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The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care

There is an urgent need to depart from in-service training that relies on distance and/or intensive off-site training leading to limited staff coverage at clinical sites. This traditional approach fails to meet the challenge of improving clinical practice, especially in low-income and middle-income...

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Autores principales: Simelane, Makhosazana Lungile, Georgeu-Pepper, Daniella, Ras, Christy-Joy, Anderson, Lauren, Pascoe, Michelle, Faris, Gill, Fairall, Lara, Cornick, Ruth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242020/
https://www.ncbi.nlm.nih.gov/pubmed/30498597
http://dx.doi.org/10.1136/bmjgh-2018-001124
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author Simelane, Makhosazana Lungile
Georgeu-Pepper, Daniella
Ras, Christy-Joy
Anderson, Lauren
Pascoe, Michelle
Faris, Gill
Fairall, Lara
Cornick, Ruth
author_facet Simelane, Makhosazana Lungile
Georgeu-Pepper, Daniella
Ras, Christy-Joy
Anderson, Lauren
Pascoe, Michelle
Faris, Gill
Fairall, Lara
Cornick, Ruth
author_sort Simelane, Makhosazana Lungile
collection PubMed
description There is an urgent need to depart from in-service training that relies on distance and/or intensive off-site training leading to limited staff coverage at clinical sites. This traditional approach fails to meet the challenge of improving clinical practice, especially in low-income and middle-income countries where resources are limited and disease burden high. South Africa’s University of Cape Town Lung Institute Knowledge Translation Unit has developed a facility-based training strategy for implementation of its Practical Approach to Care Kit (PACK) primary care programme. The training has been taken to scale in primary care facilities throughout South Africa and has shown improvements in quality of care indicators and health outcomes along with end-user satisfaction. PACK training uses a unique approach to address the needs of frontline health workers and the health system by embedding a health intervention into everyday clinical practice at facility level. This paper describes the features of the PACK training strategy: PACK training is scaled up using a cascade model of training using educational outreach to deliver PACK to clinical teams in their health facilities in short, regular sessions. Drawing on adult education principles, PACK training empowers clinicians by using experiential and interactive learning methodologies to draw on existing clinical knowledge and experience. Learning is alternated with practice to improve the likelihood of embedding the programme into everyday clinical care delivery.
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spelling pubmed-62420202018-11-29 The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care Simelane, Makhosazana Lungile Georgeu-Pepper, Daniella Ras, Christy-Joy Anderson, Lauren Pascoe, Michelle Faris, Gill Fairall, Lara Cornick, Ruth BMJ Glob Health Practice There is an urgent need to depart from in-service training that relies on distance and/or intensive off-site training leading to limited staff coverage at clinical sites. This traditional approach fails to meet the challenge of improving clinical practice, especially in low-income and middle-income countries where resources are limited and disease burden high. South Africa’s University of Cape Town Lung Institute Knowledge Translation Unit has developed a facility-based training strategy for implementation of its Practical Approach to Care Kit (PACK) primary care programme. The training has been taken to scale in primary care facilities throughout South Africa and has shown improvements in quality of care indicators and health outcomes along with end-user satisfaction. PACK training uses a unique approach to address the needs of frontline health workers and the health system by embedding a health intervention into everyday clinical practice at facility level. This paper describes the features of the PACK training strategy: PACK training is scaled up using a cascade model of training using educational outreach to deliver PACK to clinical teams in their health facilities in short, regular sessions. Drawing on adult education principles, PACK training empowers clinicians by using experiential and interactive learning methodologies to draw on existing clinical knowledge and experience. Learning is alternated with practice to improve the likelihood of embedding the programme into everyday clinical care delivery. BMJ Publishing Group 2018-11-14 /pmc/articles/PMC6242020/ /pubmed/30498597 http://dx.doi.org/10.1136/bmjgh-2018-001124 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Practice
Simelane, Makhosazana Lungile
Georgeu-Pepper, Daniella
Ras, Christy-Joy
Anderson, Lauren
Pascoe, Michelle
Faris, Gill
Fairall, Lara
Cornick, Ruth
The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care
title The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care
title_full The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care
title_fullStr The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care
title_full_unstemmed The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care
title_short The Practical Approach to Care Kit (PACK) training programme: scaling up and sustaining support for health workers to improve primary care
title_sort practical approach to care kit (pack) training programme: scaling up and sustaining support for health workers to improve primary care
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242020/
https://www.ncbi.nlm.nih.gov/pubmed/30498597
http://dx.doi.org/10.1136/bmjgh-2018-001124
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