'[We] learned how to speak with love': a qualitative exploration of accredited social health activist (ASHA) community health worker experiences of the Mobile Academy refresher training in Rajasthan, India.

Autor:	Scott K; Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA kscott26@jhu.edu., Ummer O; Oxford Policy Management, New Delhi, India.; BBC Media Action, New Delhi, India., Chamberlain S; BBC Media Action, New Delhi, India., Sharma M; Independent researcher, unaffiliated, New Delhi, India., Gharai D; Oxford Policy Management, New Delhi, India., Mishra B; Oxford Policy Management, New Delhi, India., Choudhury N; Centre for the Study of Law and Governance, Jawaharlal Nehru University, New Delhi, India., LeFevre AE; Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.; School of Public Health and Family Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Jun 14; Vol. 12 (6), pp. e050363. Date of Electronic Publication: 2022 Jun 14.
DOI:	10.1136/bmjopen-2021-050363
Abstrakt:	Introduction: Mobile Academy is a mobile-based training course for India's accredited social health activist (ASHA) community health workers (CHW). The course, which ASHAs access by dialling a number from their phones, totals 4 hours of audio content. It consists of 11 chapters, each with their own quiz, and provides a cumulative pass or fail score at the end. This qualitative study of Mobile Academy explores how the programme was accessed and experienced by CHWs, and how they perceive it to have influenced their work. Methods: We conducted in-depth interviews (n=25) and focus group discussions (n=5) with ASHAs and other health system actors. Open-ended questions explored ASHA perspectives on Mobile Academy, the course's perceived influence on ASHAs and preferences for future training programmes. After applying a priori codes to the transcripts, we identified emergent themes and grouped them according to our CHW mLearning framework. Results: ASHAs reported enjoying Mobile Academy, specifically praising its friendly tone and the ability to repeat content. They, and higher level health systems actors, conceived it to primarily be a test not a training. ASHAs reported that they found the quizzes easy but generally did not consider the course overly simplistic. ASHAs considered Mobile Academy's content to be a useful knowledge refresher but said its primary benefit was in modelling a positive communications approach, which inspired them to adopt a kinder, more 'loving' communication style when speaking to beneficiaries. ASHAs and health system actors wanted follow-on mLearning courses that would continue to compliment but not replace face-to-face training. Conclusion: This mLearning programme for CHWs in India was well received by ASHAs across a wide range of education levels and experience. Dial-in audio training has the potential to reinforce topical knowledge and showcase positive ways to communicate. Competing Interests: Competing interests: SC is employed by BBC Media Action, one of the entities supporting programme implementation for Mobile Academy. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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