These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Evaluation of clinical management training programme for diarrhoea.
    Author: Salazar-Lindo E, Chea-Woo E, Kohatsu J, Miranda PR.
    Journal: J Diarrhoeal Dis Res; 1991 Sep; 9(3):227-34. PubMed ID: 1787278.
    Abstract:
    We report the evaluation of a training programme on clinical management of infantile diarrhoea. The training programme was delivered through a series of on-site clinical courses offered to a selected group of physicians and nurses from 16 health units in Peru and a series of local workshops conducted in their own health units. The outcome of this training programme was assessed by pre- and post-tests, knowledge, attitude, and practice (KAP) questionnaires, and observational surveys. A significant improvement in medical knowledge about diarrhoea, in particular about the use of ORT and drug therapy, was observed. Although the observational surveys showed significant improvement in the use of ORT at health facilities (2.9% to 23.6%, p = 0.007) the rate observed was still low compared to the high level of knowledge on ORT that was demonstrated by the KAP questionnaires. A reduction of antibiotic prescription for inpatients with diarrhoea (85.7% to 64.8%, p = 0.025) was observed. The training programme was also effective in promoting the establishment of Oral Rehydration Units in the participants' health facilities. Physicians designed a training program on clinical management of diarrhea which consisted of 11 clinical training courses at the Cayetano Heredia University Hospital in Lima, Peru for 37 physicians and 37 nurses from 16 hospitals in 20 various cities in Peru; a number of local workshops on overall features of clinical management of diarrhea cases; and supervisory pre- and posttraining visits to the hospitals. Health workers treated only 2.9% of dehydration cases and 25.7% of inpatient diarrhea cases before dehydration set in and 7.7% of similar outpatients with oral rehydration therapy (ORT) during the pretraining observational survey. After the training, these corresponding figures increased to 23.6% (p=.007), 57.6% (p=.002), and 88.9% (p.0001). The 23.6% rate was still low compared with the high level of knowledge about diarrhea treatment, however. Before training, they prescribed antibiotics to 85.7% of inpatients and 50% of outpatients. After the training, health workers still prescribed antibiotics to 50% of outpatients even though 95% knew correct drug prescription practices. On the other hand, they prescribed antibiotics to a lower percentage of inpatients (64.8%; p=.025). Before the course, they recommended breast feeding and weaning foods in 25.7% and 28.6% of inpatients, respectively, and in 47.1% and 41.2% of outpatients, respectively. Following the course, health workers were more likely to advise breast feeding and weaning foods for outpatients (p=.015 and p=.001, respectively), but tended not do so for inpatients. They were less likely to recommend breast feeding (25.7% vs. 19.4%). This evaluation helped promote creation of rehydration units in 12 of the participating hospitals. The results showed a need for continuous medical education for the health workers in the new units.
    [Abstract] [Full Text] [Related] [New Search]