Effect Of Capacity Building Research Articles

Effectiveness of Capacity-Building and Quality Improvement Interventions to Improve Day-of-Birth Care in Kinshasa, Democratic Republic of the Congo.

In sub-Saharan African settings like the Democratic Republic of the Congo, high-quality care during childbirth and the immediate postpartum period is lacking in public facilities, necessitating multipronged interventions to improve care. We used a pre-post design to examine the effectiveness of a low-dose, high-frequency capacity-building and quality improvement (QI) intervention to improve care for women and newborns around the day of birth in 16 health facilities in Kinshasa, Democratic Republic of the Congo. Effectiveness was assessed based on changes in provider skills, key health indicators, and beneficiary satisfaction. To assess changes in the competency of the 188 providers participating in the intervention, we conducted objective structured clinical examinations on care for mothers and newborns on the day of birth, immediate postpartum family planning (PPFP) counseling and method provision, and postabortion care before and after implementation of training and at 6 and 12 months after training. Interrupted time series (ITS) analysis techniques were used to analyze routine health service data for changes in select maternal, newborn, and postpartum outcomes before and after the intervention. To assess changes in clients' perceptions of care, 2 rounds of telephone surveys were administered. Before the intervention, less than 2% of participating providers demonstrated competency in skills. Immediately after training, more than 80% demonstrated competency, and 70% retained competency after 12 months. ITS analyses show the risk of early neonatal death declined significantly by 9% (95% confidence interval [CI]=4%, 13%, P<.001), and likelihood of immediate PPFP uptake increased significantly by 72% (95% CI=53%, 92%, P<.001). Client satisfaction improved by 58% over the life of the project. These findings build on previous studies documenting the effectiveness of clinical capacity-building and QI approaches. If implemented at scale, this approach has the potential to substantively contribute to improving maternal and perinatal health in similar settings.

Effect of Capacity Building on Sustainability of Irrigation Projects in Rwanda a case of Kirehe Watershed Management Project (KWAMP)

Effect of Capacity Building on Sustainability of Irrigation Projects in Rwanda a case of Kirehe Watershed Management Project (KWAMP)

Third-generation adaptive capacity assessment for climate-resilient development

ABSTRACT Human development seeks to enlarge freedoms by building capacity and is integral to achieving sustainable development, particularly in the era of the Anthropocene. However, the efficiency and effectiveness of capacity building is limited. First-generation adaptive capacity emphasizes a deficit model. Second-generation adaptive capacity focuses on mobilization by individuals. Neither adequately address the issue of scale, nor recognize how stocks of capacity are enhanced or diminished through interactions between individuals and groups. Addressing these shortcomings and realizing climate-resilient development, is contingent upon a next (third) generation of adaptive capacity that incorporates the transfer of capacity.

Knowledge and practice pattern of integrated child development services scheme supervisors (AWS) following capacity building and remote supportive supervision

Nutritional status of under-5 children in India is not promising and lags far behind the WHO Global Nutrition Targets. Although the Integrated Child Development Services has been continuously delivered through Anganwadi centers since 1975, the burden of malnutrition still persists. This study was conducted to estimate the knowledge and practice pattern of Anganwadi supervisors and the effect of capacity building through remote supportive supervision during the COVID-19 pandemic in Assam, India. A cross-sectional before-after study using a mixed methods approach was used to evaluate the knowledge pattern and service delivery of supervisors from each district of Assam. For qualitative assessment, telephone depth interviews were conducted. Knowledge of supervisors in the beginning was 83.43% which improved by 7.97% at the end of the study. The highest burden of SAM children was in Tinsukia and Barpeta districts. On mapping, most districts with lower burden of SAM had supervisors with higher knowledge levels on Infant and Young Child Feeding practices. Qualitative assessment revealed house-to-house visit for ensuring service delivery and use of online platforms and phone calls for counseling. However, community resistance and lack of transport stood as a main challenge. Supportive supervision done remotely during the pandemic to enhance the performance of health workforce was found effective.

Identifying advocacy strategies, challenges and opportunities for increasing domestic health policy and health systems research funding in Nigeria: Perspectives of researchers and policymakers

IntroductionPoor funding for Health Policy and Systems Research (HPSR) is a major constraint to the development, generation and uptake of HPSR evidence in Low and Middle-Income countries. The study assessed the status of HPSR domestic funding and advocacy strategies for improving HPSR funding in Nigeria. It equally explored the knowledge and perception of the domestic funding status of HPSR and the effect of capacity building on the knowledge of domestic funding for HPSR in Nigeria.MethodsThis was a sub-national study involving policymakers and researchers from Enugu and Ebonyi States in Southeast Nigeria who participated in the sub-national Health Systems Global convening for the African region. A before-after study design (workshop) was utilized. Data collection employed semi-structured questionnaires, group and panel discussions. The workshop facilitated knowledge of HPSR, funding processes, and advocacy strategies for increased domestic funding for HPSR. Pre and immediate post-workshop knowledge assessments were done. Data were analyzed using SPSS version 25 and thematic analysis.ResultsTwenty-six participants were involved in the study. Half were females (50.0%) and 46.2% were aged 35–44 years. Policymakers constituted 23.1% of the participants. Domestic funding for HPSR in Nigeria was adjudged to be grossly inadequate. Identified barriers to domestic funding of HPSR included bureaucratic bottlenecks, political and policy transitions, and corruption. Potential opportunities centered on existing policy documents and emerging private sector willingness to fund health research. Multi-stakeholder advocacy coalitions, continuous advocacy and researcher skill-building on advocacy with active private sector involvement were the strategies proffered by the participants. Pre-workshop, understanding of the meaning of HPSR had the highest mean ratings while knowledge of budgeting processes and use of legal action to enable opportunities for budget advocacy for HPSR funding had the lowest mean ratings. Following the capacity-building workshop, all knowledge and understanding parameters markedly improved (percentage increase of 12.5%–71.0%).ConclusionThis study found that there was paucity of domestic funding for HPSR in Nigeria alongside poor knowledge of budgeting and advocacy strategies among both policymakers and researchers. We recommend the deployment of these identified strategies and wider national and regional stakeholder engagement towards prioritizing and improving domestic funding for HPSR.

The effect of capacity building and service quality on SME's engagement to improve economic creativity in Subang Regency, Indonesia

The effect of capacity building and service quality on SME's engagement to improve economic creativity in Subang Regency, Indonesia

Effects of Capacity Building on Management of County Resources in Machakos County, Kenya

Effects of Capacity Building on Management of County Resources in Machakos County, Kenya

The State of Surgical Task Sharing for Inguinal Hernia Repair in Limited-Resource Countries.

In limited-resource countries, the morbidity and mortality related to inguinal hernias is unacceptably high. This review addresses the issue by identifying capacity-building education of non-surgeons performing inguinal hernia repairs in developing countries and analyzing the outcomes. PubMed was searched and included are studies that reported on task sharing and surgical outcomes for inguinal hernia surgery. Educational methods with quantitative and qualitative effects of the capacity-building methods have been recorded. Excluded were papers without records of outcome data. Seven studies from African countries reported 14,108 elective inguinal hernia repairs performed by 230 non-surgeons with a mortality rate of 0.36%. Complications were reported in 4 of the 7 studies with a morbidity rate of 14.2%. Two studies reported on follow-up: one with no recurrences in 408 patients at 7.4months and the other one with 0.9% recurrences in 119 patients at 12months. Direct comparison of outcomes from trained non-surgeons to surgeons or surgically trained medical doctors is limited but suggests no difference in outcomes. Quantitative capacity-building effects include increase in surgical workforce, case volume, elective procedures, mesh utilization, and decreased referrals to higher level of care institutions. Qualitative capacity-building effects include feasibility of prospective research in limited-resource settings, improved access to surgical care, and change in practice pattern of local physicians after training for mesh repair. Systematic training of non-surgeons in inguinal hernia repair is potentially a high-impact capacity-building strategy. High-risk patients should be referred to a fully trained surgeon whenever possible. Randomized study designs and long-term outcomes beyond 1year are needed.

Effect of Capacity Building on Performance of National Police Service at Uasin Gishu County, Kenya

Effect of Capacity Building on Performance of National Police Service at Uasin Gishu County, Kenya

Effect of capacity building on knowledge of farmers about improved citrus nursery practices in NIHORT adopted villages

Effect of capacity building on knowledge of farmers about improved citrus nursery practices in NIHORT adopted villages

Effect of capacity building in alleviating poverty and improving forest conservation in the communal forests of Mexico

Abstract Community Forestry has been identified as a secure, profitable, and equitable strategy to reach the dual goal of forest conservation and poverty alleviation. This research contributes to the literature exploring the effects of local capacity building in forest communities by analyzing the Community Forestry Program (CFP) in Mexico. This program provides grants to enhance four types of local capacities: human, social, economic, and environmental. We used a quasi-experimental approach to quantitatively compare matched treatment and control communities regarding the effect of these interventions on two response variables: poverty alleviation and forest cover conservation. The treatment and control communities were assessed at two points in time: pre-intervention and after a 5-year treatment period. This approach was possible because we had access to a rich database of CFP grants containing more than 20,000 records from which we identify 5074 that meet the criteria for our study. Impact on poverty is assessed using a Marginality Index produced by a federal agency. Effect on forest cover conservation is evaluated by using two proxies, the rate of change on: forest cover and on forest cover fragmentation. Our results show that enhancement of only human/social capacities or all capacities as a package significantly reduce poverty. However, the first ones have a greater impact that the latter ones. Neither human/social capacities enhancement, nor all-capacities enhancement had a statistically significant effect on forest cover conservation. These findings can assist in better designing and targeting future CFP grants in Mexico. Also, they have implications for public policy since capacity building is cheaper than any other poverty alleviation mechanism such as direct cash transfers or subsidies. Furthermore, they have long-lasting impacts that do not require regular periodical contributions and they don’t discriminate by gender, or by the requirement on individual community members of having land ownership rights within the community’s land holdings.

Effect of Capacity Building on Productivity Alcoholic Beverage Companies

Effect of Capacity Building on Productivity Alcoholic Beverage Companies

Capability Building of Coordinating with Other Educators for Preschool Teachers in Educating Developmentally Disabled Children in Gia Lam District, Hanoi, Vietnam

The paper deals with the theory and practice of collaborative capacity building for preschool teachers with other educator forces in care and education of children with developmental disabilities in Gia Lam district, Hanoi, Vietnam. The results of theoretical and factual studies indicate that: Developmental disabilities are the development of high-level functional disabilities in the central nervous system during development, which presents a distortion or problem of cognitive abilities, communication, social, learning, attention, etc. Fostering the capacity to coordinate social forces in caring for and educating children with developmental disabilities is a continuation of training to develop the capacity of coordinating the social forces in care and education. The capacity of coordinating with other educator forces for teachers of preschool children with developmental disabilities vary in its objectives, methods and forms. Despite the concern and care from managers and authorities, there are still many teachers who do not fully understand the problem. The development of coordination plans with social forces in the education of children with developmental disabilities has been paid attention, but only in the general plan on the coordination of social forces. Measures should be taken to improve the effectiveness of capacity building for preschool teachers with the education staff in developmental care for children with disabilities to develop a standardized, consistent and consistent system of procedures. It is essential to improve the quality of early childhood education and help preschool teachers equip themselves with knowledge, skills and skills in coordination with other social forces.

An Evaluation of the Capacity-building Effects of Participatory GIS (PGIS) for Public Participation in Land Use Planning

Spatial participatory methods called ‘participatory GIS’ (PGIS) are intended to improve public participation for land use planning. An internet PGIS was implemented in Perlis, Malaysia, to examine the public capacity-building effects of PGIS. Two delivery modes (facilitated and self-administered) were evaluated. We found that PGIS significantly enhanced perceived public knowledge about place and land use planning while increasing spatial technology skills, regardless of implementation mode. The results indicate that PGIS can increase public capacity for participating in land use planning, an important finding for developing countries with historically low levels of public participation and low public awareness and knowledge of planning.

Evaluating Capacity Building to Foster Climate Change Adaptation

This paper describes an evaluation of a capacity-building approach for promoting locally-driven climate change adaptation through local action. Using a leadership development strategy, a US-based NGO convened teams of dedicated sustainability practitioners from 15 localities for peer learning, team-building, and access to expert resources. The evaluation strengthened the NGO’s theoretical framework and methods for understanding the capacity-building contribution of the intervention to climate change adaptation. It demonstrated the use of stakeholder data to test and refine assumptions about 1) how intended changes are expected to occur and 2) prioritizing the use of capacity-building resources. It also underscored the necessity of evaluation partnerships between the NGO and committed teams of change agents to sustain capacity-building effects while allowing data gathering over time to continuously refine the Theory of Change (ToC) and to guide local efforts to achieve climate change adaptation outcomes. The evaluation data showed that the initial ToC was not sufficiently robust to identify necessary conditions to be embedded in specific local situational contexts to increase the likelihood of success. The evaluators recommended enhancement of the ToC to consider team “readiness”, while offering a logic model framework and capacity-building process metrics for progress and outcome tracking.

Effect of Capacity Building on Household Expenditure and Nutrition of Farmers in Bangladesh

Effect of Capacity Building on Household Expenditure and Nutrition of Farmers in Bangladesh

Governance for Sustainable Development in Sweden: The Experience of the Local Investment Programme

This article examines the role of central government in enhancing local capacity for promoting sustainable development. Building upon a series of evaluation studies, it examines a major central government funding initiative in Sweden, called the Local Investment Programme for Ecological Sustainability (LIP). The Programme formed part of a new governance approach towards the promotion of sustainable development. It was designed to promote both ecological sustainable development and create new ‘green jobs’, while at the same time stimulating innovative ways of thinking among local actors about the relationship between economy, ecology and society. Substantial material environmental effects were achieved and ‘green jobs’ created by LIP. However, allocation was skewed towards environmental leader municipalities and LIP was never fully integrated into other sustainable development initiatives. Further, few public/private partnerships were developed. Hence, despite the magnitude of the Programme, we question whether it produced lasting capacity-building effects at the local level.