Population Council, House 4, No. 16 Mafemi Crescent, Off Solomon Lar Way, Utako, Abuja, Nigeria.
Population Council, Washington D.C., USA.
BMC Health Serv Res. 2022 Aug 1;22(1):981. doi: 10.1186/s12913-022-08360-0.
CPs and PPMVs are an important source of modern contraceptives in Nigeria, yet many lack the requisite knowledge and skills to capably provide these services. This skills gap might be addressed through targeted family planning (FP) training. This study measures family planning knowledge retention of CPs and PPMVs after receiving training in FP counseling and services in Kaduna and Lagos States, in Nigeria.
In a quasi-experimental longitudinal design without a comparison group, 559 CPs and PPMVs who were enrolled in the IntegratE project between January and December 2019, completed a self-administered questionnaire to assess their knowledge related to the provision of FP counseling, and injectable and implant contraceptive services at three points in time: 1) before the training; 2) immediately after the training; and 3) 9-months after the training in Kaduna and Lagos states, Nigeria. Adjusted multivariate logistic regression analysis was used to assess the effect of provider characteristics and receipt of job aids on FP knowledge retention 9 months after the training. 95% confidence intervals and p-values were used to assess statistical significance.
Majority of study participants were females (60.3%) and between 30 and 49 years old (63.4%). The study revealed the importance of jobs aids as influence on knowledge retention. CPs and PPMVs who reported having the Balanced Counseling Strategy plus (BCS+) counseling cards, were more likely to retain knowledge (AOR: 2.92; 95% CI: 1.01-8.40, p-value = 0.05) at 9 months follow-up. Similarly, in terms of knowledge of injectable contraceptives, CPs and Tier 2 PPMVs who reported receiving the Medical Eligibility Criteria (MEC) Wheel were 2.1 times more likely to retain knowledge of injectable contraceptives 9-months later on (95% CI: 1.14-3.99, p-value = 0.02).
Community Pharmacists and Proprietary Medicine Vendors had good retention of family planning knowledge, especially when combined with job aids. Training and providing them with job aids on FP will therefore support task shifting and task sharing on family planning services provision in Nigeria.
在尼日利亚，社区药剂师和私营药店药师是现代避孕药具的重要来源，但他们中许多人缺乏提供这些服务所需的知识和技能。这一技能差距可以通过有针对性的计划生育（FP）培训来解决。本研究衡量了在尼日利亚卡杜纳州和拉各斯州接受 FP 咨询和服务培训后，社区药剂师和私营药店药师的计划生育知识保留情况。
采用无对照组的准实验性纵向设计，2019 年 1 月至 12 月期间，559 名社区药剂师和私营药店药师参加了 IntegratE 项目，他们在三个时间点（1）培训前；2）培训后立即；3）在尼日利亚卡杜纳州和拉各斯州培训 9 个月后，通过自我管理问卷评估他们提供 FP 咨询和注射避孕和植入避孕服务相关的知识。使用调整后的多变量逻辑回归分析来评估提供者特征和获得工作辅助工具对培训后 9 个月时 FP 知识保留的影响。使用 95%置信区间和 p 值评估统计学意义。
大多数研究参与者为女性（60.3%），年龄在 30 至 49 岁之间（63.4%）。研究表明，工作辅助工具对知识保留具有重要影响。报告使用平衡咨询策略加（BCS+）咨询卡的社区药剂师和私营药店药师，在 9 个月随访时更有可能保留知识（AOR：2.92；95%CI：1.01-8.40，p 值=0.05）。同样，就注射避孕知识而言，报告接受医学资格标准（MEC）轮的社区药剂师和二级私营药店药师，9 个月后更有可能保留注射避孕知识，是原来的 2.1 倍（95%CI：1.14-3.99，p 值=0.02）。
社区药剂师和私营药店药师对计划生育知识的保留情况较好，特别是结合工作辅助工具时。因此，对他们进行 FP 培训并提供工作辅助工具将支持尼日利亚计划生育服务提供方面的任务转移和任务分担。
