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...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-06-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325958220935264 |
| _version_ | 1818188488246296576 |
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| author | Elizabeth Karman RN, MPH Kate S. Wilson MPH, PhD Cyrus Mugo MBChB Jennifer A. Slyker MSc, PhD Brandon L. Guthrie MPH, PhD David Bukusi MMED Irene Inwani MMED, MPH Grace C. John-Stewart MD, MPH, PhD Dalton Wamalwa MMed, MBChB, MPH Pamela K. Kohler RN, MPH, PhD |
| author_facet | Elizabeth Karman RN, MPH Kate S. Wilson MPH, PhD Cyrus Mugo MBChB Jennifer A. Slyker MSc, PhD Brandon L. Guthrie MPH, PhD David Bukusi MMED Irene Inwani MMED, MPH Grace C. John-Stewart MD, MPH, PhD Dalton Wamalwa MMed, MBChB, MPH Pamela K. Kohler RN, MPH, PhD |
| author_sort | Elizabeth Karman RN, MPH |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-11T23:27:43Z |
| format | Article |
| id | doaj.art-2283f935b0a541949dbe5058e5dc8511 |
| institution | Directory Open Access Journal |
| issn | 2325-9582 |
| language | English |
| last_indexed | 2024-12-11T23:27:43Z |
| publishDate | 2020-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-2283f935b0a541949dbe5058e5dc85112022-12-22T00:46:08ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822020-06-011910.1177/2325958220935264Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in KenyaElizabeth Karman RN, MPH0Kate S. Wilson MPH, PhD1Cyrus Mugo MBChB2Jennifer A. Slyker MSc, PhD3Brandon L. Guthrie MPH, PhD4David Bukusi MMED5Irene Inwani MMED, MPH6Grace C. John-Stewart MD, MPH, PhD7Dalton Wamalwa MMed, MBChB, MPH8Pamela K. Kohler RN, MPH, PhD9 Department of Global Health, University of Washington, Seattle, WA, USA Department of Global Health, University of Washington, Seattle, WA, USA Department of Paediatrics and Child Health/Kenyatta National Hospital, University of Nairobi, Kenya Department of Epidemiology, University of Washington, Seattle, WA, USA Department of Epidemiology, University of Washington, Seattle, WA, USA VCT and HIV Prevention Unit/Youth Centre, Kenyatta National Hospital, Nairobi, Kenya Department of Paediatrics and Child Health/Kenyatta National Hospital, University of Nairobi, Kenya Department of Pediatrics, University of Washington, Seattle, WA, USA Department of Paediatrics and Child Health/Kenyatta National Hospital, University of Nairobi, Kenya Department of Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USALack 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.https://doi.org/10.1177/2325958220935264 |
| spellingShingle | Elizabeth Karman RN, MPH Kate S. Wilson MPH, PhD Cyrus Mugo MBChB Jennifer A. Slyker MSc, PhD Brandon L. Guthrie MPH, PhD David Bukusi MMED Irene Inwani MMED, MPH Grace C. John-Stewart MD, MPH, PhD Dalton Wamalwa MMed, MBChB, MPH Pamela K. Kohler RN, MPH, PhD Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya Journal of the International Association of Providers of AIDS Care |
| 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 |
| url | https://doi.org/10.1177/2325958220935264 |
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