Cargando…

Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria

BACKGROUND: Health workers (HWs) providing routine immunization (RI) services play a crucial role in influencing vaccine uptake, a key determinant of improved immunization coverage. Over the years, Training Needs Assessments (TNAs) have not been routinely utilized in Nigeria to determine unmet needs...

Descripción completa

Detalles Bibliográficos
Autores principales: Arogundade, Linda, Akinwumi, Titilola, Molemodile, Shola, Nwaononiwu, Ebubechi, Ezika, Joshua, Yau, Inuwa, Wonodi, Chizoba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744655/
https://www.ncbi.nlm.nih.gov/pubmed/31521155
http://dx.doi.org/10.1186/s12913-019-4514-2
_version_ 1783451416287772672
author Arogundade, Linda
Akinwumi, Titilola
Molemodile, Shola
Nwaononiwu, Ebubechi
Ezika, Joshua
Yau, Inuwa
Wonodi, Chizoba
author_facet Arogundade, Linda
Akinwumi, Titilola
Molemodile, Shola
Nwaononiwu, Ebubechi
Ezika, Joshua
Yau, Inuwa
Wonodi, Chizoba
author_sort Arogundade, Linda
collection PubMed
description BACKGROUND: Health workers (HWs) providing routine immunization (RI) services play a crucial role in influencing vaccine uptake, a key determinant of improved immunization coverage. Over the years, Training Needs Assessments (TNAs) have not been routinely utilized in Nigeria to determine unmet needs of health workers offering immunization services and what approaches should be adopted to meet their training needs. The objective was to assess the level of Expanded Program on Immunization (EPI) knowledge among RI service providers and tutors in pre-service institutions in three Nigerian states, to identify unfulfilled training needs and their implications. It also sought HWs perception on a pilot training approach, where tutors will be used for in-service training. METHODS: TNA survey tools were designed to obtain knowledge-based information on the fundamental EPI concepts through key informant interviews and focus group discussions with 90 HWs and 27 pre-service tutors. Quantitative data was also obtained, hence utilizing a mixed method approach for the study. RESULTS: In spite of several previous trainings, HWs knowledge on basic immunization concepts including Reaching Every Ward (REW) strategy was varied and suboptimal. 83% of the HWs could not differentiate between the live attenuated and killed vaccines. In addition, pre-service tutors knowledge of fundamental EPI concepts, as well as HW perception of the new training approach also varied across the states. CONCLUSION: TNAs are valuable in determining specific training approaches to improve HWs skills needed to implement strategies required to increase vaccine uptake. However, EPI managers must be mindful of contextual factors beyond training needs such as finance and security, that can affect HW performance. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4514-2) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6744655
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-67446552019-09-18 Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria Arogundade, Linda Akinwumi, Titilola Molemodile, Shola Nwaononiwu, Ebubechi Ezika, Joshua Yau, Inuwa Wonodi, Chizoba BMC Health Serv Res Research Article BACKGROUND: Health workers (HWs) providing routine immunization (RI) services play a crucial role in influencing vaccine uptake, a key determinant of improved immunization coverage. Over the years, Training Needs Assessments (TNAs) have not been routinely utilized in Nigeria to determine unmet needs of health workers offering immunization services and what approaches should be adopted to meet their training needs. The objective was to assess the level of Expanded Program on Immunization (EPI) knowledge among RI service providers and tutors in pre-service institutions in three Nigerian states, to identify unfulfilled training needs and their implications. It also sought HWs perception on a pilot training approach, where tutors will be used for in-service training. METHODS: TNA survey tools were designed to obtain knowledge-based information on the fundamental EPI concepts through key informant interviews and focus group discussions with 90 HWs and 27 pre-service tutors. Quantitative data was also obtained, hence utilizing a mixed method approach for the study. RESULTS: In spite of several previous trainings, HWs knowledge on basic immunization concepts including Reaching Every Ward (REW) strategy was varied and suboptimal. 83% of the HWs could not differentiate between the live attenuated and killed vaccines. In addition, pre-service tutors knowledge of fundamental EPI concepts, as well as HW perception of the new training approach also varied across the states. CONCLUSION: TNAs are valuable in determining specific training approaches to improve HWs skills needed to implement strategies required to increase vaccine uptake. However, EPI managers must be mindful of contextual factors beyond training needs such as finance and security, that can affect HW performance. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4514-2) contains supplementary material, which is available to authorized users. BioMed Central 2019-09-14 /pmc/articles/PMC6744655/ /pubmed/31521155 http://dx.doi.org/10.1186/s12913-019-4514-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Arogundade, Linda
Akinwumi, Titilola
Molemodile, Shola
Nwaononiwu, Ebubechi
Ezika, Joshua
Yau, Inuwa
Wonodi, Chizoba
Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria
title Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria
title_full Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria
title_fullStr Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria
title_full_unstemmed Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria
title_short Lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in Nigeria
title_sort lessons from a training needs assessment to strengthen the capacity of routine immunization service providers in nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744655/
https://www.ncbi.nlm.nih.gov/pubmed/31521155
http://dx.doi.org/10.1186/s12913-019-4514-2
work_keys_str_mv AT arogundadelinda lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria
AT akinwumititilola lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria
AT molemodileshola lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria
AT nwaononiwuebubechi lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria
AT ezikajoshua lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria
AT yauinuwa lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria
AT wonodichizoba lessonsfromatrainingneedsassessmenttostrengthenthecapacityofroutineimmunizationserviceprovidersinnigeria