Preparedness for Practice of Health Professionals in Papua New Guinea: a Cross-sectional Survey of Nurses and Community Health Workers.

Introduction Papua New Guinea (PNG) experiences widespread health inequity and shortage of health professionals, exacerbated by poverty, isolation, gender-based violence and limited infrastructure, transport and accessible services. Nurses and community health workers (CHW) represent 72% of health workforce. However, health professional education programs are outdated and not aligned with national health priorities. We aimed to explore the adequacy of current curricula for nurses and CHWs by examining graduate competencies and preparedness for practice. Methods Cross-sectional study with four cohorts: 1) 130 new nurse graduates, 2) 75 nurses who supervised them, 3) 105 new CHW graduates and 4) 65 CHW supervisors. We surveyed perceptions of recent graduates’ clinical competence and compared graduates’ and supervisors’ ratings using chi-squared analysis. Results Graduates and supervisors differed significantly in perceptions of graduate competency, for both nurses and CHWs. Despite asserting their competence, graduates identified skills gaps and needs for additional learning support after graduation, including national priority areas (pregnancy, maternal-child health, infection control, emergency health management). Conclusion This study among health professionals in PNG, a country with very limited data on human resources for health, found gaps in graduate preparedness for practice, offering insights into skill deficits that should be addressed in upcoming curriculum review.