Che 255 Human Resources For Health 2024
Che 255 Human Resources For Health 2024
BY
COMRADE A A
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INTRODUCTION
The human resources field began to take shape in 19th century Europe. It was built on a
simple idea by Robert Owen (1771–1858) and Charles Babbage (1791-1871) during
the industrial revolution. These men concluded that people were crucial to the success
of an organization. They expressed the thought that the well-being of employees led to
perfect work; without healthy workers, the organization would not survive.
HR emerged as a specific field in the early 20th century, influenced by Frederick
Winslow Taylor (1856–1915). Taylor explored what he termed "scientific management"
(sometimes referred to as "Taylorism"), striving to improve economic efficiency in
manufacturing jobs. He eventually focused on one of the principal inputs into the
manufacturing process—labor—sparking inquiry into workforce productivity
The 69th World Health Assembly presents a significant milestone for those of us who
work in human resources for health (HRH): HRH has finally been recognized as a
foundational principle in reaching world health goals. More so now than at any other
point in history, the public health community is devoting significant attention and effort
to making sure that the right health worker is in the right place, with the right skills and
motivation, to provide high-quality service in order to reach universal health coverage.
This year, the World Health Assembly will formally adopt the WHO Workforce 2030
strategy, and designate the National Health Workforce Accounts as the basic data set
for HRH informatics worldwide. The WHO Health Data Collaborative is creating an HRH
working group, and fit-for-purpose HRH was recently recognized as a necessary
condition to reach the Sustainable Development Goals (SDG 3).
CONCEPT OF HUMAN RESOURCES
Resources: Resources refer to the various assets, materials, and capabilities that
are utilized to achieve goals, solve problems, or support operations. Resources
can be categorized into several types:
a. Natural Resources: Water, Land, Minerals Forests
b. Human Resources: Labor, Skills, Expertise, Knowledge, Experience, Talent
c. Physical Resources: Infrastructure (roads, bridges, buildings), Technology
(hardware, software), Equipment (machinery, tools), Vehicles Furniture
d. Financial Resources: Money (cash, funds), Investments, Grants, Loans,
Budget allocations
e. Informational Resources: Data, Knowledge bases, Libraries, Research
institutions, Expert networks
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f. Intangible Resources: Brand reputation, Intellectual property (patents,
copyrights), Trade secrets, Goodwill, Social capital
Human resources (HR): is the set of people who make up the workforce of
an organization, business sector, industry, or economy
Human resources for health (HRH) or health workforce – is defined as "all people
engaged in actions whose primary intent is to enhance positive health outcomes",
according to World Health Organization's World Health Report 2006.
Human resources for health are identified as one of the six core building blocks of
a health system. They include physicians, nursing
professionals, pharmacists, midwives, dentists, allied health professions, community
health workers, and other social service and health care providers. Others core building
blocks are Leadership and governance, Service delivery, Health system financing,
medical products, vaccines and technologies and Health information systems
Key Components of Human Resources for Health
1. Health Workforce Planning: Estimating future health workforce needs and
developing strategies to address shortages
2. Education and Training: Ensuring health workers have the necessary skills and
competencies to provide quality care
3. Recruitment and Retention: Attracting and retaining health workers in rural,
remote, and underserved areas
4. Performance Management: Monitoring and evaluating health workforce
performance to improve quality of care
What is human resource management (HRM)?
Human resource management (HRM) is the practice of recruiting, hiring, deploying and
managing an organization's employees.
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accomplish the company’s requirements and objectives. In order to be successful in
achieving organizational objectives, HR needs an efficient plan and implementation
2.Work culture: When it is about managing human resources efficiently and following
goals, employees and the environment in which they work are important factors. The
HR managers must be active in creating strategies to facilitate enhanced work culture.
3.Training and development: With effective training and offering future opportunities,
employees are more organized and they feel comfortable and safe. Effective
employment is greatly associated with training practices. Therefore, offering such
opportunities will be a good step for the management of the workforce.
4. Employee motivation: A major aim of HR is to keep things in the correct direction and
keep diversions and negativity away. In order for this to happen the employees must be
encouraged and motivated the whole time.
5. Team coordination: Another main objective of Human Resource Management is to
ensure efficient team integration. Human resources should provide a tool that facilitates
easier communication and makes coordination smoother.
Skills and responsibilities of a Human Resource manager
HRM is typically broken into pre-employment and employment phases, as well as more
specific subsections, with an HR manager assigned to each one. Areas of HRM oversight
include the following:
i. Employee recruitment.
ii. Onboarding and retention.
iii. Talent and workforce management.
iv. Job role assignment.
v. Career development.
vi. Compensation and benefits.
vii. Labor law compliance.
viii. Performance management.
ix. Training and development.
x. Succession planning.
xi. Employee engagement and recognition.
xii. Team building.
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DEFINE HUMAN RESOURCE TRAINING
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4. To match employee specifications with the job requirements and
organizational needs: An employee’s specification may not exactly suit to the
requirements of the job and the organization, irrespective of past experience and
skills. There is always a gap between an employee’s present specifications and the
organization’s requirements. For filling this gap training is required.
5. Change in the job assignment: Training is also necessary when the existing
employee is promoted to the higher level or transferred to another department.
Training is also required to equip the old employees with new techniques and
technologies
Types of Human Resources Training
The various types of training imparted to the employees of the organization are
explained as under
a. Induction Training: This is a training which is imparted to a new
employee at the time when he or she joins the organization. This
training is imparted to them to build up their confidence in the
organization and to give them information about the various
procedures, rules and regulations. They are introduced to their work
environment and the fellow employees in order to promote a feeling of
belongingness and loyalty amongst them.
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This can be a highly effective method of employee training, especially for complex
topics. Instructors can answer specific employee questions or direct them to further
resources. They also allow for highly-skilled instructors to match the training level and
style to the employees in the room
However, instructor-led training does have some drawbacks, including cost and time to
implement. It can also be unnecessary for concise topics. We discuss more about this in
our post, "Instructor-Led Training Vs. eLearning.".
2. eLearning: eLearning, on the other hand, relies on online videos, tests, and courses to
deliver employee training. Employees can do their training right in the palm of their
hand with a smartphone or on their company computers.
It's one of the easiest types of employee training to roll out to larger populations,
especially for employees who are remote or have high-turnover rates. With interactive
games, tests, videos, activities, or even gamified components, it can also go a long way
towards keeping your employees engaged with the training
Of course, eLearning also has its own challenges. Without a solid instructional design
strategy behind it, the graphics and visuals that make eLearning fun can also make it
gimmicky or quickly outdated. Keeping it up-to-date is also a necessary best practice.
We cover the major advantages, and disadvantages, of eLearning here.
This type of employee training is also highly-effective and reliable, allowing employees
to progress consistently and at their own pace.
4. Hands-on training: Hands-on training includes any experiential training that's focused
on the individual needs of the employee. It's conducted directly on the job. Hands-on
training can help employees fit perfectly into their upcoming or current role, while
enhancing their current skills.
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"One advantage of hands-on training is that they are applicable immediately to the
employees’ jobs. They are also effective for training when it comes to new business
equipment and procedures."
This is a time-intensive method of employee training, however, that's best used when
there are enough resources available to support employees during the program. Learn
more about experiential learning here.
The one-on-one mentoring style creates a relationship between employees that carries
far beyond training. It also allows the employee to ask questions they may not feel
comfortable asking in a classroom, instructor-led training. This training method can be
done in person or virtually, through online coaching sessions.
For all its benefits, mentoring is costly in terms of employee hours and should be used
appropriately to reduce those associated costs. Coaching—bringing in a trained
professional—can sometimes provide a more time-efficient alternative, but without the
relationship building that's so valuable in mentoring.
"It has been said to be the least effective of all training methods. In many cases, lectures
contain no form of interaction from the trainer to the trainee and can be quite boring.
Studies show that people only retain 20 percent of what they are taught in a lecture."
7. Group discussions and activities: For the right group of employees, group discussions
and activities can provide the perfect training option. It allows multiple employees to
train at once, in an environment that better fits their current departments or groups.
These discussions and activities can be instructor-led or facilitated by online prompts
that are later reviewed by a supervisor.
This type of employee training is best used for challenges that require a collaborative
approach to complex issues. Find ideas for training activities here.
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8. Role-playing: Similar to group discussions, role-playing specifically asks employees to
work through one aspect of their jobs in a controlled scenario. They'll be asked to
consider different points-of-view and think on their feet as they work through the role-
playing activity.
Like other group activities, role-playing is highly effective but may be unnecessary for
simple, straightforward topics. It also requires more employee time, potentially taking
time away from an entire department while they're going through the training.
While management training can include many different types of training, it's important
to consider the additional needs of your managers separately from the rest of your
employee population. This ensures they have the foundation they need to support the
rest of their staff.
10. Case studies or other required reading: Finally, some employee training topics are
readily accessible through required readings. Case studies, in particular, can provide a
quick way for employees to learn about real workplace issues. Employees can read
through these at their own pace, or while working in a team-building session with other
employees.
Case studies are a great option for focused topics, but more complex topics will likely
require more advanced types of employee training
Human Resources (HR) training is crucial for organizations, employees, and the overall
success of a business. Here are the importance and benefits of HR training
1.Organizational Benefits
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5. Compliance: Ensures adherence to laws, regulations, and industry standards
2.Employee Benefits:
Human resources for primary health care are crucial for delivering essential healthcare
services to communities. The World Health Organization (WHO) emphasizes that health
systems can only function with health workers, and improving health service coverage
relies on their availability, accessibility, acceptability, and quality
The failure of primary health care in Nigeria can be partly attributed to the inadequate
number and proportion of the various cadres of healthcare workers necessary to
provide services in the health facilities.
Primary Health Care (PHC) is defined as “essential health care based on practical,
scientifically sound and socially acceptable methods and technology, made universally
accessible to individuals and families in the community through their full participation,
and at a cost that the community and country can afford to maintain at every stage of
their development in the spirit of self- reliance and self-determination”.
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Key Components of Primary Health Care
According to the World Health Organization (WHO), a health worker is classified into
five broad categories:
1. Health Professionals: This category includes medical doctors, nurses, midwives, and
other specialized healthcare professionals
-2. Health Associate Professionals: This group comprises supporting healthcare staff,
such as dental hygienists, physiotherapists, and laboratory technicians
3. Personal Care Workers in Health Services: This category includes healthcare
assistants, nursing aides, and other personnel providing direct patient care
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4. Health Management and Support Personnel: This group consists of healthcare
administrators, managers, and other support staff
-5. Other Health Service Providers: This category includes traditional medicine
practitioners, chiropractors, and other healthcare providers not classified elsewhere
The nature and type of PHC facility determines the number and type of human
resources that may be required. In Nigeria for instance, the PHC facilities are classified
into four main types by the National Primary health Care Development Agency
(NPHCDA)
a) The first class (or health post) is manned by the Junior Community Health
Extension Workers (JCHEW).
b) As for the second type of PHC facility (or Basic Health Clinic), the staff
complement include two CHEWs and four JCHEWs.
c) The third class of PHC facility (Ward Health Centre) has a staff complement of one
Community Health Officer (CHO), one Public Health Nurse (PHN), three CHEWs,
four Nurse/Midwives and one medical Assistant.
d) The fourth class of PHC facilities is the comprehensive health centers. It should
have a staff distribution of three doctors, one CHO, one PHN, three CHEWs, four
Nurse/Midwives and one medical Assistant, Lab, environmental Teachnician,
Nutrition etc
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3. Health Workforce Capacity Building: PHWs can be trained and upskilled to address
specific health needs.
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• Health education and coaching. Health coaching generally involves motivational
interviewing and action planning to help patients achieve health goals. Example: Peer
health coaches who counsel, teach, and support self-management.
Methods used in identifying staff training needs in primary health care (PHC)
Identifying staff training needs in primary health care involves various methods to
ensure effective skills development and improved healthcare services. Here are some
commonly used methods:
Organizational Method
1. Performance Appraisals: Evaluating employee performance to identify skill gaps.
2. Job Analysis: Breaking down job tasks to determine required skills.
3. Needs Assessment Surveys: Questionnaires to identify training needs.
4. Strategic Planning: Aligning training with organizational goals.
Individual Methods
1. Self-Assessment: Employees identify their own training needs.
2. 360-Degree Feedback: Multisource feedback for comprehensive evaluation.
3. Learning Journals: Reflecting on experiences and skill development.
4. Personal Development Plans: Employees set goals and training objectives.
Operational Methods
1. Quality Improvement Initiatives: Identifying training needs through quality
improvement projects.
2. Patient Feedback: Analyzing patient satisfaction surveys.
3. Incident Reporting: Reviewing incident reports to identify training needs.
4. Accreditation Standards: Meeting regulatory requirements.
Group Methods
1. Focus Groups: Discussing training needs with groups of employees.
2. Brainstorming Sessions: Collaborative idea generation.
3. Nominal Group Technique: Structured group discussions.
4. Delphi Technique: Expert panel feedback.
Quantitative Methods
1. Statistical Analysis: Analyzing data on patient outcomes, staff turnover, etc.
2. Surveys and Questionnaires: Quantitative data collection.
3. Quizzes and Tests: Assessing knowledge gaps.
4. Observational Studies: Observing staff performance.
Qualitative Methods
1. Interviews: In-depth discussions with employees.
2. Case Studies: Examining specific scenarios.
3. Observational Research: Ethnographic studies.
4. Content Analysis: Reviewing documents and policies.
Technology-Based Methods
1. Online Surveys: Digital questionnaires.
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2. Learning Management Systems (LMS): Tracking employee learning.
3. Electronic Performance Support Systems (EPSS): Real-time support.
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Training assessment refers to the process of evaluating the effectiveness and impact of a
training program.
Pin point to the supervisors the training needs of managerial and non – managerial staff.
Employee could be assessed through surveys and interviews to determine training
needs. A survey can be in form of questionnaires or interview with supervisors and
employee on individuals or group basis.
6. Estimate realistic costing for each budget item according to local situations.
7. Prepare simple posters, charts, and models to help learning.
8. Decide methods to evaluate training activities.
9. Identify various assessment methods, including merits and demerits of each.
10. Select method appropriate to the trainee group and skills taught.
11. Conducting training using participatory adult learning techniques.
12. Conduct on the job training during supervisory visits.
ASSIST JCHEW TO DEVELOP TRAINING PROGRAMME FOR VHWs AND TBAs
1. Meet community leaders to explain the benefits and requirements of the programme.
2. Find out community needs.
3. Request community to develop criteria to select volunteers
4. Assist community to select their own volunteers.
5. Gather volunteers together to find out what they already know and what they want
to know.
6. Choose training site
7. Develop curriculum for training based on identified health needs.
8. Select training methods appropriate to local culture.
9. Supervise volunteers until they able to practice the newly acquired skills
10. Introduce volunteers to all areas where they will practice the new skills.
11. Involve the community in supervising its own volunteers.
ASSIST OTHER STATE AND FEDERAL LEVEL TRAINERS TO TRAIN JCHEW, VHWs AND
TBAs
A training plan is a systematic statement of training intentions and the means by which
they are to be achieved and measured. A plan may embrace the organisation as a
whole, or just a small part of it. Either way, it will typically contain information under the
following sub – headings:
1. TARGET GROUP: Identification of those for whom the training is intended for (i.e.
target group e.g. JCHEW, VVHWs and TBAs)
2. PROGRAMME AIMS: Identification of learning needs and lesson topics.
3. SETTING OF SPECIFIC EDUCATIONAL OBJECTIVES.
4. PROGRAMME CONTENT: Selection of lesson content, details of topics to be
covered, the specific learning objectives to be achieved, the learning activities to
be employed and learning methods proposed.
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5. PROGRAMME EVALUATION: Proposals for estimating the relative success of the
training in terms of both objectives achieved and the impact on the organization’s
activities.
6. ADMINISTRATION AND COSTING OF THE TRAINING: Details of time table for the
programme, location of activities, release of staff from normal duties, expenses
and cost.
7. TARGET NUMBER OF AUDIENCE: Estimation of likely number of participants to be
involved in the training programme.
8. TRAINING STAFF: Identification of staff to be deployed, both specialist trainers
and line or departmental staff as required, also of any external speakers to be
employed.
CONCEPT OF BUDGETING
Budget is a financial document used to protect future income and expenses. It could
also be defined as a formal statement of the financial resources set aside for carrying
out specific activities in a given period of time
Budgeting: is the process of creating a detailed financial plan that outlines projected
income and expenses over a specific period, typically monthly or annually. It helps
individuals, organizations, and governments manage their finances effectively, achieve
financial goals, and make informed decisions.
Types of Budgets
1. Balanced Budget
A budget is deemed a balanced one if the expected government expenses equal
the estimated government receipts during a given financial yea
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2. Surplus Budget
The budget presented by the government is considered a surplus budget in case
the revenue expected by the government exceeds the expenditure the
government makes during a given financial year.
3. Deficit Budget
A budget is deemed a deficit one when the expected government expense
exceeds the revenue the government expects to accumulate in a given financial
year
o Salary data
o Recruitment budget
o Payroll costs
o Overtime
o Incentive compensation
o HR databases
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Importance of Human Resources Budgeting
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Types of budgeting in healthcare organizations?
There are several types of budgets and planning processes in healthcare:
i. Operational budgeting in healthcare is the process of determining the funding
planned for facility operating costs and personnel costs, such as staffing and
training. Staffing is usually the largest cost in a healthcare operational budget, and
it must not only account for fixed costs, like salaries, but overtime hours, potential
overstaffing, and other variable costs. A healthcare operational budget allows
hospitals and health systems to monitor and balance revenues and expenses.
10. RENT: payment for hired rents of houses, offices and warehouse etc.
DEMONSTRATE HOW TO MAKE PRESENTATION IN A SEMINAR
Consultants
Secretariat staff
MC/moderator
Rapportuer
Ushers (host and hostess)
Floor manager etc.
Arrival Formalities for Participants
As soon as participants begin to arrive, organizers should be able to do the following;
Welcome participants as they arrive at the meeting venue
Assist participants with hotel check-in or other accommodation arrangement.
Register participants and hand over their programme bags.
Do individual briefing of participants to enable them familiarize with the
environment
Ensure that they are refreshed and comfortable.
Setting Learning Climate
As soon as participants settle down to start the business of the day, some actions should
be taken by the organizers to prepare them physically and emotional for the
programme. These preparations set the learning climate for participants. Some of the
preparatory actions include;
Discussing the objectives of the entire programme with the audience explaining
to them their roles in the success of the programme.
Warm them up by doing any of the following;
- play them good music
- Display a film show
- Stage a comedian to crack their ribs
- Display a dance performance or play to relax their nerves.
Make the comfortable by providing fans, air conditioners, or heaters as the case
may be.
Spelling out the ground rules.
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Types of seminar papers
1. Community seminar: These seminars involve adults with some common purpose
which may be figurative or literal. Such seminars are organized for people who are
facing difficulty in their work. Community seminars are held to improve collaboration
among two parties with different views. For example, a dialogue between retired
individuals with very low pension, and concerned government officials builds
collaborative understanding and promote thinking process.
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objectives of the programme. The aim and objectives of the programme are usually
stated in the programme flyer.
Step 3: State the topic, Aim and Objectives of your paper; After analyzing the theme and
sub-theme of the programme the next thing to do is to state the topic of the paper that
is to be written. The topic is handed over to the speaker by organizers of the
programme to develop. A writer should examine the topic and then state the aim of
developing the paper, and finally formulate the corresponding objectives of the paper.
Note that the aim of the programme will not be the aim of the paper but are related in a
dependent and independent manner. The objectives of the programme may closely tie
to the topic of the paper. The aim and objectives of the programmed are the targets
achievement of the organizers of the programme. The collective aims and objective of
all the papers to be presented in a programme are geared towards achieving the
singular aim and the objectives of the entire programme
Step 4: Develop Instructional Strategy for each Objective; instructional strategies are the
modes of specific instructions or facts which the writer wishes his audience to know and
these are usually stated clearly for each objective. Clearly stated objectives and
instructional strategies outline the points for statement of sub headings and sub sub-
headings for the paper.
Step 5 : Do a Preliminary Reading or Review Literature; This stage affords the writer
opportunity to read for his paper and search the internet. He is free to survey any
relevant literature for this purpose. As he is reading through, he puts together relevant
texts and materials that he would use to develop his paper.
Step 6: Determine the format and presentation procedure; a seminar paper is generally
made up of three main parts i.e. the introduction, main body and conclusion and of
course subsidiary parks like the reference appendix, and cover page.
a. Introduction;
an introduction of a seminar paper should express the following;
- background Information.
- Scope of the paper
- Limitation of the paper.
- Importance of the paper.
- Aims and Objectives
- Order of presentation.
- Definition of terms
b. The Body of the Paper; the body of the paper is usually the enlarge discussion part
of the paper. It is usually expressed under sub-topics, sub-sub- topics, headings,
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paragraphs etc. different types of paragraph that can be used to built up the main body
of a paper include transitional, Comparism and contrast, illustration, explanatory,
descriptive, narrative, argumentative whole part and enumeration.
c. Summary and Conclusion; summary restates salient points rose in the body of the
paper. The essence is to help the audience recap the main issues stated in the paper.
Conclusion is the analogy usually drawn from the facts that were presented and
discussed. Conclusion comes up as resolution and findings. A good paper should have
clearly stated summaries/conclusion.
d. Recommendations; this includes the solutions and advice usually given by the writer
as a way of closing a paper. Effective recommendations are dependent on the
conclusions and are the answers to the objectives set or formulated by the writer. Since
most seminar papers are geared at solving a particular problem or for meeting some
targets, the recommendation part is a must for the paper for it is through it the answers
to question, solutions to problems and strategies for information dissemination are
stated.
e. The Reference; this is a subsidiary part of the paper that states all the references
books, journals, seminar papers. A seminar papers should have references which are of
three types;
- Citation within the text.
- Reference list.
- Bibliography.
f. Appendix; this may be necessary if bulky details are part of the paper.
g. Cover Page; it is another subsidiary part. It is usually made up of the topic, speaker's
name, purpose of paper, date of presentation.
Step 7
a. Get the first draft; the first draft is the first filled up write up on the tagged papers.
Here heading are expected, topic sentences developed into paragraphs. This can be
done by simply jotting down facts from the reference materials into the paper page by
page.
b. Editing; is a way of polishing your work by checking that your ideas flow and that the
languages you have used expresses your ideas.
Step 8
Scrutinize First Draft to get Second and final Drafts; to scrutinize the first draft mean to
read it and delineate all irrelevant information. This can be done by the writer himself to
enable him personally do the initial bulky corrections.
Step 9
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Proof Read the Work; this is to do with the mechanics of writing. This is the part of the
process where you need to iron out any errors and omissions which will irritate your
audience. To proof read check the following;
Spelling error
Punctuation.
References check if they are listed on it.
If quotations have been used, is there page reference.
Check page numbering, headers and footers,
Check if font size is acceptable.
Step 10
Production of the final paper; the final paper is produced by typing and stapling or spiral
binding or filing. Efforts should be made to ensure that the paper is;
Relevant to the topic
Meets standard formatting.
Almost zero percent error free.
Font size eligible.
Have relevant facts and figures and illustration to meet the target.
Some basic rules concerning seminar presentation
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