Reactions of community members regarding community health workers' activities as a measure of the impact of a training program in Amazonas, Brazil

the Japanese Association of Rural Medicine

Objectives: The aim of this study was to evaluate the impact of community health worker (CHW) training on recognition and satisfaction regarding the performance of CHWs among members of the community in Amazonas, Brazil, which is a resource-poor area underserved with regard to medical health-care accessibility.Methods: Baseline and endline surveys concerning recognition and satisfaction with respect to CHW performance among members of the community were conducted by interview using a questionnaire before and after implementation of a program to strengthen community health projects in Manicore, Amazonas, Brazil. One of the components of the project was CHW refresher training, which focused on facilitating adequate use of health-care services and providing primary health care, including health guidance. The baseline survey was performed in February 2004 at the beginning of the project, and the endline survey was performed in February 2006 at the end of the project. There were 82 and 120 CHWs working in Manicore at the times of the baseline and endline surveys, respectively. Statistical analysis was performed to determine the significance of changes in experience with CHW activities, expected functions of CHWs, and satisfaction regarding the performance of CHWs between the baseline and endline surveys. In addition, qualitative analysis was conducted to evaluate the acceptability, feasibility, and sustainability of CHW refresher training.Results: Overall recognition and level of satisfaction regarding CHW performance among members of the community were improved from the baseline to the endline survey, regardless of type of residential area, such as town and/or remote area. Members of the community came to not expect CHWs to "provide strong medicine" (P < 0.001) and "provide injections" (P < 0.001), and came to appreciate "go to hospital with a sick person" (P = 0.031) as a function and role of CHWs.Conclusions: The results of the present study indicated that steady approaches to motivate and support CHWs in resource-limited settings could improve performance of CHWs and satisfaction of people in the community regarding the activities of CHWs to sustain their health.;開始ページ : 7;終了ページ : 19;元資料の権利情報 : © 2015 by THE JAPANESE ASSOCIATION OF RURAL MEDICINE

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書名 Reactions of community members regarding community health workers' activities as a measure of the impact of a training program in Amazonas, Brazil
著作者等 日本農村医学会
川崎 涼子
書名別名 ブラジル国アマゾナス州におけるコミュニティヘルスワーカーの活動に関する住民の認識と満足度– ブラッシュアップ研修の評価
出版元 日本農村医学会
刊行年月 2005-.
ページ数 v.
大きさ 30cm
ISSN 1880487X
NCID AA12086348
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全国書誌番号
01010704
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言語 英語
出版国 日本
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