A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care

Tamara Flys, Rosalba González, Omar Sued, Juana Suarez Conejero, Edgar Kestler, Nestor Sosa, Jane McKenzie-White, Irma Irene Monzón, Carmen Rosa Torres, Kathleen R Page

Research output: Contribution to journalArticle

Abstract

Background: Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. Methods: The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. Results: Of 258 initially active participants, 225 (225/258 = 87.2%) successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200 = 85%) attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p

Original languageEnglish (US)
Article numbere46426
JournalPLoS One
Volume7
Issue number10
DOIs
StatePublished - Oct 24 2012

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Central America
health care workers
Health care
Primary Health Care
HIV
education programs
Delivery of Health Care
Education
community health
Dominican Republic
Nicaragua
Guatemala
Health
curriculum
nurses
Panama
teachers
physicians
Social Determinants of Health
managers

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care. / Flys, Tamara; González, Rosalba; Sued, Omar; Suarez Conejero, Juana; Kestler, Edgar; Sosa, Nestor; McKenzie-White, Jane; Monzón, Irma Irene; Torres, Carmen Rosa; Page, Kathleen R.

In: PLoS One, Vol. 7, No. 10, e46426, 24.10.2012.

Research output: Contribution to journalArticle

Flys, T, González, R, Sued, O, Suarez Conejero, J, Kestler, E, Sosa, N, McKenzie-White, J, Monzón, II, Torres, CR & Page, KR 2012, 'A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care', PLoS One, vol. 7, no. 10, e46426. https://doi.org/10.1371/journal.pone.0046426
Flys, Tamara ; González, Rosalba ; Sued, Omar ; Suarez Conejero, Juana ; Kestler, Edgar ; Sosa, Nestor ; McKenzie-White, Jane ; Monzón, Irma Irene ; Torres, Carmen Rosa ; Page, Kathleen R. / A Novel Educational Strategy Targeting Health Care Workers in Underserved Communities in Central America to Integrate HIV into Primary Medical Care. In: PLoS One. 2012 ; Vol. 7, No. 10.
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