基层妇幼保健卫生培训效果与评价

Evaluation of Primary Skill Training in Maternal and Children Health Care Workers in Chongqing

目的评估重庆市基层妇幼保健培训的执行情况与效果,发现培训中存在的问题,为今后改进培训方法、提高培训和督导效果提供依据。方法对重庆市荣昌县的农村妇幼卫生人员调查对象进行培训,并采用问卷测试法、个人访谈法和现场观察法对培训过程和结果进行评估。结果临床技能组79人,健康教育组73人分别接受了培训和问卷测试。临床技能组培训前中位得分11分,培训后中位得分23分;健康教育组培训前中位得分18分,培训后中位得分25分,培训前后得分差异均有统计学意义(P<0.01),说明此次培训有效。结论基层卫生人员妇幼保健知识匮乏,对妇幼保健工作认识不足,此次培训活动完善了他们在妇幼保健方面的知识结构,提高了他们运用这些知识的技能,满足了他们的培训需求。组织者应确保培训内容丰富、新颖,形式灵活多样,妇幼保健工作者需积极主动、自愿自觉地参加培训,主管妇幼保健工作的领导应创造一切有利条件保证培训达到预定效果。

Objective To evaluate the effect of maternal and child health care training at the primary level in Chongqing, and to detect and solve the existing problems so as to provide evidence for the further training and monitoring. Methods The rural maternal and children health staff of Rongchang County, Chongqing were trained. A test and, in-depth interviews and field observation wereused to evaluate the training process and results. Results Seventynine members of the Clinical Skill Group （CS） and 73 members of Health Education Group （HE） have taken the test. The median score of CS before training was 11 while it was 23 after training （P〈0.01）; the median score of HE was 18 before training while it was 25 after training （P〈0.01）. The scores change of thetest before and after training showed that the training had a good result. Conclusion Primary level health staff members had poor knowledge of maternal and children health care. This training enhanced their knowledge of maternal and child health care improved their skill. Organizers should ensure that the training contents are rich,novel, and varied. Maternal and child health staff should be willing to join the training.