Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study
Objective To assess the impact of an interprofessional case-based training programme to enhance clinical knowledge and confidence among clinicians working in high HIV-burden settings in sub-Saharan Africa (SSA).Setting Health professions training institutions and their affiliated clinical training s...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e060079.full |
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| author | Jehan Z Budak Ian Couper Michael Reid Deborah von Zinkernagel Elsie Kiguli-Malwadde Maeve Forster Shayanne Martin Evelyn Chilemba Keneilwe Motlhatlhedi Jessica Celentano Clara Haruzivishe David Sears Judy N. Khanyola Mmoloki Molwantwa Fred Semitala Marietjie de Villiers Abigail Kazembe |
| author_facet | Jehan Z Budak Ian Couper Michael Reid Deborah von Zinkernagel Elsie Kiguli-Malwadde Maeve Forster Shayanne Martin Evelyn Chilemba Keneilwe Motlhatlhedi Jessica Celentano Clara Haruzivishe David Sears Judy N. Khanyola Mmoloki Molwantwa Fred Semitala Marietjie de Villiers Abigail Kazembe |
| author_sort | Jehan Z Budak |
| collection | DOAJ |
| description | Objective To assess the impact of an interprofessional case-based training programme to enhance clinical knowledge and confidence among clinicians working in high HIV-burden settings in sub-Saharan Africa (SSA).Setting Health professions training institutions and their affiliated clinical training sites in 12 high HIV-burden countries in SSA.Participants Cohort comprising preservice and in-service learners, from diverse health professions, engaged in HIV service delivery.Intervention A standardised, interprofessional, case-based curriculum designed to enhance HIV clinical competency, implemented between October 2019 and April 2020.Main outcome measures The primary outcomes measured were knowledge and clinical confidence related to topics addressed in the curriculum. These outcomes were assessed using a standardised online assessment, completed before and after course completion. A secondary outcome was knowledge retention at least 6 months postintervention, measured using the same standardised assessment, 6 months after training completion. We also sought to determine what lessons could be learnt from this training programme to inform interprofessional training in other contexts.Results Data from 3027 learners were collected: together nurses (n=1145, 37.9%) and physicians (n=902, 29.8%) constituted the majority of participants; 58.1% were preservice learners (n=1755) and 24.1% (n=727) had graduated from training within the prior year. Knowledge scores were significantly higher, postparticipation compared with preparticipation, across all content domains, regardless of training level and cadre (all p<0.05). Among 188 learners (6.2%) who retook the test at >6 months, knowledge and self-reported confidence scores were greater compared with precourse scores (all p<0.05).Conclusion To our knowledge, this is the largest interprofessional, multicountry training programme established to improve HIV knowledge and clinical confidence among healthcare professional workers in SSA. The findings are notable given the size and geographical reach and demonstration of sustained confidence and knowledge retention post course completion. The findings highlight the utility of interprofessional approaches to enhance clinical training in SSA. |
| format | Article |
| id | doaj-art-476822e9999842409bdc331fb5abdbaf |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-476822e9999842409bdc331fb5abdbaf2025-01-31T11:25:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-060079Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort studyJehan Z Budak0Ian Couper1Michael Reid2Deborah von Zinkernagel3Elsie Kiguli-Malwadde4Maeve Forster5Shayanne Martin6Evelyn Chilemba7Keneilwe Motlhatlhedi8Jessica Celentano9Clara Haruzivishe10David Sears11Judy N. Khanyola12Mmoloki Molwantwa13Fred Semitala14Marietjie de Villiers15Abigail Kazembe16Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington Seattle Campus, Seattle, Washington, USAUkwanda Centre for Rural Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South AfricaMedicine, UCSF, San Francisco, California, USAInstitute of Global Health Sciences, UCSF, San Francisco, California, USADirector of Health Workforce and Development, African Centre for Global Health and Social Transformation, Kampala, UgandaInstitute of Global Health Sciences, UCSF, San Francisco, California, USAInstitute of Global Health Sciences, UCSF, San Francisco, California, USACollege of Nursing, Kamuzu University of Health Sciences, Kamuzu, MalawiFaculty of Medicine, University of Botswana Faculty of Health Sciences, Gaborone, Gaborone, BotswanaInstitute of Global Health Sciences, UCSF, San Francisco, California, USAFaculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Harare, ZimbabweMedicine, UCSF, San Francisco, California, USASchool of Nursing, University of Global Health Equity, Kigali, Gasabo, RwandaFaculty of Medicine, University of Botswana Faculty of Health Sciences, Gaborone, Gaborone, BotswanaDepartment of Internal Medicine, Makerere University College of Health Sciences, Kampala, UgandaDivision of Family Medicine and Primary Care, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South AfricaCollege of Nursing, Kamuzu University of Health Sciences, Kamuzu, MalawiObjective To assess the impact of an interprofessional case-based training programme to enhance clinical knowledge and confidence among clinicians working in high HIV-burden settings in sub-Saharan Africa (SSA).Setting Health professions training institutions and their affiliated clinical training sites in 12 high HIV-burden countries in SSA.Participants Cohort comprising preservice and in-service learners, from diverse health professions, engaged in HIV service delivery.Intervention A standardised, interprofessional, case-based curriculum designed to enhance HIV clinical competency, implemented between October 2019 and April 2020.Main outcome measures The primary outcomes measured were knowledge and clinical confidence related to topics addressed in the curriculum. These outcomes were assessed using a standardised online assessment, completed before and after course completion. A secondary outcome was knowledge retention at least 6 months postintervention, measured using the same standardised assessment, 6 months after training completion. We also sought to determine what lessons could be learnt from this training programme to inform interprofessional training in other contexts.Results Data from 3027 learners were collected: together nurses (n=1145, 37.9%) and physicians (n=902, 29.8%) constituted the majority of participants; 58.1% were preservice learners (n=1755) and 24.1% (n=727) had graduated from training within the prior year. Knowledge scores were significantly higher, postparticipation compared with preparticipation, across all content domains, regardless of training level and cadre (all p<0.05). Among 188 learners (6.2%) who retook the test at >6 months, knowledge and self-reported confidence scores were greater compared with precourse scores (all p<0.05).Conclusion To our knowledge, this is the largest interprofessional, multicountry training programme established to improve HIV knowledge and clinical confidence among healthcare professional workers in SSA. The findings are notable given the size and geographical reach and demonstration of sustained confidence and knowledge retention post course completion. The findings highlight the utility of interprofessional approaches to enhance clinical training in SSA.https://bmjopen.bmj.com/content/12/7/e060079.full |
| spellingShingle | Jehan Z Budak Ian Couper Michael Reid Deborah von Zinkernagel Elsie Kiguli-Malwadde Maeve Forster Shayanne Martin Evelyn Chilemba Keneilwe Motlhatlhedi Jessica Celentano Clara Haruzivishe David Sears Judy N. Khanyola Mmoloki Molwantwa Fred Semitala Marietjie de Villiers Abigail Kazembe Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study BMJ Open |
| title | Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study |
| title_full | Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study |
| title_fullStr | Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study |
| title_full_unstemmed | Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study |
| title_short | Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study |
| title_sort | evaluating the impact of a multicountry interprofessional training programme to improve hiv knowledge and clinical confidence among healthcare workers in sub saharan africa a cohort study |
| url | https://bmjopen.bmj.com/content/12/7/e060079.full |
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