1323. Implementation and Effectiveness of the Asia Pacific HIV Practice Course: Building Capacity of Healthcare Workers in the Region
Session: Poster Abstract Session: Medical Education
Friday, October 5, 2018
Room: S Poster Hall
Posters
  • ID Week Poster_APHPC 2018.pdf (773.6 kB)
  • Background: Building the capacity of healthcare workers (HCW) can positively influence service quality and patient care. Given the limited HIV training opportunities in the Asia Pacific Region, the Asia Pacific HIV Practice Course (APHPC) aims to improve knowledge and skills and encourage patient-centered practice. 

    Methods: The APHPC is organised by an inter-professional organising committee. The course was developed based on a needs assessment of HCWs in the region and is run over 4 days. Using didactic and interactive learning approaches, the course covers psychosocial, biomedical and service delivery topics. 100 HCWs, predominantly nurses, social workers/counselors and, pharmacists have attended the course over two years (2016 & 2017). Participants have attended from Singapore, Sri Lanka, Indonesia, Malaysia, Philippines, Bangladesh, Papua New Guinea, Myanmar, and Vietnam. Pre- and post-course evaluations were completed, as well as daily session evaluations and a 3 month post-course evaluation. Participants rated their confidence from 1-5 (not confident-very confident). A paired-samples t-test was conducted to compare mean (M) confidence levels pre- and post-course in the various topics covered.

    Results: There was significant improvement in mean confidence scores pre-course (M=3.40, SD 0.27) and post-course (M=4.09, SD=0.13); t(11)= 13.1958, p<0.0001. This was seen across all topics (Figure) with the most marked improvement found in models of care and barriers to care, topics that are not routinely or explicitly covered in the same detail or frequency as HIV basics, testing, treatment and prevention. In the 3-month post-course survey, participants shared the changes they have made to their local practice since attending the APHPC. Changes include, additional staff training, revisions to counselling models and services and the implementation of monitoring and evaluation structures. 

    Conclusion: The APHPC has proven to be an impactful and highly evaluated course. To ensure the course continues to influence and improve practice, the content of the course can be expanded to cover non-standard topics, and further interactive learning experiences can be incorporated.

    Jessica Michaels, Bachelor of Social Work, Masters of Policy Studies1, Dariusz Olszyna, MD, PHD2, Sumita Banerjee, MA Social Sciences, MSc Health Policy3, Scott McGill, Masters Clinical Psychology4, Jing Yi Lin, Bachelor of Social Work5, Hwa Lin Law, MSc Clinical Pharmacy5, Joy Yong, MSc Pharmacy6, Nicole Wong, Bachelor of Social Work2, Cheng Chuan Lee, MD5 and Sophia Archuleta, MD1,7, (1)Division of Infectious Diseases, University Medicine Cluster, National University Hospital, Singapore, Singapore, (2)Department of Medicine, National University Hospital, Division of Infectious Diseases, University Medicine Cluster, Singapore, Singapore, (3)Action for AIDS, Singapore, Singapore, (4)Australasian Society of HIV, Viral Hepatitis and Sexual Health Medicine, Sydney, Australia, (5)Institute of Infectious Diseases and Epidemiology, Tan Tock Seng Hospital, Singapore, Singapore, (6)Department of Medicine, National University Hospital, Singapore, Singapore, (7)Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore

    Disclosures:

    J. Michaels, None

    D. Olszyna, None

    S. Banerjee, None

    S. McGill, None

    J. Y. Lin, None

    H. L. Law, None

    J. Yong, None

    N. Wong, None

    C. C. Lee, None

    S. Archuleta, None

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