Training needs and evaluation of a neuro-HIV training module for non-physician healthcare workers in Western Kenya
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Date
2010Author
Cettomai, Deanna
Kwasa, Judith
Birbeck, Gretchen L
Price, Richard W
Bukusi, EA
Meyer, Ana-Claire
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Background: Recent efforts to improve neurological care in resource-limited settings have focused on providing training to non-physician healthcare workers.
Methods: A one-day neuro-HIV training module emphasizing HIV-associated dementia (HAD) and peripheral neuropathy was provided to 71 health care workers in western Kenya. Pre- and post-tests were administered to 55 participants.
Results: Mean age of participants was 29 years, 53% were clinical officers and 40% were nurses. Self-reported comfort was significantly higher for treating medical versus neurologic conditions (p<O.OOl). After training, participants identified more neuropathy etiologies (pre = 5.6/9 possible correct etiologies; post = 8.0/9; p<O.OOl). Only 4% of participants at baseline and 6% (p=031) post-training could correctly identify HAD diagnostic criteria, though there were fewer mis-identified criteria such as abnormal level of consciousness (pre =82%; post=43%; p<O.OOl) and hallucinations (pre = 57%; post = 15%; p<O.OOl).
Conclusions: Healthcare workers were more comfortable treating medical than neurological conditions. This training significantly improved knowledge about etiologies of neuropathy and decreased some mis¬conceptions about HAD.
URI
http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/10428http://www.ncbi.nlm.nih.gov/pubmed/21652049
Citation
Journal of the Neurological Sciences 307 (2011) 92-96Collections
- Faculty of Health Sciences (FHS) [10378]