National Orientation Guide:
Preparing to Roll-out Health Care Waste
Management (HCWM) Training at
Male Circumcision (MC) Sites
Steps to a successful roll-out of HCWM Training
September 23, 2013
Topics Covered in This Guide
1. Training Resources: Resources for a Successful Rollout of HCWM Training to MC Sites
2. Training Modules: HCWM Training Modules and
Associated Tests
3. Tailoring the HCWM Training: Working with the
Customization Guide
4. Training the Trainers: Preparing Infection Control
Officers to Deliver the HCWM Training
5. Monitoring HCWM Training: Following-up After MC
Site Staff Training
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Objectives
After completing this orientation, you will:
• Be able to use a standardized approach and
standardized materials when preparing Infection
Control Officers to deliver HCWM training at the
country’s MC sites.
• Be prepared to manage the successful roll-out of
HCWM training at the country’s MC sites.
• Be able to successfully oversee HCWM training that
helps ensure Health Care Waste (HCW) at all MC sites
is managed in accordance with Campaign and national
policies and guidelines.
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Background on HCWM Training for MC Sites
Adequate training is a critical step in achieving an efficient
and safe HCWM system.
Your responsibility as national Campaign Infection
Control Manager includes:
• Ensuring that all MC site Infection Control Officers
receive training (Training of Trainers) to prepare them
to deliver HCWM training to the MC site staff members.
• Keeping up-to-date records on HCWM trainings.
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The Training Component of Voluntary Medical
Male Circumcision Toolkit
To help you with those responsibilities, you are being
provided with the training component of Voluntary
Medical Male Circumcision (VMMC) Toolkit.
The toolkit is designed to bring staff at all levels of a
VMMC campaign to a critical level of HCWM competency.
The training program in the toolkit is appropriate for all
types of VMMC sites.
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The Training Component of Voluntary Medical
Male Circumcision Toolkit
Training should be conducted before the start of a
campaign to orient staff in HCWM best practices.
All staff members, even those with previous HCWM
experience, should attend the training to ensure that they
adopt the latest best practices and understand the
standards that will be observed by the VMMC campaign.
Beyond teaching the MC site staff about HCWM, the
training also opens dialogue about HCWM to develop a
sense of ownership and to instill commitment to the
campaign’s responsibility for HCWM.
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Roll-out Scheme for All HCWM Training
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Roll-out Scheme for All HCWM Training
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Roll-out Scheme for All HCWM Training
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Total Time Investment for YOU to Train Infection
Control Officers & Site Managers
Training you will deliver
Minimum
Classroom
Hours
Required
Train the Trainer sessions:
Preparing Infection Control Officers to Train MC Site
Staff (Modules 1-7 and Review of Trainers’ Guide)
Training to Prepare Site Managers to Manage the
Site’s Quality Management System (QMS)
17*
3
(Module 8:QMS)
Total Minimum Classroom Hours Required
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* Add an additional hour per participant to
allow the participants to practice their
training delivery skills.
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Total Time Investment for Infection Control
Officers to Train MC Site Staff on HCWM
Modules/Job Role
Hours
required Site
Clinical
Manager Staff
per
Module
Module 1:Basic HCWM for MC
2:15
Module 2:Worker Health & Safety
2:05
Module 3: Weighing and Recording HCRW
1:30
Module 4: Requirements for Transport of HCRW
1:45
Module 5: Decontamination
1:25
X
2:30
X
Module 5X: Decontamination and Sterilization *
X
Orderlies
X
X
X
X
X
X
X
X
Module 6: Supply Chain Principles for HCWM
Commodities
2:30
X
X
Module 7: Incident Reporting
1:30
X
X
X
13:30
8:20
8:45
or
9:50*
Total time in training / Job Role
Transport
Team
3:15
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* For sites performing sterilization
Topic 1: Training Resources
Resources for a successful roll-out of HCWM
training to MC Sites
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Training Resources
• HCWM SOPs associated with HCWM Training
• HCWM training modules, tests and answer sheets
• Customization Guide
• Trainers’ Guide
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Resource #1:
SOPs Associated with the HCWM Training
Modules
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•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
SOP-PQAU001-001
SOP-PQAU001-002
SOP-PQAU001-003
SOP-PQAU001-004
SOP-PQAU001-005
SOP-PQAU001-006
SOP-PQAU001-007
SOP-PQAU001-008
SOP-PQAU001-009
SOP-PQAU001-010
SOP-PQAU001-011
SOP-PQAU001-012
SOP-PQAU001-013
SOP-PQAU001-014
SOP-PQAU001-015
SOP-PQAU001-016
HCRW Worker Health & Safety
Incident Management
Injury on Duty and Needle-stick Injury Procedures
General and Antiseptic Hand Hygiene
Decontamination of General Surfaces
Decontamination of Disposable Metal Instruments
Sterilization of Reusable Instruments.
Identification, Segregation & Packaging
Handling & Packing Procedures
On-site Transport
Spill Management
Storage Criteria & Guidance
Waste Quantification
Document Flow
HCRW Transport Requirements
Transport Emergency Response
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Resource #2: HCWM Training Modules
The HCWM training you will roll out to the country’s MC sites
is contained in 8 Training Modules.
• Six of those modules are to be delivered to the staff at each
of the MC sites by the Infection Control Officer.
• Module 4 is provided only for outsourced transport
companies to train their staff.
• Module 8 is delivered only to the Site Manager
Each training module has an associated test and answer
sheet.
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HCWM Training Modules
Module 1:
Basic Health Care Waste Management
(HCWM) for Male Circumcision (MC)
Module 2:
Worker Health and Safety Best Practice
Module 3:
Weighing and Recording Health Care Risk
Waste (HCRW)
Module 4:
Requirements for the Transport of Health
Care Risk Waste
Module 5: Decontamination at the MC Site or
Module 5X: Decontamination and Sterilization at the MC Site
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Module 6:
Basic Supply Chain Principles for HCWM
Commodities
Module 7:
Incident Reporting
Module 8:
Quality Management System (QMS)
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Resource #3: Customization Guide
The Customization Guide provides the national Campaign
Infection Control Manager and /or the national Director of
Clinical Services with suggestions in where the HCWM
training modules may need to be tailored to meet specific
country needs or requirements
Each training module contains the following icon
highlighting locations where such customization may be
needed.
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Resource #4: Trainers’ Guide
The Trainer’s Guide is a companion to the HCWM
training modules. It provides detailed guidance to the
Infection Control Officers at the MC site to assist them in
delivering the training.
The guide contains information about each module’s:
• Topics
• On-the-job performance objectives
• Time required to deliver each portion of the class
• Trainer materials
• Participant materials
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• Learning activities
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Topic 2: Training Modules
HCWM Training Modules and Associated Tests
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Introduction to HCWM Training Modules and
Associated Tests
In order to successfully roll out HCWM training, it is
important for you to experience the training the way it will
be experienced by the ultimate audience - the MC site
staff.
The first step in the process of preparing to roll out
HCWM training is for you to personally review all of the
training modules and to complete all the associated tests.
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Topic 3: Tailoring the HCWM Training
Working with the Customization Guide
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Introduction to the Customization Guide
The Customization Guide identifies portions of the
training modules which can be tailored to meet your
specific country needs/requirements.
When customizing the training materials to reflect
customized SOPs, replace the original SOPs that are
embedded in the PowerPoint training modules with the
customized versions.
After the customization has been completed, this
customization icon should be removed to avoid confusion
and the materials should be checked for consistency
across all modules.
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Why Customize the Training Modules?
The training modules contain only generic information and
generic forms to serve as examples.
Country programs with more specific information and
country specific forms need to train staff in the use of their
own forms.
Customization of the training materials should be
completed by the National Campaign Infection Control
Managers, National Directors of Clinical Services, and, if
applicable, implementing partner organizations.
Customization of the HCWM training modules should be
completed prior to providing them to the MC Site Infection
Control Officers to use when delivering the training.
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Example from the Customization Guide
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Alternative to Customizing the Training
Modules
Compile all the country-specific forms and procedures
and provide them to the Trainers along with the Trainers’
Guide.
Direct the Trainers to deliver the generalized training and
follow-up by providing the country-specific information
and highlighting the differences.
Follow-up to ensure that training did include the country–
specific information and examples.
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Topic 4: Training the Trainers
Preparing Infection Control Officers to Deliver the
HCWM Training
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Train the Trainers: Your Role
• You are responsible for modeling the training that the
Infection Control Officers will give to the MC Site Staff
• You will impart key skills to the Infection Control
Officers on the following:
• How to train Modules 1-7 to MC Site Staff
And
• How to deliver quality stand-up training skills with
customized resources
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Roll-out Scheme for All HCWM Training
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Train the Trainers:
Modeling How to Train on the Modules
When preparing the Infection Control Officers for
delivering HCWM Training at the MC sites:
• First, introduce them to the Trainers’ Guide so that they
may follow along as you train.
• Deliver all of the modules to them in a classroom
setting as they will do
• Have them complete all of the tests to experience what
the MC site staff will experience.
• Schedule at least two and a half days (17 classroom
hours) to deliver the training of all 8 modules and tests
(Allow 1 additional hour per participant if including
practice stand-up training by the participants).
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Train the Trainers:
Introduction to the Trainers’ Guide
The Trainers’ Guide enhances the Infection Control
Officer’s / Trainer’s confidence about delivering HCWM
training because knowing:
• which job functions should attend each session will
assist the Infection Control Officer with invitations and
scheduling of the training sessions.
• which participant materials need to be duplicated in
advance will make the preparation process easier for
the Infection Control Officer.
• the time required to deliver each portion of the modules
will help the Trainer set an appropriate pace for
delivery.
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Review of Trainers’ Guide
Needs to be replaced by a link to an updated
version that contains Modules 7 and 8 and Class
register
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Train the Trainers:
Suggested Training Session Format
• Introduce Module
• Note Trainer Guide page and review contents
• Train the module as the participants should
• Have participants complete test and review correct
answers
• Distribute Module PPT and Test Answers to all
participants for their files
• End with Q&A to answer questions from the future
trainers
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Train the Trainers: Be prepared!
• Make sure to identify and invite the participants well in
advance of the sessions.
• Best group size is 12 or less
• Arrange for internet access at the location where you
will be delivering the sessions.
• Have all hand-outs printed in advance and shipped to
the location.
• Make sure all modules, trainer guides, and
handouts have been customized!
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Topic 5: Monitoring HCWM Training
Following-up After MC Site Staff Training
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Why Monitor and Follow Up on Training?
It is important to follow up on the HCWM training as it is
happening to ensure that Infection Control Officers are
supported and delivering quality training.
It is also important to follow up on the HCWM training
after it has happened to assess impact of the training on
HCWM practices!
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Monitoring the Delivery of the Training
Basic Steps:
• Verify that the training was delivered.
• Determine how records of staff attendance at training
and signature pages of SOPs (indicating that staff read
and understand them) are maintained at the MC site.
• Institute a mechanism for Infection Control Officers to
provide you with training attendance records.
• Determine how training is provided to new staff
members who are hired after the training was delivered
to the staff or to staff members who were not able to
attend all of the original training sessions.
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Training Follow up: Assessing Impact
While “evaluation forms” filled out by class participants
are often used to assess the quality of the training, onthe-job application of the knowledge and skills learned
in the training is really the key indicator of the training’s
effectiveness.
Data on the application of skills and knowledge about
HCWM can be best obtained through Monitoring and
Evaluation and the Incident Management System.
If you determine that proper HCWM techniques are not
being used on the job, some refresher training sessions
may be warranted.
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Orientation Conclusion
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Campaign Infection Control Manager’s Steps to
Successful HCWM Training Roll-out
7. Follow up to assess the HCWM training presented
at the MC sites
6. Be available to support Infection Control Officers
as they deliver HCWM training at the MC sites
5. Familiarize Infection Control Officers with the Trainers’ Guide
(Train-the-Trainers)
4. Present the training modules to Infection Control Officers
(Train-the-Trainers)
3. Customize the training modules, if necessary
2. Determine which portions of the training to customize
1. Review all of the training modules and take all of the tests
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Rate Your Confidence
Now that you have completed this orientation, please rate
your level of confidence in being able to:
• achieve the orientation objectives
• successfully implement and oversee the roll-out of
HCWM training for your country’s VMMC campaign
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Rate Your Confidence In
Not
Confident
Somewhat
Confident
Confident
Very
Confident
Being able to use a
standardized approach and
standardized materials when
preparing Infection Control
Officers to deliver HCWM
training at the country’s MC
sites.
Being prepared to manage the
successful roll-out of HCWM
training at the country’s MC
sites.
Being able to successfully
oversee HCWM training that
helps ensure Health Care
Waste (HCW) at all MC sites is
managed in accordance with
Campaign and national
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