Mahé Antoine, Faye Ousmane, N'Diaye Hawa Thiam, Konaré Habibatou Diawara, Coulibaly Ibrahima, Kéita Somita, Traoré Abdel Kader, Hay Roderick J
Department of Dermatology, Institut d'Hygiène Sociale, Dakar, Senegal.
Bull World Health Organ. 2005 Dec;83(12):935-41. Epub 2006 Jan 30.
To evaluate, in a developing country, the effect of a short training programme for general health care workers on the management of common skin diseases--a neglected component of primary health care in such regions.
We provided a one-day training programme on the management of the skin diseases to 400 health care workers who worked in primary health care centres in the Bamako area. We evaluated their knowledge and practice before and after training.
Before training, knowledge about skin diseases often was poor and practice inadequate. We found a marked improvement in both parameters after training. We analysed the registers of primary health care centres and found that the proportion of patients who presented with skin diseases who benefited from a clear diagnosis and appropriate treatment increased from 42% before the training to 81% after; this was associated with a 25% reduction in prescription costs. Improved levels of knowledge and practice persisted for up to 18 months after training.
The training programme markedly improved the basic dermatological abilities of the health care workers targeted. Specific training may be a reasonable solution to a neglected component of primary health care in many developing countries.
在一个发展中国家评估针对普通医护人员的短期培训项目对常见皮肤病管理的效果，常见皮肤病管理是此类地区初级卫生保健中一个被忽视的组成部分。
我们为在巴马科地区初级卫生保健中心工作的400名医护人员提供了为期一天的皮肤病管理培训项目。我们在培训前后评估了他们的知识和实践情况。
培训前，对皮肤病的知识往往匮乏，实践也不充分。培训后我们发现这两个参数都有显著改善。我们分析了初级卫生保健中心的登记记录，发现患有皮肤病且受益于明确诊断和适当治疗的患者比例从培训前的42%增至培训后的81%；这与处方成本降低25%相关。知识和实践水平的提高在培训后持续了长达18个月。
该培训项目显著提高了目标医护人员的基本皮肤病学能力。特定培训可能是许多发展中国家初级卫生保健中一个被忽视组成部分的合理解决方案。
