Trinity Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.
Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin, Ireland.
Hum Resour Health. 2021 Jan 6;19(1):5. doi: 10.1186/s12960-020-00547-y.
Capacity strengthening of primary health care workers is widely used as a means to strengthen health service delivery, particularly in low- and middle-income countries. Despite the widespread recognition of the importance of capacity strengthening to improve access to quality health care, how the term 'capacity strengthening' is both used and measured varies substantially across the literature. This scoping review sought to identify the most common domains of individual capacity strengthening, as well as their most common forms of measurement, to generate a better understanding of what is meant by the term 'capacity strengthening' for primary health care workers.
Six electronic databases were searched for studies published between January 2000 and October 2020. A total of 4474 articles were screened at title and abstract phase and 323 full-text articles were reviewed. 55 articles were ultimately identified for inclusion, covering various geographic settings and health topics.
Capacity strengthening is predominantly conceptualised in relation to knowledge and skills, as either sole domains of capacity, or used in combination with other domains including self-efficacy, practices, ability, and competencies. Capacity strengthening is primarily measured using pre- and post-tests, practical evaluations, and observation. These occur along study-specific indicators, though some pre-existing, validated tools are also used.
The concept of capacity strengthening for primary health care workers reflected across a number of relevant frameworks and theories differs from what is commonly seen in practice. A framework of individual capacity strengthening across intra-personal, inter-personal, and technical domains is proposed, as an initial step towards building a common consensus of individual capacity strengthening for future work.
基层卫生工作者能力建设被广泛用作加强卫生服务提供的手段，尤其是在中低收入国家。尽管人们普遍认识到能力建设对于改善获得优质医疗保健的重要性，但“能力建设”一词在文献中的使用和衡量方式存在很大差异。本范围综述旨在确定个体能力建设最常见的领域，以及它们最常见的衡量形式，以便更好地理解基层卫生工作者的“能力建设”一词的含义。
在 2000 年 1 月至 2020 年 10 月期间，在六个电子数据库中搜索已发表的研究。在标题和摘要阶段筛选了 4474 篇文章，然后对 323 篇全文文章进行了审查。最终确定了 55 篇文章纳入，涵盖了各种地理环境和健康主题。
能力建设主要与知识和技能相关联，作为能力的唯一领域，或者与包括自我效能、实践、能力和能力等其他领域结合使用。能力建设主要通过前测和后测、实际评估和观察进行衡量。这些评估发生在特定于研究的指标中，尽管也使用了一些预先存在的、经过验证的工具。
许多相关框架和理论中反映的基层卫生工作者的能力建设概念与实践中常见的概念不同。提出了个人能力建设跨越内在个人、人际和技术领域的框架，作为为未来工作建立个人能力建设共识的初步步骤。
