A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar
Background. Madagascar needs major efforts to achieve the UN Sustainable Development Goals, despite the considerable reduction of child mortality during past years. In this context, implementation of emergency triage assessment and treatment (ETAT) plays an important role. In recent years, ETAT trai...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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South African Medical Association
2022-08-01
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| Series: | Southern African Journal of Critical Care |
| Subjects: | |
| Online Access: | https://samajournals.co.za/index.php/sajcc/article/view/110 |
| _version_ | 1797328992817119232 |
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| author | M Galatsch H-J Lang C Noa H Raveloharimino A Robinson N Rabesandratana L I Magera R Weigel D Köcher-Andrianarimanana |
| author_facet | M Galatsch H-J Lang C Noa H Raveloharimino A Robinson N Rabesandratana L I Magera R Weigel D Köcher-Andrianarimanana |
| author_sort | M Galatsch |
| collection | DOAJ |
| description | Background. Madagascar needs major efforts to achieve the UN Sustainable Development Goals, despite the considerable reduction of child mortality during past years. In this context, implementation of emergency triage assessment and treatment (ETAT) plays an important role. In recent years, ETAT training activities rarely took place in Madagascar. To strengthen ETAT in Madagascar, a pilot training course was conducted in December 2019 at the University Hospital Mahajanga.
Objective. This study aims to evaluate if the ETAT+ pilot training content matches clinical needs in Madagascar and whether participants achieved their learning objectives.
Methods. In this cross-sectional mixed-methods study, a 41-item questionnaire was used at the end of the ETAT+ training to evaluate their learning experience from the 12 participants (paediatricians, physicians, nurses and midwives). Six weeks after the training, guided interviews were conducted among five participants to describe how training content could be transferred into clinical practice in five health facilities.
Results. Results suggest that this pilot project designed to contribute to the re-establishment of ETAT in Madagascar meets participants’ needs and is adapted to clinical realities in terms of transmitted knowledge, skills and competencies. However, results also show that considerable multi- disciplinary efforts are needed to advance ETAT+ implementation in Madagascar.
Conclusions. Implementation processes of ETAT training programmes need re-evaluation to assure their validity to contribute to quality of care improvements efficiently. Further operational research is required to evaluate sustainable, innovative implementation strategies adapted to contexts in Madagascar. |
| first_indexed | 2024-03-08T06:59:51Z |
| format | Article |
| id | doaj.art-755329760da3435d93cfc0ad4752f820 |
| institution | Directory Open Access Journal |
| issn | 1562-8264 2078-676X |
| language | English |
| last_indexed | 2024-03-08T06:59:51Z |
| publishDate | 2022-08-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | Southern African Journal of Critical Care |
| spelling | doaj.art-755329760da3435d93cfc0ad4752f8202024-02-03T06:12:48ZengSouth African Medical AssociationSouthern African Journal of Critical Care1562-82642078-676X2022-08-01647010.7196/SAJCC.2022.v38i2.535114A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in MadagascarM Galatsch0H-J Lang1C Noa2H Raveloharimino3A Robinson4N Rabesandratana5L I Magera6R Weigel7D Köcher-Andrianarimanana8Friede Springer-endowed professorship for Global Child Health, Faculty of Health, School of Human Medicine, Witten/Herdecke University, Witten, GermanyFriede Springer-endowed professorship for Global Child Health, Faculty of Health, School of Human Medicine, Witten/Herdecke University, Witten, GermanyFaculté de Médecine, Université de Mahajanga, Madagascar; Association TSIKY, Mahajanga, Madagascar2 Faculté de Médecine, Université de Mahajanga, Madagascar; Faculté de Médecine, Université d’Antananarivo, MadagascarFaculté de Médecine, Université d’Antananarivo, Madagascar; Management Sciences for Health, USAID ACCESS Program, Antananarivo, Madagascar2 Faculté de Médecine, Université de Mahajanga, Madagascar 3 Association TSIKY, Mahajanga, Madagascar; Faculté de Médecine, Université d’Antananarivo, MadagascarInstitute of Nursing, School of Health Science, Zürich University of Applied Science, Winterthur, SwitzerlandFriede Springer-endowed professorship for Global Child Health, Faculty of Health, School of Human Medicine, Witten/Herdecke University, Witten, GermanyFaculté de Médecine, Université de Mahajanga, Madagascar 3 Association TSIKY, Mahajanga, Madagascar; Faculté de Médecine, Université d’Antananarivo, MadagascarBackground. Madagascar needs major efforts to achieve the UN Sustainable Development Goals, despite the considerable reduction of child mortality during past years. In this context, implementation of emergency triage assessment and treatment (ETAT) plays an important role. In recent years, ETAT training activities rarely took place in Madagascar. To strengthen ETAT in Madagascar, a pilot training course was conducted in December 2019 at the University Hospital Mahajanga. Objective. This study aims to evaluate if the ETAT+ pilot training content matches clinical needs in Madagascar and whether participants achieved their learning objectives. Methods. In this cross-sectional mixed-methods study, a 41-item questionnaire was used at the end of the ETAT+ training to evaluate their learning experience from the 12 participants (paediatricians, physicians, nurses and midwives). Six weeks after the training, guided interviews were conducted among five participants to describe how training content could be transferred into clinical practice in five health facilities. Results. Results suggest that this pilot project designed to contribute to the re-establishment of ETAT in Madagascar meets participants’ needs and is adapted to clinical realities in terms of transmitted knowledge, skills and competencies. However, results also show that considerable multi- disciplinary efforts are needed to advance ETAT+ implementation in Madagascar. Conclusions. Implementation processes of ETAT training programmes need re-evaluation to assure their validity to contribute to quality of care improvements efficiently. Further operational research is required to evaluate sustainable, innovative implementation strategies adapted to contexts in Madagascar.https://samajournals.co.za/index.php/sajcc/article/view/110emergency triage assessment and treatment (etat) trainingessential emergency and critical care (eecc) |
| spellingShingle | M Galatsch H-J Lang C Noa H Raveloharimino A Robinson N Rabesandratana L I Magera R Weigel D Köcher-Andrianarimanana A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar Southern African Journal of Critical Care emergency triage assessment and treatment (etat) training essential emergency and critical care (eecc) |
| title | A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar |
| title_full | A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar |
| title_fullStr | A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar |
| title_full_unstemmed | A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar |
| title_short | A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar |
| title_sort | mixed methods study on evaluating an updated francophone version of etat training in madagascar |
| topic | emergency triage assessment and treatment (etat) training essential emergency and critical care (eecc) |
| url | https://samajournals.co.za/index.php/sajcc/article/view/110 |
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