Article type
Abstract
Background: The Practical Approach to Care Kit (PACK) is an evidence-informed approach for primary care (PC) in South Africa, localized for countries like Brazil. The PACK guide simplifies and standardizes PC while strengthening healthcare systems through facility-based training. Adapted for Florianopolis, Brazil, it aims to reform and expand PC services, promoting accessibility and equity.
Methods: The PACK training employs a cascade model with regular training sessions (TS) led by health workers trained as Facility Trainers (FT). The goal is to familiarize family physicians and nurses with the PACK guide. Recently, a blended training strategy (BTS) integrating a virtual platform was introduced to the TS. Despite a three-year hiatus due to the pandemic, TS resumed in 2023 in Florianopolis, incorporating the implementation of BTS. To evaluate the resumption and BTS implementation, a cross-sectional survey was conducted, involving FT and trainees. A structured questionnaire, employing a 5-point Likert scale (from totally disagree to totally agree), covered five domains: General Aspects of Training (GAT); Organization and Structure of Training (OST); Aspects Related to Blended Training Strategy (ARB); Impact of Training on Clinical Practice (ITC); Participation and Motivation with Training (PMT).
Results: Results revealed 93 responses, with 32% from FT and 68% from trainees. GAT domain scored a mean of 4.68. OST domain had a mean response of 4.70, highlighting well-preparedness of Facility Trainers. ARB domain scored 4.53, with the question on BTS validity receiving the highest rating. ITC domain had a mean response of 4.79, emphasizing the PACK guide's contribution to clinical practice. PMT domain scored 4.68, with commitment to and participation in TS receiving the highest rating.
Conclusion: PACK intends to enhance PC, especially in Florianopolis, Brazil. Its adaptation for this region, along with the introduction of a BTS, reflects a commitment to advancing and expanding PC services. The survey results indicate positive feedback across various domains, emphasizing the well-preparedness of FT and the perceived validity of the BTS. Despite a pandemic-induced hiatus, the resumption of TS underscores the resilience and adaptability of the PACK program. These findings highlight the valuable contributions of PACK in promoting accessible, equitable and high-quality PC.
Methods: The PACK training employs a cascade model with regular training sessions (TS) led by health workers trained as Facility Trainers (FT). The goal is to familiarize family physicians and nurses with the PACK guide. Recently, a blended training strategy (BTS) integrating a virtual platform was introduced to the TS. Despite a three-year hiatus due to the pandemic, TS resumed in 2023 in Florianopolis, incorporating the implementation of BTS. To evaluate the resumption and BTS implementation, a cross-sectional survey was conducted, involving FT and trainees. A structured questionnaire, employing a 5-point Likert scale (from totally disagree to totally agree), covered five domains: General Aspects of Training (GAT); Organization and Structure of Training (OST); Aspects Related to Blended Training Strategy (ARB); Impact of Training on Clinical Practice (ITC); Participation and Motivation with Training (PMT).
Results: Results revealed 93 responses, with 32% from FT and 68% from trainees. GAT domain scored a mean of 4.68. OST domain had a mean response of 4.70, highlighting well-preparedness of Facility Trainers. ARB domain scored 4.53, with the question on BTS validity receiving the highest rating. ITC domain had a mean response of 4.79, emphasizing the PACK guide's contribution to clinical practice. PMT domain scored 4.68, with commitment to and participation in TS receiving the highest rating.
Conclusion: PACK intends to enhance PC, especially in Florianopolis, Brazil. Its adaptation for this region, along with the introduction of a BTS, reflects a commitment to advancing and expanding PC services. The survey results indicate positive feedback across various domains, emphasizing the well-preparedness of FT and the perceived validity of the BTS. Despite a pandemic-induced hiatus, the resumption of TS underscores the resilience and adaptability of the PACK program. These findings highlight the valuable contributions of PACK in promoting accessible, equitable and high-quality PC.