Provision of Adolescent Health Care in Resource-Limited Settings: Perceptions, Practices and Training Needs of Ugandan Health Care Workers

Abstract Background The scale of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among health care workers (HCWs), particularly in resource-limited settings, remains unclear. To address this concern, universal (non-symptom-based) screening of HCWs was piloted to determine the proportion of SARS-CoV-2 infection and the associated epidemiological and clinical risk factors at a large public health care facility in Egypt. Methods Baseline voluntary screening of 4040 HCWs took place between 22 April and 14 May 2020 at 12 hospitals and medical centres in Cairo. Epidemiological and clinical data were collected using an online survey. All participants were tested for SARS-CoV-2 using reverse transcription polymerase chain reaction (RT-PCR) and rapid IgM and IgG serological tests. Results Of the 4040 HCWs screened, 170 [4.2%; 95% confidence interval (CI): 3.6-4.9] tested positive for SARS-CoV-2 by either of the three tests (i.e. infected); 125/170 (73.5%) tested PCR-positive. Most infected HCWs were nurses (97/170, 57.5%). Median age of infected HCWs was 31.5 [interquartile range (IQR): 27.0–41.3] years. Of infected HCWs, 78 (45.9%) reported contact with a suspected case and 47 (27.6%) reported face-to-face contact within 2 m with a confirmed case. The proportion of infection among symptomatic HCWs (n = 54/616) was 8.8% (95% CI: 6.7-11.3); 6/54 (11.1%) had fever ≥38°C and 7/54 (13.0%) reported severe symptoms. Most infected HCWs were asymptomatic (116/170, 68.2%). The proportion of infection among asymptomatic HCWs (n = 116/3424) was 3.4% (95% CI: 2.8-4.0). Conclusions The high rate of asymptomatic infections among HCWs reinforces the need for expanding universal regular testing. The infection rate among symptomatic HCWs in this study is comparable with the national rate detected through symptom-based testing. This suggests that infections among HCWs may reflect community rather than nosocomial transmission during the early phase of the COVID-19 epidemic in Egypt.

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Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Out-of-Hospital Settings: A Consensus Panel Report

Infection Control and Hospital Epidemiology ◽

10.1086/501569 ◽

1999 ◽

Vol 20 (10) ◽

pp. 695-705 ◽

Cited By ~ 28

Author(s):

Candace Friedman ◽

Marcie Barnette ◽

Alfred S. Buck ◽

Rosemary Ham ◽

Jo-Ann Harris ◽

...

Keyword(s):

Health Care ◽

Infection Control ◽

Health Care Workers ◽

Evidence Based ◽

Consensus Panel ◽

Critical Data ◽

Policies And Procedures ◽

Care Workers ◽

Healthcare Epidemiology ◽

And Training

AbstractIn 1997 the Association for Professionals in Infection Control and Epidemiology and the Society for Healthcare Epidemiology of America established a consensus panel to develop recommendations for optimal infrastructure and essential activities of infection control and epidemiology programs in out-of-hospital settings. The following report represents the Consensus Panel's best assessment of requirements for a healthy and effective out-of-hospital-based infection control and epidemiology program. The recommendations fall into 5 categories: managing critical data and information; developing and recommending policies and procedures; intervening directly to prevent infections; educating and training of health care workers, patients, and nonmedical caregivers; and resources. The Consensus Panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by the Clinical Affairs Committee of the Infectious Diseases Society of America and the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee.

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Effect of education and training on patient referral by public primary health care workers in mushin local government area to State general hospitals in Lagos, Nigeria

Nigerian Journal of Medicine ◽

10.4103/1115-2613.278251 ◽

2016 ◽

Vol 25 (1) ◽

pp. 38

Author(s):

Adetunji Labiran ◽

Bayo Onajole ◽

Oladimeji Adebayo ◽

Ifeanyichukwu Obi ◽

PaulWest Okojie ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Local Government ◽

Health Care Workers ◽

Education And Training ◽

General Hospitals ◽

Patient Referral ◽

Primary Health ◽

Care Workers ◽

And Training

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Validation of Training Need Assessment Questionnaire Among Health Care Workers in Reproductive, Maternal and Newborn Health Care in Low-Income Countries

10.21203/rs.3.rs-26276/v1 ◽

2020 ◽

Cited By ~ 1

Author(s):

Tumbwene Elieza Mwansisya ◽

Columba Mbekenga ◽

Kahabi Isangula ◽

Loveluck Mwasha ◽

Eunice Pallangyo ◽

...

Keyword(s):

Health Care ◽

Needs Assessment ◽

Health Care Workers ◽

Health Care Systems ◽

Training Needs ◽

Assessment Tools ◽

Training Needs Assessment ◽

Care Workers ◽

Care Systems ◽

Assessment Questionnaire

Abstract Background: Continuous professional development (CPD) trainings have been reported to enhance health care workers’ knowledge and skills, improve retention and recruitment, improve quality of patient care and reduce patients’ mortality. This calls for validated training needs assessment tools for facilitating the design of effective CPD programs. Methods: A cross-sectional survey was conducted using self-administered questionnaires. The survey involved selected Reproductive, Maternal and Neonatal Health (RMNH) health care workers from 7 hospitals, 12 of 51 health centers and 17 of 292 dispensaries within eight districts of Mwanza Region, Tanzania. The training needs assessment (TNA) tool adapted from the Hennessy-Hicks’ Training Needs Assessment Questionnaire (TNAQ) was used for data collection. Results: A total of 153 healthcare workers participated in this study. The majority of participants were females 83% (127) with average age of 39 years. Nurses formed a majority of participants 76% (n=115) with relatively similar mean duration in service or in RMNH of 7.9 years. The reliability of the adapted TNAQ was found to be 0.954. Relatedly, indexes for construct validity indicated that CFI was equal to 1, Chi-square Mean/Degree of Freedom (CMIN/DF) was equal to 0.000 and Mean Square Error Approximation (RMSEA) was equal to 0.185. Conclusion: The adapted TNAQ appear to be reliable and valid for identifying professional training needs of health care workers in RMNH health care settings. The tool has a considerable level of psychometric properties that makes it suitable for assessing the training needs among health care workers of different cadres. However, the applicability of the TNAQ in the wider health care systems remains unclear. Future studies with a large sample size are required to test the use of TNAQ in wider health care systems and learning opportunities.

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