Learning needs assessment for multi-stakeholder implementation science training in LMIC settings: findings and...

Area of Science:

• Implementation Science (IS)
• Global Public Health
• Health Systems Strengthening

Background:

• Current implementation science (IS) training programs are inadequate globally, particularly in low- and middle-income countries (LMICs).
• A significant knowledge-practice gap exists, hindering the translation of implementation research findings into practical application by field professionals.
• Addressing complex public health challenges in LMICs necessitates improved IS capacity and training.

Purpose of the Study:

• To formally assess the learning needs, priority topics, and preferred delivery methods for implementation science (IS) training among stakeholders in LMICs.
• To identify key competencies and contextual factors crucial for developing effective IS training curricula tailored to LMIC settings.

Main Methods:

• Systematic review of recent IS literature to identify and define relevant stakeholder groups.
• Multi-step and random sampling to recruit 39 participants (program managers, researchers, physicians) from over 20 countries, primarily LMICs.
• Semi-structured interviews (30-60 min) followed by thematic analysis of interview memos using a deductively created codebook and validation techniques.

Main Results:

• Participants, despite experience, reported basic or minimal IS knowledge, highlighting a gap between formal training and practical needs.
• Training preferences were diverse, indicating a need for curricula beyond core IS, encompassing broader competencies and mentorship.
• Emphasis on context-specific training and mentorship is crucial for effective IS capacity building in LMICs.

Conclusions:

• Existing IS training in LMICs is insufficient, too narrowly focused, and fails to meet heterogeneous stakeholder needs.
• There is a critical need for accessible, contextually relevant IS training and mentorship programs in LMICs.
• Proposes 'intelligent swarming' as a novel, sustainable, and equitable approach to build IS capacity in LMICs.