scholarly journals Strengthening healthcare providers’ capacity for safe abortion and post-abortion care services in humanitarian settings: lessons learned from the clinical outreach refresher training model (S-CORT) in Uganda, Nigeria, and the Democratic Republic of Congo

2020 ◽  
Author(s):  
Nguyen Toan Tran ◽  
Alison Greer ◽  
Talemoh Dah ◽  
Bibiche Malilo ◽  
Bergson Kakule ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Service Providers ◽  
Healthcare Providers ◽  
Building Blocks ◽  
Lessons Learned ◽  
Health Providers ◽  
Safe Abortion ◽  
Humanitarian Settings ◽  
Refresher Training ◽  
Hands On

Abstract BackgroundFragile and crisis-affected countries account for most maternal deaths worldwide, with unsafe abortion being one of its leading causes. This paper aims to describe the Clinical Outreach Refresher Training strategy for sexual and reproductive health (S-CORT) designed to update health providers’ competencies on uterine evacuation using both medications and manual vacuum aspiration. The paper also explores stakeholders’ experiences and recommendations for improvement.MethodsUsing mixed methods, we evaluated three training workshops that piloted the uterine evacuation module in 2019 in humanitarian contexts of Uganda, Nigeria, and the Democratic Republic of Congo.ResultsResults from the workshops converged to suggest that the module contributed to increasing participants’ theoretical knowledge, technical and counseling skills, confidence, and positive attitudinal changes that promote a rights-based, fearless, non-judgmental, and non-discriminatory approach toward clients. Participants valued the hands-on, humanistic, and competency-based training methodology, although most regretted the short training duration. Recommendations to improve the capacity development continuum of uterine evacuation included recruiting the appropriate health cadres for the training; sharing printed pre-reading materials to all participants; sustaining the availability of medication and supplies to offer services to clients after the training; and helping staff through supportive supervision visits to accelerate skills transfer from training to clinic settings.ConclusionsWhen the lack of skilled human resources is a barrier to lifesaving uterine evacuation services in humanitarian settings, the S-CORT strategy could offer a rapid hands-on refresher training opportunity for service providers needing an update in knowledge and skills. Such a capacity-building approach could be useful in humanitarian and fragile settings as well as in development settings with limited resources as part of an overall effort to strengthen other building blocks of the health system.

scholarly journals Strengthening healthcare providers’ capacity for safe abortion and post-abortion care services in humanitarian settings: lessons learned from the clinical outreach refresher training model (S-CORT) in Uganda, Nigeria, and the Democratic Republic of Congo

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Nguyen Toan Tran ◽  
Alison Greer ◽  
Talemoh Dah ◽  
Bibiche Malilo ◽  
Bergson Kakule ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Service Providers ◽  
Democratic Republic Of Congo ◽  
Building Blocks ◽  
Lessons Learned ◽  
Safe Abortion ◽  
Republic Of Congo ◽  
Humanitarian Settings ◽  
Refresher Training ◽  
Hands On

Abstract Background Fragile and crisis-affected countries account for most maternal deaths worldwide, with unsafe abortion being one of its leading causes. This case study aims to describe the Clinical Outreach Refresher Training strategy for sexual and reproductive health (S-CORT) designed to update health providers’ competencies on uterine evacuation using both medications and manual vacuum aspiration. The paper also explores stakeholders’ experiences, recommendations for improvement, and lessons learned. Methods Using mixed methods, we evaluated three training workshops that piloted the uterine evacuation module in 2019 in humanitarian contexts of Uganda, Nigeria, and the Democratic Republic of Congo. Results Results from the workshops converged to suggest that the module contributed to increasing participants’ theoretical knowledge and possibly technical and counseling skills. Equally noteworthy were their confidence building and positive attitudinal changes promoting a rights-based, fearless, non-judgmental, and non-discriminatory approach toward clients. Participants valued the hands-on, humanistic, and competency-based training methodology, although most regretted the short training duration and lack of practice on real clients. Recommendations to improve the capacity development continuum of uterine evacuation included recruiting the appropriate health cadres for the training; sharing printed pre-reading materials to all participants; sustaining the availability of medication and supplies to offer services to clients after the training; and helping staff through supportive supervision visits to accelerate skills transfer from training to clinic settings. Conclusions When the lack of skilled human resources is a barrier to lifesaving uterine evacuation services in humanitarian settings, the S-CORT strategy could offer a rapid hands-on refresher training opportunity for service providers needing an update in knowledge and skills. Such a capacity-building approach could be useful in humanitarian and fragile settings as well as in development settings with limited resources as part of an overall effort to strengthen other building blocks of the health system.

scholarly journals Strengthening healthcare providers’ capacity for safe abortion and post-abortion care services in humanitarian settings: lessons learned from the clinical outreach refresher training model (S-CORT) in Uganda, Nigeria, and the Democratic Republic of Congo

2021 ◽  
Author(s):  
Nguyen Toan Tran ◽  
Alison Greer ◽  
Talemoh Dah ◽  
Bibiche Malilo ◽  
Bergson Kakule ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Service Providers ◽  
Democratic Republic Of Congo ◽  
Building Blocks ◽  
Lessons Learned ◽  
Safe Abortion ◽  
Republic Of Congo ◽  
Humanitarian Settings ◽  
Refresher Training ◽  
Hands On

Abstract Background – Fragile and crisis-affected countries account for most maternal deaths worldwide, with unsafe abortion being one of its leading causes. This case study aims to describe the Clinical Outreach Refresher Training strategy for sexual and reproductive health (S-CORT) designed to update health providers’ competencies on uterine evacuation using both medications and manual vacuum aspiration. The paper also explores stakeholders’ experiences, recommendations for improvement, and lessons learned.Methods – Using mixed methods, we evaluated three training workshops that piloted the uterine evacuation module in 2019 in humanitarian contexts of Uganda, Nigeria, and the Democratic Republic of Congo.Results – Results from the workshops converged to suggest that the module contributed to increasing participants’ theoretical knowledge and possibly technical and counseling skills. Equally noteworthy were their confidence building and positive attitudinal changes promoting a rights-based, fearless, non-judgmental, and non-discriminatory approach toward clients. Participants valued the hands-on, humanistic, and competency-based training methodology, although most regretted the short training duration and lack of practice on real clients. Recommendations to improve the capacity development continuum of uterine evacuation included recruiting the appropriate health cadres for the training; sharing printed pre-reading materials to all participants; sustaining the availability of medication and supplies to offer services to clients after the training; and helping staff through supportive supervision visits to accelerate skills transfer from training to clinic settings.Conclusions – When the lack of skilled human resources is a barrier to lifesaving uterine evacuation services in humanitarian settings, the S-CORT strategy could offer a rapid hands-on refresher training opportunity for service providers needing an update in knowledge and skills. Such a capacity-building approach could be useful in humanitarian and fragile settings as well as in development settings with limited resources as part of an overall effort to strengthen other building blocks of the health system.

Healthcare Information Exchange in Advancing Shared Care Regionally

2010 ◽  
Vol 2 (1) ◽  
pp. 43-58
Author(s):  
Kari Harno
Keyword(s):  
Information Exchange ◽  
Success Factors ◽  
Service Providers ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Lessons Learned ◽  
Public Healthcare ◽  
Healthcare Information ◽  
Hospital District ◽  
Point To Point

Healthcare information exchange (HIE) has been refined from point-to-point messaging to wide-area networks, integrating multiple service providers and transforming the practice and structure of healthcare delivery. The scale and complexity of these information and communication technology (ICT) systems have induced technical, administrative and security challenges that require the roles, relationships and processes in healthcare to be revised in order for the expected change and productivity to be delivered. This article introduces how a federated regional information system was successfully deployed in a Finnish Hospital District and evaluates regional HIE between public healthcare providers. Understanding these principles and critical success factors, that is, the role of stakeholders, governance and financing, is essential for guidance to implement viable cross-organizational information exchange. In this context, ICT not only fulfills the objective of cost containment, but also creates positive impacts on patient care and service quality. The roadmap to a national eHealth network is paved on the premises of these experiences and lessons learned are conceptualized to plans when migrating to a national eHealth network.

Lessons learned from plunging into Web 2.0 tools

2011 ◽  
Vol 10 (1) ◽  
pp. 5-10
Author(s):  
Jo Ann Coco-Ripp, PhD, LRT/CTRS
Keyword(s):  
Service Providers ◽  
Healthcare Providers ◽  
Therapeutic Recreation ◽  
Lessons Learned ◽  
Recreation Therapy ◽  
Self Reflection ◽  
Curriculum Review ◽  
Training Techniques ◽  
Human Service Providers ◽  
Self Confidence

Technological influences will bring change to the practice of recreation therapy as well as the way courses are taught. In the present-day focus on the infusion of technology in many aspects of daily life, health and human service providers are incorporating a variety of technology tools into many facets of service provision and training for college students as well as practicing healthcare providers. Training techniques used by instructors in various healthcare fields suggest that improving an individual’s self-confidence in the practice of targeted techniques and increasing self-reflection or self-analysis skills in a classroom can impact actual practice in the healthcare field. As a result of a curriculum review at one university, revisions were made to one course in the therapeutic recreation major, “Procedures in Therapeutic Recreation.” Lessons learned from implementation of these revisions will be shared.

The 1995 Kikwit Ebola outbreak—Model of virus properties on system capacity and function: A lesson for future viral epidemics

2007 ◽  
Vol 2 (5) ◽  
pp. 270-276 ◽  
Author(s):  
Ryan C.W. Hall, MD ◽  
Richard C.W. Hall, MD
Keyword(s):  
Ebola Virus ◽  
Democratic Republic ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Lessons Learned ◽  
System Capacity ◽  
Voluntary Organizations ◽  
Disease Characteristics ◽  
Republic Of The Congo ◽  
And Function

The 1995 Kikwit Ebola outbreak in the Democratic Republic of the Congo is one of the first Ebola outbreaks to be treated in a hospital setting and is one of the most well-studied Ebola epidemics to have occurred to date. Many of the lessons learned from identifying, containing, and treating the epidemic are applicable to future viral outbreaks. This article looks at the characteristics of the Ebola virus and health system issues, which affected the healthcare providers’ ability to contain and treat the virus. It specifically examines factors such as the disease characteristics, surge capacity, supply issues, press involvement, and the involvement of voluntary organizations.

scholarly journals Understanding the structure of a country’s health service providers for defence health engagement

2020 ◽  
pp. bmjmilitary-2020-001502
Author(s):  
Martin Bricknell ◽  
S Hinrichs-Krapels ◽  
S Ismail ◽  
R Sullivan
Keyword(s):  
Health Service ◽  
Health Systems ◽  
Service Providers ◽  
Building Blocks ◽  
Crisis Response ◽  
Health Systems Strengthening ◽  
Health Providers ◽  
Healthcare Provision ◽  
Holistic View ◽  
Health Service Providers

There are a variety of structural and systems frameworks for describing the building blocks of country’s public health and health systems. In this paper, we propose a conceptual framework for a holistic view of a country’s health service providers in order to inform the plan for Defence Health Engagement activities with partner countries. This includes all potential government ministries involved in healthcare provision, the independent, private sector and the non-government organisation/charity sector. The framework provides a visualisation to support the analysis of a country’s health services providers. We propose that recognising and analysing the different contributions of all these national health providers is essential for understanding the wider political economy of a nation’s health systems. This can inform a plan of Defence Health Engagement for capacity building in crisis response, development and health systems strengthening.

scholarly journals 22.F. Workshop: What makes for resilient health systems? Evidence from the State of Health in the EU country profiles

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Health System ◽  
Health Systems ◽  
Building Blocks ◽  
The State ◽  
Lessons Learned ◽  
Three Dimensions ◽  
Health System Strengthening ◽  
New Work ◽  
State Of Health ◽  
The Eu

Abstract The European Commission's State of Health in the EU (SoHEU) initiative aims to provide factual, comparative data and insights into health and health systems in EU countries. The resulting Country Health Profiles, published every two years (current editions: November 2019) are the joint work of the European Observatory on Health Systems and Policies and the OECD, in cooperation with the European Commission. They are designed to support the efforts of Member States in their evidence-based policy making and to contribute to health care systems' strengthening. In addition to short syntheses of population health status, determinants of health and the organisation of the health system, the Country Profiles provide an assessment of the health system, looking at its effectiveness, accessibility and resilience. The idea of resilient health systems has been gaining traction among policy makers. The framework developed for the Country Profiles template sets out three dimensions and associated policy strategies and indicators as building blocks for assessing resilience. The framework adopts a broader definition of resilience, covering the ability to respond to extreme shocks as well as measures to address more predictable and chronic health system strains, such as population ageing or multimorbidity. However, the current framework predates the onset of the novel coronavirus pandemic as well as new work on resilience being done by the SoHEU project partners. This workshop aims to present resilience-enhancing strategies and challenges to a wide audience and to explore how using the evidence from the Country Profiles can contribute to strengthening health systems and improving their performance. A brief introduction on the SoHEU initiative will be followed by the main presentation on the analytical framework on resilience used for the Country Profiles. Along with country examples, we will present the wider results of an audit of the most common health system resilience strategies and challenges emerging from the 30 Country Profiles in 2019. A roundtable discussion will follow, incorporating audience contributions online. The Panel will discuss the results on resilience actions from the 2019 Country Profiles evidence, including: Why is resilience important as a practical objective and how is it related to health system strengthening and performance? How can countries use their resilience-related findings to steer national reform efforts? In addition, panellists will outline how lessons learned from country responses to the Covid-19 pandemic and new work on resilience by the Observatory (resilience policy briefs), OECD (2020 Health at a Glance) and the EC (Expert Group on Health Systems Performance Assessment (HSPA) Report on Resilience) can feed in and improve the resilience framework that will be used in the 2021 Country Profiles. Key messages Knowing what makes health systems resilient can improve their performance and ability to meet the current and future needs of their populations. The State of Health in the EU country profiles generate EU-wide evidence on the common resilience challenges facing countries’ health systems and the strategies being employed to address them.

Evaluating a Functional Family Therapy Intervention: Challenges and Lessons Learned

2021 ◽  
pp. 104973152098560 ◽  
Author(s):  
Katarzyna Celinska
Keyword(s):  
Family Therapy ◽  
Service Providers ◽  
Evaluation Research ◽  
Evaluation Process ◽  
Outcome Evaluation ◽  
Lessons Learned ◽  
Functional Family Therapy ◽  
Functional Family ◽  
Family Based

Purpose: This case study is the introspective account of the evaluation process of Functional Family Therapy (FFT) as implemented in Middlesex County in New Jersey between 2005 and 2011. The study presents challenges and issues in evaluation falling into three main categories. Methods: The case study is based on the recollections and documented experiences of the author who was responsible for all major aspects of the evaluation including designing the study, collecting the data, and handling daily evaluation activities. Results: The author differentiated among three main categories of challenges. In respect to research design, the relative merits of experimental versus nonexperimental designs and quantitative versus qualitative research methods are discussed. The second set of issues involves developing and exercising the social competence skills necessary to form working partnerships with service providers. The third set encompasses logistical barriers encountered during daily evaluation activities. Conclusions: The challenges and lessons learned from conducting the outcome evaluation of FFT are situated within scholarly debates on evaluation research, with the goal of providing further insights into the on-the-ground implementation and process of program evaluations. The experiences, recollections and processes illustrate challenges and solutions applicable to evaluations of other family-based violence prevention interventions.

scholarly journals Establishing a postgraduate programme in nutritional epidemiology to strengthen resource capacity, academic leadership and research in the democratic republic of Congo

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mapatano Mala Ali ◽  
Lyn Haskins ◽  
Vaughn John ◽  
Anne Hatløy ◽  
Silondile Luthuli ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Lessons Learned ◽  
Academic Leadership ◽  
Nutritional Epidemiology ◽  
Rural Site ◽  
Educational Approach ◽  
Financial Barriers ◽  
Republic Of Congo ◽  
Health And Nutrition

Abstract Background Low- and Middle-income countries (LMIC) face considerable health and nutrition challenges, many of which can be addressed through strong academic leadership and robust research translated into evidence-based practice. A North-South-South partnership between three universities was established to implement a master’s programme in nutritional epidemiology at the Kinshasa School of Public Health (KSPH), Democratic Republic of Congo (DRC). The partnership aimed to develop academic leadership and research capacity in the field of nutrition in the DRC. In this article we describe the educational approach and processes used, and discuss successes, challenges, and lessons learned. Methods Self-administered questionnaires, which included both open and closed questions, were sent to all graduates and students on the master’s programme to explore students’ experiences and perceptions of all aspects of the educational programme. Quantitative data was analysed using frequencies, and a thematic approach was used to analyse responses to open-ended questions. Results A two-year master’s programme in Nutritional Epidemiology was established in 2014, and 40 students had graduated by 2020. Key elements included using principles of authentic learning, deployment of students for an internship at a rural residential research site, and support of selected students with bursaries. Academic staff from all partner universities participated in teaching and research supervision. The curriculum and teaching approach were well received by most students, although a number of challenges were identified. Most students reported benefits from the rural internship experience but were challenged by the isolation of the rural site, and felt unsupported by their supervisors, undermining students’ experiences and potentially the quality of the research. Financial barriers were also reported as challenges by students, even among those who received bursaries. Conclusion The partnership was successful in establishing a Master Programme in Nutritional Epidemiology increasing the number of nutrition researchers in the DRC. This approach could be used in other LMIC settings to address health and nutrition challenges.

scholarly journals Moving through Motherhood: Involving the Public in Research to Inform Physical Activity Promotion throughout Pregnancy and Beyond

2021 ◽  
Vol 18 (9) ◽  
pp. 4482
Author(s):  
Victoria E. Salmon ◽  
Lauren R. Rodgers ◽  
Peter Rouse ◽  
Oli Williams ◽  
Emma Cockcroft ◽  
...  
Keyword(s):  
Physical Activity ◽  
Public Involvement ◽  
Service Providers ◽  
Physical Activity Promotion ◽  
Resource Development ◽  
Physical Activity Behaviour ◽  
Patient And Public Involvement ◽  
Lessons Learned ◽  
Activity Promotion ◽  
Development Outcomes

Information received by women regarding physical activity during and after pregnancy often lacks clarity and may be conflicting and confusing. Without clear, engaging, accessible guidance centred on the experiences of pregnancy and parenting, the benefits of physical activity can be lost. We describe a collaborative process to inform the design of evidence-based, user-centred physical activity resources which reflect diverse experiences of pregnancy and early parenthood. Two iterative, collaborative phases involving patient and public involvement (PPI) workshops, a scoping survey (n = 553) and stakeholder events engaged women and maternity, policy and physical activity stakeholders to inform pilot resource development. These activities shaped understanding of challenges experienced by maternity and physical activity service providers, pregnant women and new mothers in relation to supporting physical activity. Working collaboratively with women and stakeholders, we co-designed pilot resources and identified important considerations for future resource development. Outcomes and lessons learned from this process will inform further work to support physical activity during pregnancy and beyond, but also wider health research where such collaborative approaches are important. We hope that drawing on our experiences and sharing outcomes from this work provide useful information for researchers, healthcare professionals, policy makers and those involved in supporting physical activity behaviour.

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