Training of Village Health Workers in Tanzania; a Comparison of Two Approaches

Autor: C. Mayombana, Marcel Tanner, E Burnier, Tayari S, D. de Savigny, J Jenkins, G Lubomba
Rok vydání: 1990
Předmět:
Zdroj: Tropical Doctor. 20:63-67
ISSN: 1758-1133
0049-4755
Popis: The paper compares the costs of training for two groups of Village Health Workers (VHWs) Tanzania, where the policy of developing a system based on Primary Health Care principles will require the training of more than 16 000 VHWs during the next decade. In the Kilombero District, one group of VHWs was trained according to the guidelines of the National Programme of the Ministry of Health, and another group followed the training programme of the Kilombero Project, based on the Swiss Tropical Institute Field Laboratory. The training scheme of the Kilombero project cost almost 80070 less for one VHW, largely because it depended on on-the-spot training by local staff. The results of a first investigation of the efficacy of the training were encouraging; a longterm evaluation is in progress. The curricula for the two programmes also differed; the Kilombero programme had shorter blocks of theory, interspersed with supervised practical work, and introduced curative medicine earlier in the course. The advantages and disadvantages of the two programmes are discussed, not only in terms of cost but also in terms of their efficacy in training VHWs who will be motivated, efficient and accepted by the community.
Databáze: OpenAIRE