Assessing the relevance, efficiency, and sustainability of HIV/AIDS in-service training in Nigeria
Assessing the relevance, efficiency, and sustainability of HIV/AIDS in-service training in Nigeria
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DOI：
10.1186/1478-4491-12-20
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发表时间：
2014-04-17
影响因子：
4.5
通讯作者：
Brantley, Stephanie
中科院分区：
文献类型：
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作者：
Burlew, Randi;Puckett, Amanda;Brantley, Stephanie
尼日利亚有超过三百万人感染艾滋病毒/艾滋病。为了减轻尼日利亚的艾滋病毒/艾滋病负担，美国政府（USG）通过总统艾滋病紧急救援计划（PEPFAR）投入了大量资源来抗击这一流行病。卫生工作者的在职培训（IST）是提高艾滋病毒/艾滋病服务质量和覆盖面的最常用策略之一。应美国国际开发署/尼日利亚的要求，美国国际开发署资助的CapacityPlus项目对尼日利亚所有卫生工作者干部的PEPFAR资助的IST进行了评估。作者以美国国际开发署应用科学加强和改进系统项目 (ASSIST) 开发的 IST 改进框架为指导，开发了一个调查工具来评估由 PEPFAR 资助的尼日利亚执行伙伴在 2007 年 1 月至 2012 年 7 月期间提供的 IST 的效率、有效性和可持续性。该文书根据尼日利亚国情进行了调整，并通过利益相关者参与过程进行了完善。然后通过在线平台将其分发给 50 多个由 PEPFAR 资助的在尼日利亚提供 IST 的实施合作伙伴。共有 39 个执行伙伴完成了调查。我们的调查发现，自 2007 年以来，PEPFAR 实施伙伴一直在向尼日利亚不同群体的卫生工作者提供广泛的 IST。大多数培训都是根据国家课程、手册和/或其他标准操作程序制定的。许多合作伙伴正在进行培训需求评估，为培训计划的规划、设计和开发提供信息。然而，评估还提出了一些建议，以提高PEPFAR资助的IST的效率、有效性和可持续性。这些行动如下： 改善执行伙伴之间的协作与协调；采用更加多样化和更具成本效益的培训方式；专门分配资金用于评估培训效果；改善 IST 与持续专业发展和职前教育之间的联系；要求实施伙伴制定可持续发展计划，将培训从总统紧急救援计划资金转移到其他资金来源；开发培训信息管理系统来跟踪 IST 的关键方面，例如 PEPFAR 资助的 IST 的提供者、课程和参与者的数量和类型。
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.