Interprofessional Fellowship Training for Emerging Global Health Leaders in Africa to Improve HIV Prevention and Care: The Afya Bora Consortium

Ousman, Kevin; Polomano, Rosemary C.; Seloilwe, Esther; Odero, Theresa; Tarimo, Edith; Mashalla, Yohana; Voss, Joachim; O’Malley, Gabrielle; Chapman, Susan; Gachuno, Onesmus; Manabe, Yukari C.; Nakanjako, Damalie; Sewankambo, Nelson; Urassa, David P.; Wasserheit, Judith N.; Wiebe, Douglas J.; Green, Wendy; Farquhar, Carey

doi:10.1016/j.jana.2016.01.009

Cited by 18 publications

(25 citation statements)

References 27 publications

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“…The well-funded medical project related to HIV prevention and care (8) and the longstanding nursing leadership programs (9) concentrated mostly on leadership along with active learning projects. The LI is the first project to our knowledge focusing on rehabilitation leaders.…”

Section: Discussionmentioning

confidence: 99%

Leadership Development of Rehabilitation Professionals in a Low-Resource Country: A Transformational Leadership, Project-Based Model

Pascal

Mann

Dunleavy

et al. 2017

Front. Public Health

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Background and rationaleThis paper presents an overview of the activities and outcomes of the Leadership Institute (LI), a short-term leadership development professional development course offered to physiotherapists in a low-resource country. Previous studies have provided examples of the benefits of such programs in medicine and nursing, but this has yet to be documented in the rehabilitation literature. The prototype of leadership development presented may provide guidance for similar trainings in other low-resource countries and offer the rehabilitation community an opportunity to build on the model to construct a research agenda around rehabilitation leadership development.PedagogyThe course used a constructivist approach to integrate participants’ experiences, background, beliefs, and prior knowledge into the content. Transformational leadership development theory was emphasized with the generation of active learning projects, a key component of the training.OutcomesPositive changes after the course included an increase in the number of community outreach activities completed by participants and increased involvement with their professional organization. Thirteen leadership projects were proposed and presented.DiscussionThe LI provided present and future leaders throughout Rwanda with exposure to transformative leadership concepts and offered them the opportunity to work together on projects that enhanced their profession and met the needs of underserved communities.Constraints and challengesChallenges included limited funding for physiotherapy positions allocated to hospitals in Rwanda, particularly in the rural areas. Participants experienced difficulties in carrying out leadership projects without additional funding to support them.Lessons learnedWhile the emphasis on group projects to foster local advocacy and community education is highly recommended, the projects would benefit from a strong long-term mentorship program and further budgeting considerations.ConclusionThe LI can serve as a model to develop leadership skills and spur professional growth in low-resource settings. Leadership development is necessary to address worldwide inequities in health care. The LI model presents a method to cultivate transformational leadership and work toward improvements in health care and delivery of service.

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Section: Discussionmentioning

confidence: 99%

Leadership Development of Rehabilitation Professionals in a Low-Resource Country: A Transformational Leadership, Project-Based Model

Pascal

Mann

Dunleavy

et al. 2017

Front. Public Health

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“…Studies have confirmed that the strategy of nurses initiating ART rather than doctors has a positive impact on increasing ART uptake, although there are still challenges in NIMART training and implementation which affect the performance of HIV programmes as indicated in Table 5. NIMART training can have both positive and negative impacts depending on the strategies used during training [7,8,9,10]. Studies have revealed that nurses feel that NIMART training has empowered them with knowledge and skills to manage PLWH, however, there are still factors that influence [11,12,13,14,15,16].…”

Section: The Impact Of Nimart/hiv Training Strategies On the Implemenmentioning

confidence: 99%

Strategies to improve the implementation of nurse-initiated management of antiretroviral therapy (NIMART) training: a systematic review

Mboweni

Makhado

2020

Preprint

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Background Nurse-Initiated Management of Antiretroviral Therapy ( NIMART) training was introduced with the purpose of improving the knowledge, skills and competence of nurses in providing comprehensive quality care to people living with HIV (PLWH) and facilitating World Health Organisation task-shifting where nurses initiate antiretroviral therapy (ART) rather than doctors to meet the increasing demand of ART drugs. The aim of this review was to identify evidence of training strategies that can improve the implementation and deals with challenges that hinder quality. Methods A measurement tool to assess systematic reviews methodological systematic review tool was used to critically assess selected studies. Studies were sought using multiple databases including CINAHL (EBSCO), Google Scholar, ProQuest, academic journals, SA publications, electronic resources and OAISTER published from January 2012 to February 2017. The initial review of studies yielded 535 results excluding duplications. The screening of full-text articles was conducted, and 33 articles met the eligibility criteria and were included for quality assessment. The rest were excluded. The quality assessment research instrument was used to analyse and synthesise selected full-text articles (n=33). Results The studies indicate that NIMART or HIV training is used interchangeably and has the potential to empower nurses with knowledge and skills. It also has a positive impact on increasing ART uptake; however, nurses still lack confidence and competence to provide comprehensive quality patient-centred care. Studies suggest that a shift from the traditional didactics of lectures or slide presentation methods during training to the use of interactive training strategies that stimulate critical thinking in making decisions about HIV care, followed by mentoring and continuous professional development. Conclusion and recommendation This study reveals that the use of effective training techniques during NIMART training has a positive impact on the learning outcomes, implementation and performance of HIV programmes. The health care system should focus on dealing with barriers that negatively influence NIMART implementation. Given the lack of a framework or model related to NIMART or HIV training, the study recommends the development of a conceptual framework to strengthens the implementation of NIMART training.

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“…[ 44 45 ] Similarly, the Afya Bora (Swahili for “Better Health”) Consortium, formed in response to the need for qualified health care leaders, consists of five Africa-US partnerships in Botswana, Kenya, Uganda, Tanzania, and Cameroon. [ 46 ] The consortium works to develop a powerful collaboration by merging and consolidating education, training, and research experiences and resources. A focused mission prepares future global leaders for careers in health care settings to leverage governmental and nongovernmental organizations (NGOs) to transform health care delivery systems to better serve the citizens of LMICs.…”

Section: Low-and-middle-income Country Perspectivementioning

confidence: 99%

“…A focused mission prepares future global leaders for careers in health care settings to leverage governmental and nongovernmental organizations (NGOs) to transform health care delivery systems to better serve the citizens of LMICs. [ 46 ]…”

Section: Low-and-middle-income Country Perspectivementioning

confidence: 99%

A comprehensive framework for international medical programs: A 2017 consensus statement from the American College of Academic International Medicine

Peck

Arquilla

Miller

et al. 2017

Int J Crit Illn Inj Sci

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The American College of Academic International Medicine (ACAIM) represents a group of clinicians who seek to promote clinical, educational, and scientific collaboration in the area of Academic International Medicine (AIM) to address health care disparities and improve patient care and outcomes globally. Significant health care delivery and quality gaps persist between high-income countries (HICs) and low-and-middle-income countries (LMICs). International Medical Programs (IMPs) are an important mechanism for addressing these inequalities. IMPs are international partnerships that primarily use education and training-based interventions to build sustainable clinical capacity. Within this overall context, a comprehensive framework for IMPs (CFIMPs) is needed to assist HICs and LMICs navigate the development of IMPs. The aim of this consensus statement is to highlight best practices and engage the global community in ACAIM's mission. Through this work, we highlight key aspects of IMPs including: (1) the structure; (2) core principles for successful and ethical development; (3) information technology; (4) medical education and training; (5) research and scientific investigation; and (6) program durability. The ultimate goal of current initiatives is to create a foundation upon which ACAIM and other organizations can begin to formalize a truly global network of clinical education/training and care delivery sites, with long-term sustainability as the primary pillar of international inter-institutional collaborations.

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Interprofessional Fellowship Training for Emerging Global Health Leaders in Africa to Improve HIV Prevention and Care: The Afya Bora Consortium

Cited by 18 publications

References 27 publications

Leadership Development of Rehabilitation Professionals in a Low-Resource Country: A Transformational Leadership, Project-Based Model

Leadership Development of Rehabilitation Professionals in a Low-Resource Country: A Transformational Leadership, Project-Based Model

Strategies to improve the implementation of nurse-initiated management of antiretroviral therapy (NIMART) training: a systematic review

A comprehensive framework for international medical programs: A 2017 consensus statement from the American College of Academic International Medicine

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