5149.0: Wednesday, November 15, 2000 - Board 0

Abstract #8255

Role of training in improving provider knowledge about and compliance with clinical protocols for long-term contraceptive methods

Neeraj Kak, PhD1, Budi Utomo, MD2, Russ Vogel3, Biran Affandi4, and Sumengen Sutomo, MD1. (1) Pathfinder International, 9 Galen Street, Suite 217, Watertown, MA 02472, 617-924-7200, rmorgan@pathfind.org, (2) University of Indonesia, (3) JHPIEGO, (4) National Clinical Training Network, Indonesia

Training of health providers is often viewed as a way of improving knowledge about and compliance with clinical protocols and service delivery standards for long-term contraceptive methods. To examine the impact of clinical training on the knowledge of service delivery providers and their compliance with clinical protocols, in 1999 a study was conducted of two groups of providers in five Indonesian provinces. One group of 181 providers had attended competency-based clinical training workshops in the last five years, while the other group had not received any clinical training in the last five years. A battery of questions was asked to the two groups to measure their knowledge, and client-provider observations were made of the provision of long-term methods.

Study results showed that training in the last five years had only a modest impact on provider knowledge. Overall, a larger proportion of providers trained in the last five years were in compliance with standards of practice. However, a number of critical standards were not followed by many providers, despite the fact that most providers think they are in full compliance with clinical protocols.

As we compare provider perceptions with their knowledge and practice, it is clear that a strategy is needed to ensure that providers offer services according to an acceptable standard of practice. This can be overcome by developing an effective follow-up system. It is crucial that providers periodically receive feedback about their actual practice patterns and how those match with standards of practice.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1) Articulate the impact of training on providers in five provinces in Indonesia. 2) Discuss strategies for ensuring that providers’ services are at an acceptable standard

Keywords: Training,

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA