For this purpose, three work sessions with four experts in the field of volleyball and injury prevention (player, physical therapist, strength and conditioning trainer) were held.
After passing this assessment, intervision groups of CHPs with trainers were held every three months in order to monitor performance.
A series of initial 'Train-the-trainer' sessions was held to familiarise the local trainers with the training materials and to ensure that they themselves were competent in using GAS before training others.
In summary, these data are supportive for the quality of our basic laparoscopic skills course, since we used box trainers, training was held in distributed sessions (1 h weekly for 7 weeks), and an expert's performance standard was set as training goal.
The 1-day train-the-trainer workshop was held in 2006, and participants received continuing education units and continuing medical education credits for the workshop.
A two-day training-of-trainers workshop, in which 21 experts participated, was held in April 2011 in Arusha, Tanzania.
A subsequent peer-training workshop was held in the last quarter of 2011 led by these national peer trainers.
The Robert Wood Johnson Foundation provided funding for curriculum and competency development and for six national train-the-trainer courses to be held from 2001 to 2003.
The online course and tools, such as the workplace assessment, have been presented at various regional and national trainings such as the PAHO train-the-trainer workshops which were held in Venezuela, Colombia, Ecuador, Trinidad and Tobago and Belize.
The Train the Trainers (TTT) course has been held annually from 1998, with a brief hiatus in 1999.
