| Autor: |
Max Kroon, Samuel Manda, Tshifhiwa Nkwenika, Lyn Haskins, Vaughn John, Ingunn M S Engebretsen, Ute Feucht, Ali Dhansay, Shuaib Kauchali, Thorkild Tylleskär, Christiane Horwood |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
BMJ Open, Vol 10, Iss 10 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2019-034770 |
| Popis: |
Objectives We report the effectiveness of a mentoring approach to improve health workers’ (HWs’) knowledge, attitudes and confidence with counselling on HIV and infant feeding.Design Quasi-experimental controlled before–after study.Setting Randomly selected primary healthcare clinics (n=24 intervention, n=12 comparison); two districts, South Africa.Participants All HWs providing infant feeding counselling in selected facilities were invited.Interventions Three 1–2 hours, on-site workshops over 3–6 weeks.Primary outcome measures Knowledge (22 binary questions), attitude (21 questions—5-point Likert Scale) and confidence (19 questions—3-point Likert Scale). Individual item responses were added within each of the attitude and confidence domains. The respective sums were taken to be the domain composite index and used as a dependent variable to evaluate intervention effect. Linear regression models were used to estimate the mean score difference between intervention and comparison groups postintervention, adjusting for the mean score difference between them at baseline. Analyses were adjusted for participant baseline characteristics and clustering at health facility level.Results In intervention and comparison sites, respectively: 289 and 131 baseline and 253 and 114 follow-up interviews were conducted (August–December 2017). At baseline there was no difference in mean number of correctly answered knowledge questions; this differed significantly at follow-up (15.2 in comparison; 17.2 in intervention sites (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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