Participation of health workers, school teachers and pupils in the control of rheumatic fever: evaluation of a training programme.
Participation of health workers, school teachers and pupils in the control of rheumatic fever: evaluation of a training programme.
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卫生工作者、学校教师和学生参与风湿热控制：培训计划评估。
作者：
S. Iyengar;A. Grover;R. Kumar;N. Ganguly;P. Wahi
在印度北部的一个农村社区，我们发起了一个控制风湿热和风湿性心脏病(RF/RHD)的方案。这包括对所有74名卫生工作者、773名学校教师和12,500名年龄较大的学生(V级至X级)进行培训，使他们能够怀疑和转介RF/RHD病例，并就二级预防向他们提供咨询。项目工作人员、医务人员和教师使用了培训材料，以传达以下四个简单标准：发烧伴有关节疼痛或肿胀；呼吸急促和疲劳；面部和肢体不自主运动。一年后，我们通过向干预区和非连续控制区的随机样本发放问卷来评估培训产生的意识。干预区的卫生工作者、教师和学生对疾病的性质、严重性和表现有了更好的了解，并报告说他们已经确认了他们转介进行诊断、预防和咨询以进行后续行动的病例。我们的结论是，一个包含简单信息的培训方案可以有效地在农村社区的教师、卫生工作者和学生中培养对RF/RHD控制的实际意识。
In a rural community block of north India we initiated a programme for control of rheumatic fever and rheumatic heart disease (RF/RHD). This included a training campaign for all 74 health workers, 773 school teachers and 12,500 older pupils (class V to X) to enable them to suspect and refer cases of RF/RHD and counsel them about secondary prophylaxis. Training material was used by project staff, medical officers and teachers to convey that this serious disease with onset between 5 and 15 years can be recognized by four simple criteria: fever with joint pain or swelling; breathlessness and fatigue; involuntary face and limb movements. One year later we evaluated awareness generated by training by administering a questionnaire to random samples in the intervention area and in a noncontiguous control area. Health workers, teachers and pupils of the intervention block were significantly better aware of the nature, severity and presentation of the disease and reported having recognized cases whom they had referred for diagnosis, prophylaxis and counselled for follow up. We conclude that a training protocol incorporating simple messages can effectively create practical awareness for RF/RHD control among teachers, health workers and pupils in a rural community.