RCQHC/HCP/ACP Padiatric HIV/AIDS Training Tool ______

MINISTRY OF HEALTH – UGANDA

PAEDIATRIC HIV/AIDS

TRAINING REPORT

Prepared By:

______

Name Signature Date

1 For Official Use Only: Training Report ID No.______INSTRUCTIONS

Please fill in all the parts on this report. Most of the participant information is on the Attendance Form. The only information that is not on the Attendance Form that you need to include is Facility Type (government, NGO, etc.), and Pre and Post Training Test scores. While the training is taking place, it is good to check that you know all the Facility Types.

The report for this training should be completed IMMEDIATELY after the training. The team leader is responsible and must e-mail the electronic copy and hard copies of this report to the Ministry of Health AIDS Control Program Administration within a week after the training using the following e-mail address: [email protected].

1.0 INTRODUCTION

1.1 Background Information: (Please provide brief background information about this training.)

1.2 Overview: Training Venue: ______District of Training: ______Organized By: ______Funded By: ______Total Number of Trainees: ______Males: ______Females: ______Course Name: (Please check one box: (Double click the box, under default value click on “checked”.) 1=Early Infant Diagnosis 5=Prevention of Mother-to-Child Transmission 2=Paediatric HIV/AIDS Counseling 6=Integrated Management of Adulthood Illnesses 3=Paediatric HIV Care & Treatment 7=Integrated Management of Childhood Illnesses 4=Trainer of Trainers (Specify) ______8=Other (Specify):______

Actual Number of Training Days: ______(Days) Start Date: ____/____/____ End Date: ____/____/____ (Day/Mon/Year) (Day/Mon/Year)

2 2.0 OBJECTIVES OF COURSE (Please provide specific objectives about this training.)

3.0 FACILITATION AND COURSE CONTENT

3.1 Trainers (Indicate names, cadre, and affiliated facility or organization): 1.

3.2 Course Content (Summarize Modules):

3.3 Methods of Delivery:

4.0 COURSE ASSESSMENT AND EVALUATION 4.1 Participant Assessment: Pre Test Post Test Average Class Score Best Mark Worst Mark Number Passed with ≥50% Number Failed with <50%

4.2 Evaluation: (Summarize participants’ evaluation of the course participants) 3 Training Item Score Training Content out of 30 Training Input out of 40 Training Process put of 40 Training Product out of 20 Total Evaluation Score out of 130

Summarize participants’ comments on the following headings: 1. Favourite session(s) in this training

2. Aspects of the training to which participants needed more information

3. Session(s) that participants felt need modification

4. Participants’ suggestion(s) to improve the quality of this training

5. Additional comments participants felt would be useful to enhance this training, to develop new training programs, or to provide feedback to individual speakers.

4.3 Challenges:

4.4 Recommendations:

4 List of Participants

Cadre Facility Facility Sex: Facility Pre- Post Serial Surname Given Name (e.g Facility Name Level (e.g Type (e.g E-mail Telephone (M/F) District Test Test MO) HC IV) Gov)