PATH, Hanoi, Vietnam.
Trop Med Int Health. 2013 Apr;18(4):426-34. doi: 10.1111/tmi.12062. Epub 2013 Jan 7.
To assess the effectiveness of a training and supportive supervision intervention in strengthening the capacity of pharmacy staff in Vietnam to deliver client-oriented, accurate healthcare information and appropriate services for childhood diarrhoea and emergency contraceptive pills (ECP).
Pre- and post-intervention study using a cross-sectional design. Pharmacy staff participated in 3 days of training on customer relations, good pharmacy practice, childhood diarrhoea and ECP over a period of 1 month, consisting of lectures, discussion, question-and-answer sessions and role-playing. We compared baseline and 6-month post-intervention surveys to ascertain changes in knowledge, attitudes and practice of pharmacists, using univariate statistics to find significant differences.
More than 1200 pharmacists received training and supportive supervision. After interventions, pharmacy staff knowledge was significantly improved on most of the measured indicators. Knowledge of dehydration symptoms for diarrhoea increased from 19% to 88%, and for side effects of ECP increased from 27% to 77%. While assessment of actual practice revealed that this knowledge was not always used, significant improvement was observed. Before interventions, 12% gave information on dehydration symptoms but 45% did so afterwards. The proportion giving information on side effects of ECP increased from 13% to 54%.
Providing a programme of training and supportive supervision is an effective way to improve knowledge and practice of pharmacists at private pharmacies in Vietnam. These improvements have the potential to lead to better community health care.
评估培训和支持性监督干预措施在加强越南药房工作人员能力方面的有效性，以提供面向客户的、准确的医疗保健信息和适当的儿童腹泻和紧急避孕药（ECP）服务。
采用横断面设计的干预前后研究。药房工作人员参加了为期 1 个月的 3 天培训，内容包括客户关系、良好药房实践、儿童腹泻和 ECP，包括讲座、讨论、问答环节和角色扮演。我们比较了基线和 6 个月后的调查结果，以确定药剂师的知识、态度和实践的变化，使用单变量统计来发现显著差异。
超过 1200 名药剂师接受了培训和支持性监督。干预后，药房工作人员的知识在大多数测量指标上都有显著提高。对腹泻脱水症状的认识从 19%提高到 88%，对 ECP 副作用的认识从 27%提高到 77%。虽然实际实践的评估表明，这种知识并不总是被使用，但观察到了显著的改善。干预前，有 12%的人提供脱水症状的信息，但干预后有 45%的人提供信息。提供 ECP 副作用信息的比例从 13%增加到 54%。
提供培训和支持性监督方案是提高越南私营药房药剂师知识和实践的有效方法。这些改进有可能导致更好的社区医疗保健。
