The Influence of the Levels of Education and Knowledge on the Performance of Community Health Workers in Soy Sub-County, Kenya (Published)
Community health workers (CHWs) the world over help to alleviate the shortages of health workers in the health sector. They are involved in the delivery of health services to the community and constitute the first point of contact on health-related issues in many low- and middle-income countries (LMICs). The performance of CHWs is often hampered by various factors. The purpose of the study was to investigate the socio-cultural factors influencing the performance of CHWs in Soy Sub-County. Based on the study, this paper explores the influence of CHWs’ level of education and knowledge on their performance in Soy Sub-County. A correlation research design was used in the study with systematic sampling method being used to identify the respondents. In total, 98 respondents were given questionnaires to fill. Qualitative data was also collected from 7 heads of community health management team (CHMT) using key informant interviews. The collected data was then presented using frequency distribution tables while inferential statistics were computed using regression and correlation to determine the relationship between socio-cultural factors and performance of community health workers. Qualitative data was analysed manually to generate trends, sub-themes and themes from which conclusions were inferred regarding the performance of CHWs. The research findings showed that there was a significant (p= .000; α = 0.05) relationship that exists between education and knowledge and CHWs’ performance. Based on the findings, it was recommended that a strategy should be developed to incorporate all the stakeholders that affect the performance of community health workers in coming up with a training programme for CHWs. Moreover, there should be a policy shift in Kenya to encourage male CHW to scale up delivery of health services at community level. The findings of the study support decision-making on CHWs’ training programmes and also constitute the basis of transformation of implantation of community strategy in Soy Sub-County.
Keywords: Community Health Workers, Education, Influence, Kenya, Knowledge, Level, Performance, Soy Sub-County
Impact of an Educational Intervention of 40 Hours Training of Breast Feeding Promoting on the Knowledge and Attitude of a Sample of Health Professional Staff: A Study of A Pre and Post Evaluation (Published)
Health professionals have a crucial role in promotion, support and management of breastfeeding. To be effective in this effort, the clinician should focus on the issue from the preconception stage through pregnancy and delivery, and continue in subsequent infant care. To assess the effectiveness of the UNICEF/WHO 40-hour of breast feeding training through the assess breastfeeding knowledge and attitudes of the health profession staff before and after training course. Pre-posttest study with an intervention of an educational training course were conducted in Karbala maternity Hospital, during the period from May till July, 2016.A total of 90 participants arrange to reply to the invitation, Self-administered questionnaires were designed which include general demographic information, items related to the knowledge and attitude regarding the breast feeding. Statistical analysis was performed using the SPSS program (version 20) Results were presented as the frequencies and percentage in tables and figures. Chi-square test was used to determine any association found between these demographic variables and knowledge and attitudes. P value < 0.05 considered as cut off value for significance. The study revealed that the majority 48.9% of the participants achieved fair level score of knowledge regarding to breast feeding in pretest while the knowledge score improved as the majority 75.6% reported good knowledge in posttest. There is improvement regarding the knowledge related to basic information, breast feeding problems management and hospital policies supporting breast feeding. This improvement was significant statistically regrading knowledge related to the basic information (sings of adequate breast feeding 77.8%, breast feeding with local anesthesia 82.2%, breast feeding benefit 97.8% and contraindication to breast feeding84.4% with p<0.05. There is an improvement in good attitude from pretest to posttest in each attitude questions except for Q 14 and Q 15 (Formula is as healthy for an infant as breast milk, Breast-feeding is more convenient. than formula-feeding) the attitude is slightly reversed in the posttest. Significant statistical association were reported regarding the effect of the course of breast feeding promotion training in certain aspects of attitude questions especially the breastfeeding benefit aspect. UNICEF/WHO 40-hour of breast feeding training was effective tool to assess the breast feeding knowledge and attitudes among health profession staff that provide maternity care.
Keywords: Assess, Attitudes, Breast Feeding Training, Effectiveness, Health Profession Staff, Knowledge, Pre and Posttest.