Table 9 Leadership hub evaluation projects
Country | Leadership hub | Amount of grant (CAD) | Timeline | Project | Main findings and conclusions |
|---|---|---|---|---|---|
Jamaica | St. Thomas Hub | $847 | May 2011–November 2011 | Observation of infection control procedures and interviews with staff to assess the implementation process of Jamaica’s National Infection Control Policy in parish health centres | Infection control committees were vibrant and active; infection control nurses deliberately assigned; inadequate supplies to maintain policy standards; insufficient allocation of coordinators; lack of coordinated approach to training |
St. Catherine Hub | $866 | May 2011–February 2012 | Analysis of hospital records and personnel training to assess the implementation of the voluntary counselling and testing (VCT) component of the Jamaican National HIV/AIDS policy in a parish hospital maternity unit | Extensive gaps in implementation and monitoring of VCT policy; no inclusion of VCT in orientation of new staff; low levels of VCT training; no committee to ensure VCT implementation | |
Kingston and St. Andrew Hub | $993 | May 2011–November 2011 | Analysis of cases of occupational exposure to HIV (collected through required reporting and hospital injury records) to assess the adherence to post-exposure prophylaxis protocol in parish hospitals | Protocols for occupational injuries followed in some cases but not all; administration of post-exposure prophylaxis medication followed more closely than administrative aspects | |
Kenya | Suba Hub | $834 | July 2011–March 2012 | Surveys and interviews with hospital staff and clients to assess the impact of Kenya’s Service Charter on Health Sector Service Provision within district hospitals | Staff are knowledgeable and are partially implementing the service charter; there are a number of challenges preventing full implementation: human resources, finances, equipment and supplies; client satisfaction is satisfactory (60 %) |
Nyando Hub and Kisumu Hub | $1490 | July 2011–March 2012 | Structured questionnaires (with frontline nurses and nurse managers), and semi-structured exit interviews (with clients) to assess the implementation of Kenya’s National Reproductive Health Policy in Promotion of Safe Motherhood within country health facilities | HIV/AIDS components of the reproductive health policy are being implemented, with some exceptions; client satisfaction was above average, but there was room for improvement in some areas | |
Uganda | Kampala Hub | $773 | May 2011–January 2012 | Key informant interviews and focus group discussions to determine effective dissemination strategies to involve nurses and midwives in HIV workplace policies in district health centres | Most nurses and midwives are not well conversant with HIV workplace policies; health facilities that have policies do not have them in written documents; there is a strong need to improve dissemination strategies of HIV workplace policies to nurses and midwives |
Jinja Hub | $713 | November 2011–February 2012 | Structured interviews with nurses for the identification of nurse-designed best practices for addressing HIV stigma among nurses in district health centres | Top-down efforts to reduce stigma have failed to yield significant results; leaders at various levels need to be involved in stigma reduction | |
Luwero Hub | $794 | June 2011–January 2012 | Questionnaires and focus group discussions with nurses to assess health workers’ knowledge, attitudes and practices towards implementation of universal safety precautions (USP) policy in district health facilities | High (93 %) knowledge of USP policy, but low (10 %) use of guidelines among nurses; resources needed for implementation of policies are often lacking; need for both dissemination of policy guidelines and supplies to implement | |
South Africa | Ngaka Modiri Molema Hub and Kenneth Kaunda Hub | $1855 | June 2011–February 2012 | Literature review and concept analysis on anti-retroviral therapy (ART) adherence and follow-up to develop a checklist tool for ART follow-up evaluation | Literature review showed that not all policies in place in institutions, and policies often not implemented, well-known, or used; no policy enforcement at the institutional level; current policies focus on accessibility and management of medications only |