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Formative evaluation of a training intervention for community health workers in South Africa: A before and after study

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  • Alexandra Plowright
  • Celia Taylor
  • David Davies
  • Jo Sartori
  • Gillian Lewando Hundt
  • Richard J Lilford

Abstract

Background: Community Health Workers (CHWs) have a crucial role in improving health in their communities and their role is being expanded in many parts of the world. However, the effectiveness of CHWs is limited by poor training and the education of CHWs has received little scientific attention. Methods: Our study was carried out in two districts of KwaZulu-Natal, South Africa. We developed and piloted an inexpensive (two day) training intervention covering national government priorities: HIV/AIDS, sexually transmitted disease and Tuberculosis; and Women’s Sexual and Reproductive Health and Rights. Sixty-four CHWs consented to participate in the main study which measured knowledge gains using a modified Solomon design of four different testing schedules to distinguish between the effects of the intervention, testing and any interaction between intervention and testing. We also measured confidence, satisfaction and costs. Results: Following the training intervention, improvements in knowledge scores were seen across topics and across districts. These changes in knowledge were statistically significant (p

Suggested Citation

  • Alexandra Plowright & Celia Taylor & David Davies & Jo Sartori & Gillian Lewando Hundt & Richard J Lilford, 2018. "Formative evaluation of a training intervention for community health workers in South Africa: A before and after study," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.
    • Handle: RePEc:plo:pone00:0202817
    DOI: 10.1371/journal.pone.0202817
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    1. World Bank, 2016. "World Development Indicators 2016," World Bank Publications - Books, The World Bank Group, number 23969.
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    1. Yapeng Li & Zihao Wang & Yuanyuan Zhu, 2024. "How Does Government Intervention Affect Community Residents’ Satisfaction with Public Services—Evidence from CSS (2021) in China," Sustainability, MDPI, vol. 16(17), pages 1-24, August.
    2. Mamare Adelaide Bopape & Tebogo Maria Mothiba & Hilde Bastiaens & Johan Wens, 2020. "What Is the Impact of a Context-Specific Training Program for Home-Based Carers? An Evaluation Study," IJERPH, MDPI, vol. 17(24), pages 1-14, December.

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