Non-communicable disease training for public health workers in low- and middle-income countries: lessons learned from a pilot training in Tanzania

Davila, Evelyn P.; Suleiman, Zubeda; Mghamba, Janneth; Rolle, Italia; Ahluwalia, Indu B.; Mmbuji, Peter; Courten, Maximilian de; Bader, Andrea; Zahniser, S. Christine; Krag, Marlene; Jarrar, Bassam

doi:10.1093/inthealth/ihu090

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…In Mozambique, after the implementation of a partnership program with the UK government, there was a significant improvement in the capacity of the healthcare workers for managing diabetes [ 42 ] and some studies have documented improvements in glucose control with patients living in areas where task shifting have been implemented [ 23 ]. A training program in Tanzania [ 63 ] successfully resulted in the elaboration of diabetes educational materials for patients, and a task shifting program with nurses in Kenya [ 64 ] showed nurses were capable of adhering to protocols and guidelines for diabetes care. An intervention in South Africa capacitating primary healthcare workers in identifying signs of diabetes and providing appropriate referral not only had an impact in this healthcare workers' knowledge but also improved early detection and referral for high risk, poorly controlled patients [ 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…The studies included in this systematic review had some limitations, as mentioned by their authors. These limitations include low number of participants [ 28 , 43 , 63 , 65 – 67 , 73 ], participants and centers not representative sample of the studied country [ 25 , 29 , 40 , 45 , 53 , 54 ]. Other studies reported high loss to follow-up [ 27 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

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Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Nuche-Berenguer

Kupfer

2018

Journal of Diabetes Research

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Background Effective health systems are needed to care for the coming surge of diabetics in sub-Saharan Africa (SSA). Objective We conducted a systematic review of literature to determine the capacity of SSA health systems to manage diabetes. Methodology We used three different databases (Embase, Scopus, and PubMed) to search for studies, published from 2004 to 2017, on diabetes care in SSA. Results Fifty-five articles met the inclusion criteria, covering the different aspects related to diabetes care such as availability of drugs and diagnostic tools, the capacity of healthcare workers, and the integration of diabetes care into HIV and TB platforms. Conclusion Although chronic care health systems in SSA have developed significantly in the last decade, the capacity for managing diabetes remains in its infancy. We identified pilot projects to enhance these capacities. The scale-up of these pilot interventions and the integration of diabetes care into existing robust chronic disease platforms may be a feasible approach to begin to tackle the upcoming pandemic in diabetes. Nonetheless, much more work needs to be done to address the health system-wide deficiencies in diabetes care. More research is also needed to determine how to integrate diabetes care into the healthcare system in SSA.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Nuche-Berenguer

Kupfer

2018

Journal of Diabetes Research

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“…Thirteen studies assessing the domains of self-efficacy or confidence were applied to strengthen leadership, managerial or teaching capacity [39][40][41][42]; working with patients [43][44][45][46]; and for the provision of care, such as treatment for non-communicable disease [47], anti-retroviral therapy [45], and providing mental health care [48][49][50][51], a topic which has become prevalent in more recent years.…”

Section: Objective 1: Domains Of Capacity Strengtheningmentioning

confidence: 99%

What do we mean by individual capacity strengthening for primary health care in low- and middle-income countries? A systematic scoping review to improve conceptual clarity

et al. 2021

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Background Capacity strengthening of primary health care workers is widely used as a means to strengthen health service delivery, particularly in low- and middle-income countries. Despite the widespread recognition of the importance of capacity strengthening to improve access to quality health care, how the term ‘capacity strengthening’ is both used and measured varies substantially across the literature. This scoping review sought to identify the most common domains of individual capacity strengthening, as well as their most common forms of measurement, to generate a better understanding of what is meant by the term ‘capacity strengthening’ for primary health care workers. Methods Six electronic databases were searched for studies published between January 2000 and October 2020. A total of 4474 articles were screened at title and abstract phase and 323 full-text articles were reviewed. 55 articles were ultimately identified for inclusion, covering various geographic settings and health topics. Results Capacity strengthening is predominantly conceptualised in relation to knowledge and skills, as either sole domains of capacity, or used in combination with other domains including self-efficacy, practices, ability, and competencies. Capacity strengthening is primarily measured using pre- and post-tests, practical evaluations, and observation. These occur along study-specific indicators, though some pre-existing, validated tools are also used. Conclusion The concept of capacity strengthening for primary health care workers reflected across a number of relevant frameworks and theories differs from what is commonly seen in practice. A framework of individual capacity strengthening across intra-personal, inter-personal, and technical domains is proposed, as an initial step towards building a common consensus of individual capacity strengthening for future work.

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“…Wong dan Wong (2015) proves that most of the challenges in evaluation at this level 3 stage are due to internal and external factors. In addition, related to level 3 evaluation results, it needs external support such as u ' u , O u problems, the most commonly reported of self-motivated motivation in improving performance, and selfefficacy which is their belief in their ability to perform the tasks or actions necessary to achieve the outcome of the training in workplace (Davila,et al, 2015). It means that statement given by the trainee (participants) hence also obtained another conclusion that is related to the inherent elements from inside the employee which is personality character (internal) and supporting facility (external).…”

Section: Journal Of Educational and Learning Studiesmentioning

confidence: 99%

The evaluation of effectiveness on education and training program

Alsyaibany

2019

JELS

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This research aims to evaluate an education and training program in a government institution, specifically in PNT Education and Training Program of Bauxite Ore in West Borneo which is conducted every year by Pusdiklat MINERBA Bandung, Indonesia. The research purpose is to describe the effectiveness of the existing education and training program (Diklat) so that it could be improved to complete the implementation of similar programs in the future. Specifically, this research focused on measuring level of effectiveness from three aspects, which includes the reaction, learning, and potential behavioural changes aspect. The data was collected by using quantitative approach with descriptive evaluative method. There were 15 participants involved in this research. The result showed that the reaction level of participant toward the Diklat program was quite effective (63.39%). This aspect has a quite significant achievement in that there was a positive attitude of most of the participants in implementing the result of the program in workplace. Learning level of the participant increased with x ̅= 0.42 based on the pre-test and post-test result, while the measurement of potential behaviour changes level showed that the average score of participants' belief could be classified into high level (74%). In conclusion, the program had been conducted well and could be classified into effective level category.

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Non-communicable disease training for public health workers in low- and middle-income countries: lessons learned from a pilot training in Tanzania

Cited by 14 publications

References 17 publications

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

Readiness of Sub-Saharan Africa Healthcare Systems for the New Pandemic, Diabetes: A Systematic Review

What do we mean by individual capacity strengthening for primary health care in low- and middle-income countries? A systematic scoping review to improve conceptual clarity

The evaluation of effectiveness on education and training program

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