Re-training medical professionals can be challenging for governments and partners alike, especially in resource constrained settings or non-mainstream subjects. The formal classroom training is costly and disrupts routine activities which further compounds access to quality health services. These reasons make it imperative to seek cheaper and more sustainable ways to advance the knowledge of health care workers for better service delivery. It is for that reason that the on-the-job (OJT) training manual was developed. The purpose of the manual is therefore to make it easier for health professionals to acquire needed skills in a practical and flexible setting. With the OJT approach, more professionals can be reached at their own places of work for the training with little or no cost attached. By this, more patients can have access to quality health care services especially in rural areas where there is poor health seeking behavior despite the high burden of disease.