Task sharing in rural Haiti: Qualitative assessment of a brief, structured training with and without apprenticeship supervision for community health workers.


Journal Article

Despite growing support for supervision after task sharing trainings in humanitarian settings, there is limited research on the experience of trainees in apprenticeship and other supervision approaches. Studying apprenticeships from trainees' perspectives is crucial to refine supervision and enhance motivation for service implementation. The authors implemented a multi-stage, transcultural adaptation for a pilot task sharing training in Haiti entailing three phases: 1) literature review and qualitative research to adapt a mental health and psychosocial support training; 2) implementation and qualitative process evaluation of a brief, structured group training; and 3) implementation and qualitative evaluation of an apprenticeship training, including a two year follow-up of trainees. Structured group training revealed limited knowledge acquisition, low motivation, time and resource constraints on mastery, and limited incorporation of skills into practice. Adding an apprenticeship component was associated with subjective clinical competency, increased confidence regarding utilising skills, and career advancement. Qualitative findings support the added value of apprenticeship according to trainees.

Full Text

Duke Authors

Cited Authors

  • McLean, KE; Kaiser, BN; Hagaman, AK; Wagenaar, BH; Therosme, TP; Kohrt, BA

Published Date

  • July 2015

Published In

Volume / Issue

  • 13 / 2

Start / End Page

  • 135 - 155

PubMed ID

  • 26190953

Pubmed Central ID

  • 26190953

International Standard Serial Number (ISSN)

  • 1571-8883

Digital Object Identifier (DOI)

  • 10.1097/WTF.0000000000000074


  • eng

Conference Location

  • India