Feasibility, acceptability, and effectiveness of a package of interventions to improve the performance of health workers in the Democratic Republic of Congo to deliver adolescent and youth sexual and reproductive health services
Notice bibliographique
Résumé
BACKGROUND: Adolescents and youth (AY) in the Democratic Republic of Congo (DRC) face significant sexual and reproductive health (SRH) challenges and require access to quality health services. OBJECTIVE: This study assesses the feasibility, acceptability, and effectiveness of a package of interventions to improve the performance of health workers (HWs) providing SRH services to AY in the DRC. METHODS: This mixed-methods process and outcome evaluation was conducted between January and July 2021 in 30 health facilities in Mbuji-Mayi and Kinshasa. Data were collected through interviews with 25 health facility managers, surveys of 54 HWs, focus groups with 29 HWs, and interviews with 16 AY mystery clients and 18 female AY (10-24 years) health facility service users. Qualitative and quantitative data were analyzed using thematic content analysis and descriptive statistics respectively. RESULTS: Health facility managers reported that the package of interventions was feasible to implement, with concerns about resource shortcomings which were outside the scope of the implementation. From both quantitative and qualitative findings, health facility managers and HWs perceived the package of interventions as acceptable and effective in improving HW competencies, building positive attitudes towards providing SRH services to AY, building HW motivation, and fostering an enabling work environment as illustrated by improved communication, mentorship and constructive feedback between managers and HWs, and motivation, confidence and collaboration among HWs. AY clients reported overall satisfaction with the services they received, but some reported experiencing inappropriate comments and judgmental attitudes. CONCLUSIONS: The package of interventions was perceived as feasible and acceptable by health facility managers and HWs, and effective in improving HW knowledge, skills, attitudes and motivation, and ultimately in providing SRH services to AY. Future efforts are needed to validate the findings in different contexts and with other professionals, e.g. teachers, and to strengthen and amplify the package of interventions.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».