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.authorSodhi, Sumeeten_ZA
dc.contributor.authorBanda, Hastingsen_ZA
dc.contributor.authorKathyola, Damsonen_ZA
dc.contributor.authorBurciul, Barryen_ZA
dc.contributor.authorThompson, Sandyen_ZA
dc.contributor.authorJoshua, Martiasen_ZA
dc.contributor.authorBateman, Ericen_ZA
dc.contributor.authorFairall, Laraen_ZA
dc.contributor.authorMartiniuk, Alexandraen_ZA
dc.contributor.authorCornick, Ruthen_ZA
dc.contributor.authorFaris, Gillen_ZA
dc.contributor.authorDraper, Beverleyen_ZA
dc.contributor.authorMondiwa, Marthaen_ZA
dc.contributor.authorKatengeza, Egnaten_ZA
dc.contributor.authorSanudi, Lifahen_ZA
dc.contributor.authorZwen_ZA
dc.date.accessioned2015-11-18T03:55:39Z
dc.date.available2015-11-18T03:55:39Z
dc.date.issued2011en_ZA
dc.description.abstractBACKGROUND: 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.identifier.apacitationSodhi, S., Banda, H., Kathyola, D., Burciul, B., Thompson, S., Joshua, M., ... (2011). Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study. <i>BMC International Health and Human Rights</i>, http://hdl.handle.net/11427/15064en_ZA
dc.identifier.chicagocitationSodhi, Sumeet, Hastings Banda, Damson Kathyola, Barry Burciul, Sandy Thompson, Martias Joshua, Eric Bateman, et al "Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study." <i>BMC International Health and Human Rights</i> (2011) http://hdl.handle.net/11427/15064en_ZA
dc.identifier.citationSodhi, 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.ris TY - Journal Article AU - Sodhi, Sumeet AU - Banda, Hastings AU - Kathyola, Damson AU - Burciul, Barry AU - Thompson, Sandy AU - Joshua, Martias AU - Bateman, Eric AU - Fairall, Lara AU - Martiniuk, Alexandra AU - Cornick, Ruth AU - Faris, Gill AU - Draper, Beverley AU - Mondiwa, Martha AU - Katengeza, Egnat AU - Sanudi, Lifah AU - Zw AB - 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. DA - 2011 DB - OpenUCT DO - 10.1186/1472-698X-11-S2-S11 DP - University of Cape Town J1 - BMC International Health and Human Rights LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study TI - Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study UR - http://hdl.handle.net/11427/15064 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15064
dc.identifier.urihttp://dx.doi.org/10.1186/1472-698X-11-S2-S11
dc.identifier.vancouvercitationSodhi S, Banda H, Kathyola D, Burciul B, Thompson S, Joshua M, et al. 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. 2011; http://hdl.handle.net/11427/15064.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDivision of Pulmonologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2011 Sodhi et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC International Health and Human Rightsen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcinthealthhumrights/en_ZA
dc.subject.otherPALM PLUSen_ZA
dc.subject.otherresource-poor countriesen_ZA
dc.subject.otherHIV/AIDSen_ZA
dc.titleEvaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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