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Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya
Lack of health care worker (HCW) training is a barrier to implementing youth-friendly services. We examined training coverage and self-reported competence, defined as knowledge, abilities, and attitudes, of HCWs caring for adolescents living with HIV (ALWH) in Kenya. Surveys were conducted with 24 m...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322818/ https://www.ncbi.nlm.nih.gov/pubmed/32588709 http://dx.doi.org/10.1177/2325958220935264 |
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author | Karman, Elizabeth Wilson, Kate S. Mugo, Cyrus Slyker, Jennifer A. Guthrie, Brandon L. Bukusi, David Inwani, Irene John-Stewart, Grace C. Wamalwa, Dalton Kohler, Pamela K. |
author_facet | Karman, Elizabeth Wilson, Kate S. Mugo, Cyrus Slyker, Jennifer A. Guthrie, Brandon L. Bukusi, David Inwani, Irene John-Stewart, Grace C. Wamalwa, Dalton Kohler, Pamela K. |
author_sort | Karman, Elizabeth |
collection | PubMed |
description | Lack of health care worker (HCW) training is a barrier to implementing youth-friendly services. We examined training coverage and self-reported competence, defined as knowledge, abilities, and attitudes, of HCWs caring for adolescents living with HIV (ALWH) in Kenya. Surveys were conducted with 24 managers and 142 HCWs. Competence measures were guided by expert input and Kalamazoo II Consensus items. Health care workers had a median of 3 (interquartile range [IQR]: 1-6) years of experience working with ALWH, and 40.1% reported exposure to any ALWH training. Median overall competence was 78.1% (IQR: 68.8-84.4). In multivariable linear regression analyses, more years caring for ALWH and any prior training in adolescent HIV care were associated with significantly higher self-rated competence. Training coverage for adolescent HIV care remains suboptimal. Targeting HCWs with less work experience and training exposure may be a useful and efficient approach to improve quality of youth-friendly HIV services. |
format | Online Article Text |
id | pubmed-7322818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-73228182020-07-06 Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya Karman, Elizabeth Wilson, Kate S. Mugo, Cyrus Slyker, Jennifer A. Guthrie, Brandon L. Bukusi, David Inwani, Irene John-Stewart, Grace C. Wamalwa, Dalton Kohler, Pamela K. J Int Assoc Provid AIDS Care Short Communication Lack of health care worker (HCW) training is a barrier to implementing youth-friendly services. We examined training coverage and self-reported competence, defined as knowledge, abilities, and attitudes, of HCWs caring for adolescents living with HIV (ALWH) in Kenya. Surveys were conducted with 24 managers and 142 HCWs. Competence measures were guided by expert input and Kalamazoo II Consensus items. Health care workers had a median of 3 (interquartile range [IQR]: 1-6) years of experience working with ALWH, and 40.1% reported exposure to any ALWH training. Median overall competence was 78.1% (IQR: 68.8-84.4). In multivariable linear regression analyses, more years caring for ALWH and any prior training in adolescent HIV care were associated with significantly higher self-rated competence. Training coverage for adolescent HIV care remains suboptimal. Targeting HCWs with less work experience and training exposure may be a useful and efficient approach to improve quality of youth-friendly HIV services. SAGE Publications 2020-06-26 /pmc/articles/PMC7322818/ /pubmed/32588709 http://dx.doi.org/10.1177/2325958220935264 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Short Communication Karman, Elizabeth Wilson, Kate S. Mugo, Cyrus Slyker, Jennifer A. Guthrie, Brandon L. Bukusi, David Inwani, Irene John-Stewart, Grace C. Wamalwa, Dalton Kohler, Pamela K. Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya |
title | Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya |
title_full | Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya |
title_fullStr | Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya |
title_full_unstemmed | Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya |
title_short | Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya |
title_sort | training exposure and self-rated competence among hiv care providers working with adolescents in kenya |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322818/ https://www.ncbi.nlm.nih.gov/pubmed/32588709 http://dx.doi.org/10.1177/2325958220935264 |
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