Tian Lichun, Tang Songyuan, Cao Weiwei, Zhang Kaining, Li Virginia, Detels Roger
Institute for Health Sciences, Kunming Medical College, Yunnan, China.
AIDS. 2007 Dec;21 Suppl 8:S137-42. doi: 10.1097/01.aids.0000304709.02412.3c.
To improve HIV/AIDS knowledge among villagers and students in remote rural counties of Yunnan, China.
The University of California at Los Angeles School of Public Health and the Institute of Health Sciences of Kunming Medical College, with the assistance of local health and community agencies, initiated a web-based intervention project. Nanhua county received computers, training on accessing the website, and ongoing logistic support for diffusing information to their village colleagues. Mouding county received computers only, and Dayao county received neither.
Health workers in the two experimental counties were encouraged to disseminate the information from the website to villagers and students. Health knowledge was queried by cross-sectional surveys before and after implementation of the intervention.
Health workers, villagers and students in Nanhua experienced the greatest increase in knowledge of HIV/AIDS and sexually transmitted infections, and Dayao the lowest. The improved knowledge was substantial in many, but not all areas (e.g. hepatitis B transmission) assessed.
Web-based education is an effective method to increase health knowledge in rural China. Ongoing logistic support is essential for success.
提高中国云南省偏远农村县村民和学生的艾滋病毒/艾滋病知识水平。
加利福尼亚大学洛杉矶分校公共卫生学院和昆明医学院健康科学研究所,在当地卫生和社区机构的协助下,启动了一个基于网络的干预项目。南华县获得了电脑、网站访问培训以及向其乡村同事传播信息的持续后勤支持。牟定县仅获得了电脑,而大姚县两者均未获得。
鼓励两个实验县的卫生工作者将网站信息传播给村民和学生。在干预实施前后通过横断面调查询问健康知识。
南华县的卫生工作者、村民和学生在艾滋病毒/艾滋病和性传播感染知识方面增长最多,大姚县增长最少。在许多但并非所有评估领域(如乙肝传播),知识水平都有显著提高。
基于网络的教育是增加中国农村地区健康知识的有效方法。持续的后勤支持是成功的关键。