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Reorientation in primary health care implementation: an educational intervention.
1Department of Community Health, University of Calabar Medical School, Calabar, Nigeria.
International Quarterly of Community Health Education
|September 16, 2010
Summary
This study reoriented Community Health Officers in Nigeria toward Primary Health Care through a three-phase intervention. Training improved their role as agents of change, crucial for developing Nigeria's Primary Health Care system.
Area of Science:
- Public Health
- Health Systems Strengthening
- Medical Education
Background:
- Community Health Officers (CHOs) are vital for Primary Health Care (PHC) delivery in Nigeria.
- Reorienting CHOs is essential for effective PHC system development.
- Identified constraints can hinder the performance of PHC workers.
Purpose of the Study:
- To reorient Community Health Officers (CHOs) in Odukpani, Nigeria, towards effective Primary Health Care (PHC) practice.
- To assess the impact of a targeted intervention on CHO knowledge, attitude, and practice.
- To evaluate the effectiveness of a PHC-based training module and its implications for PHC system development.
Main Methods:
- A three-phase study was conducted: 1) determination of knowledge, attitude, and practice; 2) implementation of a PHC-based training module; 3) teacher-learner evaluation.
- The intervention focused on addressing identified program constraints for CHOs.
- Data collection involved assessing pre- and post-intervention parameters.
Main Results:
- The intervention demonstrated a significant positive impact on CHO knowledge, attitude, and practice regarding PHC.
- The training module effectively equipped CHOs to function as agents of change within the PHC system.
- The study identified specific areas for improvement in PHC worker performance.
Conclusions:
- Deliberate interventions are crucial for overcoming constraints and enhancing the role of PHC workers.
- The findings underscore the importance of targeted training for effective PHC system development in Nigeria.
- Reoriented CHOs are essential for achieving universal health coverage and improving health outcomes.
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