使用成人学习原则加强定制免疫计划的能力:尼日利亚的一个案例研究
Chisom Obi-Jeff1,2, Funmilayo Oguntimehin3, Abduljaleel Adejumo3
1Brooks Insights, Abuja, Federal Capital Territory, Nigeria. Chisom.obijeff@brooksinsights.org.
Global health, science and practice
|September 18, 2024
概括
将成人学习原则纳入培训,显著提高了尼日利亚免疫计划的成功. 这种方法提高了项目经理和医疗保健工作者的技能,从而提高了疫苗覆盖率和社区参与度.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 成人教育 成人教育.
背景情况:
- 尼日利亚面临着大量未接种疫苗的儿童负担,疫苗接种计划经理 (PM) 和医疗保健工作者 (HCW) 的无效传统培训方法加剧了这种负担.
- 传统的培训者培训 (TOT) 模式与成人学习原则 (ALP) 不一致,阻碍了免疫计划的成功.
- 需要量身定制的免疫策略,有效地参与使用数据的社区.
研究的目的:
- 将ALP纳入尼日利亚的免疫PM和HCW的TOT.
- 增强PM和HCW利用数据进行社区参与的能力,并制定定制的免疫策略.
- 评估ALP综合培训对参与者满意度,知识,能力,行为和免疫计划结果的影响.
主要方法:
- 一个整合ALP和以人为中心的设计来定制免疫计划 (HCD-TIP) 的培训课程在尼日利亚联邦首都地区的三个LGA中被开发和实施.
- 国家PM (n=10),LGAPM (n=30) 和HCW (n=42) 接受了使用ALP的HCD-TIP方法的培训.
- 通过采访,调查和观察来评估参与者的满意度,知识,能力,行为变化和结果.
主要成果:
- 报告的参与者满意度很高:LGA PMs为100%,州PMs为91%,HCWs为85%.
- 在培训后观察到知识和能力的显著改善 (P<.001).
- 接受培训的参与者进行了HCD会议,共同设计了24个原型解决方案,并在12个社区实现了五价疫苗覆盖率的大幅增加 (第一剂:54%,第三剂:188%).
结论:
- 应用ALP,HCD-TIP方法和支持性监督有效地提高了PM和HCW针对定制免疫干预措施的能力.
- 这项研究证明了整体方法的有效性,将成人学习和以人为中心的设计整合起来,以加强免疫计划.
- 采用这些方法可以提高公平的疫苗覆盖率,并加强尼日利亚和类似地区的卫生系统.
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