tailieunhanh - báo cáo hóa học:" A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania | Renju et al. Journal of the International AIDS Society 2010 13 32 http content 13 1 32 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania 11 13 1 Jenny Renju Bahati Andrew Kija Nyalali Coleman Kishamawe Charles Kato John Changalucha Angela Obasi 2 Abstract Background While there are a number of examples of successful small-scale youth-friendly services interventions aimed at improving reproductive health service provision for young people these projects are often short term and have low coverage. In order to have a significant long-term impact these initiatives must be implemented over a sustained period and on a large scale. We conducted a process evaluation of the 10-fold scale up of an evaluated youth-friendly services intervention in Mwanza Region Tanzania in order to identify key facilitating and inhibitory factors from both user and provider perspectives. Methods The intervention was scaled up in two training rounds lasting six and 10 months. This process was evaluated through the triangulation of multiple methods i a simulated patient study ii focus group discussions and semi-structured interviews with health workers and trainers iii training observations and iv pre- and posttraining questionnaires. These methods were used to compare pre- and post-intervention groups and assess differences between the two training rounds. Results Between 2004 and 2007 local government officials trained 429 health workers. The training was well implemented and over time trainers confidence and ability to lead sessions improved. The district-led training significantly improved knowledge relating to HIV AIDS and puberty RR ranged from to attitudes towards condoms confidentiality and young people s right to treatment RR range . Intervention health units scored higher in the family planning and condom request simulated .

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