Pineda M A, Bertrand J T, Santiso R, Guerra S
Public Health Rep. 1983 May-Jun;98(3):273-7.
As community-based distribution (CBD) systems for the delivery of contraceptive methods are implemented in developing countries around the world, there is growing interest in making these programs more effective. Previous research on the CBD program in Guatemala indicated the importance of the role of the spouse: those community volunteers (called "distributors") who received assistance from their spouses were more effective in selling contraceptives than those who did not. The current experiment was designed to test the effect of providing the spouses of distributors with a formal 3-day training course on family planning and contraceptives. "Effect" was operationally measured in terms of the level of contraceptive sales. To this end sales data were compared for the experimental group (33 distributors whose spouses received the training) and the control group (33 distributors whose spouses wanted to attend the training but could not because their primary occupation did not allow them to be absent) for periods of 6 months prior to and 6 months following the training. The results indicate that sales among the experimental group increased significantly, whereas no such increase was found among the controls. This suggests a strategy for increasing the effectiveness of community volunteer workers that has received relatively little attention in the literature to date.
随着全球发展中国家实施基于社区的避孕方法分发（CBD）系统，人们越来越关注如何提高这些项目的有效性。此前对危地马拉CBD项目的研究表明配偶所起作用的重要性：那些得到配偶协助的社区志愿者（称为“分发员”）在销售避孕药具方面比没有得到配偶协助的分发员更有成效。当前的实验旨在测试为分发员的配偶提供为期三天的计划生育和避孕正式培训课程的效果。“效果”通过避孕药具销售水平进行操作性衡量。为此，比较了实验组（33名配偶接受培训的分发员）和对照组（33名配偶想参加培训但因主要工作不允许缺勤而未能参加的分发员）在培训前6个月和培训后6个月期间的销售数据。结果表明，实验组的销售额显著增加，而对照组则没有发现此类增长。这表明了一种提高社区志愿者工作有效性的策略，而这一策略在迄今为止的文献中受到的关注相对较少。
