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Inclusive Just-in-Time Training for Mass Prophylaxis/POD Operations


Inclusive Just-in-Time Training (JITT) for Mass Prophylaxis/POD Operations is a comprehensive and systematic toolkit designed to support individuals leading and responding to a public health emergency. It is intended to provide an approach to training that is aligned with best practice from the field of adult learning theory.

This tool was developed by Multnomah County Health Department's APC program and its regional partners in FY 2009/2010. It consists of 5 components:

  • Implementation Instructions for the Preparedness Planner
  • An Operational Briefing Checklist for the Mass Prophylaxis/POD Supervisor
  • A Field Training Guide for Team Leaders, complete with Job Action Sheets
  • A "Go-Guide" job aide for surge responders to utilize during an incident
  • A short Evaluation Form to evaluate the I-JITT approach

The concept of I-JITT reflects 3 major constructs:

  • Meeting the intellectual, behavioral, and emotional needs of responders;
  • Addressing different types of learning styles (auditory, visual, & experiential); and
  • Drawing attention to cultural considerations that individuals, groups, and organizations bring to a response.

This toolkit is designed to be adaptable to the changing environment of an emergency response. Imbedded, are tips on how to utilize and integrate I-JITT into a local response, whether training lasts five minutes or an hour.

Primary Toolkit:

APC Toolkit

Keyword Area:

Advanced Practice Centers, All-Hazards, Incident Command System, Infectious Diseases, Mass Prophylaxis, MRC, Surge Capacity


Institutional Author:

Multnomah County APC





Five most recent user comments

5 Stars of 5 - Extremely Useful
Multnomah APC JITT tools
By Martha Salyers

Agree with below comment that before this project, if you've seen one JITT method, you've seen one JITT method, and the next place you go you'll see a different one.  In addition, it has been difficult to find a clear definition of JITT and a rigorous examination of the merits of different JITT approaches.

Multnomah's APC has done it.  This is a unified, complete package of rationale and methods that's user-friendly, customizable, and incorporates all the principles of adult learning. 

Highly recommended.

4.5 Stars of 5 - Very Useful
By Maria Maribona

Inclusive just-in-time training (I-JITT) requires doing, knowing and feeling components that are adapted for the trainer as well as the trainee.  While, these concepts of adult learning are not new, the melding of cognitive learning methodologies and cultural context with new useful tools (Briefing Checklist, Field Training Guide for Team Leaders and GoGuides for each responder) makes POD JITT a breeze. 

We use I-JITT to train staff and Medical Reserve Corps Volunteers by rotating them through interactive demonstrations at each mass prophylaxis points of dispensing station. The beauty of I-JITT is that it provides a scalable adult learning structure.  The basic tools: General Briefing checklist, Team Leader Field Guide and responder GoGuides are easily adaptable for POD Training for any sized event.  The responder GoGuides come in a portable pocket/lanyard size and include job action sheets and emergency contact information.   The evaluation form provides a method to insure useful improvement planning.  Our region is adding the I-JITT tools to each POD Go Kit and looks forward using I-JITT in our next response.

Maria Maribona, Mass Dispensing/CRI Coordinator, Region IV Public Health, SW Washington State


4.5 Stars of 5 - Very Useful
Great Tool that fills a huge gap
By Adrienne Donner
As the CRI Coordinator for a 7 county region that spans two states, I have noticed a huge variation in how JITT is conducted.  I have seen everything from the good, the bad and the just plain UGLY.  Ugly usually coming from not enough guidance given to the team leads who have to do a huge portion of the training.This tool helps to streamline the training, give inexperienced trainers the JIT tools for training and has good ongoing (throughout the response) tools for the stressed out POD staff who simply need to have easy reminders of what they are doing and how to get help/answers.

My region is looking at adapting/adopting these tools to provide consistency across the region since there is a good potential that we will be sharing volunteers since most of our residents work/live in different counties.

The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.