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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Sodhi, Sumeet Banda, Hastings Kathyola, Damson Joshua, Martias Richardson, Faye Mah, Emmay MacGregor, Hayley Kanike, Emmanuel Thompson, Sandy Fairall, Lara Bateman, Eric Zwarenstein, Merrick Schull, Michael J |
| Abstract | Background The government of Malawi is committed to the broad rollout of antiretroviral treatment in Malawi in the public health sector; however one of the primary challenges has been the shortage of trained health care workers. The Practical Approach to Lung Health Plus HIV/AIDS in Malawi (PALM PLUS) package is an innovative guideline and training intervention that supports primary care middle-cadre health care workers to provide front-line integrated primary care. The purpose of this paper is to describe the lessons learned in implementing the PALM PLUS package. Methods A clinical tool, based on algorithm- and symptom-based guidelines was adapted to the Malawian context. An accompanying training program based on educational outreach principles was developed and a cascade training approach was used for implementation of the PALM PLUS package in 30 health centres, targeting clinical officers, medical assistants, and nurses. Lessons learned were identified during program implementation through engagement with collaborating partners and program participants and review of program evaluation findings. Results Key lessons learned for successful program implementation of the PALM PLUS package include the importance of building networks for peer-based support, ensuring adequate training capacity, making linkages with continuing professional development accreditation and providing modest in-service training budgets. The main limiting factors to implementation were turnover of staff and desire for financial training allowances. Conclusions The PALM PLUS approach is a potential model for supporting mid-level health care workers to provide front-line integrated primary care in low and middle income countries, and may be useful for future task-shifting initiatives. |
| Related Links | https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-14-S1-S8.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14726963 |
| DOI | 10.1186/1472-6963-14-S1-S8 |
| Journal | BMC Health Services Research |
| Issue Number | 1 |
| Volume Number | 14 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2014-05-12 |
| Access Restriction | Open |
| Subject Keyword | Public Health Health Administration Health Informatics Nursing Research training educational outreach task-shifting continuing professional development antiretroviral treatment integrated primary care nurses clinical officers medical assistants health surveillance assistants guideline train-the-trainer south-south collaboration formation sensibilisation délégation de tâches formation continue soins primaires intégrés personnel infirmier personnel clinique auxiliaires médicaux adjoints à la surveillance sanitaire lignes directrices formation des formateurs collaboration Sud-Sud |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
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