Programme National de Lutte contre le VIH/SIDA, Ministry of Health, Kinshasa, Democratic Republic of the Congo.
Programme National de Lutte contre le VIH/SIDA, Catholic Organization for Relief and Development Aid (Cordaid), Kinshasa, Democratic Republic of the Congo.
Glob Health Action. 2021 Jan 1;14(1):1985228. doi: 10.1080/16549716.2021.1985228.
Poor performance among health service providers is a key barrier to high quality, adolescent-responsive health services. Collaborative learning has been shown to strengthen health service provider performance, but few studies have examined its implementation in adolescent health services. In this paper, we describe a collaborative learning approach for adolescent health service providers implemented as part of a project aiming to prevent HIV in adolescent girls and young women in the Democratic Republic of the Congo (DRC) and explore its feasibility, acceptability, benefits and challenges. To do so, we reviewed plans, budgets and progress reports, as well as nested implementation research related to the project. We also carried out a quantitative analysis of the number, location, participants and topics of collaborative learning sessions conducted as part of this initiative, and thematic analysis to synthesise findings on perceived benefits and challenges. Under the project, 32 collaborative learning sessions of approximately two-hour duration were held with up to 15 participants, most of whom were nurses, between June 2018 and May 2019. The project cost was approximately USD 135,000 over three years. Reported benefits included improving health service provider attitudes, knowledge and skills; ensuring delivery of non-judgemental, empathic and confidential health services; and improving communication and collaboration between health services and adolescents together with their parents. While the novelty of the approach in this context presented challenges, our results suggest that collaborative learning in adolescent health services is feasible, acceptable, and inexpensive. It may help strengthen the knowledge and skills of health service providers, build positive attitudes and motivation, and improve their performance and thereby the adolescent-responsiveness of health services. Further research is needed to confirm these results in other settings and to examine the impact of collaborative learning on the acceptability and uptake of health services.
服务提供者表现不佳是提供高质量、对青少年有回应的卫生服务的一个关键障碍。协作学习已被证明可以加强服务提供者的表现，但很少有研究检查其在青少年卫生服务中的实施情况。在本文中，我们描述了一种在刚果民主共和国（DRC）为预防青少年女孩和年轻妇女感染艾滋病毒而实施的针对青少年卫生服务提供者的协作学习方法，并探讨了其可行性、可接受性、益处和挑战。为此，我们审查了计划、预算和进度报告，以及与该项目相关的嵌套实施研究。我们还对作为该倡议一部分而进行的协作学习会议的次数、地点、参与者和主题进行了定量分析，并对感知到的益处和挑战进行了主题分析。在该项目下，2018 年 6 月至 2019 年 5 月期间，进行了 32 次为期约两小时的协作学习会议，每次会议有多达 15 名参与者，其中大多数是护士。该项目三年的费用约为 13.5 万美元。报告的益处包括改善服务提供者的态度、知识和技能；确保提供非评判性、富有同情心和保密性的卫生服务；以及改善卫生服务与青少年及其父母之间的沟通和协作。虽然这种方法在这种情况下具有新颖性，但带来了一些挑战，我们的结果表明，在青少年卫生服务中进行协作学习是可行的、可接受的，而且成本低廉。它可能有助于加强服务提供者的知识和技能，培养积极的态度和动力，并提高他们的表现，从而提高卫生服务对青少年的回应性。需要进一步的研究来在其他环境中证实这些结果，并研究协作学习对卫生服务的可接受性和接受程度的影响。
