health planning management - USI
Transcription
health planning management - USI
Tirana, Albania 2005 - 2008 TRAINING PROGRAM IN HEALTH PLANNING AND MANAGEMENT A J OINT INITIATIVE OF University of Montreal Ministry of Health of Albania Institute of Public Health, Tirana Faculty of Medicine, University of Tirana W i t h t h e f i n a n cial support of the Swis s Agency f o r D e v e lopment and Cooperation Training Program in Health Planning and Management I. GENERAL INFORMATION The Université de Montréal, in collaboration with the Ministry of Health of Albania, the Faculty of Medicine and the Institute of Public Health, and with the support of the Swiss Agency for Development and Cooperation, has organized a Training Program in Health Planning and Management. This program offers a six-month training experience in the techniques of health planning and management. The general goal of the program is to: Increase planning and management capacities at the national and sub-national levels in Albania’s health sector, in support of more decentralized decision-making processes and resource management within the public health system. By the end of this program the following objectives will be achieved: A group of health officers will have acquired deep and up-to-date knowledge in the fields of health planning and management. Training will be focused on key areas, such as health planning, public health issues, program evaluation, management of human resources, and financial management, among others. The planning and management capacities of the Albanian health system will be further strengthened. An important step will have been made towards institutionalizing training in health planning and management in Albania, by bringing together expertise from all available sources and in collaboration with a foreign university. This will be very useful for future programs and possibly for a credited post-graduate course in the above fields. The Health Planning and Management Program will contribute to the transformation of the Albanian health system, promoting fundamental changes in key areas: This program offers training in planning and management techniques to central institutions/agencies, to peripheral levels of the public health sector, and to other categories of health professionals working in private programs and services. This will help to promote a common vision about health planning and management, which is paramount for the successful implementation of future health system modifications. Strengthening of planning and management capacities is a key issue for the adoption of more decentralized forms of structures and decision-making. These health professionals, with their new vision, knowledge and skills, will be instrumental in formulating and implementing Albanian health policies. 2 Training Program in Health Planning and Management II. PROGRAM CONTENTS This program is composed of five blocks, each of which (with the exception of block 5) includes several modules. The program contents can be summarized as follows: Block 1 – Fundamentals in Public Health 1 2 3 4 5 6 7 8 9 10 Introduction to Health, Basic Concepts of Health and Public Health Health Promotion and Education Environmental Health Reproductive Health (RH), including Mother and Child Health (MCH), Nutrition, Family Planning (FP), HIV/AIDS and Sexual Health (SH) Issues and Priorities in Public Health (communicable and chronic diseases, tobacco, accidents/injuries, and gender-based violence). Quantitative Methods (Epidemiology and Biostatistics) Used in Public Health. Qualitative Methods Used in Public Health Behavioral and Social Sciences in Public Health Field Epidemiology Applied Computer Science: Basic Computer Knowledge and Special Programs Block 2 – Health Policy and Systems 1 2 3 4 Analysis of Health Systems and Health Insurance Demographic and Health Indicators Basic Concepts and Tools of Health Economics Health Policy and Legislation Block 3 – Health Planning 1 2 3 4 Introduction to Health Planning and Situation Analysis Priorities and Objective-Setting Strategy Development and Programming Monitoring and Evaluation Block 4 – Health Management 1 2 3 4 Financial Planning and Management Human Resources Management Special Topics in Logistics Project Management Block 5 – Field Exercise and Final Paper During the last month of the course, trainees will return to their workplace in order to prepare their final paper. They will review and assess their own work settings, services and programs based on the knowledge gained during the theoretical part of the program and will write a paper summarizing the results of their work. 3 Training Program in Health Planning and Management III. ORGANIZATION OF THE PROGRAM The duration of this program is six months. The work schedule is confirmed on a weekly basis. Daily lectures are usually given in the morning. Trainees receive all teaching materials in Albanian. Daily materials include the lecture notes written by trainers and additional documents intended to complement the lecture. The additional documents are articles or parts of chapters from textbooks, translated into Albanian. For those interested, materials in their original language are also available for each lecture; these materials and other books from the library can be photocopied upon request. This is an intensive program which requires a full commitment from its participants. Daily attendance at the course is mandatory. IV. EVALUATION The purpose of evaluation is: (1) to ensure participants are achieving the pedagogical objectives and (2) to maintain a high standard of training. The evaluation is based on trainees’ attendance, participation and performance. Performance evaluation is based on tests, exams, as well as personal and group work. Trainees will be evaluated on each module by the trainer in charge of that module, under the authority of the Academic Committee. The module evaluation is done on a scale of 0 to 100 points. To promote full attendance at every module, each trainer is entitled to calculate the final result on the basis not only of points received in the test for a given module (80%), but also of attendance during the teaching time of that module (20%). The passing grade for a module is 50 points. Below that score, a trainee may ask to have a review of his/her exam, as well as a second evaluation, if his/her score is still under the passing level. If a trainee does not succeed, he/she could ask to get additional evaluation for two more modules at most. If after this second evaluation, a trainee still does not succeed in a block evaluation, after a review of his/her case by the Academic Committee, he/she will be excluded from the program. All successful trainees will receive a certificate delivered by the Université de Montréal, the Faculty of Medicine, the Institute of Public Health and the Ministry of Health of Albania with the following mentions: Score above 90: excellent Score between 83 to 89: very good Score between 75 to 82: good Score between 60 to 74: average 4 Training Program in Health Planning and Management V. PROGRAM STAFF The Training Program in Health Planning and Management is organized and directed by the Université de Montréal. The program staff is composed of: Program Director Prof. Pierre Fournier University of Montreal Program Coordinators Besim Nuri, MD, MScPH Elona Nasufaga Skendaj Alban Ylli, MD, MPH Academic Committee Pierre Fournier, director of the project Alban Ylli, coordinator for the block of Public Health Zamira Sinoimeri, coordinator for the block of Health Management Besim Nuri, coordinator for the block of Health Systems and project coordinator in Montreal 5 Entela Shehu, coordinator for the block of Health Planning 6 Representative of the Swiss Cooperation Office in Albania 1 2 3 4 Team of Trainers 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Alban Ylli MD, MPH, Institute of Public Health Entela Shehu MD, MPH, consultant Besim Nuri MD, MScPH, Université de Montréal Eduard Kakarriqi MD, Master in Epidemiology, IPH, Tirana Enver Roshi MD, MPH, Faculty of Medicine Genc Burazeri MD, MPH, Faculty of Medicine Eliona Kulluri Social scientist, Faculty of Social Sciences Edlira Haxhiymeri Social scientist, Faculty of Social Sciences Saimir Kadiu Economist, Master in Health Financing, MoH Arjan Gjoncaj Lecturer, London School of Economics Silva Mitro MPH, PH consultant Valdete Bizhga MD, MPH, Assistant Professor, Tirana Municipality Zamira Sinoimeri MD, MPH, URC Project Altin Malaj MD, STI specialist, University Hospital Centre Flora Hobdari Economist, MSS, URC project Arjan Harxhi MD, STI specialist, University Hospital Centre Edlira Dajko MSc, Ministry of Health Albana Ahmeti Economist, MPH, Institute of Public Health Erol Como MD, Coordinator for the field work, Ministry of Health Zhaneta Shatri MD, MA Public Health, USAID, Tirana office. Erion Dasho MD, MPH, URC project Gazmend Bejtja MD, Institute of Public Health Roland Bani Institute of Public Health Mariana Bukli MD, MPH, UNICEF-Tirana Agim Koçiraj MD, Pro-Shendetit Project 5 Training Program in Health Planning and Management BLOCK 1 – PUBLIC HEALTH MODULE 1 Title: Introduction to Health, Basic Concepts of Health and Public Health Lecturer: Besim Nuri Duration: 4 days Main Objective At the end of the module, participants will understand the basic concepts of health and disease and the most important determinants of population health status. They will gain basic knowledge on important factors threatening the health of the Albanian people as well as global health. Finally, the module will provide basic knowledge and skills to allow participants to better understand the health status of the communities where they live and work and to better explain factors that have an impact on the health of these communities. Learning Objectives By the end of the module the participants will be able to: provide some definitions of and comment on the broad concepts of health and disease; describe and explain the most important factors that determine health and disease in a population or community; describe the most important factors threatening global health in today’s world; describe the most relevant factors influencing and determining the health of Albanians presently. MODULE 2 Title: Health Promotion and Education Lecturer: Genc Burazeri Duration: 3 days Main Objective The aim of the module is to introduce the basic principles and methods involved in health promotion and health education strategies. Detailed Objectives At the end of the module, participants are expected to: have an overall understanding of the basic principles underlying health promotion and health education; have acquired knowledge on selected methods of health promotion interventions and their adaptation for the specificities of Albania; have practical skills for implementing health promotion and health education interven tions; be able to identify the most common problems faced during the implementation of health promotion programs; give examples of health promotion strategies employed in Albania in the last decade; prepare an outline for a health promotion intervention in the community; prepare and organize a focus group discussion on selected health promotion interventions. 6 Training Program in Health Planning and Management MODULE 3 Title: Environmental Health Lecturer: Valdete Bizhga Duration: 2 days Main Objective This module will introduce students to environmental health concepts, principles and their application, in order to guide a management rationale for environmental health issues at the community level. Learning Objectives At the end of the module students will be able to: understand the basic relationship between environmental factors and health, including an application of the interrelationship between economic development, the environment and health in an ecosystem framework; define the elements of risk assessment and understand the principles of risk management; describe air quality, clean water, food safety as determinants of health; understand the notion of thinking globally and acting locally in a specific situation. MODULE 4 Title: Reproductive Health (RH), including Mother and Child Health (MCH), Nutrition, Family Planning (FP), HIV/AIDS and Sexual Health (SH) Lecturers: Zamira Sinoimeri, Arjan Harxhi, Mariana Bukli Duration: 6 days Main Objective This training module gives health planners and managers a practical orientation on how to deal with reproductive health issues in their respective areas, emphasizing that services must be tailored to fit the needs and capabilities of different kinds and levels of service provision. The module is not intended as a substitute for academic training in the field of reproductive health. This module enables the development of policies that address gender inequalities and the promotion of rights. This module will demonstrate how the organization and functioning of health systems impact differently on women and men, often to the disadvantage of women, and also how to create gender-sensitive health systems. Learning Objectives At the end of the module students will be able to: define reproductive health concepts; explain the importance of reproductive health issues; describe key differences in approaches to reproductive health over the years; describe the benefits of reproductive health interventions; explain the elements of safe motherhood programs and other reproductive health programs at national and district levels; explain the components of reproductive health and health sector reform; describe the main findings of the Reproductive Health Survey in Albania; explain the main components of sexual health. 7 Training Program in Health Planning and Management MODULE 5 Title: Issues and Priorities in Public Health (communicable and chronic diseases, tobacco, accidents/injuries, and gender-based violence). Lecturers: Alban Ylli, Enver Roshi, Eduard Kakarriqi, Eliona Kulluri Duration: 10 days Main Objective This module provides participants with an overview of important health-related problems, focusing mostly on infectious diseases, cardiovascular diseases, neoplasms, mental health, violence, injuries and tobacco smoking. Trends and the burden of disease will be presented to enable students to adopt systematic and realistic approaches when analyzing priorities among health problems in communities. Knowledge about known risk factors, the prevalence of the exposure to them, the strength of their association with diseases, and the potential for prevention are further discussed, so as to build students’ analytical skills in designing, setting up and evaluating prevention programs. The module aims to give students the necessary organizational skills and knowledge for planning and managing related preventive programs and strategies. It also provides students with the main concepts related to gender, gender roles and stereotypes, and their implications in terms of personal and professional life. Students will understand the importance of being informed and will be able to identify problems related to gender violence and techniques of intervention in the context of public health. Students will be introduced to models and strategies of intervention in public health to prevent gender violence and trafficking. Learning Objectives At the end of the module the students must be able to: explain the epidemiological transition and its links with demographic transition; describe major trends in cardiovascular disease and in the most important cancer diseases and have an idea about their prevalence and mortality impact in Albania; list main risk factors for cancers and give facts about their strength of relationship as well as their potential for prevention; summarize the principles of prevention of coronary heart diseases (primary and secondary prevention); prepare a short essay on the role of primary health care in tobacco smoking prevention; discuss the burden of mental diseases and the risk factors for mental health, with an emphasis on the Albanian population; describe the reforms going on in the field of mental health services in Albania; discuss the principles of infectious diseases surveillance; present a schematic of information flow in the case of the Albanian national surveillance program; describe risk factors, transmission agents and other epidemiological concepts of infectious diseases; mention the best prevention strategies for different infectious diseases; describe gender-based violence concepts and the basic skills necessary to address such a problem in community; discuss the main types of injuries which constitute a threat to public health; list a number of strategies used in practice to prevent accidents and injuries; understand general concepts on gender; understand the consequences of gender roles and stereotypes on mental and physical health; 8 Training Program in Health Planning and Management analyze social and health problems from a gender perspective; identify different forms of gender violence and their physical and psychological consequences on women and children; MODULE 6 Title: Quantitative Methods (Epidemiology and Biostatistics) Used in Public Health Lecturer: Alban Ylli, Genc Byrazeri, Gazmend Bejtja Duration: 8 days Main Objective In this module, participants will learn how to investigate and define the health problems of the community. They must be able to understand the history of community health problems, to examine their present situation and, based on this analysis, to think about appropriate strategies of control as well their efficacy. The module is designed to give participants the necessary analytical skills for working as health managers at district or community levels. Learning Objectives At the end of the module participants must be able to: discuss diagnosis of the community and compare it to the diagnosis of disease at the individual level; define different types of data and list possible sources able to produce data; list possible problems that would interfere in the comparison of two indicators produced in two different populations; prepare simple graphs, figures and maps for a community health status report; identify the advantages and limitations of existing sources of health data for determining the health of communities; calculate measures of frequency of diseases; interpret different measures of association; list criteria for a screening program in the community. MODULE 7 Title: Qualitative Methods Used in Public Health Lecturer: Alban Ylli Duration: 2 days Main Objective This module introduces students to the principles and methods of the qualitative approach. Participants will learn about with the advantages offered by qualitative methods in comparison with quantitative research and they will be oriented towards participative approaches as an efficient tool for planning and evaluating services, as well as for solving common problems when managing community health services. Learning Objectives At the end of the module participants must be able to: list strengths and weaknesses of qualitative methods in comparison with the quantitative approach; describe briefly the three main theories/approaches which form the basis of qualitative methods; identify the most common biases produced during a qualitative study; 9 Training Program in Health Planning and Management read and comment on selected qualitative data; identify the most common ethical problems encountered during qualitative research; differentiate between analysis used in an epidemiological study and analysis used in a quantitative approach; give examples, from the health field, of where qualitative research may be used; carry out a qualitative interview with another participant in the course; prepare and organize a focus group on a specific issue. MODULE 8 Title: Behavioral and Social Sciences in Public Health Lecturers: Edlira Haxhiymeri, Eliona Bimbashi Duration: 5 days Main Objective At the end of this module students will have an understanding of concepts and theories of social and behavioral sciences and their implications in public health, and will be able to analyze the behavioral, social and psychological factors associated with health and illness. Learning Objectives At the end participants should be able to: describe the main concepts of social policy, welfare systems, the capacity of social and health care services to meet the people’s needs and the fields of sociological research in public health; describe the role/impact of social and psychological factors in health and illness; present some models and theories on individual human behavior; discuss the impacts of stress and individual personality characteristics on health and illness; describe models and techniques of intervention for groups, especially vulnerable ones; describe concepts and theories on community, community interventions and programs, and social assistance systems in the context of mental health. MODULE 9 Title: Field epidemiology Lecturer: Eduard Kakarriqi Duration: 2 days Main Objective This module will provide students with knowledge and practical skills for defining an outbreak of disease and developing an outbreak investigation. Learning Objectives By the end of this session the participants will be able to: define the term “field epidemiology” and list specific services; list the reasons why health agencies investigate reported outbreaks; list the steps of an outbreak investigation; define a “line listing” and describe what it is used for; 10 Training Program in Health Planning and Management follow and execute the initial steps of an outbreak investigation and develop biologically plausible hypotheses; draw the traditional epidemiological curve. MODULE 10 Title: Applied Computer Science: Basic Computer Knowledge and Special Programs Part 1: Computer Applications for Health Management Professionals Duration: 5 days Instructor: [to be announced] Main Objective This module will present the tools necessary to enable health management professionals to use computers in carrying out their duties. Learning Objectives At the end of this module participants will: have experienced practical concepts and concrete usage of Windows; be able to match information resources to their needs and experience; have mastered the installation and starting of Microsoft Office in its latest versions; have mastered the use of Microsoft Word, Excel, and Access for everyday practice and management problems; know how to use Internet for medical purposes, and understand the role and the necessity of EBP work; understand networking concepts, LAN concepts and use. Part 2: Introduction to Epi Info (version 6 and version 2000) Lecturers: Alban Ylli, Roland Bani Duration: 5 days Main Objective The course will introduce participants to the basics of the Epi Info package, so that they are able to start using it in their work for creating simple databases and carrying out simple data analyses. The course will be very practical and participants will work under supervision on two real databases. Incorporated into the course will be a short training on data presentation using PowerPoint. Learning Objectives At the end of the course participants must be able to: create in a word processing program an electronic database from a prepared question naire or another form; produce a simple descriptive analysis using commands like "freq" and "list"; create a categorical variable from a numerical one; prepare simple graphs from the entered data; export data from Epi Info to Excel and import data from Excel to Epi Info. 11 Training Program in Health Planning and Management BLOCK 2 – HEALTH POLICY AND SYSTEMS MODULE 1 Title: Analysis of Health Systems and Health Lecturer: Besim Nuri, Flora Hobdari Duration: 5 days Main Objective This module will provide students with basic information on specific components and dimensions of health systems and how they are applied in different countries. Students will acquire a basic knowledge of health system financing and the essential elements of health care insurance, as well as of health system performance and reforms. In particular, students will learn about the most important components of the Albanian health system, including their essential features, their functioning and their interrelationships. Learning Objectives At the end of this module the students are expected to: describe the most important elements and dimensions of a health system, such as health status and indicators, health financing, human resources, health services, as well as the concepts of equity, accessibility, quality of care, etc.; comment on different sources of health system financing and resource allocation; discuss the essential elements of health care insurance, with a special focus on Albania; comment on the most important elements of health system performance evaluation and health system reforms in different countries; describe the most important components of the Albanian health system, their features and their functioning. MODULE 2 Title: Demographic and Health Indicators Lecturer: Arjan Gjoncaj Duration: 5 days Main Objective The purpose of this module is to provide participants with basic knowledge of health and health service indicators and their utilization in managing health programs and services. Learning Objectives At the end of the module students should be able to: understand and define important basic indicators of population change; measure changes in demographic processes such as mortality, nativity, and emigration, and their influence on population growth; compile mortality tables and know their applications in the health field; apply standardization methods for health and demographic indicators; define morbidity indicators, such as prevalence and incidence of certain diseases; compile and interpret indicators of health system utilization. 12 Training Program in Health Planning and Management MODULE 3 Title: Basic Concepts and Tools in Health Economics Lecturer: Edlira Dajko Duration: 3 days Main Objective This course offers insight into the role of health economics in the health care sector. During this course, students will acquire a basic understanding of health economics as the study of how scarce resources are allocated among alternative uses for the care of illness and the promotion, maintenance and improvement of health. As the course unfolds, students will learn that economics offers a global perspective intended to help in understanding the many problems related to various types of scarcity. The three main tasks of economics that will be covered in this course are description, explanation, and evaluation. Learning Objectives At the end of this course students will have a better understanding of: the basic relationship between demand and supply in the health care market; the concepts of efficiency and equity; economic evaluation as a process of identifying, assigning and selecting programs aimed at helping decision-makers to make better choices; the basics of markets and health care markets; health care outputs and processes; the production and cost of health care; equity, efficiency and need; cost-benefit and cost-effectiveness analysis; the health care market. MODULE 4 Title: Health Policy and Legislation Lecturer: Erion Dasho Duration: 4 days Main Objective This module will introduce basic concepts and principles on health policies and legislation. It will offer an insight on the process of policy making and law formulation. Finally, the module will provide basic knowledge on the relation between health policies and the process of health system reform. Learning Objectives At the end of this course students will have a better understanding of: understand the basic principles of health policies and legislation; understand the design and formulation of approaches to health policies and lawmaking, as well as the policy-making process; relate policy and legislative interventions to governmental and administrative priorities, changes in health/disease levels, and regional and international policies; understand the role of policies and legislation in the process of continuous health system reform. 13 Training Program in Health Planning and Management BLOCK 3 – HEALTH PLANNING MODULE 1 Title: Introduction to Health Planning and Situation Analysis Lecturer: Entela Shehu Duration: 5 days Main Objective This module will provide students with an overview of the health planning process and allow them to develop a framework of analysis that will enable them to understand and identify central issues and problems in complex, comprehensive cases. Students will develop analytical skills to deal with complex conceptual problems. They will bridge the gap between theory and practice by developing an understanding of when and how to apply concepts or techniques. Learning Objectives By the end of the module students are expected to: understand health planning as an integrated process, identifying different aspects of the planning process; identify the scope and structure of planning; understand the application of selected multidisciplinary methods; describe the role and position of situation analysis in the framework of strategy formulation; describe main concepts and principles of situation analysis; gather and interpret key environmental data and indicators (focusing on the demographic, epidemiological and economic methods); perform, in a given situation, a comprehensive situation analysis. MODULE 2 Title: Priorities and Objective-Setting Lecturer: Edlira Dajko Duration: 4 days Main Objective In this module, students will develop a framework for analysis and will acquire conceptual and practical skills that will enable them to identify problems, establish priorities and set objectives. Learning Objectives By the end of the module students are expected to: understand the problem identification and priority establishment processes within a planning framework; identify the steps involved in the processes and the different priority-setting mechanisms used; understand and develop the ability to use information gathered during a situation analysis and select appropriate techniques and methods; understand and explain the difference between “Goal” and “Objective” in a program framework; apply the concept of SMART in defining objectives; define goals and objectives in a program framework. 14 Training Program in Health Planning and Management MODULE 3 Title: Strategy Development and Programming Lecturer: Zamira Sinoimeri Duration: 4 days Main Objective In this module students will acquire conceptual skills and will learn about appropriate elements of strategy formulation and programming in the health sector. They will also acquire practical skills in designing an operations plan within the framework of strategy development and programming. Learning Objectives At the end of this module students will: understand the major steps involved in evaluating alternatives and selecting a strategy; be able to identify the major criteria that strategic alternatives must meet; know the major factors required for successful implementation of strategic decisions; understand the steps involved in implementing a strategic planning process: programming, budgeting, staffing, and procedures. MODULE 4 Title: Monitoring and Evaluation Lecturer: Altin Malaj Duration: 5 days Main Objective This module will introduce students to the concepts of monitoring and evaluation of public health programs, and prepare them to understand and carry out monitoring and evaluation procedures. Learning Objectives At the end of this module students will: know the function of monitoring (definition, purpose, value); understand the importance of planning monitoring activities and know the process of monitoring, including its elements and related characteristics; be able to identify the various types of monitoring and differentiate between routine and short-term monitoring; understand monitoring indicators and be able to select the relevant ones; know the main steps in program monitoring; know and differentiate between key concepts such as outcome evaluation, monitoring and process evaluation, management information systems (MIS), external and internal evaluations, and accountability questions; understand the crucial influence / role of evaluation in program implementation. 15 Training Program in Health Planning and Management BLOCK 4 – HEALTH MANAGEMENT MODULE 1 Title: Financial Planning and Management Lecturer: Saimir Kadiu, Flora Hobdari Duration: 10 days Main Objective This module introduces participants to principles of financial planning and management in health care organizations. Learning Objectives At the end of this section, the trainees should be able to: use an organization’s financial statements to become informed about its financial health; use budgeting techniques and principles of financial management to make operating and capital budgeting decisions and to analyze long-term financial options; make decisions about the efficiency of alternative uses of resources for meeting the long- term objectives of the health institution. MODULE 2 Title: Human Resources Management Lecturer: Silva Mitro Hours: 10 days Main Objective This module provides participants with clear concepts and basic skills related to human resources management, based on the principle that the people who work for an organization represent an invaluable resource and asset. Learning Objectives At the end of this module participants should: have a clear understanding of the role of human resources management in the framework of the overall management of an organization; have the basic knowledge and skills that will allow them to participate in the process of human resources planning, recruitment, selection, orientation and development; be able to set personal development objectives aimed at improving their leadership, communication, problem–solving and change management skills; be able to identify potential actions / interventions for resolving problems related to human resources management. 16 Training Program in Health Planning and Management MODULE 3 Title: Special Topics in Logistics Lecturer: Albana Ahmeti Duration: 3 days Main Objective This module introduces participants to the principles of logistics management, such as medical supplies management, systematic cost reduction, and transport management. This course will also sensitize participants to the reality of medication misuse and problems of irrational use of drugs. Learning Objectives By the end of the module, participants will be able to: perform an ABC value analysis and explain at least three ways in which an ABC analysis can be used to reduce costs or improve efficiency; explain the VEN System (Vital, Essential, and Non-essential) for setting priorities in a drug list and describe at least three ways in which the VEN System can be used to reduce cost or improve efficiency; review vehicle allocations; plan and monitor a vehicle usage; compare various options for transport management; explain the key issues in management of the cold chain; describe the distribution process of vaccines. MODULE 4 Title: Project Management Lecturer: Enkelejda Sula, Zhaneta Shatri Duration: 7 days Main Objective This module will introduce students to project management as an approach which is a key part of the health planning process. Students will acquire basic competencies (knowledge and instruments) to be applied in project management and will become familiar with the main techniques applied in health projects management. They will develop the capacities to conceptualise, implement and evaluate health projects. Learning Objectives At the end of this course participants should be able to: define the management of health projects; define a health project and its characteristics, and distinguish a project from a program; define the phases of a project; define the relationship between project and needs; define the concept of health needs; recognise the main indicators of needs and the main techniques to analyse needs; know the place of the planning process in the project cycle; describe different types of project planning; 17 Training Program in Health Planning and Management get to know the main techniques of prioritisation; get to know how to evaluate the pre-feasibility of a project; describe the steps in designing a pre-project; describe the phases of a feasibility analysis; know how to use a technique for environmental analysis; describe objectives and project activities in operational terms; use the PERT method of planning of a project on an operational basis; understand the relationship between the project payments schedule and the activities; know the basic principles how to define a budget; understand the rules for follow-up and control of temporary financial resources, human resources, and project performance; get to know different types of evaluation and the identification of phases of the evaluation process; prepare for a critical reading of the relevance, feasibility and preparation (content and articulation) of a health project; use the logical framework method. 18