Kufe Nyuyki Clement, Metekoua Carole, Nelly Monkam, Tumasang Florence, Mbu Enow Robinson
Medical Research Council (MRC)/Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Global Health Metrics (GHM) Research Group, BO Box 8111, Yaoundé, Cameroon.
BMC Health Serv Res. 2019 Jan 29;19(1):78. doi: 10.1186/s12913-019-3925-4.
Knowledgeable Health Care Workers (HCWs) are indispensable for the proper management of clients. We investigated retention of HCWs at health facility and retention of knowledge at 18, 24 and 36 months after training and correlates for retention of knowledge at 3rd year.
A cross-sectional study was conducted among 1000 HCWs, 710 were trained and 290 untrained working at the PMTCT of HIV services in health facilities of the ten regions of Cameroon. A Multiple Choice Questionnaire (MCQ) on HIV management with focus on PMTCT of HIV was used to assess retention of HCWs at the health facility and retention of knowledge. Summary statistics described mean scores for retention of HCWs and retention of knowledge. One-way Analysis of Variance summarized the differences in retention of knowledge over time after training. Correlates for retention of knowledge were investigated by logistic regression analysis.
The retention of HCWs at health facilities in PMTCT of HIV services was 85%. Trained HCWs had higher mean scores for retention of knowledge than untrained HCWs, p < 0.001. Knowledge attrition was observed from 18, 24 to 36 months following training. Differences in the mean scores for retention of knowledge were observed between state-owned with private and confessionary health facilities but not among trained HCWs at 18, 24 or 36 months. Highest mean scores for retention of knowledge were observed in District Hospitals, Sub-Divisional Hospitals, and Integrated Health Centres. Correlates for retention of knowledge were: gender, type of health facility, location, longevity at PMTCT services, trained others and had means to apply what was trained to do.
Retention of trained HCWs at health facilities was high, mean scores for retention of knowledge was average and knowledge attrition was observed over time. This research is critical to understand where interventions may be most effective.
知识渊博的医护人员对于患者的妥善管理不可或缺。我们调查了医护人员在医疗机构的留存情况，以及培训后18个月、24个月和36个月时知识的留存情况，并分析了第三年知识留存的相关因素。
对喀麦隆十个地区医疗机构中从事艾滋病毒母婴传播服务的1000名医护人员进行了横断面研究，其中710人接受过培训，290人未接受过培训。使用一份关于艾滋病毒管理的多项选择题问卷（MCQ），重点关注艾滋病毒母婴传播，以评估医护人员在医疗机构的留存情况和知识留存情况。汇总统计数据描述了医护人员留存率和知识留存率的平均得分。单因素方差分析总结了培训后不同时间知识留存率的差异。通过逻辑回归分析研究知识留存的相关因素。
在艾滋病毒母婴传播服务的医疗机构中，医护人员的留存率为85%。接受培训的医护人员在知识留存方面的平均得分高于未接受培训的医护人员，p < 0.001。培训后18个月、24个月和36个月均观察到知识流失。国有、私立和教会医疗机构在知识留存平均得分上存在差异，但在培训后18个月、24个月或36个月时，接受培训的医护人员之间没有差异。地区医院、分区医院和综合健康中心的知识留存平均得分最高。知识留存的相关因素包括：性别、医疗机构类型、地点、在母婴传播服务岗位的工作年限、培训过其他人员以及有办法将所学应用于实际工作。
在医疗机构中，接受培训的医护人员留存率较高，知识留存平均得分处于中等水平，且随着时间推移观察到知识流失。这项研究对于了解干预措施可能最有效的地方至关重要。
