination against hepatitis A (if not immune), advice on methods to prevent HBV transmission and evaluate severity of HBV infection was the main highlights of this session. The recommended testing for such co-infected patients was also discussed in detail along with the latest regimens for treatment.
SESSION 10: PPTCT- DISTRICT MODEL- AN OVERVIEW BY DR. SAIRA AZHAR This session focused PPTCT - District Model as the common modes of HIV/AIDS spread in females were the point of discussion. The trainer further elaborated about the functioning and impact of PPTCT – District Model adapted by Punjab AIDS Control Program in Punjab Province. The achievements to date of this model were also shared.
SESSION 11: ART FOR PREGNANT WOMEN BY DR. HAMMAD NAZEER The session emphasised upon the goals of Anti Retroviral Therapy to prolong life and improve quality of life, to suppress HIV below the limits of detection or as low as possible and to preserve or restore immune function with a special consideration on pregnant women. The prevention of mother to child transmission was discussed in detail along with the latest/suggested regimens of drugs for treatment purposes.
SESSION 12: MICROTEACH AND DISCUSSIONS This was the culmination of the workshop, where each participant presented on a topic allocated to him/her on day 1 of the workshop.
Objective The primary motive of the Microteach was to: a.
Give each participant a taste of being a trainer
b. Increase the interest of the participants in the workshop c.
Understand the grasp of each participant over the area he/she was allocated to present on.
The underlying objective was to see the comfort level of each participant with the position/role of a facilitator, the potential to take up future workshops in the capacity of a trainer and the effectiveness of the participant as a presenter. Fatima Memorial Hospital | Work Shop Proceeding
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Training of Mentors on Anti Retro Viral Therapy Topics of Microteach Name
Topic
Dr Haroon Abbas
HIV/AIDS- An Introduction
Mr Afsar Ali
The Psychological impact of HIV/AIDS on Individual, Society and Family
Dr Misbah ul Arfeen Brief Introduction to ART Dr Atif Masud
When to Start ART
Dr Bushra Sana
First Line ART
Dr Fatima Rahman
Second and Third Line ART
Dr Inam ul Haq
Managing Patients with HIV TB Co Infection
Dr Khalid Mahmud
Managing Patients with HIV Hepatitis Co Infection
Ms. Saba Watto
Nursing Care for patients on ART
Dr Bushra Phool
Pregnancy and ART
Dr Safia Khan
Patient Follow-up and Monitoring ART
Dr Ayesha Nauman
Basics of Adherence
Dr Shehnila Zafar
Drug Adherence and Strategies for Compliance
Dr Fatima Imran
ARV Medications in Pakistan
Evaluations and Panel of Evaluators Presentation Evaluation was done in the latter half of the third day. Following expert judges were part of the panel of evaluators.
Dr. Ali Razaque
(Senior Project Officer, PACP)
Dr. Haroon Ihsan
(CEO, NCRP)
Ms. Maha Rehman
(Technical Advisor, NCRP)
Fatima Memorial Hospital | Work Shop Proceeding
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Training of Mentors on Anti Retro Viral Therapy Top five Mentors Top five participants were to be chosen as the Mentors for further trainings of Health Care Providers. On the basis of the criteria mentioned earlier, five of the fourteen were awarded Mentor of the training certificates.
86
78
72
66
66
64
60
59
54
53
53
51
46
Fatima Memorial Hospital | Work Shop Proceeding
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Training of Mentors on Anti Retro Viral Therapy COMMENTS OF PARTICIPANTS Following are the comments of the participants on the concluding day, collected anonymously:
This workshop should have been over two days and should have a more detailed session about HIV basics/clinical symptoms and diagnostics involved. Videos from real life interaction of HIV patients and doctors can also be the part of this training
Overall the workshop was informative and productive
Good and valuable experience
Excellent way to express a boring looking topic but I enjoyed a lot regarding post lunch session ... a participant’s comment about Dr. Noreen R. Hashmi session on October 5, 2012
Fatima Memorial Hospital | Comments of Participants
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Training of Mentors on Anti Retro Viral Therapy ANNEXURE Annexure 1: List of Participants Name
Designation
Department
Organization
Dr Atif Masood
Senior Registrar
Medicine
Sir Ganga Ram Hospital
Dr Ayesha Nauman
Consultant
Gynaecology
Fatima Memorial Hospital
Dr Bushra Phool
Senior Registrar
Gynaecology
Fatima Memorial Hospital
Dr Bushra Sana
Assistant Professor
Medicine
Sir Ganga Ram Hospital
Dr Fatima Imran
Senior Registrar
Paediatrics
Fatima Memorial Hospital
Dr Fatima Rahman
Post Graduate Trainee
Paediatrics
Services Hospital Limited
Dr Haroon Abbas
PG Trainee
Medicine
Fatima Memorial Hospital
Dr Inam-ul-Haq
In charge Special Clinic
Medicine
Mayo Hospital Limited
Dr Jamal Nasir
Counselor
Medicine
Treatment Center, Children Complex
Dr Khalid Mahmud Khan
Associate Professor
Medicine
Sir Ganga Ram Hospital
Dr Misbah ul Arfeen
Senior Registrar
Family Medicine
Fatima Memorial Hospital
Dr Safia Khan
Senior Registrar
Paediatrics
Fatima Memorial Hospital
Dr Shehnila Zafar
Senior Registrar
Gynaecology
Fatima Memorial Hospital
Mr Afsar Ali
Nursing Instructor
Nursing
Saeeda Waheed FMH College of Nursing
Ms Saba Watto
Nursing Instructor
Nursing
Saeeda Waheed FMH College of Nursing
Fatima Memorial Hospital | Annexure
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Training of Mentors on Anti Retro Viral Therapy Annexure 2: Trainer’s Evaluation Form
TRAINERS EVALUATION FORM Training Title: Training of Mentors
Dates: October 5, 2012
Venue: Conference Room, 4th Floor, FMH College of Medicine & Dentistry, Shadman, Lahore
Training
Training of Mentors on Anti Retro Viral Therapy
Venue
Fatima Memorial Hospital, Lahore
Date
October, 2012
We are interested in developing and honing the training for future use. Please take a minute to rate Dr. XYZ as a trainer. Strongly
Statement
Agree
Agree
Disagree
Strongly Disagree
The trainer was knowledgeable about the subject The trainer was well-prepared about the subject Explanations were clear and concise The trainer solicited questions and had the answers The trainer was interested in sharing information and knowledge The trainer’s presentation style was interesting and effective The trainer motivated, inspired and instilled confidence Comments if any:
Fatima Memorial Hospital | Annexure
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Training of Mentors on Anti Retro Viral Therapy Annexure 3: Trainers’ Evaluation Actual
Dr. Tayyaba Rashid 15 10
Strongly Agree
5
Agree
Disagree
0 The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
The trainer motivated, inspired and instilled confidence
Strongly Disagree
Dr. Aman Ullah 15 10
Strongly Agree Agree
5
Disagree
0 The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
15
The trainer motivated, inspired and instilled confidence
Strongly Disagree
Dr. Noreen R. Hashmi
10 Strongly Agree
5
Agree
0 The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
The trainer motivated, inspired and instilled confidence
Disagree Strongly Disagree
Fatima Memorial Hospital | Annexure
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Training of Mentors on Anti Retro Viral Therapy
Dr. Imran Ijaz Haider 15 10
Strongly Agree
5
Agree
0 The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
The trainer motivated, inspired and instilled confidence
Disagree Strongly Disagree
Dr. Ashraf Ali Khan 15 10
Strongly Agree
5
Agree
0
Disagree The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
The trainer motivated, inspired and instilled confidence
Strongly Disagree
Dr. Faisal Sultan
15 10
Strongly Agree
5 0
Agree The trainer was knowledgeable about the subject
The trainer was well- Explanations were clear The trainer solicited The trainer was The trainer’s The trainer motivated, prepared about the and concise questions and had the interested in sharing presentation style was inspired and instilled subject answers information and interesting and confidence effective knowledge
Disagree
Strongly Disagree
Fatima Memorial Hospital | Annexure
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Training of Mentors on Anti Retro Viral Therapy
Dr. Saira Azhar 15 10
Strongly Agree
5
Agree
0 The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
The trainer motivated, inspired and instilled confidence
Disagree Strongly Disagree
Dr. Syed Hammad Nazeer 15 10
Strongly Agree
5
Agree
0
Disagree The trainer was The trainer was Explanations The trainer The trainer was The trainer’s presentation knowledgeable well-prepared were clear and solicited interested in about the about the concise questions and sharing style was subject subject had the answers information and interesting and knowledge effective
15
The trainer motivated, inspired and instilled confidence
Strongly Disagree
Training Program/workshop
10 5
Strongly Agree
0
Agree Objective of this Subject matter was Training will greatly Training session Participants were Facillitator(s) have training program appropriate for assist you in your duration was encouraged to good presentation adequately met your background profession/area of adequate to cover share information skills/styles, and experience work all relevant and experiences knowledge and materials grip over the subject
Disagree Strongly Disagree
Fatima Memorial Hospital | Annexure
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