Morgan Christopher J, Deutschmann Peter W
Centre for International Health, Macfarlane Burnet Institute for Medical Research and Public Health, GPO Box 2284, Melbourne, VIC 3001, Australia.
Med J Aust. 2003 Jan 6;178(1):21-5. doi: 10.5694/j.1326-5377.2003.tb05034.x.
Training and education of health workers remains an indispensable part of good health development in resource-poor settings. Many past training programs have failed to achieve significant gains in health outcomes because of poor selection of participants, inadequate methodology, and/or the influence of external factors in the health system or social environment. The solutions lie in better planning of "who" and "what" should be trained; effective methods based on adult learning principles; alternative methods that maximise learner input and locate training as close as possible to the workplace and its problems; appropriate inclusion of the community; and coordination with other health system interventions.
在资源匮乏地区,卫生工作者的培训与教育仍是良好健康发展不可或缺的一部分。过去许多培训项目未能在健康成果方面取得显著成效,原因包括参与者选择不当、方法不充分,以及/或者卫生系统或社会环境中外部因素的影响。解决办法在于更好地规划“培训对象”和“培训内容”;基于成人学习原则的有效方法;能最大限度增加学习者投入并将培训尽可能设置在靠近工作场所及其问题之处的替代方法;适当地纳入社区;以及与其他卫生系统干预措施进行协调。