Evaluating a capacity building program on women’s health for displaced community health workers in fragile settings in Lebanon
Autor: | Shadi Saleh, Hady Naal, Aya Noubani, Dayana Brome, Dana Nabulsi, Rebecca Mendelsohn, Dina H. Muhieddine |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Program evaluation
Public Administration Capacity building Community members Health administration 03 medical and health sciences 0302 clinical medicine Basic education Humans 030212 general & internal medicine Lebanon Community Health Workers Medical education Refugees lcsh:R5-920 030503 health policy & services Research lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Health services research lcsh:RA1-1270 Focus group Task-shifting Health equity Blended learning Syrian refugees Women's Health Female 0305 other medical science Psychology lcsh:Medicine (General) |
Zdroj: | Human Resources for Health, Vol 19, Iss 1, Pp 1-16 (2021) Human Resources for Health |
ISSN: | 1478-4491 |
Popis: | Background Displaced populations in fragile settings experience health disparities that are seldom attended to. Task-shifting, which involves training non-specialized community health workers (CHW) to deliver basic education and health services is a favorable strategy to address this problem, however very little data exist on this topic in the Middle East region. We conducted a long-term evaluation of the Women’s Health Certificate delivered to Syrian refugees and host community in informal tented settlements in Lebanon under the Mobile University for Health (MUH) program. The training was delivered through a mobile classroom approach that incorporated a blended learning modality. Methods We collected short-term data from the 42 trained CHW (knowledge assessments and satisfaction measures) during the delivery of the intervention between March and August 2019, and long-term data (semi-structured interviews with 8 CHW and focus group discussion with 9 randomly selected community members) one year later between July and August 2020. The evaluation approach was informed by the Kirkpatrick evaluation model, and the qualitative data were analyzed using qualitative content analysis. Results Data from the CHWs and community members were triangulated, and they showed that the training enhanced access to education due to its mobile nature and provided opportunities for CHWs to engage and interact with learning material that enhanced their knowledge and favorable behaviors regarding women’s health. In turn, CHWs were empowered to play an active role in their communities to transfer the knowledge they gained through educating community members and providing women’s health services and referrals. Community members benefited from the CHWs and called for the implementation of more similar training programs. Conclusion This is one of few studies reporting a long-term community-level evaluation of a task-shifting program on women’s health among displaced populations in Lebanon. Our findings support the need to increase funding for similar programs, and to focus on delivering programs for a variety of health challenges. It is also essential to enhance the reach and length of recruitment to wider communities, to design concise, interactive, and engaging sessions, and to provide tools to facilitate circulation of learning material, and resources for referrals to health services. |
Databáze: | OpenAIRE |
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