ArticleHuman resources for health2020
Implementation and evaluation of a Project ECHO telementoring program for the Namibian HIV workforce.
Article in Human resources for health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Cultivating a rural nursing workforce: the impact of rural vs. urban education on nursing students' intentions for rural practice in Nepal.BMC nursing · 2026Article
- The First Telementoring Programme in Latvia: A Qualitative Study of the "ECHO School of Psychiatry" for General Practitioners.Healthcare (Basel, Switzerland) · 2026Article
- What drives participation? A look at personal influences on Tanzanian nurses in project ECHO.Human resources for health · 2025Article
- Promoting primary palliative care in Western Kenya using Project ECHO®.African journal of primary health care & family medicine · 2025Article
- Improving Nurse Participation in Project ECHO: An Institutional Analysis of Primary Health Facilities in Dar es Salaam Region, Tanzania.Public health challenges · 2025Article
- Integrated Model of Cancer Control for Early Detection and Treatment in Adolescents and Young Adults Living With HIV: Protocol for a Cluster Randomized Controlled Trial.JMIR research protocols · 2025Article
- Bridging the Capacity Building Gap for Antimicrobial Stewardship Implementation: Evidence from Virtual Communities of Practice in Kenya, Ghana, and Malawi.Antibiotics (Basel, Switzerland) · 2025Article
- Project Extension for Community Healthcare Outcomes Intervention Evaluations: A Scoping Review of Research Methods.The Journal of continuing education in the health professions · 2025Article
- Using nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru.BMC health services research · 2025Article
- Leveraging virtual communities of practice for cancer control in Africa: experiences from the Africa Cancer Research and Control ECHO.Ecancermedicalscience · 2025Article
- A mixed methods evaluation of the impact of ECHOHuman resources for health · 2024Article
- An examination of an adapted Project ECHO model series during the COVID-19 pandemic in Idaho.Public health challenges · 2023Article
- Training the healthcare workforce: the global experience with telementorship for hepatitis B and hepatitis C.BMC health services research · 2023Article
- Leveraging tele-mentoring and remote learning to strengthen the emergency care capacity of health workers in Uganda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Effects of the ECHO tele-mentoring program on HIV/TB service delivery in health facilities in Zambia: a mixed-methods, retrospective program evaluation.Human resources for health · 2023Article
- "Mind the Gap" - An overview of the role of the Extensions Community Healthcare Outcomes (ECHO) model in enhancing value in health care delivery.AIMS public health · 2023Review
- Formative Evaluation and Adaptation of a Hypertension Extension for Community Health Outcomes Program for Healthcare Workers within the Federal Capital Territory, Nigeria.Global heart · 2023Article
- Building communities of practice through case-based e-learning to prevent and manage TB among people living with HIV-India.BMC infectious diseases · 2022Review
- Telehealth Interventions for HIV in Low- and Middle-Income Countries.Current HIV/AIDS reports · 2022Review
- Core components of a Community of Practice to improve community health worker performance: a qualitative study.Implementation science communications · 2022Article
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Authors and funding
37 authors.
Funding
Abstract
backgroundThe Namibian Ministry of Health and Social Services (MoHSS) piloted the first HIV Project ECHO (Extension for Community Health Outcomes) in Africa at 10 clinical sites between 2015 and 2016. Goals of Project ECHO implementation included strengthening clinical capacity, improving professional satisfaction, and reducing isolation while addressing HIV service challenges during decentralization of antiretroviral therapy.
methodsMoHSS conducted a mixed-methods evaluation to assess the pilot. Methods included pre/post program assessments of healthcare worker knowledge, self-efficacy, and professional satisfaction; assessment of continuing professional development (CPD) credit acquisition; and focus group discussions and in-depth interviews. Analysis compared the differences between pre/post scores descriptively. Qualitative transcripts were analyzed to extract themes and representative quotes.
resultsKnowledge of clinical HIV improved 17.8% overall (95% confidence interval 12.2-23.5%) and 22.3% (95% confidence interval 13.2-31.5%) for nurses. Professional satisfaction increased 30 percentage points. Most participants experienced reduced professional isolation (66%) and improved CPD credit access (57%). Qualitative findings reinforced quantitative results. Following the pilot, the Namibia MoHSS Project ECHO expanded to over 40 clinical sites by May 2019 serving more than 140 000 people living with HIV.
conclusionsSimilar to other Project ECHO evaluation results in the United States of America, Namibia's Project ECHO led to the development of ongoing virtual communities of practice. The evaluation demonstrated the ability of the Namibia HIV Project ECHO to improve healthcare worker knowledge and satisfaction and decrease professional isolation.
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