Barriers and facilitators to implementing project ECHO in Malaysia during the COVID-19 Pandemic

Walters, Suzan M. and Li, Wong Pui and Saifi, Rumana Akhter and Azwa, Iskandar and Syed Omar, Sharifah Faridah and Collier, Zachary K. and Amir Hassan, Asfarina Binti and Haddad, Marwan S. and Altice, Frederick L. and Kamarulzaman, Adeeba and Earnshaw, Valerie A. (2022) Barriers and facilitators to implementing project ECHO in Malaysia during the COVID-19 Pandemic. Journal of the International Association of Providers of AIDS Care, 21. ISSN 2325-9574, DOI

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Objective: In Malaysia, HIV is concentrated among key populations who experience barriers to care due to stigma and healthcare discrimination. The COVID-19 pandemic has increased barriers to healthcare. Project ECHO (Extension for Community Healthcare Outcomes) is a transformative tele-education strategy that could improve HIV prevention and treatment. Methods: Practicing physicians who were aged 18 years or older and had internet access participated in asynchronous online focus groups. Results: Barriers to Project ECHO were conflicting priorities, time constraints, and technology. Facilitators included content and format, dedicated time, asynchronized flexible programming, incentives, and ensuring technology was available. Conclusion: Project ECHO is a promising intervention that can increase physicians’ knowledge and skill set in specialty medicine during the COVID-19 pandemic. Interventionists in Malaysia in particular, but also in general, should consider these barriers and facilitators when developing Project ECHO as they may aid in developing a more robust program and increase participation. © The Author(s) 2022.

Item Type: Article
Funders: None
Uncontrolled Keywords: COVID-19; HIV Infections; Humans; Malaysia; Pandemics; Social Stigma; Article; Bandwidth; Coronavirus disease 2019; Data analysis; Ethnicity; General practitioner; Health care cost; Health care personnel; Human; Human immunodeficiency virus; Incentive; Pandemic; Physician; Social media; Transgender; Workload; Epidemiology; Human immunodeficiency virus infection; Malaysia; Pandemic; Social stigma
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 26 Oct 2023 02:07
Last Modified: 26 Oct 2023 02:07

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