Effectiveness of an Indonesian model for rapid training of Guatemalan health workers in diarrhea case management
Bailey, J.E.; Coombs, D.W.
Journal of Community Health 21(4): 269-276
1996
ISSN/ISBN: 0094-5145 PMID: 8842889 DOI: 10.1007/bf01794877Document Number: 303442
A study was conducted to assess the effectiveness of a newly developed method of rapid tiered training of health workers to improve their knowledge and case management skills. The interactive Kader method, developed in Indonesia, was compared with traditional didactic training in a prospective trial involving rural health workers and village health promoters in Alta Verapaz state. 25 rural health workers received one day of training on diarrhea and dehydration, one group with the Kader method and the other with didactic methods. A sample of the workers then trained 49 randomized village health promoters using the same training method with which they were trained. Both the rural health workers and village health promoters trained with the Kader approach demonstrated significantly greater improvement in their ability to correctly diagnose and recommend treatment for diarrhea of varying type and severity. These findings suggest that the Kader approach could be applicable to the populations of other developing countries and recommended for large-scale implementation and evaluation in the training of public health workers, village health promoters, and families in Guatemala.
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