Achieving and Sustaining Change Through Capacity Building Train-the-Trainer Health Initiatives in Low- and...

Area of Science:

• Global Health Workforce Development
• Health Systems Strengthening
• Capacity Building Strategies

Background:

• Effective training is crucial for addressing global health challenges and workforce shortages.
• Train-the-trainer (T3) models are gaining traction for sustainable capacity development, particularly in low- and middle-income countries.

Approach:

• A systematic review of six databases (scholarly, peer-reviewed, gray literature) was conducted.
• Data extraction focused on study design, characteristics, and factors influencing change.
• Thematic analysis was guided by a conceptual framework of T3 interventions (Talent, Resources, Alignment, Implementation, Nurture and Development).

Key Points:

• Twenty-two studies met inclusion criteria, with interventions most common in sub-Saharan Africa.
• Change was primarily assessed at the individual level, but organizational and institutional levels were also explored.
• Implementation and Nurture/Development were key factors for success, while Resources and Context posed significant barriers.

Conclusions:

• This systematic review provides insights into factors influencing change through health-related T3 interventions.
• Findings can inform future capacity-building investments and improve existing T3 programs.
• Recommendations guide the planning and optimization of T3 approaches for enhanced global health outcomes.