Ongoing training of community health workers in low-income andmiddle-income countries: a systematic scoping review of the literature.
Ongoing training of community health workers in low-income andmiddle-income countries: a systematic scoping review of the literature.
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DOI：
10.1136/bmjopen-2017-021467
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发表时间：
2018-04-28
期刊：
影响因子：
2.9
通讯作者：
Winters N
中科院分区：
文献类型：
--
作者：
O'Donovan J;O'Donovan C;Kuhn I;Sachs SE;Winters N
了解低收入和中等收入国家（LMIC）社区卫生工作者（CHW）持续培训的现状对于负责培训的组织以及研究人员和政策制定者都很重要。本次范围审查通过绘制目前的交付、实施和评估为中低收入国家的社区卫生工作者提供的持续培训来探讨这一研究不足的领域。系统范围界定审查。MEDLINE、Embase、AMED、Global Health、Web of Science、Scopus、ASSIA、LILACS、BEI和ERIC。最初的研究侧重于为在根据世界银行集团2012年经济体分类定义为低收入和中等收入的国家工作的社区卫生工作者提供持续培训。范围审查发现了35项符合纳入标准的原始研究。对社区卫生工作者的持续培训活动被描述为监督（n=19）、在职或进修培训（n=13）或两者兼而有之（n=3）。虽然大多数研究强调提供持续培训的重要性，但有几项研究报告持续培训对绩效指标没有影响。大多数正在进行的培训都是面对面进行的;但是，有四项研究报告说，使用了移动的技术来支持培训的提供。以不同方式衡量和报告了正在进行的培训活动的成果，包括以定量方式衡量的行为、态度和做法的变化（n=16），知识和技能（n=6），定性评估（n=5）或结合上述方式之一的混合方法（n=8）。这一范围审查突出了中低收入国家社区卫生工作者正在进行的各种培训。鉴于卫生保健方案在全球范围内的扩展，应从加强卫生系统的角度更多地关注持续培训的设计、提供、监测和可持续性。
Understanding the current landscape of ongoing training for community health workers (CHWs) in low-income and middle-income countries (LMICs) is important both for organisations responsible for their training, as well as researchers and policy makers. This scoping review explores this under-researched area by mapping the current delivery implementation and evaluation of ongoing training provision for CHWs in LMICs. Systematic scoping review. MEDLINE, Embase, AMED, Global Health, Web of Science, Scopus, ASSIA, LILACS, BEI and ERIC. Original studies focusing on the provision of ongoing training for CHWs working in a country defined as low income and middle income according to World Bank Group 2012 classification of economies. The scoping review found 35 original studies that met the inclusion criteria. Ongoing training activities for CHWs were described as supervision (n=19), inservice or refresher training (n=13) or a mixture of both (n=3). Although the majority of studies emphasised the importance of providing ongoing training, several studies reported no impact of ongoing training on performance indicators. The majority of ongoing training was delivered inperson; however, four studies reported the use of mobile technologies to support training delivery. The outcomes from ongoing training activities were measured and reported in different ways, including changes in behaviour, attitudes and practice measured in a quantitative manner (n=16), knowledge and skills (n=6), qualitative assessments (n=5) or a mixed methods approach combining one of the aforementioned modalities (n=8). This scoping review highlights the diverse range of ongoing training for CHWs in LMICs. Given the expansion of CHW programmes globally, more attention should be given to the design, delivery, monitoring and sustainability of ongoing training from a health systems strengthening perspective.
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DOI：
10.1016/j.ijgo.2004.12.044
发表时间：
2005-05-01
影响因子：
3.8
作者：
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影响因子：
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