Assessing the relevance, efficiency, and sustainability of HIV/AIDS in-service training in Nigeria

Human Resources for Health

Stephanie Brantley¹  Margaret Caffrey²  Rebecca Bailey¹  Amanda Puckett¹  Randi Burlew¹ 

[1] CapacityPlus, IntraHealth International Inc, 1776 I Street NW, Suite 650, Washington, DC 20006, USA;Liverpool Associates in Tropical Health, Liverpool, UK

关键词: Health systems strengthening;    HIV/AIDS;    PEPFAR;    Nigeria;    Assessment;    IST;    In-service training;   

Others  :  829422
DOI  :  10.1186/1478-4491-12-20

 received in 2013-11-25, accepted in 2014-03-31,  发布年份 2014

【 摘 要 】

More than three million people in Nigeria are living with HIV/AIDS. In order to reduce the HIV/AIDS burden in Nigeria, the US Government (USG) has dedicated significant resources to combating the epidemic through the President’s Emergency Plan for AIDS Relief (PEPFAR). In-service training (IST) of health workers is one of the most commonly used strategies to improve the quality and coverage of HIV/AIDS services. At USAID/Nigeria’s request, the USAID-funded CapacityPlus project conducted an assessment of PEPFAR-funded IST for all cadres of health workers in Nigeria. Using the IST Improvement Framework, developed by the USAID Applying Sciences to Strengthen and Improve Systems Project (ASSIST), as a guide, the authors developed a survey tool to assess the efficiency, effectiveness and sustainability of IST provided between January 2007 and July 2012 by PEPFAR-funded implementing partners in Nigeria. The instrument was adapted to the Nigerian context and refined through a stakeholder engagement process. It was then distributed via an online platform to more than 50 PEPFAR-funded implementing partners who provided IST in Nigeria. A total of 39 implementing partners completed the survey. Our survey found that PEPFAR implementing partners have been providing a wide range of IST to a diverse group of health workers in Nigeria since 2007. Most trainings are developed using national curricula, manuals and/or other standard operating procedures. Many of the partners are conducting Training Needs Assessments to inform the planning, design and development of their training programs. However, the assessment also pointed to a number of recommendations to increase the efficiency, effectiveness and sustainability of PEPFAR-funded IST. These actions are as follows: improve collaboration and coordination among implementing partners; apply a more diverse and cost-effective set of training modalities; allocate funding specifically for the evaluation of the effectiveness of training; improve links between IST and both continuing professional development and pre-service education; require implementing partners to create sustainability plans to transition training from PEPFAR funding to other funding sources; and develop a training information management system to track key aspects of IST, such as the number and types of providers, courses, and participants of PEPFAR-funded IST.

【 授权许可】

   
2014 Burlew et al.; licensee BioMed Central Ltd.

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