Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study

 

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dc.contributor.author Sodhi, Sumeet en_ZA
dc.contributor.author Banda, Hastings en_ZA
dc.contributor.author Kathyola, Damson en_ZA
dc.contributor.author Burciul, Barry en_ZA
dc.contributor.author Thompson, Sandy en_ZA
dc.contributor.author Joshua, Martias en_ZA
dc.contributor.author Bateman, Eric en_ZA
dc.contributor.author Fairall, Lara en_ZA
dc.contributor.author Martiniuk, Alexandra en_ZA
dc.contributor.author Cornick, Ruth en_ZA
dc.contributor.author Faris, Gill en_ZA
dc.contributor.author Draper, Beverley en_ZA
dc.contributor.author Mondiwa, Martha en_ZA
dc.contributor.author Katengeza, Egnat en_ZA
dc.contributor.author Sanudi, Lifah en_ZA
dc.contributor.author Zw en_ZA
dc.date.accessioned 2015-11-18T03:55:39Z
dc.date.available 2015-11-18T03:55:39Z
dc.date.issued 2011 en_ZA
dc.identifier.citation Sodhi, S., Banda, H., Kathyola, D., Burciul, B., Thompson, S., Joshua, M., ... & Schull, M. J. (2011). Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study. BMC international health and human rights, 11(Suppl 2), S11. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15064
dc.identifier.uri http://dx.doi.org/10.1186/1472-698X-11-S2-S11
dc.description.abstract BACKGROUND: Nearly 3 million people in resource-poor countries receive antiretrovirals for the treatment of HIV/AIDS, yet millions more require treatment. Key barriers to treatment scale up are shortages of trained health care workers, and challenges integrating HIV/AIDS care with primary care.THE RESEARCH:PALM PLUS (Practical Approach to Lung Health and HIV/AIDS in Malawi) is an intervention designed to simplify and integrate existing Malawian national guidelines into a single, simple, user-friendly guideline for mid-level health care workers. Training utilizes a peer-to-peer educational outreach approach. Research is being undertaken to evaluate this intervention to generate evidence that will guide future decision-making for consideration of roll out in Malawi. The research consists of a cluster randomized trial in 30 public health centres in Zomba District that measures the effect of the intervention on staff satisfaction and retention, quality of patient care, and costs through quantitative, qualitative and health economics methods.RESULTS AND OUTCOMES:In the first phase of qualitative inquiry respondents from intervention sites demonstrated in-depth knowledge of PALM PLUS compared to those from control sites. Participants in intervention sites felt that the PALM PLUS tool empowered them to provide better health services to patients. Interim staff retention data shows that there were, on average, 3 to 4 staff departing from the control and intervention sites per month. Additional qualitative, quantitative and economic analyses are planned.THE PARTNERSHIP:Dignitas International and the Knowledge Translation Unit at the University of Cape Town Lung Institute have led the adaptation and development of the PALM PLUS intervention, using experience gained through the implementation of the South African precursor, PALSA PLUS. The Malawian partners, REACH Trust and the Research Unit at the Ministry of Health, have led the qualitative and economic evaluations. Dignitas and Ministry of Health have facilitated interaction with implementers and policy-makers.CHALLENGES AND SUCCESSES:This initiative is an example of South-South knowledge translation between South Africa and Malawi, mediated by a Canadian academic-NGO hybrid. Our success in developing and rolling out PALM PLUS in Malawi suggests that it is possible to adapt and implement this intervention for use in other resource-limited settings. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC International Health and Human Rights en_ZA
dc.source.uri http://www.biomedcentral.com/bmcinthealthhumrights/ en_ZA
dc.subject.other PALM PLUS en_ZA
dc.subject.other resource-poor countries en_ZA
dc.subject.other HIV/AIDS en_ZA
dc.title Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2011 Sodhi et al; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Pulmonology en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License