Republic of Albania ANNEX 4 MINISTRY OF AGRICULTURE, RURAL DEVELOPMENT AND WATER ADMINISTRATION PHASE II Improving the Consumer Protection against Zoonotic Diseases EUROPEAID/133990/C/SER/AL Fifth Mission Report 5 th September to 16 th September Senior Expert on Human Resource Development/Training Ann Southall Mission Report 5 September 2016 NIRAS / Agrotec / PVD Consortium 1
Contents 1.0 INTRODUCTION 1 2.0 MODIFICATIONS TO THE CURRICULUM ONE HEALTH FARM TO 1 FORK WORKSHOP 2.1 Programme for Training in Farm to Fork for Official Veterinarians 1 3.0 TRAINING ON ANTHRAX IN HOTSPOT AREAS 2 4.0 TRAINING WITH VETERINARY COUNCIL 4 5.0 RECOMMENDATIONS 4 ANNEX I REVISED AIMS AND OBJECTIVES FARM TO FORK WORKSHOP 5 ANNEX II REVISED FARM TO FORK WORKSHOP TIMETABLE 6 ANNEX III REVISED SESSION PLANS 7 NIRAS / Agrotec / PVD Consortium 2
1. INTRODUCTION 1.1 Major Activities During This Input The HRD Expert s third mission to Tirana was carried out from the 5 th September to the 16 th September, 2016 with a total of 9 working days completed, not including travel. During the mission the HRD Expert worked together with the Team Leader and local project team to modify the 3 day training programme for government veterinarians on the concept of One Health and Farm to Fork, based on the lessons learnt from the pilot training programme delivered in June, 2016. On Friday 16 th September a morning of training was held for the PAZA training team, which included a session on listening skills. 2.0 Modifications to the Curriculum for One Health Farm to Fork Modifications to the training programme were made based on the conclusions from the discussions during the debriefing session, following the delivery of the pilot workshop on One Health. Each session was discussed in detail and the sessions on Farm to Fork, Veterinary Council and Division of Responsibilities were reworked to include new information and improved activities. Each junior expert took responsibility for the sessions that they had delivered during the pilot workshop and ensured the session plans, activity sheets, handouts and power point presentations were revised to reflect the agreed improvements. (Annex II Revised Session Plans). One new session on Listening Skills has been developed to raise the awareness of the veterinarians to the importance of active listening and the skills that are required for active listening. The session on anthrax has been revised to include a practical session on correctly preparing blood smear slides in the field that can then be sent to the laboratory for analysis. 2.1 Programme for Training In Farm to Fork for Official Veterinarians The following dates and venues have been suggested for the first three training sessions for government veterinarians in the Farm to Fork programme. VENUE DATE Target Group Durres 11 th,12 th,13 th October Official Vets. From Durres Shkodra, Lezha 17 th, 18 th, 20 th October Official vets. From Lezha and Shkodra ISUV 1 st, 2 nd 3 rd November Members of the Veterinary Council 1
The ideal group size for participatory training is 15/16 participants. To ensure the appropriate number of participants attend all three days of the workshop in each location a list of the official veterinarians should be obtained and invitations sent out by the Chief Veterinary Officer (CVO) to 15/16 participants per workshop. For the first workshop in Durres the following 6 trainers should be present and each trainer to deliver at least one session. Mr Ardit Kaci Junior Expert PAZA II Mr Romeo Boci Junior Expert PAZA II Ms Silvana Bajrami Junior Expert PAZA II Ms Esa Koralliu Junior Expert PAZA II Mr Kledis Cela Private Veterinarian Mrs Katerina Deliallisi Private Veterinarian If the trainers from the veterinary faculty, who attended the Training of Trainers (ToT) workshop wish to be involved in delivering a technical session they should be required to use the training materials, e.g. PowerPoint presentations and videos produced by the project. They will need to practise the sessions using the session plans and activities developed by the training team, before commencement of the first workshop in October. Following the first workshop, the trainers can then divide into two training teams and deliver the programme firstly to all government veterinarians and then to private veterinarians in the five regional zones. 3.0 Training on Anthrax in Hot Spot Areas Following investigations by the project into laboratory confirmed outbreaks of anthrax from January to 19 th June this year in five villages the need for a national educational programme in anthrax has been identified. To be effective this programme should be a partnership between the State Veterinary Service, Public Health and Ministry of Health. To publicise the risks and control measures to the stakeholders in the communities where anthrax outbreaks have occurred three of the junior experts and Ali Lilo, Epidemiology Unit will deliver training to final year students at high schools in the affected districts and at general meetings with stakeholders according to the itinerary below. Itinerary for Training in Risks and Control Measures for Anthrax 19 September 14:00h Depart Tirana 22:00h Arrive Delvina 20 September 09:00h Meeting at the school in Delvina 12:00h Meeting with the stakeholders in Delvina 17:00h Depart to Gjirokastar 21 September 09:00h Meeting at the school in Kolonje 12:00h Meeting with the stakeholders in Kolonje Spend the night in Gjirokaster 22 September 09:00h Meeting at the school in Fushe- Bardhe 12:00h Meeting with the stakeholders in Fushe-Bardhe 14:00h Depart to Tirana 2
For this purpose a PowerPoint presentation has been developed and a short video showing how to correctly dispose of infected carcases and how to prevent the spread of anthrax. The training to be delivered in the High Schools will last for approximately one hour, during which PowerPoint presentations on anthrax and animal welfare will be shown, and a short quiz organised to test that the pupils have understood the important messages from the presentations. At the end of the session each pupil will receive a leaflet highlighting these important messages. Also the teachers will complete a short training evaluation questionnaire to gain their opinions on the effectiveness and appropriateness of the training delivered. The training for the stakeholders will be held at an appropriate neutral venue where there is electricity and large enough to hold all the stakeholders. The training should last approximately 2 hours and will consist of the video on how to correctly dispose of animals that have died from suspected anthrax and then the power point presentation on the risks and control measures for anthrax. This will be followed by a discussion with the stakeholders on issues the presentations have raised and then a short power point presentation on animal welfare will be delivered. Finally all stakeholders will be asked to complete a training evaluation questionnaire and leave with a nine page fact sheet on anthrax that has been produced by the project. 4.0 Training with Veterinary Council A meeting was held on Wednesday 14 th September with the President of the Veterinary Council, Thoma Puriqi, vice president, Ymer Elezi, member, Altin Telo, and Professor Kristaq Berxholi, Veterinary Faculty. The purpose of the meeting was to discuss the role of the Veterinary Council in providing training for continuing professional development (CPD) for its members. The conclusions from the meeting were: The Veterinary Council to register all government veterinarians and a realistic number of private veterinarians. The 3 day workshop in Farm to Fork to include in the content of the session on the Veterinary Council the Ethical Code of Conduct and a summary of the Veterinary Order. The 3 day workshop on Farm to Fork to be delivered to all government veterinarians and private veterinarians. The private veterinarians who attend this training should be paid up members of the Veterinary Council. Separate workshops will be delivered to government and private veterinarians in the same region. Further discussions should take place with Professor Berxholi concerning the development of online training modules for veterinarians as part of their CPD. 3
5.0 Recommendations The group size for each Farm to Fork workshop for the official veterinarians is limited to 15/16 participants. To ensure the appropriate number of participants attend all three days of the workshop in each location a list of the official veterinarians should be obtained and invitations sent out by the Chief Veterinary Officer (CVO) to 15/16 participants per workshop. The trainers complete the revision of the training sessions for the Farm to Fork Workshop and practice each session before the start of the first workshop on the 11 th October. The members of the Veterinary Council are invited to participate in all three days of the Farm to Fork Workshop at the beginning of November; if necessary, two workshops can be delivered simultaneously at ISUV. 4
Draft Curriculum For Training in Farm to Fork For Official Veterinarians Annex I Aim: To provide the government veterinarians with an understanding of the integrated strategic approach adopted by the European Union for implemented of One Health and Farm to Fork, so that they can identify their roles and responsibilities within implementing these initiatives to improve food safety within Albania and upon which the modernisation process of the state veterinary service will be based. Objectives: By the end of the training the participants will be able to: Explain the concept and strategies for the implementation of One Health and Farm to Fork. Compare and contrast their roles and responsibilities in terms of ensuring food safety within One Health and Farm to Fork initiatives with their roles and responsibilities in implementing Veterinary Legislation. List the records needed to be kept at all stages of farm to fork by each stakeholder involved in the process. Summarise the Ethical Code and the Veterinary Order for the Veterinary Council and the role and structure of the Veterinary Council. Explain the roles and responsibilities of veterinary clinics/hospitals. Identify the five main signs of active listening and practice using them in a role play situation. Explain their roles and responsibilities in disease reporting to comply with the Animal Health Legislation for disease reporting. State the division of responsibility of the official veterinarian, private veterinarian and farmer to ensure compliance with the Animal Health legislation Explain and apply the correct procedures for the movement of cattle under official supervision for the control of bovine brucellosis. State and apply the correct procedures for suspected anthrax cases in cattle. Explain the role of the veterinarian in educating all stakeholders in hot spot areas for anthrax in the procedures to be adopted to prevent/limit further contamination by anthrax. Identify lumpy skin disease in cattle and explain control procedures. Explain the animal husbandry and animal welfare procedures that need to be implemented to ensure effective control of lumpy skin disease. Correctly preparing blood smear slides for laboratory analysis 1
PAZA II TRAINING PROGRAMME Annex II OFFICIAL VETERINARIAN FARM TO FORK WORKSHOP TIMETABLE 09.00 10.45 11.00 13.00 14.00 17.00 Evening Work DAY 1 INTRODUCTION TO WORKSHOP ONE HEALTH AND FARM TO FORK ACTIVITY ANTHRAX PRACTICAL SESSION ON PREPARING BLOOD SMEARS DAY 2 DAILY VETERINARY LEGISLATION STRUCTURE OF LISTENING MOVEMENT UNDER OFFICIAL REVIEW (VETERINARY COUNCIL) THE VETERINARY SERVICE SKILLS SUPERVISION (TRANSPORT OF BRUCELLOSIS + VE LIVESTOCK) (ROLES OF THE VETERINARY CLINIC/HOSPITALS) DAY 3 DAILY ANIMAL HEALTH DIVISION OF RESPONSIBILITIES LUMPY SKIN WORKSHOP REVIEW LEGISLATION (REPORTING) (OFFICIAL VET, PRIVATE VET AND FARMER) DISEASE EVALUATION 2
Annex III SESSION PLAN Date: Week: 1 Day: 1 Time: 09.00 Duration: 60 min INTRODUCTION TO WORKSHOP Aim: Introduction: Content: Government Veterinarians To bring the group together and allow individuals to become familiar with the facilitators and each other and to express their expectations of the workshop, so there is a sense of cohesion and an understanding of individual needs. By the end of the session the participants will have: - Carried out a paired activity to introduce themselves to the group - Prepared a list of expectations 1. Welcome from the facilitators 2. Importance of workshop 3. Overview of the session 5 min 1. Introduction to paired activity Pictorial Introductions 2. Pictorial Introduction Activity 3. Feedback from Activity 25 min 4. Introduction to Workshop Expectations Activity 5. Workshop Expectation Activity 6. Feedback from Activity 7. Workshop Aims and Objectives and Timetable 8. Group Activity Workshop Norms 9. Feedback from Workshop Norms 40 min 55 min Summary: 1. Facilitator consolidates learning from activities 60 min Handouts: Workshop Aims and Objectives and Timetable Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets 3
SESSION PLAN Date: Week: Day: 1 Time 10.00 Duration: 40 mins Aim: PRE TEST Official Veterinarians To allow the participants to assess the knowledge that they presently have at the start of the workshop against the new knowledge that they have gained by the end of the workshop, when they complete the post test. By the end of the session the participants will be able to: - assess their present knowledge on the workshop topics to be covered Introduction: 1. Link back to content of workshop sessions 5 min Content: 1. Distribution of test papers and instruction on completing 2. Participants complete test 3. Facilitator collects papers 10 min 30 min 35 min Summary: 1. Link to the learning process during the workshop. 40 min Handouts: Multi-choice question papers Materials: 4
SESSION PLAN Date: Week: 1 Day: 1 Time 11.00 Duration: 140 min One Health and Farm to Fork Aim: Government Veterinarians To provide the government veterinarians with an understanding of the integrated strategic approach adopted by the European Union for implemented of One Health and Farm to Fork, so that they can identify their roles and responsibilities within implementing these initiatives to improve food safety within Albania and upon which the modernisation process of the state veterinary service will be based. By the end of the session the participants will be able to: - Explain the concept of One Health and Farm to Fork. - Identify their roles and responsibilities in terms of ensuring food safety through traceability. Introduction: Content: 1. Importance of workshop 2. Overview of the session 1. What do you understand by these two terms One Health & Farm to Fork? (Vipp cards) 2. Divide into 3 groups using animal pictures. 3. Small group exercise to identify roles from farm to market. (Part 1) 3. Feedback 4. Small group exercise to Identify stages and record keeping for traceability from livestock market to consumer. 5. Feedback 5 min 20 min 60 min 95 min 100 min 120 min Summary: 1. QPN 2. Handout 140 min Handouts: Farm to Fork, Activity sheet Farm to Fork Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets, animal cards, printed activity headings 5
Session Plan Date: Week: Day: 1 Time: 14.00 Duration: 60 min Title : Aims: Introduction: Content: Anthrax Official Veterinarians To ensure that official veterinarians apply the correct procedures when treating a suspected anthrax case, so that biosecurity and biosafety measures are enforced. By the end of session the official vets to be able to explain the measures that should be taken in an anthrax outbreak and list the materials that they need to ensure biosecurity and biosafety Anthrax Disease is a zoonotic disease that you know very well and cause is bacillus anthraxis I will ask who has experience for this disease 1. List of equipment needed Brain storm 5-10 min 15 min 2. Which samples should be taken in a suspected anthrax case and how should they be taken (VIPP Cards) 3. Video on anthrax 25 min 35 min 4. Produce checklist lists for: (Small group exercise) - materials needed - samples to be taken - Correct disposal of carcass 45 min 55 min Summary: Q.P.N Handouts 60 min Handouts: Anthrax handouts, Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets, video projector,computer with video of anthrax 6
Session Plan Date: Week: Day: Time: 15.00 Duration: 60 min Title : Aims: Introduction: Content: Practical on Preparing Blood Smear Slides Official Vets To ensure that official veterinarians can correctly prepare blood smear slides to be sent to the laboratory for analysis to improve disease diagnosis. By the end of session the official vets will have: - correctly explained how blood smear slides can be used in the diagnosis of animal diseases - correctly prepare 4 blood smear slides each - explained the process for sending them to the laboratory Why blood smear slides are important. Practical session content 1. Facilitator gives silent demonstration 5 min 10 min 2. Facilitator repeats demonstration with participants explaining the process. 3. Participants practice technique in pairs with guidance from facilitators 4. Procedure for sending slides to laboratory 20 min 45 min 55 min Summary: Q.P.N Handouts Handouts: Slide preparation handout Materials: 100 slides 60 min 7
SESSION PLAN Date: Week: Day: 2 Time 09.00 Duration: 15 min Aim: DAILY REVIEW NVEU and Disease Surveillance Veterinarians To review the previous day s activities and information with the participants so that the learning that has taken place is reinforced. By the end of the session the participants will have: - participated in a question and answer session on the information covered on the previous day Introduction: 1. Emphasis importance of review/repetition for recall Content: 1. Facilitator carries out review of participants knowledge using QPN 5 min 14 min Summary: 1. Facilitator links to next session 15 min Handouts: Materials: VIPP Cards, Flip Chart, Marker Pens 8
Session Plan Date: Week: Day: 2 Time: 9.30 Duration: 60 mins Aims: Introduction: Content: Role of Veterinary Council Official Veterinarians To clarify the structure and functions of the Veterinary Council and the obligations of its members, so that they can become active members of the Veterinary Council. By the end of session the official vets to be able to state the structure of the Veterinary Council and explain its functions and their obligations as members. Over view of session. Based on veterinary legislation No 113/2015. 1. Powerpoint presentation on statutory bodies for veterinarians in EU countries, code of ethics and veterinary order 5 min 20 min 2. Explain the structure and identify the functions of the Albanian Veterinary Council. (VIPP cards) 3. Discussion on future possible roles of the Albanian Veterinary Chamber 35min 50 min Summary: Q.P.N Handouts 60 min Handouts: Hand out on powerpoint presentation, Vet. Council Folder Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets 9
Session Plan Date: Week: 1 Day: 2 Time: 11.00 Duration: 60 mins Aims: Introduction: Role of Veterinary Clinics and Hospitals Official Vets To ensure the official vets understand the proposed roles of the Veterinary Station according to the new legislation so that they can foresee how their working practices will change. By the end of session the authorized vets will be able to explain the role of the Veterinary Station that are authorized by the Competent Authority to perform official controls and to offer specific services and to list the activities defined for clinics and hospitals. Over view of session Formation of veterinary clinics and hospitals according to new legislation Content: 1. Power Point presentation on comparison of structure of veterinary services in Italy, Ireland, Austria, Slovenia, Croatia with proposed new structure in Albania. 2. Role of the veterinary Clinics according to the new legislation VIPP cards 5-10 min 25 min 40 min 55 min Summary: Q.P.N Handouts information material 60 min Handouts: Hand Out Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets 10
SESSION PLAN Date: Week: Day: 2 Time: 12.00 Duration: 60 min Aim: Introduction: Content: Listening skills Government Veterinarians To improve the active listening skills of veterinarians, so that they can improve their communications skills when interacting with farmers. By the end of the session the participants will be able to: - State the four verbal and non-verbal skills required for active listening - Demonstrate the four skills in a role play situation 1. Warm up activity 2.Importance of workshop 3. Overview of the session 5 min 1.Small Group Activity Workshop name on VIPP cards 10 min 2. Role Play conversation between vet and farmer. 3. Discussion on main components of active listening Brain storm verbal and non-verbal skills necessary for active listening 4. Presentation of four keys skills (flip chart paper ) 5. Preparation of group role plays 6. Presentation of group role plays and feedback 25 min 30 min 40 min 55 min Summary: 1. Facilitator consolidates learning from activities 60 min Handouts: Listening Skills Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets 11
SESSION PLAN Date Week: Day: 2 Time 14.00 Duration: 90 min Aim: Introduction: Content: Movement Under Official Supervision (Transport of Brucellosis positive livestock) Government Veterinarians To ensure government veterinarians know the correct procedures for transporting Brucellosis positive livestock so that they can apply these correct procedures for the movement of cattle under official supervision for the control of bovine brucellosis. By the end of the session the participants will be able to: - Explain and apply the correct procedures for the movement of cattle under official supervision for the control of bovine brucellosis 1. Importance of workshop 2. Overview of the session 5 min 1. What are your roles and responsibilities for livestock movement under official supervision? (VIPP cards) 2. Scenario. Organize the slaughter of cattle of brucellosis positive cattle. (Group activity). 3. Feedback from group activity. 15 min 45 min 3. Which samples and how should they be taken for laboratory analysis? (Individual exercise). 4. Produce checklist of equipment needed. (Brain storm) 60 min 80 min 90 min Summary: 1. QPN 2. Questions & answers 3. Handout 100 min Handouts: Movement of livestock under supervision Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue. 12
SESSION PLAN Date: Week: Day: 3 Time 09.00 Duration: 15 min Aim: DAILY REVIEW NVEU and Disease Surveillance Veterinarians To review the previous day s activities and information with the participants so that the learning that has taken place is reinforced. By the end of the session the participants will have: - participated in a question and answer session on the information covered on the previous day Introduction: 1. Emphasis importance of review/repetition for recall Content: 1. Facilitator carries out review of participants knowledge using QPN 5 min 14 min Summary: 1. Facilitator links to next session 15 min Handouts: Materials: VIPP Cards, Flip Chart, Marker Pens 13
SESSION PLAN Date: Week: Day: 3 Time : Animal Health Legislation ( Disease Reporting) 09.30 Duration: 95 min Aim: Introduction: Content: Government Veterinarians To provide the government veterinarians with an understanding of the Animal Health Legislation so that they can identify their roles and responsibilities in disease reporting, so that regular disease reports are submitted. By the end of the session the government vets will be able to: - State the procedure for disease reporting - Correctly complete disease reporting forms A&B 1. Importance of workshop 2. Overview of the session 5 min 1. Identify their role and responsibilities in reporting. VIPP cards 15 min Summary: 2. Facilitator explains how to complete Disease Reporting Forms A&B 3. Participants complete exercise on completing disease reporting forms A&B. (Paired exercise) 4. Feedback from exercise. 1. QPN 2. Questions & answers 3. Handout 30 min 50 min 85 min 95 min Handouts; Disease reporting forms A&B, Activity sheet for paired exercise Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets 14
Session Plan Date: Week: Day: 3 Time: 11.00 Duration: 60 mins Aims: Role of Official Vets/ Private Vets/and Farmers Official Veterinarians To clarify the roles of official vets, private vets and farmers and how they inter link together to implement animal health and welfare legislation. By the end of session the official vets to be able to explain the roles and responsibilities of official vets, private vets and farmers according to the law. Introduction: Over view of session. Based on veterinary law No 10465 / 29.09.2011. What are the main responsibilities f or Official Vets /Private Vets and Farmers Content: 1. Small group exercise on roles and responsibilities of Official Vets, Private Vets and of Farmers 2. Feedback from small group exercise 5 min 40 min 3. Discussion on overlap of responsibilities and records to be kept by all three stakeholders 80 min 100 min Summary: Q.P.N Handouts 120 min Handouts: Division of responsibilities according to legislation 10465/20.09.2011. Veterinary Law 3 copies Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue, Brown Paper Sheets 15
SESSION PLAN Date: Week: Day: 3 Time 14.00 Duration: 60 min Lumpy Skin Disease Aim: Introduction: Content: Government Veterinarians To inform and explain the government veterinarians Lumpy skin disease and its importance so that they can follow up control procedures in case of a potential outbreak. By the end of the session the participants will be able to: - Identify lumpy skin disease and explain control procedures - Explain the importance of this disease 1. Importance of workshop 2. Overview of the session 1. What do you know about lumpy skin disease? (VIPP Cards) 5 min 25 min 2. Short power point presentation about lumpy skin disease. 3. Film about lumpy skin disease 4. Brainstorming. Control procedures for this disease. 45 min 55 min Summary: 1. QPN 2. Questions & answers 3. Handout 60 min Materials: Flip chart paper, Marker Pens, VIPP Cards, Glue. 16
SESSION PLAN Date: 30/06 Week: Day: 3 Time 15.00 Duration: 40 mins Aim: POST TEST Government Veterinarians To allow the participants to assess the new knowledge that they have acquired throughout the workshop and to identify their weaknesses and correct any misunderstandings, to help them in performing their jobs. By the end of the session the participants will be able to: - correct any questions wrongly answered - assess their personal learning Introduction: 1. Link back to content of workshop sessions 5 min Content: 1. Distribution of test papers and instruction on completing 2. Participants complete test 3. Facilitator collects papers 4. Facilitator uses QPN to elicit correct answers 10 min 30 min 40 min Summary: 1. Link to Workshop Evaluation. 40 min Handouts: Multi-choice question papers Materials: 17
SESSION PLAN Date: Week: Day: 3 Time 15.45 Duration: 15 mins Aim: Workshop Evaluation and Close of Evaluation Government Veterinarians To provide the participants with the opportunity to provide feedback on the workshop, so that improvements can be made to subsequent workshops By the end of the session the participants will have: - provided individual feedback on the workshop - expressed individual needs for further training Introduction: 1. Link back to content of workshop sessions 2 min Content: 1. Distribution of End of Workshop Evaluation 2. Participants complete evaluation 10 min Summary: 1. Close of Workshop 15 min Handouts: Materials: End of Workshop Evaluation 18