Bawate Charles, Callender-Carter Sylvia T, Guyah Bernard, Ouma Collins
Kamuli General Hospital - Kamuli District Local Government, Kamuli, Uganda.
Bugema University, Kampala, Uganda.
BMC Public Health. 2024 Jul 31;24(1):2062. doi: 10.1186/s12889-024-19619-y.
Community health education improves members health-seeking and utilization behaviours. To enhance the community knowledge and optimize the use of Artemisinin-based combination therapy (ACT), we carried out a community training in Kamuli District, Uganda.
The Analysis, Design, Development, Implementation and Evaluation (ADDIE) model was adopted. A total of 3420 community members were trained, 384 sampled to participate in pre-post-test assessment, with 76 healthcare workers (HCW). Community members were sampled by simple random sampling while the HCW were purposively selected. Community trainings occurred for two days at each of 42 public health facilities and one day at 27 parishes. A paired sample t-test and effect size was computed to establish effect with statistical significance tested at p < 0.05.
Overall, a total of 3496 participants, majority 2705 (77.4%) females were trained. A total of 3420 community members, majority 2659 (77.7%) females trained, and 76 HCW, majority 46 (60.5%) females trained. The median age of community participants was 32 years, and interquartile range (IQR) = 17 years. The median age of HCW was 32 years, and IQR = 8 years. The training had a positive and significant effect on the community members knowledge: malaria transmission (T-test = 9.359; p < 0.0001) causes of malaria (T-test = 6.738; p < 0.0001), malaria symptoms (T-test = 5.403; p < 0.0001), dangerous malaria species (T-test = 12.088; p < 0.0001), Plasmodium vivax malaria cycle and occurrence every 48 h (T-test = 7.470; p < 0.0001), assessing whether a patient with malaria may suffer from jaundice (T-test = 7.228; p < 0.0001), organs affected by Plasmodium falciparum (T-test = 12.214; p < 0.0001), malaria diagnosis (T-test = 9.765; p < 0.0001), Plasmodium associated with malaria relapse (T-test = 10.250; p < 0.0001), and malaria prevention and control (T-test = 9.278; p < 0.0001). The intervention also had a significant and positive effect on HCW knowledge on all domains except on malaria transmission (T-test = 1.217; p = 0.228) where it didn't have any statistically significant increase on their knowledge.
The education intervention improved the knowledge of participants significantly. There is need to adopt and scale-up the current intervention at all levels of care to enhance proper use of medicines.
社区健康教育可改善成员的健康寻求行为和利用行为。为提高社区知识水平并优化基于青蒿素的联合疗法（ACT）的使用，我们在乌干达卡穆利区开展了一次社区培训。
采用分析、设计、开发、实施和评估（ADDIE）模型。共培训了3420名社区成员，抽取384人参与前后测评估，还有76名医护人员（HCW）。社区成员通过简单随机抽样选取，医护人员则是有目的地挑选。在42个公共卫生设施各进行了为期两天的社区培训，在27个教区各进行了为期一天的培训。计算配对样本t检验和效应量以确定效果，并在p < 0.05水平检验统计学显著性。
总体而言，共有3496名参与者接受了培训，其中大多数为2705名（77.4%）女性。共培训了3420名社区成员，其中大多数为2659名（77.7%）女性，以及76名医护人员，其中大多数为46名（60.5%）女性。社区参与者的年龄中位数为32岁，四分位间距（IQR）= 17岁。医护人员的年龄中位数为32岁，IQR = 8岁。培训对社区成员的知识产生了积极且显著的影响：疟疾传播（t检验 = 9.359；p < 0.0001）、疟疾病因（t检验 = 6.738；p < 0.0001）、疟疾症状（t检验 = 5.403；p < 0.0001）、危险疟原虫种类（t检验 = 12.088；p < 0.0001）、间日疟原虫疟疾周期及每48小时发作一次（t检验 = 7.470；p < 0.0001）、评估疟疾患者是否可能患黄疸（t检验 = 7.228；p < 0.0001）、受恶性疟原虫影响的器官（t检验 = 12.214；p < 0.0001）、疟疾诊断（t检验 = 9.765；p < 0.0001）、与疟疾复发相关的疟原虫（t检验 = 10.250；p < 0.0001）以及疟疾预防和控制（t检验 = 9.278；p < 0.0001）。该干预对医护人员除疟疾传播领域外的所有知识领域也产生了显著且积极的影响（t检验 = 1.217；p = 0.228），在该领域医护人员的知识没有统计学上的显著增加。
教育干预显著提高了参与者的知识水平。有必要在各级医疗保健中采用并扩大当前的干预措施，以加强药物的合理使用。
