Effect of Educational Outreach Timing and Duration on Facility Performance for Infectious Disease Care in Uganda: A Trial with Pre-Post and Cluster Randomized Controlled Components

PloS One
Sarah M BurnettMarcia R Weaver

Abstract

Classroom-based learning is often insufficient to ensure high quality care and application of health care guidelines. Educational outreach is garnering attention as a supplemental method to enhance health care worker capacity, yet there is little information about the timing and duration required to improve facility performance. We sought to evaluate the effects of an infectious disease training program followed by either immediate or delayed on-site support (OSS), an educational outreach approach, on nine facility performance indicators for emergency triage, assessment, and treatment; malaria; and pneumonia. We also compared the effects of nine monthly OSS visits to extended OSS, with three additional visits over six months. This study was conducted at 36 health facilities in Uganda, covering 1,275,960 outpatient visits over 23 months. From April 2010 to December 2010, 36 sites received infectious disease training; 18 randomly selected sites in arm A received nine monthly OSS visits (immediate OSS) and 18 sites in arm B did not. From March 2011 to September 2011, arm A sites received three additional visits every two months (extended OSS), while the arm B sites received eight monthly OSS visits (delayed OSS). We compared the c...Continue Reading

References

Jul 3, 2003·JAMA : the Journal of the American Medical Association·T Bruce FergusonUNKNOWN Society of Thoracic Surgeons and the National Cardiac Database
Aug 23, 2005·International Journal of Technology Assessment in Health Care·Bernard S Bloom
Aug 22, 2012·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Antonina MiceliMarcia R Weaver
Sep 7, 2012·Tropical Medicine & International Health : TM & IH·Alexander K RoweMichael S Deming
May 22, 2013·Human Resources for Health·Gabrielle O'MalleyMarcia R Weaver
Dec 7, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Lisa RubensteinPaul Shekelle
Apr 18, 2014·Human Resources for Health·Randi BurlewStephanie Brantley
Jul 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Damen Haile MariamZohray M Talib

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