PACK Brazil Adult

In 2014, Dr Jorge Zepeda, then Head of Primary Health Care for Florianopolis municipality, Santa Catarina State, Brazil, decided to initiate a pilot of the PACK programme in Brazil. He appointed a team of 2 medical doctors to lead the pilot alongside other primary care projects in the city, starting with localising the PACK guide. Working closely with nursing, medical and specialist colleagues, as well as the KTU content mentor, they localised the PACK Adult global content ensuring compliance with Brazilian clinical protocols and practice and then translating the content into Brazilian Portuguese. The localisation work was completed in March 2016.

The 2 leads then visited South Africa to immerse themselves in the PACK training programme and to ensure that the principles and approach to training were adapted appropriately for use in Florianopolis. The training programme was revised and case studies and key messages localised. The Training leads started training Facility Champions on 27 June 2016 and the PACK Adult Brazil guide and training programme have been rolled out to 65 Nurse-Doctor clinician teams. An additional 65 Nurse-Doctor teams are receiving the PACK Adult Brazil guide, without training. A clinical trial is being carried out to evaluate the intervention and to compare outcomes of the group receiving the PACK Adult Brazil guide with training to those who did not receive training.