Zaman Sojib Bin, Singh Rajkumari, Evans Roger G, Singh Akash, Singh Rajesh, Singh Parul, Prakash Hem, Kumar Manoj, Thrift Amanda G
Department of Health Sciences, James Madison University, Harrisonburg, VA, USA.
Department of Medicine, Monash University, Melbourne, Victoria, Australia.
PEC Innov. 2024 Jun 8;4:100305. doi: 10.1016/j.pecinn.2024.100305. eCollection 2024 Dec.
We developed and evaluated a training program for Accredited Social Health Activists (ASHAs), female community health workers (CHWs) in India, on non-communicable diseases (NCDs).
A 5-day training program, developed using government-approved manuals, was tested in a randomised controlled trial in the Tehri-Garhwal district. Quantitative comparisons were undertaken using Student's -test and two-way ANOVA. ASHAs in the intervention group were asked questions about new skills learnt.
Thirty-six ASHAs (20 intervention, 16 controls) participated (response rate 75.0%). Mean pre-test knowledge score was 43.3/100 points (95% CI 36.7-49.9) for the intervention group and 44.4 (38.9-49.9) for controls. The mean post-test knowledge score increased more in the intervention group (48.5-point increase; < 0.0001), than in controls (9.8-point increase, = 0.016; ANOVA interaction term (time*allocation) < 0.0001). ASHAs in the intervention group reported learning new skills for detecting NCDs.
The training program increased knowledge of ASHAs on NCDs and improved their skills to detect NCDs. Our development and testing process for this training program, coupled with open-source resources, fosters innovation and collaboration in managing NCDs in LMICs.
Our novel and adaptable training program incorporates interactive elements, case studies, and real-world scenarios to augment routine communication between ASHAs and community members for preventing NCDs.
我们为印度经认证的社会健康活动家（ASHAs），即女性社区卫生工作者（CHWs），开发并评估了一项关于非传染性疾病（NCDs）的培训项目。
使用政府批准的手册开发了一个为期5天的培训项目，并在特里 - 加瓦尔地区进行了随机对照试验。采用学生t检验和双向方差分析进行定量比较。干预组的ASHAs被问及所学新技能的相关问题。
36名ASHAs（20名干预组，16名对照组）参与（应答率75.0%）。干预组的平均测试前知识得分是43.3/100分（95%置信区间36.7 - 49.9），对照组为44.4（38.9 - 49.9）。干预组的平均测试后知识得分增加更多（增加48.5分；P < 0.0001），高于对照组（增加9.8分，P = 0.016；方差分析交互项（时间*分组）P < 0.0001）。干预组的ASHAs报告学会了检测非传染性疾病的新技能。
该培训项目增加了ASHAs对非传染性疾病的知识，并提高了他们检测非传染性疾病的技能。我们对该培训项目的开发和测试过程，以及开源资源，促进了低收入和中等收入国家在管理非传染性疾病方面的创新与合作。
我们新颖且适应性强的培训项目纳入了互动元素、案例研究和实际场景，以加强ASHAs与社区成员之间关于预防非传染性疾病的常规沟通。
