Training for Health Professionals

卫生专业人员培训

基本信息

批准号：
10242619
负责人：
Dickson Ally Mkoka
金额：
$ 51.56万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-15 至 2023-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10242619
关键词：
Address Adopted Advocate Africa Africa South of the Sahara African Allied Health Sciences Attitude Blinded Child Christianity Clinic Clinical Skills Communication Communities Community Health Counseling Country Development Diagnosis Discipline Discipline of Nursing Discrimination Education Educational Curriculum Educational process of instructing Ensure Environment Epidemic Evaluation Faculty Focus Groups Forcible intercourse Functional disorder Government HIV/STD Health Health Occupations Health Personnel Health Professional Health Services Health education Healthcare Homosexuality Indigenous Individual Intervention Intervention Trial Interview Knowledge Language Lesbian Gay Bisexual Transgender Marriage Masturbation Measures Medical Midwife Midwifery Modeling Morbidity - disease rate Muslim religion Needs Assessment Nurse Midwives Nurses Outcome Pan American Health Organization Participant Patients Persons Plant Roots Policies Population Pre-Post Tests Pregnancy in Adolescence Primary Health Care Randomized Randomized Controlled Trials Recording of previous events Religion Reproductive Health Research Risk Reduction Safe Sex Science Sex Education Sexual Dysfunction Sexual Health Sexuality Standardization Stigmatization Structure Students Surgeon Tanzania Teenagers Testing Trainers Training Training Training Programs Training and Education Tribes Universities Unwanted pregnancy Waiting Lists Wife Woman Writing Youth abortion arm base boys care delivery effectiveness evaluation evidence base female genital cutting follow-up girls health care delivery health communication health knowledge health training high risk improved informant intervention effect men men who have sex with men mortality provider behavior reproductive routine care secondary analysis sex sexual assault sexual minority sexual violence single-blind trial skill acquisition skills skills training social statistics unintended pregnancy

项目摘要

ABSTRACT As documented in the US Surgeon General's Call to Action to Promote Sexual Health and Responsible Sexual Behavior, training of health providers in sexual health care is critical to addressing a broad array of the nation's sexual and reproductive health concerns. Yet rigorous trials evaluating the effects of sexual health curricula on provider behavior are rare. In sub-Saharan Africa, an environment which has the highest rates of HIV, STI, teen pregnancy, unwanted pregnancy, unsafe abortion, child marriage of girls and sexual assault of boys in the world, and where female genital cutting, wife-beating, marital rape, criminalization of homosexuality, stigmatization of Lesbian, Gay, Bisexual and Transgender (LGBT) persons, myths about masturbation leading to dysfunction, and rates of sexual dysfunction in both men and women are common, we could find no formalized training of health providers in sexual health care. Sexual health education, even of health providers, is a sensitive issue in Africa. Consequently, a rigorous study of its effects is needed, if such education is to be widely adopted. Recently, at Muhimbili University of Health and Allied Sciences (MUHAS) in Dar es Salaam, we adapted a PAHO/WHO sexual health curriculum training for healthcare providers for implementation in Tanzania. Participants were 87 nursing, midwifery, and allied health science students. Pre-post evaluations show the curriculum to be highly acceptable, needed, and desired by students, feasible in implementation, and effective in improving student knowledge, attitudes, and skills in providing sexual health care to patients. The logical next step in this line of research is to conduct the first rigorous trial of a comprehensive sexual health training curriculum for health professionals in Tanzania. There are three specific aims. Aim 1 is to conduct a social ecological needs assessment of sexual health care delivery in Tanzania. To determine whether midwifery, nursing, medical, and allied health science students would benefit from one curriculum or separate curricula tailored by discipline, we will conduct focus groups (3 from each discipline). We will also conduct individual interviews with key informants to address structural and cultural issues. In Aim 2, we will further adapt our curriculum, ensure it is culturally tailored to the Tanzanian/sub-Saharan context, and pilot test it. Aim 3 is to evaluate the effectiveness of an African-based, culturally-appropriate, sexual health curriculum. We will conduct a randomized, controlled, single blinded trial of the curriculum against a waitlist control assessing effects on sexual health knowledge, attitudes, and counseling skills (n=206 students per arm; 412 in total). Hypotheses will test if the curriculum is effective, and whether it is more effective for one discipline than another. If effective, MUHAS has committed to implement the curriculum for all their health students. Given MUHAS is preeminent in health student education across Africa, the curriculum assessed in this study has high potential to be widely adopted as a new standard of training for health professionals across Africa.

抽象的正如美国外科医生的行动呼吁中所记录的，以促进性健康和负责任的性行为行为，对性医疗保健中卫生提供者的培训对于解决全国各地性健康问题。然而严格的试验评估了性健康课程对提供者的行为很少。在撒哈拉以南非洲，一个艾滋病毒率最高的环境青少年怀孕，不必要的怀孕，不安全的流产，女孩的童婚以及男孩的性侵犯世界，以及女性生殖器切割，谋杀妻子，婚姻强奸，同性恋犯罪的地方，女同性恋，同性恋，双性恋和变性者（LGBT）的污名化，关于手淫的神话对于男人和女人的功能障碍和性功能障碍的发生率很常见，我们找不到对性医疗保健中卫生提供者的正式培训。性健康教育，甚至是健康提供者，在非洲是一个敏感的问题。因此，需要对其影响进行严格研究，如果要进行此类教育广泛采用。最近，在达累斯萨拉姆的穆希比利卫生大学和盟军科学（Muhas）我们改编了一项针对医疗保健提供者的性健康课程培训的PAHO/WHO/WHO/WHO。坦桑尼亚。参与者是87名护理，助产士和联盟健康科学专业的学生。前评估向学生展示课程是可以接受的，需要和需要的，可行的实施以及有效地改善学生知识，态度和技能，以向患者提供性保健。这这一研究的逻辑下一步是进行全面性健康的首次严格试验为坦桑尼亚的卫生专业人员培训课程。有三个特定的目标。目标1是进行坦桑尼亚性保健提供的社会生态需求评估。确定是否助产士，护理，医学和联盟健康科学专业的学生将从一门课程或独立的通过学科量身定制的课程，我们将进行焦点小组（每个学科的3个）。我们还将进行与主要线人的个人访谈以解决结构和文化问题。在AIM 2中，我们将进一步适应我们的课程，确保其在坦桑尼亚/撒哈拉以下背景下对其进行文化量身定制，并试点对其进行测试。目的 3是为了评估基于非洲的，具有文化健康的性健康课程的有效性。我们将进行课程的随机，受控，单盲试验，以评估候补名单控制对性健康知识，态度和咨询技能的影响（n = 206名学生；总共412名）。假设将测试课程是否有效，以及对一学科的有效性是否比其他。如果有效，Muhas已致力于为所有健康学生实施课程。给出 Muhas在整个非洲的卫生学生教育方面都是杰出的，本研究中评估的课程广泛被广泛通过作为非洲卫生专业人员的新培训标准的高潜力。