The feasibility and acceptability of collaborative learning in improving health worker performance on adolescent health: Findings from implementation research in Moldova
Închide
Conţinutul numărului revistei
Articolul precedent
Articolul urmator
12 0
SM ISO690:2012
LEŞCO, Galina; SQUIRES, Frances; BABII, Viorel; BORDIAN, Nadejda; CERNEŢCHI, Olga; MARTIN-HILBER, Adriane; CHANDRA-MOULI, Venkatraman C.. The feasibility and acceptability of collaborative learning in improving health worker performance on adolescent health: Findings from implementation research in Moldova. In: BMC Health Services Research. 2019, nr. 1(19), p. 0. ISSN 1472-6963.
EXPORT metadate:
Google Scholar
Crossref
CERIF
BibTeX
DataCite
Dublin Core
BMC Health Services Research
Numărul 1(19) / 2019 / ISSN 1472-6963

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


DOI: 10.1186/s12913-019-4158-2
Pag. 0-0

Leşco Galina1, Squires Frances2, Babii Viorel3, Bordian Nadejda1, Cerneţchi Olga4, Martin-Hilber Adriane2, Chandra-Mouli Venkatraman C.5
 
1 National Resource Centre in Youth Friendly Health Services ”NEOVITA”,
2 Swiss Tropical and Public Health Institute (Swiss TPH),
3 Health for Youth Association,
4 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
5 World Health Organisation
 
Disponibil în IBN: 11 iunie 2019


Rezumat

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.

Cuvinte-cheie
adolescent, Adolescent health services, collaborative learning, Health worker performance, Moldova, Reproductive health services, youth, Youth friendly