Incorporation of cultural competencies ensured achievement of project goals across multiple states supported by Howard University Global Initiative, Nigeria

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Dorothy Oqua , Peter Okpe Agada , Afeez Babatunde Oyetola , Rosalyn C. King
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引用次数: 0

Abstract

Introduction

Howard University has served as the technical lead for ensuring best practices in pharmacy services and systems across multiple projects over the last two decades across all 36 + 1 states in Nigeria. Experiences and studies have shown that implementing projects without making allowances for local contexts and cultures can lead to failure. Howard University Global Initiative, Nigeria (HUGIN) incorporated cultural competencies into the design and implementation of training and care packages used in project implementation. In this paper, we share a review of the influence of cultural competency in the achievement of desired project goals in Nigeria.

Methodology

The approaches used involved stakeholders profiling and a co-creation mechanism to formulate appropriate level-adjusted training and care packages for healthcare providers and Recipients of Care (RoC) that reflected their educational and knowledge levels and accounting for their location, ethnicity, gender, age, literacy level, and religious beliefs. HUGIN developed instructional materials focusing on drug dispensing, patient counseling, ARV drug refilling, drug therapy monitoring, patient adherence, referral process, education programs, health team interaction, drug control, data production, collection, and verification.

Results

HUGIN trained 17,368 health care providers in various categories of service provision under various projects using different training packages. HUGIN developed the capacity of 113 top government personnel as Master Trainers on Pharmaceutical Care in HIV/AIDS who trained additional HCWs that served 163,901 recipients of care on antiretroviral therapy (ART), 96,041 women to prevent mother-to-child transmission of HIV and 3595 children who were exposed to HIV infection. HUGIN provided HIV testing services to 3000 Adolescents and Young People who were first time testers. HUGIN used culturally competent (Community ART Refill Clubs) CARC and (Community ART Refill Groups) CARG models to refill 5296 clients who could have interrupted treatment. Between January 2023 to December 2023, 10 clients on antiretroviral drugs in rural areas in Delta, Ekiti and Osun states were able to access Drug Information Services in areas with suboptimal HRH (Human Resources for Health). HUGIN also provided supervision to 36 pharmacy interns as well as experiential training for interns from the West African Health Organization and for students undertaking postgraduate courses in Health Management from Benue State University. The GHAIN project also trained 213 volunteer pharmacists to support pharmacy services in 93 supported healthcare facilities.

Lessons learned

The co-creation of training with stakeholders enabled the sustainability and ownership of programs implemented in Nigeria. For example, the Community Pharmacy ART Refill Program (CPARP) model now has global appeal with other countries especially in Africa such as Kenya and Liberia, South Africa replicating the framework. The Level-adjusted training for participants helped to achieve desired program objectives.

Conclusions

The incorporation of cultural competence into program design and implementation contributed to the achievement of project goals and the attainment of health care objectives. It is therefore recommended that it should be mainstreamed into education packages for healthcare givers and project implementation.

Keywords

Cultural competencies
Capacity building
Pharmacy best practices
Co-creation
Discrimination
Sustainable financing initiative
Howard University Global Initiative Nigeria
整合文化能力确保了在尼日利亚霍华德大学全球倡议支持下跨多个州实现项目目标
在过去二十年中,霍华德大学在确保尼日利亚所有36 + 1州的多个项目中药房服务和系统的最佳实践方面发挥了技术领导作用。经验和研究表明,在不考虑当地背景和文化的情况下实施项目可能导致失败。尼日利亚霍华德大学全球倡议(HUGIN)将文化能力纳入项目执行中使用的培训和护理一揽子计划的设计和实施。在本文中,我们分享了文化能力在尼日利亚实现预期项目目标方面的影响。方法使用的方法包括利益相关者分析和共同创造机制,为医疗保健提供者和护理接受者(RoC)制定适当的水平调整培训和护理包,反映他们的教育和知识水平,并考虑他们的位置、种族、性别、年龄、文化水平和宗教信仰。HUGIN开发的教学材料侧重于药物分配、患者咨询、抗逆转录病毒药物补充、药物治疗监测、患者依从性、转诊过程、教育计划、卫生团队互动、药物控制、数据制作、收集和验证。结果在不同的项目下,使用不同的培训包,shugin培训了各类服务提供者17,368人。HUGIN培养了113名政府高级人员作为艾滋病毒/艾滋病药物护理高级培训师的能力,他们培训了更多的卫生保健人员,为163,901名接受抗逆转录病毒治疗的人、96,041名预防艾滋病毒母婴传播的妇女和3595名暴露于艾滋病毒感染的儿童提供服务。HUGIN为3000名首次接受艾滋病毒检测的青少年提供了艾滋病毒检测服务。HUGIN使用具有文化能力的(社区艺术补充俱乐部)CARC和(社区艺术补充小组)CARG模型来补充5296名可能中断治疗的客户。2023年1月至2023年12月期间,三角洲州、埃基蒂州和奥孙州农村地区的10名抗逆转录病毒药物客户能够在卫生人力资源不理想的地区获得药物信息服务。HUGIN还为36名药房实习生提供监督,并为西非卫生组织的实习生和贝努埃州立大学卫生管理研究生课程的学生提供经验培训。该项目还培训了213名志愿药剂师,以支持93个受支持的保健设施的药房服务。与利益攸关方共同创建培训,使尼日利亚实施的项目具有可持续性和所有权。例如,社区药房抗逆转录病毒药物补充计划(CPARP)模式现在具有全球吸引力,特别是在肯尼亚和利比里亚等非洲国家,南非复制了该框架。对参与者的水平调整培训有助于实现预期的计划目标。结论将文化能力纳入项目设计和实施,有助于项目目标的实现和医疗保健目标的实现。因此,建议将其纳入医疗保健提供者和项目实施的一揽子教育方案的主流。关键词文化竞争力能力建设药房最佳实践合作创造歧视可持续融资倡议霍华德大学全球倡议尼日利亚
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来源期刊
Currents in Pharmacy Teaching and Learning
Currents in Pharmacy Teaching and Learning EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
2.10
自引率
16.70%
发文量
192
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