Strengthening Healthcare Capacity Through a Responsive, Country-Specific, Training Standard: The KITSO AIDS Training Program’s Support of Botswana’s National Antiretroviral Therapy Rollout
2008

Strengthening Healthcare Capacity in Botswana Through the KITSO AIDS Training Program

Sample size: 4957 publication 10 minutes Evidence: high

Author Information

Author(s): Bussmann Christine, Rotz Philip, Ndwapi Ndwapi, Baxter Daniel, Bussmann Hermann, Wester C. William, Ncube Patricia, Avalos Ava, Mine Madisa, Mabe Elang, Burns Patricia, Cardiello Peter, Makhema Joseph, Marlink Richard

Primary Institution: Harvard School of Public Health

Hypothesis

The KITSO AIDS Training Program will enhance the capacity of healthcare workers in Botswana to effectively implement antiretroviral therapy (ART).

Conclusion

The KITSO AIDS Training Program has been crucial in preparing healthcare workers for the successful rollout of ART in Botswana.

Supporting Evidence

  • Between July 2001 and December 2006, 4957 participants completed the AIDS Clinical Care Fundamentals module.
  • 68.5% of trainees were from the nursing professions.
  • During the period 2003–2006, nurses showed a significant improvement in knowledge compared to doctors.
  • 553 healthcare workers were trained in Laboratory Fundamentals.
  • 687 support staff participated in Introduction to HIV & Biosafety.
  • 266 healthcare workers were trained in Medication Adherence Counseling.
  • 241 healthcare workers completed Advanced HIV/AIDS Care and Treatment training.
  • 453 non-medical professionals completed the satellite module Introduction to AIDS Clinical Care.

Takeaway

The KITSO program helps train doctors and nurses in Botswana to provide better care for people with HIV, making sure they know how to use the medicine correctly.

Methodology

The program involved standardized training modules for healthcare workers, including both didactic and practical components, with ongoing monitoring and evaluation.

Potential Biases

Potential bias may arise from the reliance on specific training partners and the lack of a medical school in Botswana.

Limitations

The program's success is dependent on the continuous need for training and the retention of trained staff within the healthcare system.

Participant Demographics

The majority of participants were nurses (68.5%) and a smaller percentage were medical doctors (15%).

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.2174/1874613600802010010

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