A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care 英文参考文献.docVIP

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A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care 英文参考文献.doc

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A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care 英文参考文献

ANovelEducationalStrategyTargetingHealthCare WorkersinUnderservedCommunitiesinCentralAmerica toIntegrateHIVintoPrimaryMedicalCare TamaraFlys1*,RosalbaGonza′lez2,OmarSued3¤,JuanaSuarezConejero4,EdgarKestler5,NestorSosa2, JaneMcKenzie-White1,IrmaIreneMonzo′n5,Carmen-RosaTorres6,KathleenPage1 1Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America, 2Gorgas Memorial Institute, Panama City, Panama, 3Pan American Health Organization, Washington, D.C., United States of America, 4Pan American Health Organization, Consultant, Washington, D.C., United States of America, 5Centro de Investigacio′n Epidemiolo′gica en Salud Sexual yReproductiva(CIESAR),Guatemala, 6U.S.Department of Health and Human Services (HHS),Washington, D.C., United StatesofAmerica Abstract Background: Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underservedcommunities. Methods:Thetrainingprogramtargetedphysicians,nurses,andcommunityHCWswithlimitedaccesstotraditionalonsite traininginPanama,Nicaragua,DominicanRepublic,andGuatemala.ThecurriculumfocusedonprinciplesofHIVcareand healthsystemsusingatutor-supportedblendededucationalapproachofan8-weekonlinecomponent,aweeklongon-site problem-solvingworkshop,andindividualizedproject-basedinterventions. Results:Of258initiallyactiveparticipants,225(225/258=87.2%)successfullycompletedtheonlinecomponentandthetop 200 were invited to the on-site workshop. Of those, 170 (170/200=85%) attended the on-site workshop. In total, 142 completedallthreecomponents,includingtheprojectphase.Quantitativeandqualitativeevaluationinstrumentsincluded knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding o