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1.
Eur J Public Health ; 34(Supplement_1): i35-i42, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38946441

RESUMO

BACKGROUND: Before the COVID-19 pandemic, a need for a uniform approach to health information (HI) knowledge in population health analysis across Europe was evident. The Population Health Information Research Infrastructure (PHIRI) emerged as a proactive initiative to strengthen European HI capacities. This article describes the achievements of PHIRI, highlighting its capacity-building activities and their contribution towards a sustainable strategy for the implementation of the European Health Data Space (EHDS). METHODS: PHIRI collaboration established a work package for skill-building activities in population health in partnership with other organizations. Activities included webinars, workshops, sessions, training schools and courses for researchers and public administration workers from Europe and beyond. The primary goal of the activities was to examine the impact of COVID-19 on European health systems at both local and national levels, including healthcare facilities and policymaking entities. RESULTS: Twelve activities were organized between October 2020 and the summer of 2023. In March 2023, the Spring School on Health Information was organized to share the knowledge achieved from PHIRI and other European Union-related projects. This event also validated the European Health Information Training Programme. CONCLUSIONS: PHIRI's findings emphasized the importance of equipping the workforce with core HI skills to improve health systems' preparedness and resilience. Through this research, it is possible to propose a strategy for building capacity that emphasizes the importance of providing training in human-machine dynamics. This approach will contribute to the sustainable implementation of the EHDS.


Assuntos
COVID-19 , Fortalecimento Institucional , Humanos , Europa (Continente) , SARS-CoV-2 , Pandemias
2.
Health Res Policy Syst ; 22(1): 74, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956568

RESUMO

BACKGROUND: The European Regulation on Health Technology Assessment (EU HTA R), effective since January 2022, aims to harmonize and improve the efficiency of common HTA across Member States (MS), with a phased implementation from January 2025. At "midterms" of the preparation phase for the implementation of the Regulation our aim was to identify and prioritize tangible action points to move forward. METHODS: During the 2023 Spring Convention of the European Access Academy (EAA), participants from different nationalities and stakeholder backgrounds discussed readiness and remaining challenges for the Regulation's implementation and identified and prioritized action points. For this purpose, participants were assigned to four working groups: (i) Health Policy Challenges, (ii) Stakeholder Readiness, (iii) Approach to Uncertainty and (iv) Challenges regarding Methodology. Top four action points for each working group were identified and subsequently ranked by all participants during the final plenary session. RESULTS: Overall "readiness" for the Regulation was perceived as neutral. Prioritized action points included the following: Health Policy, i.e. assess adjustability of MS laws and health policy processes; Stakeholders, i.e. capacity building; Uncertainty, i.e. implement HTA guidelines as living documents; Methodology, i.e. clarify the Population, Intervention, Comparator(s), Outcomes (PICO) identification process. CONCLUSIONS: At "midterms" of the preparation phase, the focus for the months to come is on executing the tangible action points identified at EAA's Spring Convention. All action points centre around three overarching themes: harmonization and standardization, capacity building and collaboration, uncertainty management and robust data. These themes will ultimately determine the success of the EU HTA R in the long run.


Assuntos
Fortalecimento Institucional , União Europeia , Política de Saúde , Participação dos Interessados , Avaliação da Tecnologia Biomédica , Humanos , Incerteza , Europa (Continente) , Academias e Institutos , Regulamentação Governamental
3.
Front Public Health ; 12: 1387034, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38983265

RESUMO

Background: The WHO Emergency Medical Teams (EMT) Initiative coordinates the deployment of qualified medical teams who promptly respond to public health emergencies (PHEs) and provide quality service during emergencies whilst strengthening capacity. Globally, 40 EMTs have been classified between 2016 and the present (as of the writing of this article in December 2023) and are from across all the WHO regions except the WHO Africa Region (AFRO). However, WHO Africa has prioritised the implementation of EMTs in 10 priority countries to address the public health emergencies (PHEs) affecting the region. Objective: This article describes the development and progress of national EMTs in the WHO African Region over the past 7 years and elucidates the main lessons learned and the complexity and challenges in the process. Methods: This study employed a case study approach because of its appropriateness in examining a complex social phenomenon in a socio-political context in depth, using multiple lenses simultaneously. Data and information were obtained through document reviews and key informant interviews (KIIs) (n = 5) with the members of the EMT Initiative on shared field experiences. Data were systematically analysed using the Stages of Implementation Completion (SIC) framework, and the lessons learnt were presented using components of a framework from Adini et al. Results: The Initiative commenced in the WHO African Region following its launch in December 2017 in Senegal. The assessments of the concept's engagement (involved learning and deciding), feasibility (reviewing expectation and capacity), and readiness planning (collaborating and preparing) showed that the context-specific (African context) challenges, lessons from different emergency response actions mainly guided the Initiative's pre-implementation phase in the region and prompted the WHO emergency leadership on the urgency and need for the EMT concept in the region. The assessment of the implementation processes showed progress in key areas, with staff demonstrating improved competency, EMT services maintaining high fidelity, effective consultation launching critical components, and ongoing services providing successful support and monitoring. Creating the N-EMTs and revitalising the EMT concept required an aligned strategy with other regional emergency programmes and a futuristic vision. Proposed sustainability and governance components include creating N-EMT, developing a coordination structure, collaborating with partners, and finalising the N-EMT. Conclusion: The Initiative is an imperative component that would allow better-targeted management of health emergencies in the region. The continuous refinement of the EMT initiative is crucial. There is a need to work on additional components, such as a context-specific framework for collaborations and partnerships that would enhance deployment and procurement modalities and the complementarity between other regional initiatives to improve the work. Emphasis should be placed on strengthening local health systems, enhancing training and capacity-building programmes, and fostering regional and international collaborations. Additionally, sustainable funding and resource allocation are essential to ensure the resilience of EMTs in the African region and their long-term success.


Assuntos
Serviços Médicos de Emergência , Organização Mundial da Saúde , Humanos , África , Fortalecimento Institucional , Saúde Pública
4.
BMC Med Educ ; 24(1): 744, 2024 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-38987781

RESUMO

BACKGROUND: Faculty development programs can bring about both individual and organizational capacity development by enhancing individuals' attitudes, values, and skillsto enable them to implement organizational change. Understanding how faculty development programs produce capacity development, and the influencing factors, requires further understanding. This study aimed to explore the perceptions of the participants of a faculty development program about the capacity development features of the program and the influencing factors. METHODS: A sequential explanatory mixed methods design was used. Faculty members were surveyed about their perspectives on capacity development of faculty development. Subsequently, 22 interviews were conducted with the respondents to deepem understanding of the survey results. Interview transcripts underwent conventional content analysis. RESULTS: A total of 203 completed the questionnaire. Most of the faculty highly agreed that the faculty development programs had produced capacity development. The combined data identified (a) "quality of faculty development programs", underscoring the significance of robust and comprehensive initiatives, (b) "development in instruction", emphasizing the importance of continuous improvement in pedagogical approaches (c) "development in professionalism", highlighting the necessity for cultivating a culture of professionalism among faculty members, (d) "development in attitude towards education", emphasizing the role of mindset in fostering effective teaching practices, and (e) "supporting faculty development programs", with fostering organizational growth and innovation. Important barriers and facilitators of the capacity development process included several organizational, interpersonal, and individual factors. CONCLUSION: The study identified specific features of the capacity development process in the context of a faculty development program and highlighted the importance of these programs in producing changes in both individuals and within the wider organizational system. Several factors that enabled and constrained the capacity development process were also identified. The findings of the study can inform future implementation of faculty development programs for capacity development.


Assuntos
Docentes de Medicina , Desenvolvimento de Pessoal , Humanos , Desenvolvimento de Pessoal/organização & administração , Fortalecimento Institucional , Masculino , Feminino , Inquéritos e Questionários , Desenvolvimento de Programas , Adulto
5.
Glob Health Res Policy ; 9(1): 25, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956652

RESUMO

Global health reciprocal innovation emphasizes the movement of technologies or interventions between high- and low-income countries to address a shared public health problem, in contrast to unidirectional models of "development aid" or "reverse innovation". Evidence-based interventions are frequently adapted from the setting in which they were developed and applied in a new setting, presenting an opportunity for learning and partnership across high- and low-income contexts. However, few clear procedures exist to guide researchers and implementers on how to incorporate equitable and learning-oriented approaches into intervention adaptation across settings. We integrated theories from pedagogy, implementation science, and public health with examples from experience adapting behavioral health interventions across diverse settings to develop a procedure for a bidirectional, equitable process of intervention adaptation across high- and low-income contexts. The Mutual capacity building model for adaptation (MCB-MA) is made up of seven steps: 1) Exploring: A dialogue about the scope of the proposed adaptation and situational appraisal in the new setting; 2) Developing a shared vision: Agreeing on common goals for the adaptation; 3) Formalizing: Developing agreements around resource and data sharing; 4) Sharing complementary expertise: Group originating the intervention supporting the adapting group to learn about the intervention and develop adaptations, while gleaning new strategies for intervention implementation from the adapting group; 5) Reciprocal training: Originating and adapting groups collaborate to train the individuals who will be implementing the adapted intervention; 6) Mutual feedback: Originating and adapting groups share data and feedback on the outcomes of the adapted intervention and lessons learned; and 7) Consideration of next steps: Discuss future collaborations. This evidence-informed procedure may provide researchers with specific actions to approach the often ambiguous and challenging task of equitable partnership building. These steps can be used alongside existing intervention adaptation models, which guide the adaptation of the intervention itself.


Assuntos
Fortalecimento Institucional , Humanos , Saúde Global , Aprendizagem
6.
Health Res Policy Syst ; 22(1): 84, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39010161

RESUMO

BACKGROUND: Health policymaking is a critical aspect of governmental decision-making that shapes the well-being of populations. In the Middle East and North Africa, particularly in Kuwait, limited attention has been given to exploring the research capacities, engagement, and utilization among health policymakers. This study aims to bridge this gap by investigating how Kuwaiti health policymakers incorporate evidence-based research into the formulation of health-related policies. METHODS: This cross-sectional study targeted health policymakers in leadership positions within the Kuwait Ministry of Health (MOH). Using the Seeking, Engaging with and Evaluating Research (SEER) questionnaire, participants' capacities, engagement, and use of research were assessed. The targeted sample was all health policymakers in leadership positions, starting from the head of departments and above. The questionnaire comprises four domains, 14 sections, and 50 questions and utilizes Likert and binary scales, with aggregate scores predicting engagement actions and research use. The data were collected between March and July 2023. All the statistical analyses were performed using SPSS v27, and the numerical and categorical variables were analyzed using appropriate statistical tests, including t-tests, ANOVA, and Pearson's correlation. RESULTS: Out of 205 policymakers, 88 participated (42.9% response rate): predominantly male (51.1%) and married (78.4%). The mean age was 49.84 ± 7.28 years, with a mean MOH tenure of 24.39 ± 6.80 years. Participants demonstrated high value for research (mean score 4.29 ± 0.55) and expressed confidence in the research utilization. Organizational emphasis on research use exhibited nuanced perceptions, identifying areas where MOH support may be lacking. Access to research resources and processes for policy development guidance were highlighted as challenges. CONCLUSIONS: This study provides crucial insights into the research capacities and engagement of Kuwaiti health policymakers. It emphasizes the need for targeted interventions to align individual perceptions with organizational expectations, address confidence disparities, and enhance collaborative efforts. Organizational investments are crucial for fostering a dynamic research ecosystem to improve evidence-based policy development in Kuwait's healthcare landscape.


Assuntos
Pessoal Administrativo , Política de Saúde , Formulação de Políticas , Humanos , Kuweit , Estudos Transversais , Inquéritos e Questionários , Feminino , Masculino , Fortalecimento Institucional , Adulto , Liderança , Pessoa de Meia-Idade , Tomada de Decisões , Pesquisa
7.
Nat Med ; 30(7): 1856-1864, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38961224

RESUMO

The African continent is poised to have a pivotal role in the global population landscape, with the United Nations projecting a population of 2.5 billion (more than 25% of the global population) by 2050. Amid this demographic shift, Africa faces a unique healthcare challenge-navigating a complex landscape of infectious and non-communicable diseases. This necessitates a departure from the conventional 'one-size-fits-all' medical model toward precision approaches that are efficient and sustainable. Genomic capacity is a pillar of precision health; however, access to up-to-date genetic testing in African countries is limited, compounded by a startling lack of representation of data from populations of African descent in gene discovery studies. In this Review, we delve into the challenges impeding the development of genomic capacity in Africa, such as the lack of electronic clinical and epidemiological records, infrastructural challenges, high supply chain costs and the 'dependency trap' that jeopardizes long-term sustainability. We emphasize the need for strategies hinged on true partnerships, robust infrastructure, workforce development and well-crafted policies. Finally, we outline recent progress and existing initiatives that should be considered as role models for future capacity-building initiatives.


Assuntos
Genômica , Medicina de Precisão , Humanos , África , Fortalecimento Institucional , Testes Genéticos
8.
BMC Prim Care ; 25(1): 260, 2024 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-39020314

RESUMO

BACKGROUND: Community Health Workers (CHWs) play a crucial role in outbreak response, including health education, contact tracing, and referral of cases if adequately trained. A pilot project recently trained 766 CHWs in Wakiso district Uganda on epidemic and pandemic preparedness and response including COVID-19. This evaluation was carried out to generate evidence on the outcomes of the project that can inform preparations for future outbreaks in the country. METHODS: This was a qualitative evaluation carried out one year after the project. It used three data collection methods: 30 in-depth interviews among trained CHWs; 15 focus group discussions among community members served by CHWs; and 11 key informant interviews among community health stakeholders. The data was analysed using a thematic approach in NVivo (version 12). RESULTS: Findings from the study are presented under four themes. (1) Improved knowledge and skills on managing epidemics and pandemics. CHWs distinguished between the two terminologies and correctly identified the signs and symptoms of associated diseases. CHWs reported improved communication, treatment of illnesses, and report writing skills which were of great importance including for managing COVID-19 patients. (2) Enhanced attitudes towards managing epidemics and pandemics as CHWs showed dedication to their work and more confidence when performing tasks specifically health education on prevention measures for COVID-19. (3) Improved health practices such as hand washing, vaccination uptake, and wearing of masks in the community and amongst CHWs. (4) Enhanced performance in managing epidemics and pandemics which resulted in increased work efficiency of CHWs. CHWs were able to carry out community mobilization through door-to-door household visits and talks on community radios as part of the COVID-19 response. CHWs were also able to prioritize health services for the elderly, and support the management of patients with chronic diseases such as HIV, TB and diabetes by delivering their drugs. CONCLUSIONS: These findings demonstrate that CHWs can support epidemic and pandemic response when their capacity is enhanced. There is need to invest in routine training of CHWs to contribute to outbreak preparedness and response.


Assuntos
COVID-19 , Agentes Comunitários de Saúde , Pandemias , Humanos , Agentes Comunitários de Saúde/educação , Uganda/epidemiologia , Projetos Piloto , COVID-19/prevenção & controle , COVID-19/epidemiologia , Pandemias/prevenção & controle , Feminino , Masculino , Adulto , Pesquisa Qualitativa , Fortalecimento Institucional , Epidemias/prevenção & controle , SARS-CoV-2 , Pessoa de Meia-Idade , Grupos Focais , Conhecimentos, Atitudes e Prática em Saúde
9.
Prog Community Health Partnersh ; 18(2): 287-293, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38946573

RESUMO

Drawing from collective experiences in our capacity building project: Health Equity Activation Research Team for Inclusion Health, we argue that while community-engaged partnerships tend to focus on understanding health inequities and developing solutions, they can be healing spaces for health professionals and researchers. Data were obtained from a 15-month participatory ethnography, including focus groups and interviews. Ethnographic notes and transcripts were coded and analyzed using both deductive and inductive coding. Practices of radical welcome, vulnerability, valuing the whole person, acknowledging how partnerships can cause harm, and centering lived experience expertise in knowledge creation processes were identified as key characteristics of healing spaces. Ultimately, health professionals and researchers work within the same social, political and economic contexts of populations with the worst health outcomes. Their own healing is critical for tackling larger systemic changes aimed at improving the well-being of communities harmed by legacies of exclusion.


Assuntos
Pesquisa Participativa Baseada na Comunidade , Humanos , Pesquisa Participativa Baseada na Comunidade/organização & administração , Pesquisadores/organização & administração , Pesquisadores/psicologia , Grupos Focais , Pessoal de Saúde/psicologia , Pessoal de Saúde/organização & administração , Antropologia Cultural , Fortalecimento Institucional/organização & administração , Equidade em Saúde/organização & administração
10.
Implement Sci ; 19(1): 46, 2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38961482

RESUMO

In their article on "Navigating the Field of Implementation Science Towards Maturity: Challenges and Opportunities," Chambers and Emmons describe the rapid growth of implementation science along with remaining challenges. A significant gap remains in training and capacity building. Formats for capacity building include university degree programs, summer training institutes, workshops, and conferences. In this letter, we describe and amplify on five key areas, including the need to (1) identify advanced competencies, (2) increase the volume and reach of trainings, (3) sustain trainings, (4) build equity focused trainings, and (5) develop global capacity. We hope that the areas we highlight will aid in addressing several key challenges to prioritize in future efforts to build greater capacity in implementation science.


Assuntos
Fortalecimento Institucional , Ciência da Implementação , Fortalecimento Institucional/organização & administração , Humanos
11.
Washington, D.C.; OPS; 2024-07-11. (OPS/HSS/VC/24/0004).
em Espanhol | PAHO-IRIS | ID: phr-60535

RESUMO

El Campus Virtual de Salud Pública (CVSP) es la plataforma educativa de la Organización Panamericana de la Salud (OPS). Su objetivo es liderar esfuerzos colaborativos estratégicos entre los Estados Miembros y otros socios estratégicos de la Región de las Américas, con el fin de promover la capacitación de recursos humanos para la salud, para todas las personas y en todos los lugares. Funciona como una red descentralizada de personas, instituciones y organizaciones que comparten cursos y recursos educativos de acceso abierto sobre temáticas de salud pública relevantes para los países de la Región, mediante el uso de las tecnologías de la información y la comunicación. Estructurado en tres nodos (regional, subregional y de país), el Campus Virtual responde a la Estrategia de recursos humanos para el acceso universal a la salud y la cobertura universal de salud y trabaja de manera articulada con los departamentos de la sede regional y las Representaciones de la OPS en los países, así como con instituciones que trabajan en la capacitación y formación en salud pública. Los cursos del Campus Virtual son de acceso abierto, se inscriben en las áreas temáticas de la OPS y se ofrecen en los cuatro idiomas oficiales de la Organización: español, francés, inglés y portugués.


Assuntos
Educação a Distância , Educação a Distância , Educação a Distância , Cursos de Capacitação , Fortalecimento Institucional , Capacitação de Recursos Humanos em Saúde , Tecnologia da Informação
12.
Washington, D.C.; PAHO; 2024-07-11. (PAHO/HSS/VC/24/0004).
em Inglês | PAHO-IRIS | ID: phr-60532

RESUMO

The Virtual Campus of Public Health (VCPH) is the educational platform of the Pan American Health Organization (PAHO) that seeks to contribute to the development of the capabilities and competencies of health workers by supporting the transformation of public health services and practices in the Region of the Americas. It functions as a decentralized network of people, institutions and organizations that share open educational courses and resources on public health topics relevant to the countries of the Region, through the use of information and communication technologies.


Assuntos
Educação a Distância , Educação a Distância , Cursos de Capacitação , Fortalecimento Institucional , Capacitação de Recursos Humanos em Saúde , Tecnologia da Informação
13.
Child Care Health Dev ; 50(4): e13285, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38874376

RESUMO

BACKGROUND: This study aimed to explore the impact of the COVID-19 pandemic on capacity building for health promotion in primary schools from the perspectives of primary school teachers. METHODS: A cross-sectional observational study was conducted via an anonymous online survey between February and May 2022. Three-quarters (n2460) of all schools in the Republic of Ireland were invited to participate. Demographics such as gender, teaching experience, school type and delivering equality of opportunity in schools (DEIS) designation were collected. Perceived capacity for health promotion was measured on a 10-point Likert scale. Facilitators and barriers related to health promotion and aspects of child health prioritised for health promotion in the 2 years after restrictions eased were explored via closed- and open-ended questions. RESULTS: Of the 595 responses, 493 were eligible for analysis. Participants were based in schools in every county in the Republic of Ireland, with most (85.4%, n421) being female. Almost a third (30.5%, n150) were 11-20 years post-qualification, and a quarter (25.2%, n124) had over 30 years' teaching experience. Mean capacity for school-based health promotion pre-pandemic was moderate, at 6.6 ± 2.2 on a 10-point scale. Mean capacity in spring 2022 decreased significantly (p < 0.001) to 4.1 ± 2.4, indicating poor capacity. Capacity ratings did not significantly differ by school type (p = 0.31), socioeconomic designation (p = 0.27) or years post-qualification (p = 0.08). Capacity decrements were most frequently (49.7%, n245) attributed to organisational factors, while individual and community-level factors were cited by 27.6% (n136) and 21.5% (n106) of respondents, respectively. Healthy eating significantly (p < 0.001) decreased as a priority for health promotion between pre-pandemic times (76.3%, n376) and spring 2022 (23.1%, n114). Mental health significantly (p < 0.01) increased as a priority, being listed by 38.1% (n188) as a priority pre-pandemic and doubling to 72.6% (n358) in spring 2022. CONCLUSIONS: Fostering a holistic approach to health promotion in schools remains a challenge. Further efforts are needed to support schools to implement sustainable and balanced systems of health promotion.


Assuntos
COVID-19 , Promoção da Saúde , Serviços de Saúde Escolar , Professores Escolares , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Estudos Transversais , Professores Escolares/psicologia , Professores Escolares/estatística & dados numéricos , Criança , Feminino , Masculino , Irlanda/epidemiologia , Serviços de Saúde Escolar/organização & administração , Promoção da Saúde/organização & administração , Instituições Acadêmicas/organização & administração , Fortalecimento Institucional , SARS-CoV-2 , Inquéritos e Questionários , Adulto
14.
J Prim Health Care ; 16(2): 206-209, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38941247

RESUMO

Introduction Through a unique, inter-sectoral and interprofessional initiative, practitioners from education, health and social service sectors were invited to participate in communities of practice, facilitated online. The focus was on building workforce capacity to address the mental health needs of children and youth. Aim This paper explores interprofessional workforce development by translating knowledge from a mental health promotion initiative developed overseas into the Aotearoa New Zealand context. Methods Over a 6-month period, practitioners engaged in an iterative, capacity-building process, where they had access to the initiative materials and resources, shared practice stories, networked, and discussed barriers and facilitators for implementation. Qualitative thematic analysis was used to interpret data. Results Members of the communities of practice engaged in storytelling and made sense of the initiative in relation to their previous knowledge and experiences: practice and thinking were validated. Mental health promotion was positioned as the responsibility of all sectors and the need for effective interprofessional collaboration was deemed essential. Furthermore, translation of the initiative into the bicultural context of Aotearoa New Zealand demanded and deserved sustained attention. Discussion This study contributes interprofessional and inter-sectoral evidence for building workforce capacity to address the mental health needs of children and youth. Further research is warranted to investigate the outcomes for the children and youth served. Interprofessional communities of practice were shown to provide a sustainable mechanism by which knowledge can be received, transformed and translated into practice.


Assuntos
Promoção da Saúde , Saúde Mental , Pesquisa Qualitativa , Humanos , Nova Zelândia , Promoção da Saúde/organização & administração , Relações Interprofissionais , Fortalecimento Institucional/organização & administração , Criança , Adolescente , Pessoal de Saúde/psicologia , Pessoal de Saúde/educação , Serviços de Saúde Mental/organização & administração , Comunidade de Prática
15.
Glob Health Sci Pract ; 12(3)2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38936958

RESUMO

Health workers, especially auxiliary nurse midwives (ANMs), are among the most critical resources in improving the quality of immunization services and reducing vaccine hesitancy under the Universal Immunization Programme (UIP) in India. To improve health worker immunization skills, UIP trainings in India are primarily conducted through instructor-led classroom, cascade trainings. However, a 2018 capacity-building need assessment revealed several challenges involved in traditional classroom training, such as a single-time exposure to new guidelines, complicated logistics arrangements, a lack of refresher training, and varying quality of training. These complexities make it difficult to meet the timely knowledge and skill needs of every health worker effectively and uniformly in a rapidly changing scenario of UIP. To meet health worker capacity-building needs and address these challenges, Rapid Immunization Skill Enhancement (RISE), a learning management system (LMS) application, was conceptualized. The RISE LMS application was developed as a human-centered, interactive, continuous, and adaptable knowledge and skill-building platform for health workers engaged in the UIP. RISE complements existing classroom-based cascade training for health workers by leveraging digital technologies for faster, easier, and more effective knowledge transfer to accommodate the fast-changing needs of a dynamic health program like UIP. In this article, we share the challenges and strategic solutions to digital training applications, lessons learned, sustainability of the application, and the impact RISE has made in India, all of which stemmed from leadership, coordinated efforts from a team of skilled professionals, government acceptance, detailed planning, and continued stakeholder engagement.


Assuntos
Fortalecimento Institucional , Pessoal de Saúde , Humanos , Índia , Pessoal de Saúde/educação , Programas de Imunização/organização & administração
16.
Contraception ; 136: 110487, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38825547

RESUMO

OBJECTIVE: Quantify primary care provider requests for abortion training and technical assistance (TA) and availability of programs to support abortion provision. STUDY DESIGN: We reviewed requests for training and TA from four programs focused on capacity building for abortion care. Collectively, these programs serve every region of the United States. RESULTS: Between January 1, 2021 - September 30, 2022, the programs received 207 requests for training and/or TA from individuals and organizations in 30 states. Approximately 60% of requests went unfulfilled due to programs' capacity constraints. CONCLUSIONS: Unmet demand for training and TA to integrate abortion into primary care is significant. Increasing the availability of training and TA could increase the abortion workforce and improve access to care.


Assuntos
Aborto Induzido , Acessibilidade aos Serviços de Saúde , Atenção Primária à Saúde , Humanos , Aborto Induzido/educação , Estados Unidos , Feminino , Gravidez , Necessidades e Demandas de Serviços de Saúde , Fortalecimento Institucional
18.
Hum Resour Health ; 22(1): 46, 2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38937753

RESUMO

BACKGROUND: Peer mentorship can be a potential tool to reduce the disparities in health research capacity between high- and low- and middle-income countries. This case study describes the potential of peer mentorship to tackle two critical issues: bridging health research capacity of doctors from low- and middle-income countries (LMICs) and the transformation of human resource for health brain drain into "brain gain". CASE PRESENTATION: In 2021, a virtual peer mentorship group was established by 16 alumni of the University of Benin College of Medical Sciences' 2008 graduating class, residing across three continents. This program aimed to facilitate research collaboration and skill development among colleagues with diverse research experience levels, fostering a supportive environment for career development in research. The group relied heavily on digital technology to carry out its activities due to the different geographical locations of the group members. Led by experienced peer leaders, the group fostered a collaborative learning environment where members leveraged each other's expertise. Within 18 months, we published two research papers in high-impact peer-reviewed global health journals, launched a mixed-methods research study, and conducted training sessions on research design and implementation. Findings from our work were presented at conferences and workshops. However, logistical hurdles, competing priorities, structural constraints, and uneven participation presented challenges. CONCLUSION: The peer mentorship collaboration has achieved some successes so far, and this model can be emulated by other cohorts of medical professionals across LMICs. Despite the group's success at a micro- or individual level, there remain significant structural barriers to research capacity building in LMICs that can only be addressed at the meso- and macro-levels by institutions and government, respectively. A systems-level approach is required to develop and support research capacity building and foster global research collaboration and effectively turn brain drain into brain gain.


Assuntos
Países em Desenvolvimento , Mentores , Grupo Associado , Humanos , Nigéria , Fortalecimento Institucional , Pesquisa Biomédica , Tutoria/métodos , Comportamento Cooperativo , Fuga de Cérebros
20.
J Public Health Manag Pract ; 30: S6-S14, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38870354

RESUMO

CONTEXT: Contributing to the evidence base, by disseminating findings through written products such as journal articles, is a core competency for public health practitioners. Disseminating practice-based evidence that supports improving cardiovascular health is necessary for filling literature gaps, generating health policies and laws, and translating evidence-based strategies into practice. However, a gap exists in the dissemination of practice-based evidence in public health. Public health practitioners face various dissemination barriers (eg, lack of time and resources, staff turnover) which, more recently, were compounded by the COVID-19 pandemic. PROGRAM: The Centers for Disease Control and Prevention's Division for Heart Disease and Stroke Prevention (DHDSP) partnered with the National Network of Public Health Institutes to implement a multimodal approach to build writing capacity among recipients funded by three DHDSP cooperative agreements. This project aimed to enhance public health practitioners' capacity to translate and disseminate their evaluation findings. IMPLEMENTATION: Internal evaluation technical assistance expertise and external subject matter experts helped to implement this project and to develop tailored multimodal capacity-building activities. These activities included online peer-to-peer discussion posts, virtual writing workshops, resource documents, one-to-one writing coaching sessions, an online toolkit, and a supplemental issue in a peer-reviewed journal. EVALUATION: Findings from an informal process evaluation demonstrate positive results. Most participants were engaged and satisfied with the project's activities. Across eight workshops, participants reported increased knowledge (≥94%) and enhanced confidence in writing (≥98%). The majority of participants (83%) reported that disseminating evaluation findings improved program implementation. Notably, 30 abstracts were submitted for a journal supplement and 23 articles were submitted for consideration. DISCUSSION: This multimodal approach serves as a promising model that enhances public health practitioners' capacity to disseminate evaluation findings during times of evolving health needs.


Assuntos
COVID-19 , Fortalecimento Institucional , Disseminação de Informação , Saúde Pública , Redação , Humanos , Estados Unidos , Saúde Pública/métodos , Redação/normas , COVID-19/prevenção & controle , COVID-19/epidemiologia , Disseminação de Informação/métodos , Fortalecimento Institucional/métodos , Doenças Cardiovasculares/prevenção & controle , SARS-CoV-2 , Centers for Disease Control and Prevention, U.S./organização & administração
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