The impact of training on the management of children with cough of the health workers' knowledge, attitude and skills in the management of children with cough and breathing difficulties

Khayati, Fitriana Noor; Haryanti, Fitri; Laksnawati, Ida Safitri

doi:10.18203/2320-6012.ijrms20151520

Cited by 6 publications

(6 citation statements)

References 2 publications

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“…This finding supports the conclusion that the Mini IMCI training is more effective than the conventional training because it needs shorter time so it is more costeffective and involves more active participation. This finding is different compared to the study by Khayati et al which delivered IMCI training with lectures, simulations, case study and demos with audiovisual methods and claimed to be an effective to increase knowledge, attitude and students' skill 15 .…”

Section: Length Of Service In the Community And Primary Healthcontrasting

confidence: 81%

The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul

Wiendyasari¹,

Kusnanto

Wibowo

2018

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BACKGROUNDThe quality of the Integrated Management of Childhood Illness (IMCI) system is highly affected by the skills of health workers especially in their ability in illness detection by recognition of danger signs described by the patient or care providers/parents, the treatment skill and ability to communicate and educate appropriately using standards MCE indicators 1,2 . ABSTRACT Background:At the Community and Primary Health Care Center in Bantul, the number of paramedics receiving Integrated Management of Childhood Illness (IMCI) training is very limited and not evenly distributed. With the low number of IMCI trained officers, this affects the skill of the officers in conducting the IMCI. Fewer skills affect the handling of sick children including the recognition of general danger signs, classification, designing appropriate action, as well as providing treatment and counseling. Objective: This study aimed to know the effectiveness of IMCI Mini Training intervention to improve health workers' skills in handling sick children with IMCI. Methods: This research was a quasi-experimental study with a non-equivalent pre-post control group design. The sample of this study was a group of health workers who implement IMCI in daily work at 20 Community and Primary Health Care Centers in Bantul. Data were collected by observing 20 health workers in the control group and 20 health workers in IMCI treatment group before and after receiving IMCI Mini Training. Data results were analyzed using univariate, bivariate and multivariate statistical tests. Results: Using t-test analysis the mean value of health worker's pretest and posttest skill scores in implementing IMCI in control group showed no significant difference (p=0.857) while in the treatment group, the mean value of pretest and posttest score showed a significant difference (p=0.000). In the treatment group, the improvement of sign recognition skills was significant (p=0.000) compared with the classification (p=0.148), treatment (p=0.009), communication and counseling (p=0.005). Multivariate analysis of linear regression showed that IMCI Mini Training was significant in improving the skill of health workers (p=0.000) compared with variables: age (p=0.970), duty (p=0.425), IMCI training history (p=0.686), category of Community and Primary Health Care Center (p=0.409) and education (p= 0.474). IMCI Mini Training improved significantly the sign recognition skills (p=0.000), classification (p=0.001) as well as communication and counseling (p=0.011) but was not significant in treatment skill (p=0.093). IMCI Mini Training can be done in a shorter time and more interactive method by using ICATT. Conclusion: This study showed that IMCI Mini Training increased health workers' skills in IMCI implementation with the advantages of shorter course time, lower cost, and more interactive methods. The IMCI skills were enhanced by the provision of IMCI Mini Training which includes skills in the recognition of common signs, classifications as well as providing appropriate communica...

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Section: Length Of Service In the Community And Primary Healthcontrasting

confidence: 81%

The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul

Wiendyasari¹,

Kusnanto

Wibowo

2018

rpcpe

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“… 19 Khayati et al reported a significant improvement in knowledge regarding the management of children with cough and breathing difficulties among the community health workers trained in Indonesia. 20 Knowledge regarding KMC also improved significantly in our study. Batra observed similar findings, where in the post-test, the score improved to 100%.…”

Section: Discussionsupporting

confidence: 66%

Effectiveness of a short-structured training programme on knowledge of healthcare providers and programme managers involved in maternal and child health programmes in Odisha, India: a quality improvement study

2021

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ObjectiveTo evaluate the effectiveness of training programme on knowledge related to new interventions proposed under India Newborn Action Plan (INAP) and Integrated Action Plan against Pneumonia and Diarrhoea (IAPPD).DesignQuality improvement study with pre-evaluation and post evaluation.SettingThe study was conducted in 17 districts of Odisha, India.Participants and interventionsThe participants were healthcare providers and programme managers involved in maternal and child health programmes. Intervention was a short-structured (8 hours) training delivered to 127 batches with expected participation of 30 trainees in each batch. Training was divided into four modules covering new interventions related to INAP and IAPPD like causes of neonatal death, kangaroo mother care (KMC), feeding of low birthweight (LBW) infants, use of injection gentamicin, identification of possible serious bacterial infection (PSBI), identification and management of pneumonia and diarrhoea and key interventions for maternal health. Various modalities of teaching-learning method were used.Outcome measuresPretraining and post-training knowledge assessment was done with a pretested tool consisting of 15 items. Each item carried equal weightage in calculation of knowledge score thus maximum possible knowledge score was 15. Feedback assessment was also done after the training.ResultsThe mean (SD) knowledge score significantly improved to 10.24 (2.24) after training as compared with 4.73 (1.94) before training, p<0.001 (n=982). There was significant improvement in knowledge for majority of the components namely causes of neonatal death (61.9% vs 28.1%), KMC (68.0% vs 54.6%), feeding of LBW infants (77.7% vs 6.9%), use of injection gentamicin (69.7% vs 11.2%), identification of PSBI (69.5% vs 59.5%). The improvement in knowledge score was more when healthcare providers and programme managers had provided a favourable response on feedback.ConclusionSystematic pretest and post-test assessment coupled with feedback assessment can ensure the effectiveness of training programmes offered in programmatic settings.

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“…On the contrary, the knowledge in OLM staff was quite good with mean score of 11. [18]. As ICDS supervisors work mostly for under-5 children, their knowledge in child malnutrition was better than other stakeholders in pre-test assessment and there was signi cant improvement in knowledge after the training.…”

Section: Methodsmentioning

confidence: 94%

Effect of Structured Training Programme on Knowledge of Stakeholders Working for Particularly Vulnerable Tribal Groups (Pvtgs) in Twelve Tribal Districts of an Eastern State of India.

Bhatia

Giri

Taywade

2020

Preprint

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Background: Particularly Vulnerable Tribal Groups (PVTGs) are the most marginalized tribal communities in the Indian society. The uptake of government led health & nutrition programme by them is low due to the geographical remoteness of their habitat, communication gap between service providers and PVTGs and their cultural believe. The objective of this study is to implement & assess the effectiveness of training programmes for stakeholders working for PVTGs in tribal districts of Odisha, an eastern state of India.Methods: A cross-sectional study was done in 12 tribal districts during April 2019 to January 2020. Six modules were developed for the trainings of different stakeholders like health officials, officials from Women & Child Development departments, NGO personnel, functionaries of Odisha Livelihood Mission (OLM) and Odisha PVTG Empowerment & Livelihood Programme (OPELIP). Three-day residential training programmes covered six thematic areas like child malnutrition, adolescent health, maternal health, communication in service delivery and about different PVTG communities and evaluation was done for 231 participants out of total 242 trained. Pretest and posttest knowledge assessment of the participants were done using a pretested structured questionnaire consisting of 20 items.Results: The mean total score of knowledge was significantly improved after training as compared to before training among all stakeholders (13.79± 3.78 vs 11.5 ± 5.2, p value = 0.001). The pre-test result for the overall knowledge was low among OPELIP staff and health functionaries with mean score of 8.41±3.03&9.16±2.49 respectively. The post-test scores of health functionaries were highest in all domains and the overall increase in knowledge was statistically significant (pre-test 9.16±2.49 vs 15.48± 4.19, p<0.0001).Conclusion: The assessment of pre & post test results revealed a significant improvement in knowledge of stakeholders. Hence, there should be administrative mechanism in government system to impart training to all stakeholders at regular intervals.

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The impact of training on the management of children with cough of the health workers' knowledge, attitude and skills in the management of children with cough and breathing difficulties

Cited by 6 publications

References 2 publications

The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul

The Effectiveness of IMCI (Integrated Management of Childhood Illness) Mini Training in Improving Health Workers’ Skills in Primary Health Centers in Bantul

Effectiveness of a short-structured training programme on knowledge of healthcare providers and programme managers involved in maternal and child health programmes in Odisha, India: a quality improvement study

Effect of Structured Training Programme on Knowledge of Stakeholders Working for Particularly Vulnerable Tribal Groups (Pvtgs) in Twelve Tribal Districts of an Eastern State of India.

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