TRP adaptation helps create tailored training program in Nepal, Zambia

Catherine Clarke


Linda Ippolito, of Strategy 2 Impact, LLC, is a women’s health advocate with expertise in in adult education and extensive experience in developing trainings for family planning practitioners. She shared with us how the Training Resources Package (TRP) helped her create foundational lessons with up-to-date information for a new training initiative launched by Ipas.

Workshop on Provision of Contraception including LARC in CAC and PAC settings

Ippolito used the TRP as a resource while consulting for Ipas to create a one week training to introduce and/or improve the delivery of long-acting reversible methods of contraception (LARCs) in abortion and post-abortion settings. She designed a tailored package of materials for Ipas, including a curriculum, session plans, slide sets and job aids for training of trainers and service providers. These materials were field tested in a regional training for participants from India and Nepal and adapted for later use in Zambia.

Ipas required that the training be appropriate to range of participants – service providers, managers, and supervisors – working as public sector clinicians and counselors. The week-long training included an extensive agenda with diverse topics including reproductive rights, contraceptive update and service provision, access and quality, adolescents, clinical practicums, and the basics of FP service delivery management and monitoring. Ippolito used the TRP as a source for the following sessions:

- Contraceptive Information Update, Eligibility & Screening: IUDs and Contraceptive Implants

- Contraceptive Information Update: Permanent Methods; Short-Acting Methods

- History Taking and Client Assessment for Contraception Post-Abortion

- Overview of Counseling for Contraceptive Services

- Referral

- Client Follow-Up: LARC Methods

- Adolescents, Young Adults and use of LARC Methods

Ipas has since used the materials in regional trainings that “bring together trainers and mentors in abortion care from nearby communities to learn from their colleagues’ experiences.”(1) Trainings in Nepal for Nepali and Indian providers and in Zambia for Zambian and Kenyan participants emphasized strategies for increasing women’s access to IUDs and implants.

The Ipas trainings benefited from the association and collaboration between providers of different countries. Indian and Zambian participants learned from their Nepali and Kenyan counterparts about contraceptive methods not available or not used in their own countries. These trainings of trainers were intended to help participants educate other providers during additional trainings and visits to care facilities.

Experience Adapting the TRP

Ippolito describes the TRP as being most useful for updating existing materials and for use during foundational sessions. As a consultant for Ipas, Ippolito was able to adapt the TRP to the specific context, join the TRP with other training resources and source materials, and ensure the training adhered to the organization’s quality framework. Ippolito notes that one of the TRP’s strengths is that it is a central source of both familiar and up-to-date information in an accessible, adaptable format. For instance, Ippolito easily accessed and adapted the slide sets for foundational sessions on LARCs, using only the content relevant to Ipas’ goals and methods and the participants’ learning needs.

Ippolito’s strategy focused on first developing a concept of the training and overall curriculum, then using TRP resources as they fit with her design. She saved time by adapting some of the standard materials found in the TRP while replacing the TRP case studies with exercises she designed based on the Ipas-specific field situations and participant learning needs. . Without the TRP as a handy, up-to-date, adaptable reference, she may have had to research individual topics to find the most recent and relevant information in primary or secondary sources, then develop them into new training materials. She also appreciated the the ease of access through the website and the TRP’s French session, although the latter was not relevant for the Ipas assignment.

In summary, the high quality and accessibility of TRP materials helped Ippolito to create a comprehensive, flexible training design and package of materials that addressed Ipas’ training needs and ensured participants received quality information in an accessible and applicable format.

(1) Regional trainings bolster providers’ ability to offer IUDs and contraceptive implants after abortion. Ipas, February 3, 2015.

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