甘肃省乙肝疫苗纳入计划免疫和安全注射基层强化培训效果评估

Effectiveness evaluation of strengthening training on incorporating the hepatitis B vaccination into EPI and safe injection in Gansu Province

目的了解乙肝疫苗纳入计划免疫和安全注射强化培训情况及评价培训效果。方法随机抽取评估县、乡、村,采取收集调查问卷、定性访谈形式、观察自毁型注射器使用、相关知识考试测评的方法对曾参加培训的乡、村级计划免疫工作人员进行培训评估工作。结果本次培训活动的人员共488人,乡村级培训覆盖率91.39%。60人参加问卷调查,普遍认为成人参与式培训方法生动,可提高学习积极性,培训教材内容基本满足基层的需要。经过强化培训后,理论水平有大幅度提高。大于80分的比例由强化培训前的5.11%上升到79.33%。影响培训效果的主要影响因素排序:行政部门领导对计划免疫培训工作重视;资金投入;师资水平培训方式(成人参与式);教具、教材的选择等。结论成人参与式培训方法能有效提高基层人员的实际工作能力,值得推广。

Objective To know the effectiveness of training on incorporating the hepatitis B vaccination into EPI and safe injection, Methods Collecting the questionnaires, focus group discussion and testing the concerning knowledge etc. were used to evaluate the training effectiveness among the trained EPI staff in different counties and towns or villages selected by random sample. Results 488 persons took part in this study, The training coverage rate of towns and villages staff was 91.39%. 60 persons agreed that the participatory training methods was vivid and effective and the training contents could meet the need basically, The ratio of over 80 scores were lift, 5.11% and 79.33 % before and after training respectively. The leaders did not realize the importance of the training and were lack of the financial support, the training books and instruments and enough qualified teachers etc, were the major factors influencing the training effectiveness. Conclusion Participatory training methods can effectively improve the practical ability of the staff, and should be propagandized,