Disability training for healthcare workers in Uganda: qualitative findings from the pilot test

BACKGROUND: People with disabilities experience barriers to healthcare, resulting in poorer health outcomes. There is limited disability training for healthcare workers globally. A disability training was co-developed with people with disabilities and healthcare workers and pilot-tested in Uganda. OBJECTIVE: To use qualitative methods to understand co-learning experiences, identify strengths and areas for improvement, and to explore a disability training's effect on practices in Uganda. METHODS: We conducted a two-day Train-the-Trainer programme in September 2023 with ten trainers (5 people with disabilities, 5 healthcare workers). The trainers then delivered two one-day disability training programmes to 27 healthcare workers. Data on the perceptions and experience of the trainings were collected through focus group discussions with trainers and in-depth interviews with trainers and participants. We used an inductive approach for analysis and Kirkpatrick's Four-Level Training Evaluation Model to assess reactions, learning, behaviour changes, and results. RESULTS: The trainers valued the emphasis on practical application and the collaborative approach used during the sessions. Trainers with disabilities expressed increased confidence and ability to advocate for inclusive healthcare practices. Healthcare workers reported that the training was engaging and relevant to their roles. Three months post-training, healthcare workers reported improved attitudes and skills toward providing care for people with disabilities. Challenges in applying new practices included limitations in facility accommodations and accessibility. Further support and training were requested. CONCLUSION: The co-designed disability training programme can enhance healthcare workers' skills and interactions with patients with disabilities. Policy support is important for the implementation of disability training at scale.