International Training and Education Center for Health, University of Washington, Seattle, USA.
Int J Qual Health Care. 2010 Apr;22(2):145-50. doi: 10.1093/intqhc/mzp062. Epub 2010 Jan 31.
To maintain knowledge over time, new family planning providers require refresher training and support, which can be costly and time consuming. The Knowledge Improvement Tool (KIT), guides family planning supervisors to ask recently trained providers a list of questions, reinforce correct answers and address knowledge gaps regarding provision of the Standard Days
(SDM).This study compares the cost and effectiveness of the KIT to other methods of reinforcing SDM knowledge.
An experimental design was used.
Several departments around Guatemala City and in the highlands of Guatemala.
Providers belonging to PROREDES, a network of non-governmental organizations (NGO) funded by the United States Agency for International Development.
Providers received either: (i) individual KIT, (ii) group KIT, (iii) 2-h refresher training or (iv) no refresher training.
Total provider scores on pseudo-simulated client counseling session and costs associated with each refresher type.
All groups who received refresher training scored well overall (over 70%), compared with only 42% for the group with no refresher training. Providers who received individual KIT retained more knowledge over time, but it was the most costly.
Some type of reinforcement is needed following initial training. Programs must consider what is most practical in terms of existing supervision systems and budgets. Individual application of KIT is primarily appropriate for programs that already conduct routine supervisory visits of individual providers and can integrate KIT. Group KIT or traditional refresher training produce slightly lower results at significantly less cost.
为了保持知识的时效性，新的计划生育服务提供者需要接受复习培训和支持，这可能既昂贵又耗时。知识改进工具（KIT）指导计划生育主管向最近接受培训的提供者提出一系列问题，强化正确答案，并解决提供标准日方法（SDM）方面的知识差距。
本研究比较了 KIT 与其他强化 SDM 知识方法的成本和效果。
采用实验设计。
危地马拉城和危地马拉高地的几个部门。
属于 PROREDES 的提供者，这是一个由美国国际开发署资助的非政府组织网络。
提供者接受以下任何一种干预措施：（i）个体 KIT，（ii）群体 KIT，（iii）2 小时复习培训，或（iv）无复习培训。
模拟客户咨询的提供者总得分和与每种复习类型相关的成本。
所有接受复习培训的小组总体得分都很好（超过 70%），而没有接受复习培训的小组只有 42%。接受个体 KIT 的提供者随着时间的推移保留了更多的知识，但成本最高。
在初始培训后需要进行某种形式的强化。计划必须考虑在现有监督系统和预算方面，什么是最实际的。个体 KIT 的应用主要适用于已经对个体提供者进行常规监督访问并能够整合 KIT 的计划。群体 KIT 或传统的复习培训在成本显著降低的情况下产生略低的结果。
