title: 'Healthcare is not something you can isolate from life in general": factors influencing successful clinical capacity building in the Pacific.
abstract: Capacity building assistance (CBA) uses multiple techniques, including training and technical assistance, to develop a sustainable infrastructure for healthcare agencies. Although there is some evidence that CBA is effective, much remains to be learned about the best ways to implement it. We assessed factors influencing the delivery of an HIV-related CBA project for health professional in the U.S.-Affiliated Pacific Jurisdictions. We found some factors clearly facilitated CBA (e.g., implementing programs over long time periods), while others were clearly limiting influences (e.g., AIDS-related stigma). Lessons from this study can be applied to other CBA programs, where CBA providers can assess barriers and facilitators to implementation in order to target their services to the needs of local health experts.
authors.affiliation: AIDS Policy Research Center, University of California San Francisco, San Francisco, California 94105-1823, USA. rvezina78@yahoo.com
authors.forename: Richard
authors.initials: R
authors.lastname: Vezina
authors.forename: Michael
authors.initials: M
authors.lastname: Reyes
authors.forename: Cyril
authors.initials: C
authors.lastname: Goshima
authors.forename: Stephen F
authors.initials: SF
authors.lastname: Morin
mesh_terms: D000328:Adult; D057191:Capacity Building; D002983:Clinical Competence; D004059:Diffusion of Innovation; D004496:Education, Continuing; D020375:Education, Distance; D018961:Educational Technology; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control; D006282:Health Personnel / Q000193:education* / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010139:Pacific Islands; D015397:Program Evaluation; D036301:Qualitative Research; D014481:United States