An application of the LePSA methodology for health education in leprosy

Jl, Lennon; Dw, Coombs

doi:10.5935/0305-7518.19920019

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…SMPs were drawn from community groups including village government, religious institutions, opinion leaders, community health workers (CHWs), traditional birth attendants (TBA), and village health committees. These SMP's were trained in their villages for 12 days, using a participatory adult learning methods [27,28]. The topics covered conception and pregnancy, complications and danger signs, risk behaviour, birth preparedness, rationale and content of antenatal care as well as the importance of skilled delivery care.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania

Mushi

Mpembeni

Jahn

2010

BMC Pregnancy Childbirth

126

155

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BackgroundIn Tanzania, maternal mortality ratio remains unacceptably high at 578/100,000 live births. Despite a high coverage of antenatal care (96%), only 44% of deliveries take place within the formal health services. Still, "Ensure skilled attendant at birth" is acknowledged as one of the most effective interventions to reduce maternal deaths. Exploring the potential of community-based interventions in increasing the utilization of obstetric care, the study aimed at developing, testing and assessing a community-based safe motherhood intervention in Mtwara rural District of Tanzania.MethodThis community-based intervention was designed as a pre-post comparison study, covering 4 villages with a total population of 8300. Intervention activities were implemented by 50 trained safe motherhood promoters (SMPs). Their tasks focused on promoting early and complete antenatal care visits and delivery with a skilled attendant. Data on all 512 deliveries taking place from October 2004 to November 2006 were collected by the SMPs and cross-checked with health service records. In addition 242 respondents were interviewed with respect to knowledge on safe motherhood issues and their perception of the SMP's performance. Skilled delivery attendance was our primary outcome; secondary outcomes included antenatal care attendance and knowledge on Safe Motherhood issues.ResultsDeliveries with skilled attendant significantly increased from 34.1% to 51.4% (ρ < 0.05). Early ANC booking (4 to 16 weeks) rose significantly from 18.7% at baseline to 37.7% in 2005 and 56.9% (ρ < 0.001) at final assessment. After two years 44 (88%) of the SMPs were still active, 79% of pregnant women were visited. Further benefits included the enhancement of male involvement in safe motherhood issues.ConclusionThe study has demonstrated the effectiveness of community-based safe motherhood intervention in promoting the utilization of obstetric care and a skilled attendant at delivery. This improvement is attributed to the SMPs' home visits and the close collaboration with existing community structures as well as health services.

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Section: Methodsmentioning

confidence: 99%

Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania

Mushi

Mpembeni

Jahn

2010

BMC Pregnancy Childbirth

126

155

View full text Add to dashboard Cite

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“…This debriefing, which began with recollection on the first step, followed a pattern used in post-role-play debriefing. This was accomplished to clarify the actions of the game's activities and its purposes (Lennon & Coombs, 1992).…”

Section: Methodsmentioning

confidence: 99%

The GOOD-BYE TO DENGUE GAME

Lennon

Coombs

2005

Simulation & Gaming

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This study examined the use of postgame debriefing of a health educational board game activity on dengue fever in a Filipino student population. The debriefing used a series of specific open-ended questions, exploring students' feelings about the game and game-related questionnaires, students' perceptions of important information about dengue from the game, new information learned about dengue, areas of improvement on students' dengue control skills, and suggested areas of improvement for the game. Eighty-one students in Grade 5, Grade 6, and High School Year 1 participated in the in-school debriefing, conducted by seven Filipino student teachers. Eighty out of 81 students indicated "liking" the game. Reasons for liking the game were divided among responses based on their learning about dengue, and also perceived fun. Dengue control and prevention yielded the greatest category response to the question on perceived important material covered by the game.

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Effectiveness of an Indonesian model for rapid training of Guatemalan health workers in diarrhea case management

Bailey

Coombs

1996

J Community Health

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The aim of this study was to assess the effectiveness of a newly developed method for rapid tiered training of health workers in improving community health worker knowledge and case management skills. The interactive "Kader" method, developed in West Java, Indonesia, was compared with traditional didactic training in a prospective trial with rural health workers ("Tecnicos") and village health promoters ("Promotores") for the Public Health Department in the state of Alta Verapaz, Guatemala. Twenty-five tecnicos received one day of training concerning diarrhea and dehydration. One group was trained using the interactive Kader method of Indonesia; the other with didactic methods. A sample of these tecnicos then trained 49 randomized promotores utilizing the same training method with which they were trained. The tecnicos and promotores in each group completed a case-based pre-test and post-test before and after their training sessions. Both tecnicos and promotores trained using the Kader tiered training approach demonstrated significantly greater improvement in their ability to correctly diagnose and recommend treatment for diarrhea of varying type and severity. Non-significant differences favoring the experimental groups were found in the tecnicos' and promotores' general knowledge regarding diarrhea prevention practices, signs of dehydration and preparation of oral rehydration solution. This pilot study suggests that the Kader method for rapid tiered training of health workers has applicability to the populations of other developing nations and can be recommended for large scale implementation and evaluation in the training of public health workers, village health promoters and families in Guatemala.

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An application of the LePSA methodology for health education in leprosy

Cited by 3 publications

References 1 publication

Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania

Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania

The GOOD-BYE TO DENGUE GAME

Effectiveness of an Indonesian model for rapid training of Guatemalan health workers in diarrhea case management

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