印度马哈拉施特拉邦农村地区劳动和分娩并发症的乡村卫生工作者培训。
Village health worker training for complications of labor and delivery in rural Maharashtra, India.
机构信息
Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Comprehensive Rural Health Project, Jamkhed, Maharashtra, India.
出版信息
Int J Gen Med. 2014 Jun 19;7:295-301. doi: 10.2147/IJGM.S63183. eCollection 2014.
BACKGROUND
By analyzing the perspectives of village health worker/trainers with the Comprehensive Rural Health Project (CRHP), this study aimed to investigate their level of knowledge of treatment, risks, and prevention of complications of labor and delivery and to evaluate current teaching methods.
METHODS
Three focus groups of six village health workers/trainers were conducted and divided according to level of experience. The resulting semistructured discussion was analyzed according to grounded theory.
RESULTS
Participants displayed strong content retention with respect to clinically relevant knowledge. Village health workers experienced barriers, including lack of education and casteism, which affected their ability to establish trust in the community. Clinical observation was perceived to be the most effective learning method and is recommended for teaching village health workers about the treatment and prevention of the complications of labor and delivery.
CONCLUSION
When implementing this training model in comparable global communities, local culture and its impact on establishing trust is an important factor to consider.
背景
本研究通过分析具有综合农村卫生项目（CRHP）背景的乡村卫生工作者/培训师的观点，旨在调查他们对分娩并发症的治疗、风险和预防的了解程度，并评估当前的教学方法。
方法
对六名乡村卫生工作者/培训师进行了三组焦点小组讨论，并根据经验水平进行了分组。对产生的半结构化讨论根据扎根理论进行了分析。
结果
参与者对临床相关知识表现出很强的内容保留。乡村卫生工作者面临着教育和种姓制度等障碍，这影响了他们在社区中建立信任的能力。临床观察被认为是最有效的学习方法，建议用于培训乡村卫生工作者治疗和预防分娩并发症。
结论
在类似的全球社区中实施这种培训模式时，当地文化及其对建立信任的影响是一个需要考虑的重要因素。
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