关键词: African Hypertension School feedback task sharing task shifting

Mesh : Humans Hypertension / epidemiology therapy prevention & control Cross-Sectional Studies Qualitative Research Male Female Africa / epidemiology Health Personnel / education Program Evaluation Adult

来  源:   DOI:10.5334/gh.1343   PDF(Pubmed)

Abstract:
UNASSIGNED: The implementation of task sharing and shifting (TSTS) policy as a way of addressing the shortage of physicians and reducing the burden of hypertension in Africa birthed the idea of the African School of Hypertension (ASH). The ASH is saddled with the responsibility of training non-physician health workers across Africa continent in the management of uncomplicated hypertension.
UNASSIGNED: To get feedback from some faculty members and students who participated in the first ASH programme.
UNASSIGNED: This was a cross-sectional exploratory qualitative study conducted among eight students and eight faculty members. Feedback from the program was obtained by conducting in-depth interviews centred on description of course content; expectations and knowledge acquired from ASH; level of interaction between students and faculty members; challenges faced during the ASH; level of implementation of acquired training; and suggestions to improve subsequent ASH programs.
UNASSIGNED: The course content of the ASH was described as simple, appropriate and adequate while interaction between students and faculty members were highly cordial and engaging. New knowledge about hypertension management was acquired by the students with different levels of implementation post-graduation. Some identified challenges with the ASH program were poor internet connectivity during lectures, non-uniformity of TSTS policies and hypertension management guidelines across Africa, technical problems with hypertension management app and low participation from other African countries apart from Nigeria. Some recommendations to improve ASH program were development of a uniform hypertension management guideline for Africans, wider publicity of the ASH, interpretation of lectures into French and Portuguese languages and improvement of internet connectivity.
UNASSIGNED: The ASH programme has largely achieved its objectives with the very encouraging feedback received from both faculty members and the students. Steps should be taken to address the identified challenges and implement the suggested recommendations in subsequent ASH program to sustain this success.
摘要:
实施任务共享和转移(TSTS)政策是解决非洲医生短缺和减轻高血压负担的一种方式,催生了非洲高血压学校(ASH)的想法。ASH肩负着培训非洲大陆非医师卫生工作者管理简单高血压的责任。
从参加第一个ASH计划的一些教师和学生那里获得反馈。
这是一项在八名学生和八名教职员工中进行的横断面探索性定性研究。通过对课程内容的描述进行深入访谈,获得了该计划的反馈;从ASH获得的期望和知识;学生与教职员工之间的互动水平;在ASH期间面临的挑战;获得培训的实施水平;以及改进后续ASH计划的建议。
ASH的课程内容被描述为简单,适当和充分,而学生和教师之间的互动是非常亲切和引人入胜的。毕业后实施水平不同的学生获得了有关高血压管理的新知识。ASH计划的一些挑战是讲座期间互联网连接不佳,整个非洲的TSTS政策和高血压管理指南不一致,高血压管理应用程序的技术问题和除尼日利亚以外的其他非洲国家的低参与度。改善ASH计划的一些建议是为非洲人制定统一的高血压管理指南,广泛宣传ASH,将讲座解释为法语和葡萄牙语,并改善互联网连接。
ASH计划在很大程度上实现了其目标,并收到了来自教职员工和学生的令人鼓舞的反馈。应采取措施应对已确定的挑战,并在随后的ASH计划中实施建议的建议,以维持这一成功。
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