The feasibility and acceptability of collaborative learning in improving health worker performance on adolescent health: findings from implementation research in Moldova

Autor: Venkatraman Chandra-Mouli, Olga Cernetchi, Nadejda Bordian, Frances Squires, Galina Lesco, Viorel Babii, Adriane Martin Hilber
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Youth
Adolescent
media_common.quotation_subject
Health Personnel
Adolescent Health
Adolescent health services
Health informatics
Health administration
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Reproductive health services
Medicine
Humans
Learning
030212 general & internal medicine
Cooperative Behavior
Work Performance
Reproductive health
media_common
Medical education
Teamwork
Youth friendly
business.industry
030503 health policy & services
Health Policy
Nursing research
lcsh:Public aspects of medicine
Research
Collaborative learning
lcsh:RA1-1270
Moldova
Health worker performance
Interdisciplinary Placement
Feasibility Studies
Female
Implementation research
Clinical Competence
0305 other medical science
business
Delivery of Health Care
Confidentiality
Adolescent health
Research Article
Zdroj: BMC Health Services Research
BMC Health Services Research, Vol 19, Iss 1, Pp 1-11 (2019)
ISSN: 1472-6963
Popis: Background Collaborative learning has been shown to be effective in improving health worker performance, but relatively little is known about the feasibility or acceptability of collaborative learning in youth-friendly health services (YFHS). This paper describes the characteristics, feasibility and acceptability of a collaborative learning approach implemented in YFHS in Moldova as part of a national scaling up process. Methods We gathered and analysed data on the number, location, themes, and participants of sessions, as well as benefits and challenges of collaborative learning, using two information sources: 1) formal reports on collaborative learning sessions, and 2) two questionnaires conducted with participants and moderators. Results Collaborative learning sessions have been implemented in 30 out of 35 YFHS in Moldova. In 2016, 464 collaborative learning sessions were conducted. Sessions were conducted one to three times per month, had a mean of 15 participants and an average duration of two - three hours. 74.3% of participants (n = 6942) were from rural areas and 55.1% were health professionals. The most common topics in 2016 were adolescent health and YFHS (159 of 464 sessions), sexual and reproductive health (103 sessions), and violence (76 sessions). Reported benefits for participants of collaborative learning fell into three categories: 1) improved knowledge on adolescent health / development and use of evidence-based resources; 2) strengthened teamwork and cooperation; and 3) empowerment to provide high quality, youth-friendly care. Moderators identified benefits for the quality, youth-friendliness, and positioning of YFHS as centres of excellence on adolescent health. Challenges included the time and resources required to start and maintain the program, developing a constructive multi-disciplinary learning culture, and ensuring the involvement of stakeholders from outside YFHS. Conclusion This study confirms that collaborative learning within YFHS is feasible and acceptable, and offers benefits to both participants and YFHS. Collaborative learning may be a valuable strategy to improve the quality and youth-friendliness of services. It may also be relevant to key challenges in scaling up YFHS such as increasing utilisation and achieving long-term sustainability. Further research is required to confirm our results in other settings and to examine the effects of collaborative learning at the outcome and impact level.
Databáze: OpenAIRE
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