No time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan
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(2020) 20:1137
RESEARCH ARTICLE
Open Access
No time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study Jesper Kjærgaard1,2* , Thomas Nørrelykke Nissen1, Elvira Isaeva3, Nguyen Nhat Quynh4, Susanne Reventlow2, Stine Lund1, Talant Sooronbaev5, Pham Le An4, Marianne Stubbe Østergaard2, Jim Stout6, Anja Poulsen1 and the FRESH AIR collaborators
Abstract Background: Training is a common and cost-effective way of trying to improve quality of care in low- and middleincome countries but studies of contextual factors for the successful translation of increased knowledge into clinical change are lacking, especially in primary care. The purpose of this study was to assess the impact of contextual factors on the effect of training rural healthcare workers in Kyrgyzstan and Vietnam on their knowledge and clinical performance in managing pediatric patients with respiratory symptoms. Methods: Primary care health workers in Kyrgyzstan and Vietnam underwent a one-day training session on asthma in children under five. The effect of training was measured on knowledge and clinical performance using a validated questionnaire, and by direct clinical observations. (Continued on next page)
* Correspondence: [email protected] 1 Global Health Unit, Department of Paediatrics and Adolescent Medicine, Juliane Marie Center, Copenhagen University Hospital “Rigshospitalet”, Copenhagen, Denmark 2 The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Kjærgaard et al. BMC Health Services Research
(2020) 20:1137
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Results: Eighty-one healthcare workers participated in the training. Their knowledge increased by 1.1 Cohen’s d
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