A cadre of health professionals who are trained in the latest evidence-based methods and practices is a key component to a well-functioning health system that is adaptable to meet the needs of the population. Given this, Continuous Professional Development (CPD) is an important strategic instrument for improving health and social services. CPD contributes to performance improvement of health providers through standardizing skills according to evidence-based guidelines and practices, improving access to high quality care, enhancing the interactions between providers and facilitating dialogue. As such, since 2003 Juzoor has focused on implementing a number of activities in CPD to upgrade the knowledge base and improve technical skills and performance of providers in the various service settings throughout Palestine and in the region.
At Juzoor, Continuous Professional Development is viewed as both an internal and external process involving many dimensions. Within this philosophy, human resource development is considered a crucial element in not only developing skills, knowledge and attitudes, but also in helping to create an enabling environment whereby organizations can perform effectively, efficiently and in a sustainable manner.
Juzoor strives to bring evidence-based, internationally accredited training programs to the country such as the Advanced Life Support in Obstetrics (ALSO) training from the American Academy of Family Physicians and the Child Health Diploma from the UK’s Royal College of Pediatrics and Child Health.
Juzoor training programs are based on the latest evidence-based information, are grounded in adult learning principles, delivered according to the highest quality, incorporate innovative and dynamic methodologies, and follow a specific lifecycle.
We develop and invest in national teams of trainers in different specialties to deliver training programs according to the latest scientific updates and in accordance with best practices. Juzoor-affiliated instructors come from diverse backgrounds, representing the major stakeholders in the health sector (Ministry, UNRWA, NGOs and private practice), and the health and teaching institutions (universities, medical schools, nursing colleges and hospitals implementing residency training programs) all across the West Bank and Gaza Strip. In addition Juzoor forms strategic alliances on a national basis with bodies such as the Palestinian OB/GYN and Pediatric Societies, the Medical Syndicate and the Palestinian Medical Students’ Union, to ensure the sustainability of CPD activities. Finally, we maintain contact with our instructors, current and former trainees through a database which allows us to organize periodic follow-up activities and distribute updates and new evidence-based information as it becomes available.
In all CPD activities Juzoor targets providers from various sectors including Ministry of Health, UNRWA, NGOs and private practitioners
The CPD Unit organizes two main types of training programs: Emergency and Non-Emergency. The following are descriptions of the continuous professional development activities implemented by Juzoor:
Breastfeeding promotion and Protection: Juzoor has developed specialized expertise in this area and in cooperation with the medical and nursing school instructors; Juzoor has developed an updated breastfeeding curriculum with accompanying instructor training manual to standardize breastfeeding education for doctors, nurses and midwives in learning institutions throughout Palestine. The goal of the curriculum is to train students to provide accurate, effective, high-quality breastfeeding counseling to mothers.
Infection Prevention and Control: Juzoor has developed specialized expertise in IPC and has contributed to the development of national protocols in this area for primary health care and hospitals and continues to do so through model building of IPC programs at the hospital level, implementation of trainings, and provision of on-going system support for primary, secondary and tertiary health services.
Hospital Based Emergency Training: Juzoor implemented a hospital based emergency training program across the West Bank targeting doctors and nurses working in hospital emergency rooms. The methodology was prepared and validated by Johns Hopkins University.
Pre-hospital emergency Training: Juzoor also implements pre-hospital emergency training for doctors, nurses and community health workers working in primary health care centers or the community. These efforts have proven important during periods of conflict and crisis, helping providers appropriately respond to an increasing number of emergencies and injuries. These trainings also contribute to building the emergency response capacity of institutions and providers throughout the country, which have long-lasting developmental benefits beyond responding to the emergency needs. The methodology used is adapted from the first aid methodology of the Red Cross/Red Crescent.
Child Health Diploma: Juzoor cooperated with Al Quds University in Jerusalem and the Royal College of Pediatrics and Child Health in the UK in offering a Palestinian Child Health Diploma for Palestinian doctors and nurses working with children in primary health care settings, as well as for first year pediatric residents. The diploma course focuses on the latest, evidenced-based knowledge and skills in child health issues encompassing a comprehensive approach to children’s health.
Mental Health in Primary Care: In cooperation with the Palestinian Ministry of Health and funded by the French Development Agency (AFD) through the UNDP, Juzoor implemented a project to train doctors and nurses working in primary health centers (PHCs) in practical skills to address a wide scope of mental health needs of PHC patients, particularly women and children.
PED FACTS: As children make up almost 50% of the Palestinian population Juzoor utilizes a simplified methodology prepared by the American Academy of Pediatrics for teachers and care givers in addressing pediatric emergencies. The training focuses heavily on prevention of accidents and basic care to address emergencies that happen in the community, stabilizing children and preventing further harm before they are able to access medical care.
National Protocols and Guidelines: Juzoor has contributed to the development of national protocols and curricula encompassing antenatal, perinatal, post natal care, maternal and child nutrition, gestational diabetes and hypertensive disorders of pregnancy and non-communicable diseases. Juzoor implements training in these areas as requested and according to need. Under contract by the Flagship Project, in cooperation with the Ministry of Health and local and international consultants, Juzoor coordinated the process to developed up-to-date, evidence-based Standards of Care and accompanying training curricula in Diabetes Mellitus, Bronchial Asthma and Hypertension. Pilot trainings have been implemented and planned for further roll out. The Ministry of Health will validate and implement the Standards of Care on a national level, so that they become the standard operating NCD protocols in the country. This work follows on a successful, similar project to develop protocols for the screening and management of Gestational Diabetes (GDM) and Hypertensive Disorders in Pregnancy (HDP), and advocating their acceptance nationally and training health services providers on how to effectively use these protocols to prevent, screen and manage these illnesses. Currently, Juzoor with local and international expertise, is building on these successes in addressing NCDs on a wider level among health providers and on the community level through the development of guidelines, protocol, training curricula and models of community based prevention and care.