INTRAH : (semi-annual report no. 10 April 1, 1984-September 30, 1984 and final report, October 1, 1979-September 1984)

The project has achieved its targets. At least 24 government and nongovernment agencies were strengthened (most notably in Uganda, Nigeria, Somalia, Turkey, Mali, and Rwanda) and 263 training activities were conducted in 33 African and Middle Eastern countries. Some 5,000 persons were trained directly by the project and another 34,000 received second-generation training (provided by first-generation trainees using materials, methods, and skills gained during direct project training). Of first-generation trainees, 44% attended service delivery skills workshops, 16% were instructed in training skills, and 13% received management training, while the remainder focused on such topics as program planning and evaluation, communications, curriculum development, and FP education. Of second-generation trainees, over 24,000 were paramedical or auxiliary personnel, the rest community members. It was learned in the course of project experience that: (1) a mid- to long-term partnership, with shared responsibilities, is essential to achieving long-lasting results from a training program; (2) training in FP service delivery must progress in consonance with other elements of the service system; (3) a well-rounded, action-oriented training program must address the behaviors of individuals and institutions, as well as technical and clinical objectives; (4) even the best training requires time to remodel systems for future effectiveness; and (5) planning for effective training requires a sense of the service delivery environment, as well as training of personnel at all levels. Included in the report are tabulated quantitative output data and summaries of individual in-country and regional activities. Project activities relating to educational materials and training evaluation are briefly described.