基层医疗保健人员培训对母婴健康服务的影响。
Impact of training of primary health care staff on maternity and child health services.
作者信息
Mahaba H M
机构信息
Director of MCH Services Department, Primary Health Care Administration, Directorate of Health Affairs, Hail, Saudi Arabia.
出版信息
J Family Community Med. 1996 Jul;3(2):71-6.
INTRODUCTION
Training of primary health care (PHC) staff, at Hail region, is conducted as a part of a national program for training all PHC staff all over the Kingdom of Saudi Arabia. The program started in Hail region during the year 1412H. The objective of the program was to train all PHC staff, or at least a doctor and a nurse or a midwife in every health center, on Maternity and Child Health (MCH) services. This objective was achieved at Hail region by the end of the year 1414H.
OBJECTIVES
The objective of this study is to evaluate the impact of training of PHC staff on maternal and child health services in Hail region.
MATERIALS AND METHODS
Collection of data about MCH services was done by using structured forms, pre-tested and distributed at the end of each year studied to all Primary Health Care Centres (PHCCs). These forms were collected, data were encoded into the computer and analyzed by using SPSS for Windows statistical package.
RESULTS
Evaluation of the program, at the end of the year 1415H, showed improvement in utilization of MCH services, and improved quality of care provided for mothers and children. This improvement was manifested by reduction of percentage of home deliveries without medical supervision, and increased numbers of risk factors discovered among pregnant mothers and children. However, the percentage of deliveries conducted at PHCCs were not increased, and pregnancy outcome showed slight reduction of S.B. rate.
DISCUSSION
Improvement in the knowledge of the trainees was marked. Also intellectual skills e.g., using growth charts were markedly improved. However, because of the short duration of the courses, manual skills were not improved significantly. So increased frequencies of risk factors discovered among registered pregnant mothers and children was evident, however, deliveries at PHCCs were not increased.
CONCLUSION
Training of PHC staff had a positive impact on maternal health services at Hail region. However, more time must be allowed to the practical part of training at the hospitals.
引言
作为沙特阿拉伯王国全国初级卫生保健（PHC）人员培训计划的一部分，海勒地区开展了相关培训。该计划于回历1412年在海勒地区启动。其目标是对所有初级卫生保健人员，或至少对每个卫生中心的一名医生以及一名护士或助产士进行母婴健康（MCH）服务方面的培训。到回历1414年底，海勒地区实现了这一目标。
目的
本研究的目的是评估初级卫生保健人员培训对海勒地区母婴健康服务的影响。
材料与方法
通过使用结构化表格收集有关母婴健康服务的数据，这些表格经过预测试，并在每年研究结束时分发给所有初级卫生保健中心（PHCCs）。收集这些表格后，将数据编码输入计算机，并使用SPSS for Windows统计软件包进行分析。
结果
在回历1415年底对该计划进行的评估显示，母婴健康服务的利用率有所提高，为母亲和儿童提供的护理质量也有所改善。这种改善表现为无医疗监督的家庭分娩百分比降低，以及在孕妇和儿童中发现的风险因素数量增加。然而，在初级卫生保健中心进行分娩的百分比并未增加，妊娠结局显示死胎率略有下降。
讨论
学员的知识水平有显著提高。此外，诸如使用生长图表等智力技能也有明显改善。然而，由于课程时间较短，实践技能没有显著提高。因此，在登记的孕妇和儿童中发现风险因素的频率明显增加，但在初级卫生保健中心的分娩数量并未增加。
结论
初级卫生保健人员培训对海勒地区的孕产妇健康服务产生了积极影响。然而，必须为医院培训的实践部分留出更多时间。
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