The Practices and Challenges of Clinical Practice in Private Technical and Vocational Education and Training: The Case of Health Colleges suq and Co-operating Health Care Institutions in Addis Ababa

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Addis Ababa University


The major goal ofthi thesis was to conduct a study on the practices and challenges pertaining to clinical practice program in private TVET Health Colleges and the respective cooperating health care institutions in Addis Ababa City Administration. To achieve the goal, this research attempted to focus on the administrative, social, economical and practical problems of both private TVET Health Colleges and health care institutions providing clinical practice. To this end, a descriptive survey method was employed to conduct the research. The major tools used during data collection were questionnaires and interviews and documents were also consulted. Unstructured observation was also made. Data analysis was conducted by using percentages and Chi-square -test as needed. While data secured through interview, observation, and open ended questions and document review was summarized and analyzed qualitatively in a narrative way. The information used in the data analysis was obtained from 6 vocational counselors, 37 supervisors, and 218 trainees of the six private TVET Health Colleges. While no sampling was needed in selecting vocational counselors, deans, for their manageability, sample respondents of trainees and workplace supervisors were selected using stratified and purposive sampling techniques respectively. The results of the study indicated that there are no adequate willing health care instituti~ns with the necessary readiness to cope up with the requirements of clinical practice program. Those found have little or no awareness about the benefits of the training owing to the absence of collaborative work relationships with private TVET Health Colleges. Thus, Supervisors were unwilling and incompetent in carrying out their roles and responsibilities in relation to the training. There was lack of proper placement, support, guidance and evaluation of trainees. Thus, it is concluded that clinical practice program is entangled with a set of problems from both sides of the training providers. The problems range from personal factors of willingness and competence, through administrative factors (improper placement, poor follow-up and support, lack of promotion, etc.), to institutional problems (poor coordination). Therefore, it is recommended to create strong awareness among all provides of clinical practice program about the mutual benefits to be derived from it; providing trainings to workplace supervisors; reschedule the overall programs; and establish stronger links with afew and able organizations in the vicinity of the TVET Colleges Lastly new alternative mode of deliver is forwarded to solve the problems



Clinical Practice