MEDEX PHASE III, PRIMARY HEALTH CARE SYSTEM

HMDS WILL: 1)COMPLETE A SET OF GUIDELINES FOR PLANNING, IMPLEMENTING, MANAGING, AND EVALUATING A PRIMARY HEALTH SERVICE DELIVERY SYSTEM APPROPRIATE TO LDC"S; 2)PRODUCE A SET OF COMPETENCY BASED TRAINING MODULES FOR MEDEX AND COMMUNITY-LEVEL HEALTH WORKERS AND FOR MID-LEVEL HEALTH MANAGEMENT; AND 3)DEVELOP THE PROCESS METHODOLOGY FOR TRANSFERING AND ADAPTING THE ABOVE TO INDIVIDUAL COUNTRIES. HMDS WILL DEVELOP CORE STAFF AND, UNDER SEPARATE JOINT HMDS/USAID MEMO OF UNDERSTANDING, ESTABLISH A CONSORTIUM RELATIONSHIP WITH SIX US INSTITUTIONS WITH EXPERTISE IN COMPETENCY-BASED TRAINING METHODS AND THE MEDEX DESIGN APPROACH TO RURAL HEALTH CARE. CONSORTIUM WILL PROVIDE HMDS WITH ASSISTANCE IN DEVELOPMENT OF MEDEX TRAINING, MANAGEMENT, AND TECHNICAL TRANSFER PROGRAMS, AND ITS MEMBERS WILL SHARE RESEARCH AND RESOURCES. THREE MEMBERS WILL DEVELOP CAPABILITY TO PROVIDE FULL RANGE OF MEDEX TECHNICAL ASSISTANCE TO AID AS INDEPENDENT CONTRACTORS. TO FIELD TEST NEW MEDEX TRAINING AND MANAGEMENT PRINCIPLES, HMDS AND CONSORTIUM WILL PROVIDE TECHNICAL ASSISTANCE DURING IMPLEMENTATION OF EIGHT LDC MEDEX PROGRAMS IN REPRESENTATIVE GEOGRAPHICAL AREAS. TWO-MAN RECONNAISANCE TEAMS WILL BE SENT TO LDC"S. THEY WILL CONDUCT INFORMATIONAL BRIEFINGS FOR USAID MISSIONS AND HOST GOVERNMENTS, AND CONDUCT SEMINARS FOR HEALTH PLANNERS. THEREAFTER, HMDS/CONSORTIUM WILL CONDUCT FIELD TRIALS TO REFINE 15 EXISTING DRAFT MEDEX TRAING MODULES AND DRAFT AND REFINE 5 NEW ONES; DRAFT AND TEST 5 MANAGEMENT/LOGISTICS TRAINING MODULES; DRAFT AND TEST 8 COMMUNITY HEALTH WORKER TRAING MODULES USING MEDEX AS TEACHERS; DESIGN AND TEST 2 MEDEX CONTINUING EDUCATION MODULES. CONTRACTORS WILL ALSO CONDUCT WORKSHOPS IN CURRICULUM DEVELOPMENT, TEACHER TRAINING, MANAGEMENT;LOGISTICS FOR START-UP PHASE OF 8 LDC PROGRAMS, AND WILL PRODUCE A SPECIFIC EVALUATION PROTOCOL FOR EACH COUNTRY PROGRAM. IMPLEMENTATION OF THESE PROGRAMS WILL BE FUNDED THROUGH ARRANGEMENTS BETWEEN HMDS AND MISSIONS. Project amendment of 1/20/82 amends scope of work to allow HMDS staff to respond to USAID and LDC requests for assistance in the areas of health manpower development and primary health care service delivery programs. (PD-AAI-982)