在埃塞俄比亚可持续的FP计划中,对HEW进行现场Implanon插入培训的作用:一种混合方法研究
Yewondwossen Tilahun1, Bekele Belayihun2, Luwam Teshome2
1Pathfinder International, Addis Ababa, Ethiopia. ytilahun@pathfinder.org.
Human resources for health
|July 13, 2023
概括
与场外培训相比,Implanon对健康推广工作人员的现场插入培训显著减少了离职时间和成本. 这种方法确保了持续的,优质的社区级 Implanon 护理.
科学领域:
- 公共卫生 公共卫生
- 健康 专业 教育 卫生 专业 教育
- 计划生育 计划生育方式
背景情况:
- 医疗推广工作者在场外的IMPLANON插入培训是昂贵的,并破坏了常规服务.
- 美国国际开发署在埃塞俄比亚的转变初级卫生保健活动开发了初级卫生保健水平的现场培训模型.
研究的目的:
- 为了比较现场与场外的IMPLANON安装培训的实施经验,为健康推广工作者提供IMPLANON安装培训.
- 评估埃塞俄比亚现场培训的有效性和效率.
主要方法:
- 一项混合方法研究,涉及468名参与者 (一半在现场接受培训,一半在场外接受培训) 和20个关键信息员采访.
- 使用SPSS v.20分析的定量数据,包括t测试. 在Excel中手动分析和在Word中总结的定性数据.
主要成果:
- 现场实习生平均离开工作3天,而非现场实习生平均离开工作8天 (P < 0.001).
- 与非现场培训 (193.7 美元) 相比,现场培训成本每名学员 (87.3 美元) 显著低于现场培训 (193.7 美元) (P < 0.001).
- 在现场和现场以外的实习生之间没有观察到知识或实践技能的显著差异,尽管现场实习生对客户进行了更多的插入.
结论:
- 现场培训是一种可行的策略,可以最大限度地减少服务中断,并确保优质的Implanon护理的连续性.
- 这种方法有助于按需培训和立即部署熟练的健康推广工作者,为社区一级的Implanon服务提供服务.
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