MINISTRY OF HEALTH – UGANDA
PAEDIATRIC HIV/AIDS
TRAINING REPORT
Prepared By:
______________________________________________________
Name Signature Date
For Official Use Only: Training Report ID No.__________
INSTRUCTIONS
P
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: paedhivtrainings@gmail.com.
lease 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.
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)
2.0 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.
2.
3.
4.
5.
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)
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:
-
Favourite session(s) in this training
-
Aspects of the training to which participants needed more information
-
Session(s) that participants felt need modification
-
Participants’ suggestion(s) to improve the quality of this training
-
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:
List of Participants
Serial
|
Surname
|
Given Name
|
Sex: (M/F)
|
Cadre (e.g MO)
|
Facility Name
|
Facility Level (e.g HC IV)
|
Facility Type (e.g Gov)
|
Facility District
|
Pre-
Test
|
Post
Test
|
E-mail
|
Telephone
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOT OBSERVATION REPORT
Date:____/____/_______ Course Name:___________________________________________
(Day/Mon/Year)
Supervisee Name:___________________ Number of Sessions Observed: __________
Training Venue:_____________________ District:_______________________________
Organized By:______________________ Funded By:____________________________
Rating Scale: 3=Excellent 2=Good 1=Developing 0=Poor
Serial
No.
|
Question
|
Sessions
|
Comments
|
1_______
|
2_______
|
3_______
|
1
|
How well did the trainer prepare for the session ahead of time?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
2
|
How well did the trainer introduce the session?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
3
|
How well did the trainer conduct practical exercises or group activities?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
4
|
How well did the trainer conduct games and interactive activities?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
5
|
How well did the trainer conduct interactive activities?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
6
|
How well did the trainer provide smooth transitions?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
7
|
How well was feedback received from the participants?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
8
|
How well did the trainer close the session emphasizing key points?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
9
|
How well were the objectives of the session met?
|
3 2 1 0
|
3 2 1 0
|
3 2 1 0
|
|
10
|
Summation of the ratings
|
|
|
|
Overall, add all individual ratings per session out of 81:_____________
|
11
|
In your opinion, how would you rate the overall effectiveness of this trainer?
|
66 – 81 = Can train independently
54 – 65 = Can train with support
27 – 53 = Can train after mentorship
0 – 26 = Cannot train
|
12
|
Please describe your meeting with this trainer and the key issues discussed.
|
|
13
|
Any additional comments:
|
|
Share with your friends: |