Report of National Training Course on Leprosy Control, China-NLR Project in 2005

By Dr. Yu Meiwen

The national training course on leprosy control, the China ¨C Netherlands Leprosy Relief (NLR) project in 2005 was held in Deqing County, Zhejiang Province from December 23rd to 29th, 2005. A general report of the training course was concluded as follow:

A total number of 48 formal and 7 informal participants from 17 provinces including Henan, Anhui, Guangxi, Hunan, Heilongjiang, Hubei, Hainan, Zhejiang, Guangdong, Jiangsu, Xinjiang, Jilin, Chongqing, Shaanxi, Tibet, Shandong and Yunnan registered for the training course on December 23rd. Among the 48 formal participants, twenty nine (60.4%) were from provincial institutes responsible for leprosy control. In order to make the training course successful, PO organized a pre training meeting and discussed all essential issues with executive director and experts from NCLC and director and support team from Zhejiang Provincial Institute of Dermatology.

Opening ceremony of the course was held in the morning on December 24th. Dr. Jiangping Shen, deputy director of department of leprosy control, NCLC, introduced to all participants the director, deputy director, project officer an experts from NCLC and Zhejiang Province. Mr. Jing Yang, deputy director of Zhejiang Provincial Bureau of Health, participated the opening ceremony and made a welcome speech for the course. Dr. Weiping You, director general of Zhejiang Provincial Institute of Dermatology, also made a speech on the introduction of leprosy control in Zhejiang Province. Prof. Guocheng Zhang, executive director general of NCLC, first expressed his appreciation to NLR for their financial support. Second, he expressed his thanks to Zhejiang Provincial Bureau of Health and Institute of Dermatology for their support for the course, at the same time he also expressed his thanks to all the facilitators and participants for their kindly cooperation. At last, Dr. Jiangping Shen, as the chairman of the training course, announced rules of the training course and brought forward the outcome of the course which would help the participants for their daily leprosy work and training capacity when they were back.

The lecture of training topics were history of leprosy and leprosy stigma and its health education provided by Dr. Chen Jiang, diagnosis of leprosy and treatment of leprosy provided by Prof. Wenzhong Li, skin smear and pathology of leprosy, leprosy bacteriology and its research and leprosy reaction diagnosis and management provided by Dr. Jianping Shen, prevention and management of leprosy eye diseases provided by Dr. Liangbin Yan, prevention and treatment of neuritis, management of foot ulcers, self care of eye-hand-foot provided Prof. Guocheng Zhang, leprosy surveillance, Piot module, and training of leprosy trainers provided by Dr. Meiwen Yu. At the last day, all the participants had a field visit in Zhejiang Wukang leprosy hospital facilitated by Dr. Liangbin Yan, Prof. Guocheng Zhang, and Mrs. Yemei Sun on the topics of prevention of neuritis, self care of eye-hand-foot and management of comprehensive ulcers, respectively. All the facilitators were from NCLC, among whom, five were senior staff. All of them had experiences on leprosy training. Some participants¡¯ involvement training methods were introduced into the training course and got the applauses from the participants.

The training materials of the course and supplementary reading materials were the Handbook of Leprosy Control, Leprosy and other mycobacterium infections, Briefing of Leprosy Prevention and Control No. 2, 3 & 4, How to Diagnosis and Manage Leprosy Reaction, Handbook of Eye-Hand-Foot Self-Care and WHO Global Strategy for Further Reducing the Leprosy Burden and Sustaining Leprosy Control Activities (2006¨C2010). All the training materials were developed or translated by NCLC and it was the first time that we used so many training and reading materials for one training course. Meanwhile, most of the materials could represent the trend of updated leprosy control globally.

In order to ensure of the quality of the course, we used the same paper for pre- and post- test. Although most of the participants came from institute responsible for leprosy control, the mark of pre-test was quite low with an average of 64.0¡À13.2 (the total mark was 100). Among 37 pre-test participants, the lowest mark was 30 and the highest was 90. Fortunately, the mark made a dramatic improvement after the training. Among 48 post-test participants, the lowest mark was 75 and the highest was 98 with an average of 91.1¡À6.0, which could indicate that the training course was successful in some way.

But, there are still some limitations such as the limits of time. Compared with the topic of leprosy control, six days training was so limited. Some parts could not be expressed clearly and needed on job training during field work and other training courses to reinforce them.


Acknowledgements:
First of all, we would like to express our sincerely appreciation to NLR for their financial support which made the implementation of training course possible. Second, we would like to thank director general and experts of NCLC for their technical support and advices. Third, we would like to send our thanks to director and all member of Zhejiang Provincial Institute of Dermatology for their logistical arrangement. At last, we would like to express our thanks to all participants for their cooperation at the training course.



 


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