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|Title: ||Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study|
|Authors: ||Sodhi, Sumeet|
|Keywords: ||ANTIRETROVIRAL TREATMENT (ART)|
|Issue Date: ||8-Nov-2011|
|Citation: ||Sodhi, S., Banda, H., Kathyola, D., Burciul, B., Thompson, S., Joshua, M., … Schull, M. J. (2011). Evaluating a streamlined clinical tool and educational outreach intervention for health care workers in Malawi: the PALM PLUS case study. BMC International Health and Human Rights, 11(Suppl 2):S11. doi:10.1186/1472-698X-11-S2-S11|
|Abstract: ||Background: Nearly 3 million people in resource-poor countries receive antiretrovirals for the treatment of HIV/
AIDS, yet millions more require treatment. Key barriers to treatment scale up are shortages of trained health care
workers, and challenges integrating HIV/AIDS care with primary care.
The research: PALM PLUS (Practical Approach to Lung Health and HIV/AIDS in Malawi) is an intervention designed
to simplify and integrate existing Malawian national guidelines into a single, simple, user-friendly guideline for mid-level
health care workers. Training utilizes a peer-to-peer educational outreach approach. Research is being
undertaken to evaluate this intervention to generate evidence that will guide future decision-making for
consideration of roll out in Malawi. The research consists of a cluster randomized trial in 30 public health centres in
Zomba District that measures the effect of the intervention on staff satisfaction and retention, quality of patient
care, and costs through quantitative, qualitative and health economics methods.
Results and outcomes: In the first phase of qualitative inquiry respondents from intervention sites demonstrated
in-depth knowledge of PALM PLUS compared to those from control sites. Participants in intervention sites felt that
the PALM PLUS tool empowered them to provide better health services to patients. Interim staff retention data
shows that there were, on average, 3 to 4 staff departing from the control and intervention sites per month.
Additional qualitative, quantitative and economic analyses are planned.
The partnership: Dignitas International and the Knowledge Translation Unit at the University of Cape Town Lung
Institute have led the adaptation and development of the PALM PLUS intervention, using experience gained
through the implementation of the South African precursor, PALSA PLUS. The Malawian partners, REACH Trust and
the Research Unit at the Ministry of Health, have led the qualitative and economic evaluations. Dignitas and
Ministry of Health have facilitated interaction with implementers and policy-makers.
Challenges and successes: This initiative is an example of South-South knowledge translation between South
Africa and Malawi, mediated by a Canadian academic-NGO hybrid. Our success in developing and rolling out PALM
PLUS in Malawi suggests that it is possible to adapt and implement this intervention for use in other resource-limited
|Project Number: ||105955|
|Project Title: ||Linking Health Information Systems for Effective Decision Making (East Africa)|
|Appears in Collections:||IDRC Research Results / Résultats de recherches du CRDI|
Research Results (GHRI) / Résultats de recherches (IRSM)
Health Systems Research / recherche sur les systèmes de santé
Africa Health Systems Initiative - Research Partnerships / composante recherche - initiative systèmes de santé en Afrique
2010-2019 / Années 2010-2019
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