Kim Jung Min, Koh Kwang Wook, Oak Chul Ho, Jung Woo Hyuk, Kim Sung Hyun, Park Dae Hee
Department of Preventive Medicine, Kosin University College of Medicine, Busan, Korea.
J Prev Med Public Health. 2009 Nov;42(6):377-85. doi: 10.3961/jpmph.2009.42.6.377.
This study was performed to evaluate the effectiveness of 'village health worker training program' which aimed to build community participatory health promotion capacity of community leaders in villages of low developed country and to develop methods for further development of the program.
The intervention group were 134 community leaders from 25 barangays (village). Control group were 149 form 4 barangays. Intervention group participated 3-day training program. Questionnaire was developed based on 'Health Promotion Capacity Checklist' which assessed capacity in 4 feathers; 'knowledge', 'skill', 'commitment', and 'resource'. Each feather was assessed in 4 point rating scale. Capacity scores between intervention group and control group were examined to identify changes between the pre- and post-intervention periods. A qualitative evaluation of the program was conducted to assess the appropriateness of the program. The program was conducted in Tuguegarao city, Philippine in January, 2009.
The result showed significant increases in the total health promotion capacity and each feather of health promotion capacities between pre and post assessment of intervention group. But there was no significant change in that of control group. Participants marked high level of satisfaction for preparedness, selection of main subjects and education method. Qualitative evaluation revealed that training program facilitated community participatory health promotion capacity of participants.
This study suggested that the Village health worker training program is effective for building health promotion capacity of community leaders and it can be a main method for helping low developed countries with further development.
本研究旨在评估“乡村卫生工作者培训项目”的效果，该项目旨在培养欠发达国家乡村社区领袖的社区参与式健康促进能力，并开发该项目进一步发展的方法。
干预组为来自25个巴朗盖（村庄）的134名社区领袖。对照组为来自4个巴朗盖的149人。干预组参加了为期3天的培训项目。基于“健康促进能力清单”编制了问卷，该清单从“知识”“技能”“承诺”和“资源”4个方面评估能力。每个方面采用4分制评分。比较干预组和对照组干预前后的能力得分，以确定变化情况。对该项目进行了定性评估，以评估项目的适宜性。该项目于2009年1月在菲律宾图格加劳市开展。
结果显示，干预组干预前后的总体健康促进能力及健康促进能力的各个方面均有显著提高。但对照组无显著变化。参与者对培训准备、主要主题选择和教育方法的满意度较高。定性评估表明，培训项目促进了参与者的社区参与式健康促进能力。
本研究表明，乡村卫生工作者培训项目对于培养社区领袖的健康促进能力是有效的，并且可以成为帮助欠发达国家进一步发展的主要方法。
