scholarly journals Training Needs Assessment of Health Care Workers attached to Healthy Lifestyle Centers in Sri Lanka

2021 ◽  
Vol 9 (6) ◽  
pp. 34-41
Author(s):  
Vindya Kumarapeli ◽  
Sinha De Silva ◽  
Uthpala Muhandiram ◽  
Nimani de Lanerolle ◽  
Dhanushka Abeygunathilaka ◽  
...  
Author(s):  
Tumbwene Elieza Mwansisya ◽  
Columba Mbekenga ◽  
Kahabi Isangula ◽  
Loveluck Mwasha ◽  
Eunice Pallangyo ◽  
...  

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.


2021 ◽  
Author(s):  
Columba Mbekenga ◽  
Eunice Pallangyo ◽  
Tumbwene E. Mwansisya ◽  
Kahabi Isangula ◽  
Loveluck Mwasha ◽  
...  

Abstract Background: Healthcare delivery globally and particularly in low-income setting is challenged by multiple, complex and dynamic problems. The reproductive, maternal and newborn health (RMNH) care is among the most affected areas resulting into high maternal and neonatal mortality and morbidity across the Sub Saharan region and Tanzania in particular. However, under-investment in adequate training and capacity development among health care workers (HCWs) is reported worldwide and contributes to the critical shortages, and lack of adequate knowledge and skills among HCWs. The aim of this study was to assess the training needs among HCWs of RMNH care in selected health facilities of Mwanza, Tanzania. Methods: A cross-sectional descriptive and analytic survey using a self- administered questionnaire was conducted in 36 out of 80 health care facilities included in Improving Access to Reproductive, Maternal and Newborn Health in Mwanza, Tanzania (IMPACT) project within the 8 councils of Mwanza region in Tanzania. The training needs assessment (TNA) tool adapted from the Hennessy-Hicks’ Training Needs Assessment Questionnaire (TNAQ) was used for data collection. The HCWs rated on the importance of their task and their current performance of the task. The differences in scores were calculated to identify the greatest training needs.Results: Out of 153 HCWs who responded to the TNA questionnaire, majority were registered (n=62) and enrolled (n=43) nurses. Ninety percent (n= 137) were from government-owned health facilities, mostly from hospitals 68 (45%). Training needs were high in 16 areas (out of 49) including cervical cancer screening and care; accessing research resources; basic and comprehensive emergency obstetric and newborn care; and sexual and gender-based violence. The overall perceived importance of the training needs was significantly associated with perceived performance of tasks related to RMNH services (Pearson Correlation (r) = .256; p <001).Conclusions: The study highlights 16 (out of 49) training gaps as perceived by HCWs in RMNH in Tanzania. The utilization of findings from the TNA has great potential to facilitate designing of effective trainings for local RMNH services delivery hence improve the overall quality of care.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Josaphat Byamugisha ◽  
Ian G. Munabi ◽  
Aloysius G. Mubuuke ◽  
Amos D. Mwaka ◽  
Mike Kagawa ◽  
...  

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 151-151
Author(s):  
Thilini Agampodi ◽  
Neerodha Dharmasoma ◽  
Thushari Dissanayaka ◽  
Iresha Koralagedara ◽  
Janith Warnasekara ◽  
...  

Abstract Objectives The achievements in breastfeeding in Sri Lanka are due to multiple factors and the work of frontline health care workers: public health midwives (PHMs) was crucial. Objective of this study is to explore the strengths and constraints of PHMs in optimizing breastfeeding practices in the Sri Lankan community. Methods We conducted a series of focus group discussions with PHMs in three different areas in Anuradhapura district Sri Lanka. Transcribed data were analyzed thematically to identify the types of strengths and constraints. Results Thirty six PHMs participated in the focus groups conducted. The well-established public health system that introduces and reinforce knowledge and skills on breastfeeding assured that mothers will adhere to the current recommendations on EBF. PHMs agreed on the support given by the hospital labor room, theatres and Lactation Management Center on early initiation and EBF. However, emphasis on attachment to breast rather than discharging a newborn on cup feeding was mentioned. PHMs devotion on establishing proper breastfeeding during the early postpartum home visits, the respect and acceptance of PHM by the mother and the community and the knowledge and skills they possess on breastfeeding counseling were highlighted. Irrational prescription of formula by medical practitioners, negative verbal comments by in-laws and unfavorable attitudes of mothers of high social class were seen as social obstacles to promote EBF. The PHMs seem to work with many barriers which could compromise care provision for mothers and children. Inability to attend for the home visit early due to scheduled work, the increased time needed to spent to counsel mothers and subsequent restriction of the daily duties, high population density and having to cover the vacant areas through out, excessive documentation work were problems needed to be addressed with regard to service enhancement. Conclusions The PHMs role is inevitable and Sri Lanka needs to enhance and facilitate service provision of grass root level health workers to optimize promotion, protection and support for EBF. Funding Sources No funding source.


2008 ◽  
Vol 8 ◽  
pp. 502-506 ◽  
Author(s):  
Kimberly Northrip ◽  
Candice Chen ◽  
Jennifer Marsh

Key informants are individuals with insight into a community or a problem of interest. Our objective was to evaluate the effect of the employment type of key informants on the outcome of a pediatric needs assessment for an urban community. Twenty-one interviews were conducted during the course of a pediatric community needs assessment. As part of the interview, informants were asked to list the top three problems facing children in their community. We analyzed their answers to determine if informant responses differed by employment type. Key informants were divided into four employment types: health care setting, social service, business, and infrastructure. Responses were coded as being primarily one of three types: medical, social, or resource. Our results showed that those informants who worked in a health care setting listed medical problems more often than those who did not (p < 0.04). Those who worked in social services listed resource problems more often than those who did not (p < 0.05). Those in business and infrastructure positions listed more social problems (p < 0.37). No difference was observed in response type between those who had lived in the community at some point and those who had not. This study lends support to the hypothesis that informants’ reporting of community problems is biased by their vocation. Clinicians often focus their needs assessments on health care workers. This study suggests, however, that we need to take into consideration the bias this presents and to seek to interview people with diverse work experiences. By limiting the process to health care workers, clinicians are likely to get a skewed perspective of a community’s needs and wants.


2020 ◽  
Author(s):  
Columba Mbekenga ◽  
Eunice Pallangyo ◽  
Tumbwene Mwansisya ◽  
Kahabi Isangula ◽  
Loveluck Mwasha ◽  
...  

Abstract BackgroundHealthcare delivery globally and particularly in low-income setting is challenged by multiple, complex and dynamic problems. The reproductive, maternal and newborn health (RMNH) care is among the most affected areas resulting into high maternal and neonatal mortality and morbidity across the Sub Saharan region and Tanzania in particular. However, under-investment in adequate education and training of health care providers (HCPs) is reported worldwide and contributes to the critical shortages, and lack of adequate knowledge and skills among HCPs. The aim of this study was to assess the training needs among HCPs of RMNH care in selected health facilities of Mwanza, Tanzania. MethodsA cross-sectional descriptive and analytic survey using a self- administered questionnaire was conducted in 36 out of 80 health care facilities included in the Government of Canada and Aga Khan Foundation Canada funded Improving Access to Reproductive, Maternal and Newborn Health in Mwanza, Tanzania (IMPACT) project within the 8 Councils of Mwanza region in Tanzania. The training needs assessment (TNA) tool adapted from the Hennessy-Hicks’ Training Needs Assessment Questionnaire (TNAQ) instrument was used for data collection. The HCPs provided ratings on the importance of their task and their current performance of the task. The differences in scores were calculated to identify the greatest training needs. ResultsOut of 153 HCPs who responded to the TNA questionnaire, majority were registered (n=62) and enrolled (n=43) nurses. Ninety percent (n= 137) were from government-owned health facilities, mostly from hospitals 68 (45%). Training needs were high in 16 areas (out of 49) including cervical cancer screening and care; accessing research resources; basic and comprehensive emergency obstetric and newborn care; and sexual and gender-based violence. The overall perceived importance of the training needs was significantly associated with perceived performance of tasks related to RMNH services (Pearson Correlation (r) = .256; p <001).ConclusionsThe study highlights 16 (out of 49) training gaps as perceived by HCPs working in RMNH in Tanzania. The utilization of findings from the TNA has great potential to facilitate designing of effective trainings for local RMNH services delivery hence improve the overall quality of care.


Sign in / Sign up

Export Citation Format

Share Document