Implementation of ORT: some problems encountered in training of health workers during an operational research programme.
Indian J Public Health
; 38(2): 69-72, 1994.
Article
en En
| MEDLINE
| ID: mdl-7836000
ABSTRACT
PIP: In India, the National Institute of Cholera and Enteric Diseases implemented an operations research project on oral rehydration therapy in the rural block of Polba of Hooghly district in West Bengal. Its physicians used lectures and slides to train grassroot level health workers about dehydration signs, management of diarrhea, referral of patients with diarrhea to the Primary Health Center, and how to educate mothers in the community about early management of diarrhea. Each health worker received a reference booklet, prepackaged oral rehydration salts (ORS), and a 1-liter standard plastic container. Two months after the initial training, their knowledge was reevaluated and they underwent retraining. A module in Bengali was used for the retraining. It consisted of individual readings, examples and exercises of simulated conditions, discussions, role playing, and demonstration of ORS preparation. The workers were reevaluated at 3 months and 1 year post-retraining. Other than preparation of ORS (80%), few grassroot workers retained the messages delivered via the lecture and slides approach (5-25%). For example, only 5% could correctly identify the signs of dehydration. On the other hand, many more health workers retained the messages delivered via the modular approach 3 months after retraining (47-98%). At 12 months post-retraining, dosage of ORS, referral, and use of home fluids were more difficult to recall than were signs of dehydration, indication of ORS, and preparation of ORS (18-29% vs. 48-87%). These results show that periodic refresher training increases knowledge to a sustained level. The researchers concluded that simple booklets in local scripts facilitate efficient training of health workers in diarrheal treatment services. Each worker should have his/her own personal copy.
Palabras clave
Asia; Communication; Community Workers; Comparative Studies; Delivery Of Health Care; Demographic Factors; Developing Countries; Education; Health; Health Personnel; India; Mass Media; On-the-job Training; Operations Research; Oral Rehydration; Population; Population Characteristics; Printed Media; Research Report; Rural Population; Southern Asia; Studies; Training Activities; Training Programs; Training Technics; Treatment
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Agentes Comunitarios de Salud
/
Fluidoterapia
/
Capacitación en Servicio
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Indian J Public Health
Año:
1994
Tipo del documento:
Article
Pais de publicación:
India