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An Iterative Process for Training Design and Implementation Increased Health Workers' Knowledge for Taking Nutrition
Wendy Gonzalez1, Anabelle Bonvecchio Arenas2, Armando García-Guerra2
1Global Alliance for Improved Nutrition (GAIN), Geneva, Switzerland.
The Journal of Nutrition
|December 4, 2019
Summary
A systematic training approach improved health worker knowledge for infant and young child nutrition services. This process enhanced nutrition intervention delivery and addressed challenges in primary healthcare settings.
Area of Science:
- Public Health
- Health Services Research
- Nutrition Interventions
Background:
- Health worker shortages impede effective nutrition interventions.
- Primary healthcare is crucial for infant and young child feeding strategies.
Purpose of the Study:
- To detail the development and implementation of health personnel training for the Integrated Strategy for Attention to Nutrition (EsIAN) in Mexico.
- To provide a case study on challenges and mitigation strategies for nutrition training.
- To explore potential applications of findings beyond Mexico.
Main Methods:
- A 5-phase process: situation analysis, formative research, feasibility study, redesign/scale-up, and evaluation.
- Utilized document reviews, surveys, focus groups, and pre/post-training telephone surveys.
- Employed an iterative approach for training design and implementation.
Main Results:
- Training design was informed by understanding health worker practices and challenges.
- Feasibility studies enabled tailored and refined training content.
- Post-training knowledge improved by up to 19 percentage points.
Conclusions:
- A systematic, iterative approach to training development is effective for nutrition interventions.
- Flexibility and political support are key for successful implementation and sustainability.
- This model offers valuable insights for improving health worker capacity in nutrition globally.
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