PDF(Pubmed)
Abstract：
UNASSIGNED: Lebanon has been facing a series of crises, significantly increasing health challenges, and straining its healthcare infrastructure. This caused deficiencies in the system\'s ability to attend to population health needs, and it profoundly impacted vulnerable and refugee communities who face additional challenges accessing healthcare services. In response, the Global Health Institute at the American University of Beirut designed and implemented the Mobile University for Health (MUH), which promotes task-shifting through capacity building complemented by communities of practice (CoP). The program aimed to prepare vulnerable women to assume the role of community health workers (CHW) within their communities, and to promote positive health knowledge and behaviours.
UNASSIGNED: A mixed-methods approach was used to evaluate MUHs\' three certificates (women\'s health, mental health and psychosocial support, and non-communicable diseases). Implementation took place between 2019 and 2022, with 83 CHWs graduating from the program. Short-term data including knowledge assessments, course evaluations, and community member feedback surveys were collected. 93 semi-structured interviews with CHWs and 14 focus group discussions with community members were conducted to evaluate the long-term impact of the capacity building and CoP components.
UNASSIGNED: Data revealed multiple strengths of the initiative, including increased access to education for the community, effectiveness of blended learning modality, successful planning and delivery of CoP sessions, and improved knowledge, skills, and health behaviours over time. The supplementary CoP sessions fostered trust in CHWs, increased community empowerment, and increased leadership skills among CHWs. However, some challenges persisted, including limited access to healthcare services, implementation logistical issues, difficulties with some aspects of the learning modality, and some resistance within the communities.
UNASSIGNED: MUH promoted and improved positive health knowledge and behaviours within targeted vulnerable populations in Lebanon. The supplementary CoP component proved instrumental in empowering CHWs and enhancing their impact within their communities. The study highlights the need for ongoing training and support for CHWs and underscores the importance of continued investment and adaptation of such initiatives through a gendered lens. This evaluation provides evidence on the successes of a capacity building model that has strong potential for scale and replication across health topics in conflict-affected contexts.
UNASSIGNED: A mixed-methods approach was used to evaluate MUHs\' three certificates (women\'s health, mental health and psychosocial support, and non-communicable diseases). Implementation took place between 2019 and 2022, with 83 CHWs graduating from the program. Short-term data including knowledge assessments, course evaluations, and community member feedback surveys were collected. 93 semi-structured interviews with CHWs and 14 focus group discussions with community members were conducted to evaluate the long-term impact of the capacity building and CoP components.
UNASSIGNED: Data revealed multiple strengths of the initiative, including increased access to education for the community, effectiveness of blended learning modality, successful planning and delivery of CoP sessions, and improved knowledge, skills, and health behaviours over time. The supplementary CoP sessions fostered trust in CHWs, increased community empowerment, and increased leadership skills among CHWs. However, some challenges persisted, including limited access to healthcare services, implementation logistical issues, difficulties with some aspects of the learning modality, and some resistance within the communities.
UNASSIGNED: MUH promoted and improved positive health knowledge and behaviours within targeted vulnerable populations in Lebanon. The supplementary CoP component proved instrumental in empowering CHWs and enhancing their impact within their communities. The study highlights the need for ongoing training and support for CHWs and underscores the importance of continued investment and adaptation of such initiatives through a gendered lens. This evaluation provides evidence on the successes of a capacity building model that has strong potential for scale and replication across health topics in conflict-affected contexts.
摘要：
■黎巴嫩一直面临一系列危机，显著增加的健康挑战，并使其医疗基础设施紧张。这导致了该系统满足人口健康需求的能力不足，它深刻地影响了脆弱和难民社区，他们面临获得医疗保健服务的额外挑战。作为回应,贝鲁特美国大学全球健康研究所设计并实施了移动健康大学（MUH），通过由实践社区（CoP）补充的能力建设来促进任务转移。该计划旨在帮助弱势妇女在其社区中担任社区卫生工作者（CHW）的角色，并促进积极的健康知识和行为。
■使用混合方法方法来评估MUHs\'三个证书（妇女的健康，心理健康和社会心理支持，和非传染性疾病)。实施于2019年至2022年之间，有83名CHW从该计划毕业。短期数据，包括知识评估，课程评估，并收集社区成员反馈调查。对CHWs进行了93次半结构化访谈，并与社区成员进行了14次焦点小组讨论，以评估能力建设和CoP组成部分的长期影响。
■数据揭示了该计划的多重优势，包括增加社区受教育的机会，混合学习模式的有效性，成功规划和交付CoP会议，和提高知识，技能,随着时间的推移和健康行为。补充CoP会议培养了对CHW的信任，增加社区赋权，并提高CHWs的领导技能。然而,一些挑战依然存在，包括有限的医疗服务，实施后勤问题，学习方式的某些方面有困难，以及社区内的一些抵抗。
■MUH在黎巴嫩的目标弱势群体中促进和改善了积极的健康知识和行为。补充CoP部分被证明有助于增强CHWs的权能并增强其在社区中的影响。该研究强调了对CHWs进行持续培训和支持的必要性，并强调了通过性别视角继续投资和调整此类举措的重要性。这项评估为能力建设模型的成功提供了证据，该模型具有在受冲突影响的背景下跨卫生主题进行扩展和复制的强大潜力。
■使用混合方法方法来评估MUHs\'三个证书（妇女的健康，心理健康和社会心理支持，和非传染性疾病)。实施于2019年至2022年之间，有83名CHW从该计划毕业。短期数据，包括知识评估，课程评估，并收集社区成员反馈调查。对CHWs进行了93次半结构化访谈，并与社区成员进行了14次焦点小组讨论，以评估能力建设和CoP组成部分的长期影响。
■数据揭示了该计划的多重优势，包括增加社区受教育的机会，混合学习模式的有效性，成功规划和交付CoP会议，和提高知识，技能,随着时间的推移和健康行为。补充CoP会议培养了对CHW的信任，增加社区赋权，并提高CHWs的领导技能。然而,一些挑战依然存在，包括有限的医疗服务，实施后勤问题，学习方式的某些方面有困难，以及社区内的一些抵抗。
■MUH在黎巴嫩的目标弱势群体中促进和改善了积极的健康知识和行为。补充CoP部分被证明有助于增强CHWs的权能并增强其在社区中的影响。该研究强调了对CHWs进行持续培训和支持的必要性，并强调了通过性别视角继续投资和调整此类举措的重要性。这项评估为能力建设模型的成功提供了证据，该模型具有在受冲突影响的背景下跨卫生主题进行扩展和复制的强大潜力。
