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Open Access TB training in Kenya: building capacity for care and prevention

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BACKGROUND: Devolution of healthcare services in Kenya resulted in a large number of newly recruited tuberculosis (TB) coordinators. We describe a unique collaboration between a national tuberculosis program (NTP), a local, and an international non-governmental organization to build human resource capacity in TB care and prevention.

METHODS: From 2016 to 2021, the Kenya Division of National Tuberculosis, Leprosy and Lung Disease Program, Centre for Health Solutions-Kenya, and the International Union Against Tuberculosis and Lung Disease developed and conducted a series of 7-day training courses. A key focus of training was the introduction of TBData4Action, an approach involving the local use of routinely available data to strengthen decision-making and support supervision.

RESULTS: Implementation outcomes included training 331 (96%) coordinators out of 344, representing all 47 counties, 37 national officers and 21 other stakeholders using the country-tailored curriculum, including hands-on group work by county teams and field practicals. Thirty-five national facilitators were identified and mentored as local faculty. Training costs were reduced by 75% compared with international alternatives.

CONCLUSION: The collaboration resulted in the training of the majority of the coordinators in a standardized approach to TB care. A sustainable approach to capacity building in local data use was found feasible; the model could be adapted by other NTPs.

Keywords: Africa; capacity building; local data use; sub-national, devolution

Document Type: Research Article

Affiliations: 1: Centre for Health Solutions – Kenya, Nairobi, Kenya, Department of Business Administration, Maseno University, Kisumu, Kenya 2: International Union Against Tuberculosis and Lung Disease, Paris, France 3: Centre for Health Solutions – Kenya, Nairobi, Kenya 4: Ministry of Health - Division of National Tuberculosis, Leprosy and Lung Disease Program, Nairobi, Kenya 5: United States Agency for International Development/Kenya and East Africa, Nairobi, Kenya 6: The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland, Stop TB Partnership, Geneva, Switzerland 7: International Union Against Tuberculosis and Lung Disease, Paris, France, Alpert Medical School at Brown University-Providence, RI, USA

Publication date: March 21, 2022

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  • Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.

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