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Building the Capacity of Health Professionals in Monitoring and Evaluation in a Public Health Institution: Experience of the National Institute of Public Health (NIPH) of Côte d’Ivoire

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Health 2024年第8期16卷 731-749页

作者： Esme Marie Laure Essis N’guetta Mathilde Manouan Anna-Corine Estell Liema Bissouma Ethmonia Kouamé Ekissi Orsot Tetchi Sagou Olivier Yayo Stephane Claon Yao eugene konan William Yavo Agbaya Stephane Oga Tenenan Jean Marie Yeo Joseph Aka National Institute of Public Health Abidjan Cte dIvoire Cellule de Recherche en Sant de la Reproduction de Cte dIvoire (CRESAR-CI) Abidjan Cte dIvoire Department of Public Health and Biostatistics UFR of Medical Sciences Felix Houphout Boigny University Abidjan Cte dIvoire Department of Public Health UFR of Pharmaceutical and Biological Sciences Felix Houphout Boigny University Abidjan Cte dIvoire

Background: In the context of the fight against HIV, a lack of skills in monitoring and evaluating the personnel in charge of activities has been identified at the national level. It was the subject of a priority axis of the national plan for monitoring and evaluating the fight against HIV (2006-2010) that was aimed at strengthening the capacities of actors in this area. To increase the critical mass of competent human resources in the short term, the National Institute of Public Health (NIPH) of Côte d’Ivoire organized monitoring and evaluation training sessions for healthcare professionals from 2011 to 2016. Methods: A single case study with multiple levels of analysis was carried out, combining a qualitative survey and a literature review. An evaluation was carried out six months after each training session. In addition, the results of the pre- and post-tests and of the daily and final evaluations that accompanied the various training sessions were used to provide further information. The qualitative data collected were analyzed using INVIVO 15 software. Results: Some 89 health professionals (69% men and 31% women) working at the national level (51% at the central level, including 58% in health programs) and in development partner agencies (37%) participated in this capacity building program. Most participants were senior health managers (56%), data managers (23%), and statisticians and computer scientists (10%). Almost all the trainings were financed by 16 technical and financial partners (85%), mainly the MEASURE Evaluation project (27%). Conclusion: M&E training, despite all its imperfections, has made it possible to identify M&E training needs at the national level and to increase the critical mass of national skills and to have some culture in M&E.

关键词： Short-Term Training Capacity Building Monitoring and Evaluation Health Professional Africa Côte d’Ivoire

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Explanatory Factors for the Variation in HIV Prevalence between Regions of Côte d’Ivoire: An Ecological Study

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Health 2022年第5期14卷 507-522页

作者： Esme Marie Laure Essis Bamba Iba Loukou Leandre konan eugene konan Joseph Aka Prata Ndola National Institute of Public Health Abidjan C&#244 te d’Ivoire Cellule de Recherche en Santé de la Reproduction de Cô te d’Ivoire Abidjan C&#244 te d’Ivoire Department of Public Health and Specialties UFRS Medical Sciences of the University Félix Houphou&#235 t-Boigny Abidjan C&#244 te d’Ivoire Bixby Center for Population Health and Sustainability School of Public Health University of California Berkeley CA USA

Introduction: No study has analyzed the reasons for the difference in HIV prevalence between Ivorian regions ranging from 1.3% in the central-western region to 4.1% in Abidjan among men. Objective: To analyze explanatory factors for the difference in HIV prevalence observed in men in Côte d’Ivoire’s regions. Methodology: Assessment of the relationship between HIV prevalence per region and risk factors explored in the 2012 Côte d’Ivoire Demographic and Health Surveys (DHS). A multivariate analysis was conducted to assess the relationship between HIV prevalence and each variable. Results: The explanatory power of the variation of HIV prevalence between regions was 98%. There was a significant association between HIV prevalence and union (r = −0.38;p = 0.008;95% CI (−0.53 to −0.23)), condom use (r = −0.01;p = 0.19;95% CI (−0.03 to −0.01)), practice of Christian religion (r = −0.1;p = 0.017;95% CI (−0.16 to −0.05)), and schooling (r = −0.01;p = 0.25;95% CI (−0.04 to 0.02)). There was a paradoxical association between HIV prevalence and mean age at first sexual intercourse (r = −0.1;p = 0.017;95% CI (−0.16 to −0.05)) and sexual infections (r = −0.48;p = 0.016;95% CI (−0.75 to −0.22)). Conclusion: The explanatory factors for the difference in HIV prevalence observed in men in the regions of the country were union, condom use, mean age at first sexual intercourse, sexual infection, sexual activity, and multiple sexual partnerships. However, only union and condom use were effective in reducing HIV prevalence by preventing new infections.

关键词： VIH Prevalence Explanatory Factors Ecological Study Region Sub-Saharan Africa

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