Strengthening human immunodeficiency virus and tuberculosis prevention capacity among South African healthcare workers : a mixed methods study of a collaborative occupational health program

Show simple item record Liautaud, Alexandre Adu, Prince A. Yassi, Annalee Zungu, Muzimkhulu Spiegel, Jerry M. Rawat, Angeli Bryce, Elizabeth A. Engelbrecht, Michelle C. 2018-01-24T05:59:23Z 2018-01-24T05:59:23Z 2017
dc.description Particular thanks are due to Karen Lockhart for her contributions throughout this study. en_ZA
dc.description.abstract BACKGROUND : Insufficient training in infection control and occupational health among healthcare workers (HCWs) in countries with high human immunodeficiency virus (HIV) and tuberculosis (TB) burdens requires attention. We examined the effectiveness of a 1-year Certificate Program in Occupational Health and Infection Control conducted in Free State Province, South Africa in an international partnership to empower HCWs to become change agents to promote workplace-based HIV and TB prevention. METHODS : Questionnaires assessing reactions to the program and Knowledge, Attitudes, Skills, and Practices were collected pre-, mid-, and postprogram. Individual interviews, group project evaluations, and participant observation were also conducted. Quantitative data were analyzed using Wilcoxon signed-rank test. Qualitative data were thematically coded and analyzed using the Kirkpatrick framework. RESULTS : Participants recruited (n ¼ 32) were mostly female (81%) and nurses (56%). Pre-to-post-program mean scores improved in knowledge (12%, p ¼ 0.002) and skills/practices (14%, p ¼ 0.002). Preprogram attitude scores were high but did not change. Participants felt empowered and demonstrated attitudinal improvements regarding HIV, TB, infection control, and occupational health. Successful projects were indeed implemented. However, participants encountered considerable difficulties in trying to sustain improvement, due largely to lack of pre-existing knowledge and experience, combined with inadequate staffing and insufficient management support. CONCLUSION : Training is essential to strengthen HCWs’ occupational health and infection control knowledge, attitudes, skills, and practices, and workplace-based training programs such as this can yield impressive results. However, the considerable mentorship resources required for such programs and the substantial infrastructural supports needed for implementation and sustainability of improvements in settings without pre-existing experience in such endeavors should not be underestimated. en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian am2018 en_ZA
dc.description.sponsorship We thank the participants of the Program, mentors, and researchers who aided in the Program, the Global Health Research Initiative (GHRI) for their funding, and the Free State Provincial Department of Health. en_ZA
dc.description.uri en_ZA
dc.identifier.citation Liautaud A, et al., Strengthening Human Immunodeficiency Virus and Tuberculosis Prevention Capacity among South African Healthcare Workers: A Mixed Methods Study of a Collaborative Occupational Health Program, Safety and Health at Work (2017), 10.1016/ NYP. en_ZA
dc.identifier.issn 2093-7911 (print)
dc.identifier.issn 2093-7997 (online)
dc.identifier.other 10.1016/
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2017 Occupational Safety and Health Research Institute, Published by Elsevier Korea LLC. This is an open access article under the CC BY-NC-ND license ( en_ZA
dc.subject Capacity building en_ZA
dc.subject Healthcare workers (HCWs) en_ZA
dc.subject HIV infection control en_ZA
dc.subject Occupational health en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject Tuberculosis (TB) en_ZA
dc.subject Health among healthcare workers (HCWs) en_ZA
dc.title Strengthening human immunodeficiency virus and tuberculosis prevention capacity among South African healthcare workers : a mixed methods study of a collaborative occupational health program en_ZA
dc.type Article en_ZA

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