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Implementation and evaluation of a Project ECHO telementoring program for the Namibian HIV workforce.
Leonard Bikinesi1, Gillian O'Bryan2, Clay Roscoe3
1Directorate of Special Programmes, Namibian Ministry of Health and Social Services (MoHSS), Ministerial Building Harvey Street, Windhoek, Namibia. bikinesi@gmail.com.
Human Resources for Health
|September 3, 2020
Summary
The Namibian HIV Project ECHO pilot enhanced healthcare worker knowledge and professional satisfaction. This program successfully reduced isolation and improved access to continuing professional development, expanding to over 40 sites.
Area of Science:
- Public Health
- Health Services Research
- HIV/AIDS Management
Background:
- Namibia piloted the first HIV Project ECHO in Africa (2015-2016) at 10 sites.
- Aims included strengthening clinical capacity and addressing HIV service delivery challenges during antiretroviral therapy decentralization.
Purpose of the Study:
- To evaluate the effectiveness of the pilot HIV Project ECHO program in Namibia.
- To assess improvements in healthcare worker knowledge, self-efficacy, professional satisfaction, and access to continuing professional development.
Main Methods:
- A mixed-methods evaluation was employed.
- Pre/post program assessments measured knowledge, self-efficacy, and satisfaction.
- Focus group discussions and in-depth interviews explored qualitative experiences.
Main Results:
- Clinical HIV knowledge increased by 17.8% overall and 22.3% for nurses.
- Professional satisfaction rose by 30 percentage points.
- Reduced professional isolation (66%) and improved CPD credit access (57%) were reported.
Conclusions:
- The Namibia HIV Project ECHO successfully improved healthcare worker knowledge and satisfaction.
- The program fostered virtual communities of practice and decreased professional isolation.
- The pilot's success led to significant expansion across Namibia.
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