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Options for maintaining quality family planning counseling: strategies for refresher training. Sujata Naik, Telma Suchi, Rebecka Lundgren. International Journal for Quality in Health Care 2010; pp. 1–6.

Objective. To maintain knowledge over time, new family planning providers require refresher training and support, which can be costly and time consuming. The Knowledge Improvement Tool (KIT), guides family planning supervisors to ask recently trained providers a list of questions, reinforce correct answers and address knowledge gaps regarding provision of the Standard Days Method (SDM).This study compares the cost and effectiveness of the KIT to other methods of reinforcing SDM knowledge.

Design. An experimental design was used.

Setting. Several departments around Guatemala City and in the highlands of Guatemala.

Participants. Providers belonging to PROREDES, a network of non-governmental organizations (NGO) funded by the United States Agency for International Development.

Intervention. Providers received either: (i) individual KIT, (ii) group KIT, (iii) 2-h refresher training or (iv) no refresher training.

Main outcome measures. Total provider scores on pseudo-simulated client counseling session and costs associated with each refresher type.

Results. All groups who received refresher training scored well overall (over 70%), compared with only 42% for the group with no refresher training. Providers who received individual KIT retained more knowledge over time, but it was the most costly.

Conclusions. Some type of reinforcement is needed following initial training. Programs must consider what is most practical in terms of existing supervision systems and budgets. Individual application of KIT is primarily appropriate for programs that already conduct routine supervisory visits of individual providers and can integrate KIT. Group KIT or traditional refresher training produce slightly lower results at significantly less cost.

Articles with Author or Co-author from I-TECH

  • Shah SK, Nodell B, Montano SM, Behrens C, and Zunt JR. Clinical research and global health: Mentoring the next generation of health care students. Global Public Health. [Advance access published 14 July 2010 doi: 10.1080/17441692.2010.494248]

  • Dawson Rose C, Gutin SA, Reyes M. Adapting Positive Prevention Interventions for International Settings: Applying U.S. Evidence to Epidemics in Developing Countries. Journal of the Association of Nurses in AIDS Care. [Advance access published 9 June 2010 doi 10.1016/j.jana.2010.04.001]

  • Brentlinger PE, Torres JV, Martínez PM, Ghee A, Lujan J, Bastos R, Manuel R, Mudender FM, Assan A. Clinical Staging of HIV-Related Illness in Mozambique: Performance of Nonphysician Clinicians Based on Direct Observation of Clinical Care and Implications for Health Worker Training. Journal of Acquired Immune Deficiency Syndrome. [Advance access published July 2010 doi 10.1097/QAD.0b013e32833b8be5]
  • Ibrahim M. Lutalo, Gisela Schneider, Marcia R. Weaver, Jessica H. Oyugi, Lydia Mpanga Sebuyira, Richard Kaye, Frank Lule, Elizabeth Namagala, W. Michael Scheld, Keith P.W.J. McAdam and Merle A. Sande. Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda. Human Resources for Health 2009, 7:76.
  • Weaver M, Conover CJ, Proescholdbell RJ, Arno PS, Ang A, Uldall KK, Ettner S. Cost-effectiveness Analysis of Integrated Care for People with HIV, Chronic Mental Illness and Substance Abuse Disorders. Journal of Mental Health Policy and Economics. 2009; 12, 33-46.

 

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