The training process in community-based health care in Saradidi, Kenya.

Community health workers from a community-based health development programme in Saradidi, Kenya, were trained beginning in 1980, using participatory training. Training was considered high priority by the community. The process of training was geared to local problems, perceptions, situations and resources. The content of training was based on perceived health problems in the community and on responsibilities agreed upon by the health workers. Training was done in or near the villages where the participants were living and working. Concrete actions that could be taken to solve local problems were emphasized. The trainers were people who understood local problems, lived in Saradidi and were known to the trainees. Community leaders and members participated in the training as did some community health workers after completing their training. Evaluation indicated significant changes in the trainees' knowledge practices and behaviour.