Outcome of RMNCH training of female health workers at regional health and family welfare training centre in northern part of India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20151563Keywords:
RMNCH, Councillors, KnowledgeAbstract
Background: Reducing maternal and child mortality were among the most important goals of the National Rural Health Mission with aim to increase institutional deliveries. NRHM identified the role of RMNCH councilors for advocacy and communication and social mobilization of disadvantaged people. In Himachal Pradesh Female Health workers were trained as RMNCH councilors at district level. Objectives of the study were to assess the knowledge of female health workers regarding postpartum family planning, reproductive, maternal, newborn and child health before and after administering structured teaching programme, to update knowledge and quality counseling skills on postpartum family planning, reproductive, maternal, newborn and child health and to evaluate the effectiveness of structured teaching programme by comparing the pretest and posttest knowledge scores regarding postpartum family planning, reproductive, maternal, newborn and child health.
Methods:Regional Health and Family Welfare Training Centre, Chheb, Kangra; imparted training to the female health workers of 6 districts. Five days Training was held in three batches of 20 participants each. Didactic lectures were delivered by experienced specialist of public health professionals, gynaecologist and paediatricians. Standardized training material developed by Government of India was used.
Results: A total of 60 participants were enrolled but only 52 participated. The average age of the participants was 35 years ±5.7 years. The participants had an average 10 years of working experience. A majority 46% of these participants were working at Primary Health Centre. Knowledge mean score of various thematic areas of participants increased from mean score of 21.9 to 25.4. It was observed that after training post-test knowledge score showed significant improvement. Paired T test was found to be extremely significant (p<0.000).
Conclusions:Participants in a short course training focussing on RMNCH had significant improvements in scores on tests of knowledge gained. Widespread implementation of similar training under NRHM may bridge knowledge gaps for various health functionaries but still whether shorter knowledge gains are retained in the longer term remains unknown.
Metrics
References
Government of India, Ministry of Health and Family Welfare, Family Planning Division. Facilitators’ Guide for Training of Reproductive, Maternal, Neonatal, and Child Health (RMNCH); 2013.
World Health Organization. Community Health Workers: What Do We Know About Them? Evidence and Information for Policy, Department of Human Resources for Health, Geneva; 2007.
Standing H, Chowdhury HM. Producing effective knowledge agents in a pluralistic environment: what future for community health workers? Soc Sci Med. 2008;66(10):2096-107.
Sibley JC, Sackett DL, Neufeld V, Gerrard B, Rudnick KV, Fraser W. A randomized trial of continuing medical education. The New England journal of medicine. 1982;306(9):511-5.
Kumar D, Raina SK, Bhardwaj AK, Chander V. Capacity building of AYUSH practitioners to study the feasibility of their involvement in non-communicable disease prevention and control. Anc Sci Life. 2012;32(2):116–9.
Sprague S, Pozdinakova P, Kaempffer E, Saccone M, Schemitsch EH, Bhandari M. Principles and practice of clinical research course for surgeons: An evaluation of knowledge transfer and perceptions. Can J Surg. 2012;55:46–52.
Kumar D, Aggarwal AK, Kumar R. Interrupted 5-day training on Integrated Management of Neonatal and Childhood Illness (IMNCI): Effect on the knowledge and skills of primary health. Health Policy Plan. 2009;24:94–100.
Sangestani G, Khatiban M. Comparison of problem-based learning and lecture-based learning in midwifery. Nurse education today. 2013;33(8):791-5.
Dehkordi AH, Heydarnejad MS. The impact of problem-based learning and lecturing on the behavior and attitudes of Iranian nursing students. A randomised controlled trial. Dan Med Bull. 2008;55:224–6.
Eldarir SA, Nagwa A, Hamid A. Objective Structured Clinical Evaluation (OSCE) versus Traditional Clinical Students Achievement at Maternity Nursing: A comparative approach. IOSR Journal of Dental and Medical Sciences. 2013;4:63-8.
Haq Z, Hafeez A. Knowledge and communication needs assessment of community health workers in developing countries: a qualitative study. Hum Res Health. 2009;7:59.