Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda

<p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p< Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Namagala Elizabeth [verfasserIn] Lule Frank [verfasserIn] Kaye Richard [verfasserIn] Sebuyira Lydia [verfasserIn] Oyugi Jessica H [verfasserIn] Weaver Marcia R [verfasserIn] Schneider Gisela [verfasserIn] Lutalo Ibrahim M [verfasserIn] Scheld W [verfasserIn] McAdam Keith PWJ [verfasserIn] Sande Merle A [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Übergeordnetes Werk:	In: Human Resources for Health - BMC, 2003, 7(2009), 1, p 76
Übergeordnetes Werk:	volume:7 ; year:2009 ; number:1, p 76

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1478-4491-7-76

Katalog-ID:	DOAJ063287404

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allfields	10.1186/1478-4491-7-76 doi (DE-627)DOAJ063287404 (DE-599)DOAJ194f4f012c9340ff8ce89320b5e27014 DE-627 ger DE-627 rakwb eng R5-920 RA1-1270 Namagala Elizabeth verfasserin aut Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p< Medicine (General) Public aspects of medicine Lule Frank verfasserin aut Kaye Richard verfasserin aut Sebuyira Lydia verfasserin aut Oyugi Jessica H verfasserin aut Weaver Marcia R verfasserin aut Schneider Gisela verfasserin aut Lutalo Ibrahim M verfasserin aut Scheld W verfasserin aut McAdam Keith PWJ verfasserin aut Sande Merle A verfasserin aut In Human Resources for Health BMC, 2003 7(2009), 1, p 76 (DE-627)373756585 (DE-600)2126923-3 14784491 nnns volume:7 year:2009 number:1, p 76 https://doi.org/10.1186/1478-4491-7-76 kostenfrei https://doaj.org/article/194f4f012c9340ff8ce89320b5e27014 kostenfrei http://www.human-resources-health.com/content/7/1/76 kostenfrei https://doaj.org/toc/1478-4491 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 76
spelling	10.1186/1478-4491-7-76 doi (DE-627)DOAJ063287404 (DE-599)DOAJ194f4f012c9340ff8ce89320b5e27014 DE-627 ger DE-627 rakwb eng R5-920 RA1-1270 Namagala Elizabeth verfasserin aut Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p< Medicine (General) Public aspects of medicine Lule Frank verfasserin aut Kaye Richard verfasserin aut Sebuyira Lydia verfasserin aut Oyugi Jessica H verfasserin aut Weaver Marcia R verfasserin aut Schneider Gisela verfasserin aut Lutalo Ibrahim M verfasserin aut Scheld W verfasserin aut McAdam Keith PWJ verfasserin aut Sande Merle A verfasserin aut In Human Resources for Health BMC, 2003 7(2009), 1, p 76 (DE-627)373756585 (DE-600)2126923-3 14784491 nnns volume:7 year:2009 number:1, p 76 https://doi.org/10.1186/1478-4491-7-76 kostenfrei https://doaj.org/article/194f4f012c9340ff8ce89320b5e27014 kostenfrei http://www.human-resources-health.com/content/7/1/76 kostenfrei https://doaj.org/toc/1478-4491 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 76
allfields_unstemmed	10.1186/1478-4491-7-76 doi (DE-627)DOAJ063287404 (DE-599)DOAJ194f4f012c9340ff8ce89320b5e27014 DE-627 ger DE-627 rakwb eng R5-920 RA1-1270 Namagala Elizabeth verfasserin aut Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p< Medicine (General) Public aspects of medicine Lule Frank verfasserin aut Kaye Richard verfasserin aut Sebuyira Lydia verfasserin aut Oyugi Jessica H verfasserin aut Weaver Marcia R verfasserin aut Schneider Gisela verfasserin aut Lutalo Ibrahim M verfasserin aut Scheld W verfasserin aut McAdam Keith PWJ verfasserin aut Sande Merle A verfasserin aut In Human Resources for Health BMC, 2003 7(2009), 1, p 76 (DE-627)373756585 (DE-600)2126923-3 14784491 nnns volume:7 year:2009 number:1, p 76 https://doi.org/10.1186/1478-4491-7-76 kostenfrei https://doaj.org/article/194f4f012c9340ff8ce89320b5e27014 kostenfrei http://www.human-resources-health.com/content/7/1/76 kostenfrei https://doaj.org/toc/1478-4491 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 76
allfieldsGer	10.1186/1478-4491-7-76 doi (DE-627)DOAJ063287404 (DE-599)DOAJ194f4f012c9340ff8ce89320b5e27014 DE-627 ger DE-627 rakwb eng R5-920 RA1-1270 Namagala Elizabeth verfasserin aut Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p< Medicine (General) Public aspects of medicine Lule Frank verfasserin aut Kaye Richard verfasserin aut Sebuyira Lydia verfasserin aut Oyugi Jessica H verfasserin aut Weaver Marcia R verfasserin aut Schneider Gisela verfasserin aut Lutalo Ibrahim M verfasserin aut Scheld W verfasserin aut McAdam Keith PWJ verfasserin aut Sande Merle A verfasserin aut In Human Resources for Health BMC, 2003 7(2009), 1, p 76 (DE-627)373756585 (DE-600)2126923-3 14784491 nnns volume:7 year:2009 number:1, p 76 https://doi.org/10.1186/1478-4491-7-76 kostenfrei https://doaj.org/article/194f4f012c9340ff8ce89320b5e27014 kostenfrei http://www.human-resources-health.com/content/7/1/76 kostenfrei https://doaj.org/toc/1478-4491 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 76
allfieldsSound	10.1186/1478-4491-7-76 doi (DE-627)DOAJ063287404 (DE-599)DOAJ194f4f012c9340ff8ce89320b5e27014 DE-627 ger DE-627 rakwb eng R5-920 RA1-1270 Namagala Elizabeth verfasserin aut Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p< Medicine (General) Public aspects of medicine Lule Frank verfasserin aut Kaye Richard verfasserin aut Sebuyira Lydia verfasserin aut Oyugi Jessica H verfasserin aut Weaver Marcia R verfasserin aut Schneider Gisela verfasserin aut Lutalo Ibrahim M verfasserin aut Scheld W verfasserin aut McAdam Keith PWJ verfasserin aut Sande Merle A verfasserin aut In Human Resources for Health BMC, 2003 7(2009), 1, p 76 (DE-627)373756585 (DE-600)2126923-3 14784491 nnns volume:7 year:2009 number:1, p 76 https://doi.org/10.1186/1478-4491-7-76 kostenfrei https://doaj.org/article/194f4f012c9340ff8ce89320b5e27014 kostenfrei http://www.human-resources-health.com/content/7/1/76 kostenfrei https://doaj.org/toc/1478-4491 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 7 2009 1, p 76
language	English
source	In Human Resources for Health 7(2009), 1, p 76 volume:7 year:2009 number:1, p 76
sourceStr	In Human Resources for Health 7(2009), 1, p 76 volume:7 year:2009 number:1, p 76
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Medicine (General) Public aspects of medicine
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container_title	Human Resources for Health
authorswithroles_txt_mv	Namagala Elizabeth @@aut@@ Lule Frank @@aut@@ Kaye Richard @@aut@@ Sebuyira Lydia @@aut@@ Oyugi Jessica H @@aut@@ Weaver Marcia R @@aut@@ Schneider Gisela @@aut@@ Lutalo Ibrahim M @@aut@@ Scheld W @@aut@@ McAdam Keith PWJ @@aut@@ Sande Merle A @@aut@@
publishDateDaySort_date	2009-01-01T00:00:00Z
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language_de	englisch
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callnumber-first	R - Medicine
author	Namagala Elizabeth
spellingShingle	Namagala Elizabeth misc R5-920 misc RA1-1270 misc Medicine (General) misc Public aspects of medicine Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda
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topic_title	R5-920 RA1-1270 Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda
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title	Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda
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title_full	Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda
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author_browse	Namagala Elizabeth Lule Frank Kaye Richard Sebuyira Lydia Oyugi Jessica H Weaver Marcia R Schneider Gisela Lutalo Ibrahim M Scheld W McAdam Keith PWJ Sande Merle A
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title_sort	training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in uganda
callnumber	R5-920
title_auth	Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda
abstract	<p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p<
abstractGer	<p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p<
abstract_unstemmed	<p<Abstract</p< <p<Background</p< <p<To increase access to antiretroviral therapy in resource-limited settings, several experts recommend "task shifting" from doctors to clinical officers, nurses and midwives. This study sought to identify task shifting that has already occurred and assess the antiretroviral therapy training needs among clinicians to whom tasks have shifted.</p< <p<Methods</p< <p<The Infectious Diseases Institute, in collaboration with the Ugandan Ministry of Health, surveyed health professionals and heads of antiretroviral therapy clinics at a stratified random sample of 44 health facilities accredited to provide this therapy. A sample of 265 doctors, clinical officers, nurses and midwives reported on tasks they performed, previous human immunodeficiency virus training, and self-assessment of knowledge of human immunodeficiency virus and antiretroviral therapy. Heads of the antiretroviral therapy clinics reported on clinic characteristics.</p< <p<Results</p< <p<Thirty of 33 doctors (91%), 24 of 40 clinical officers (60%), 16 of 114 nurses (14%) and 13 of 54 midwives (24%) who worked in accredited antiretroviral therapy clinics reported that they prescribed this therapy (p < 0.001). Sixty-four percent of the people who prescribed antiretroviral therapy were not doctors. Among professionals who prescribed it, 76% of doctors, 62% of clinical officers, 62% of nurses and 51% of midwives were trained in initiating patients on antiretroviral therapy (p = 0.457); 73%, 46%, 50% and 23%, respectively, were trained in monitoring patients on the therapy (p = 0.017). Seven percent of doctors, 42% of clinical officers, 35% of nurses and 77% of midwives assessed that their overall knowledge of antiretroviral therapy was lower than good (p = 0.001).</p< <p<Conclusion</p< <p<Training initiatives should be an integral part of the support for task shifting and ensure that antiretroviral therapy is used correctly and that toxicity or drug resistance do not reverse accomplishments to date.</p<
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title_short	Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda
url	https://doi.org/10.1186/1478-4491-7-76 https://doaj.org/article/194f4f012c9340ff8ce89320b5e27014 http://www.human-resources-health.com/content/7/1/76 https://doaj.org/toc/1478-4491
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