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Integrated management of childhood illness: field test of the WHO/UNICEF training course in Arusha United Republic of Tanzania. WHO Division of Child Health and Development WHO Regional Office for Africa.

机译:儿童疾病的综合管理:世卫组织/儿童基金会在坦桑尼亚联合共和国阿鲁沙的培训课程的现场测试。世卫组织儿童健康与发展司和世卫组织非洲区域办事处。

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摘要

The 11-day training course on integrated management of childhood illness was field tested with three types of first-level facility health workers: medical assistants, rural medical aides, and MCH (maternal and child health) aides. The objective of the field test was to determine whether the materials were effective in preparing participants to manage correctly sick children and to suggest improvements in the course materials and teaching procedures. The course combined classroom work and daily inpatient and outpatient clinical sessions. Each participant individually examined 9-10 inpatients and managed more than 30 sick children as outpatients. Individual feedback from facilitators during clinical practice and module work, combined with data collection documenting the adequacy of the assessment, classification, treatment and counselling carried out by the participants, allowed an assessment of the participants' mastery of key clinical skills. Although some participants had difficulty in reading the modules in English, all three groups overall were able to assess, classify, and treat most sick children by the end of the course, and most of them were able to provide adequate counselling. Specific improvements were suggested and subsequently incorporated into the guidelines and training materials.
机译:为期11天的有关儿童疾病综合管理的培训课程已与三种类型的一级机构卫生工作者进行了现场测试:医疗助理,农村医疗助手和MCH(母婴保健)助手。现场测试的目的是确定这些材料是否有效地使参与者准备好正确治疗生病的孩子,并建议对课程材料和教学程序进行改进。该课程将课堂工作与每日住院和门诊临床课程结合在一起。每个参与者分别检查了9-10名住院病人,并管理了30多名患病儿童作为门诊病人。在临床实践和模块工作过程中,主持人的个人反馈意见与数据收集相结合,证明参与者进行了评估,分类,治疗和咨询的充分性,从而可以评估参与者对关键临床技能的掌握程度。尽管有些参与者在阅读英语模块时有困难,但是到课程结束时,所有这三个小组都能够对大多数患病的孩子进行评估,分类和治疗,并且大多数人都可以提供足够的咨询。提出了具体的改进建议,并随后将其纳入指南和培训材料。

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