初级保健工作者培训对尼日利亚贝努埃州西北地区儿童疾病综合社区病例管理的影响

Uya John Abua, T. Igbudu, L. Egwuda, Gberndyer Jacob Yaakugh
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引用次数: 1

摘要

世界卫生组织和联合国儿童基金会采用了儿童疾病综合社区个案管理,以便培训社区一级的保健工作者如何治疗5岁以下患有肺炎、腹泻和疟疾的儿童。由于贝努埃州的初级保健工作者在社区一级积极参与照顾患病儿童的工作,因此非常有必要对他们进行关于儿童综合护理的培训。本研究的目的是查明对贝努埃州西北地区初级卫生保健工作者的培训是否可以提高他们对ICCM的认识。这项研究是在贝努埃西北部进行的,Gboko地方政府是从七个地方政府中随机选择的。38个初级卫生保健诊所的卫生官员被选为研究对象,并根据我们改编的ICCM培训手册接受了培训。本研究的培训前和培训后评估测试是根据培训手册设计的。通过配对样本t检验,了解初级卫生保健工作者在接受培训前后的知识水平是否存在显著差异。训练前得分(x1 = 136.684, S1 = 37.370)与训练后得分(x2 =177.895, 2 S =14.469)差异有统计学意义(t=6.783, P=0.000)。这一结果有力地表明,教学干预提高了Gboko地方政府初级卫生保健工作者对ICCM的认识。关键词:ICCM;肺炎;疟疾;腹泻
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Impact of training of primary healthcare workers on integrated community case management of childhood illnesses in North-West district of Benue State, Nigeria
The World Health Organization and United Nations Children’s Fund has introduced Integrated Community Case Management of childhood illness (ICCM) in order to train health workers at community level on how to treat children below 5 years who have pneumonia, diarrhoea and malaria. Since Primary Health Care workers in Benue State are actively involved in caring for sick children at community level, there is every need for them to be trained on ICCM. The objective of this study is to find out if training of primary health care workers in North-West district of Benue State can improve their knowledge on ICCM. The study was carried out in Benue North-west where Gboko Local government was randomly selected out of seven local governments. Health Officers’ in-charge of 38 Primary Health Care Clinics were selected for the study and were trained based on our adapted ICCM training manual. The Pre and Post training assessment test for this study was designed based on the training manual. A paired sample t-test was conducted to find out if there were any significant difference in the knowledge of primary health care workers before and after receiving training. There was significant difference in the pre training scores ( x1 = 136.684, S1 = 37.370) and post-training scores (x2 =177.895, 2 S =14.469) at (t=6.783, P=0.000). This result strongly indicates that the teaching intervention has improved the knowledge of the Primary Health Care  workers on ICCM in Gboko Local Government. Keywords: ICCM; Pneumonia; Malaria; Diarrhoea
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