PMID- 9216034
OWN - NLM
STAT- MEDLINE
DCOM- 19970827
LR  - 20191210
IS  - 0039-3665 (Print)
IS  - 0039-3665 (Linking)
VI  - 28
IP  - 2
DP  - 1997 Jun
TI  - Assessing family planning service-delivery skills in Kenya.
PG  - 143-50
AB  - This report demonstrates the use of Lot Quality Assurance Sampling (LQAS) to 
      evaluate the technical competence of two cohorts of family planning service 
      providers in Kenya trained with a new curriculum. One cohort had just finished 
      training within two months of the study. The other cohort was the first group 
      trained with the new curriculum about one year before the study. LQAS was adapted 
      from industrial and other public health applications to assess both the 
      individual competence of 30 service providers and the competence of each cohort. 
      Results show that Cohorts One and Two did not differ markedly in the number of 
      tasks needing improvement. However, both cohorts exhibited more tasks needing 
      improvement in counseling skills as compared with physical examination skills or 
      with all other skills. Care-givers who were not currently providing services 
      accounted for most service-delivery problems. This result suggests that 
      providers' use of their skills explains their ability to retain service-delivery 
      skills learned in training to a greater degree than does the amount of time 
      elapsed since they were trained. LQAS proved to be a rapid, easy-to-use empirical 
      method for management decisionmaking for improvement of a family planning 
      training curriculum and services.
FAU - Valadez, J J
AU  - Valadez JJ
AD  - Department of International Health, Johns Hopkins University School of Hygiene 
      and Public Health, Arlington, VA 22201, USA.
FAU - Transgrud, R
AU  - Transgrud R
FAU - Mbugua, M
AU  - Mbugua M
FAU - Smith, T
AU  - Smith T
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Stud Fam Plann
JT  - Studies in family planning
JID - 7810364
SB  - IM
MH  - Chi-Square Distribution
MH  - Clinical Competence/*standards
MH  - Cohort Studies
MH  - Counseling/standards
MH  - Educational Measurement/*methods
MH  - Employee Performance Appraisal/*methods
MH  - Family Planning Services/education/*standards
MH  - Female
MH  - Health Facilities/standards
MH  - Humans
MH  - Intrauterine Devices
MH  - Kenya
MH  - Male
MH  - Medical Errors/statistics & numerical data
MH  - Nurse Practitioners/education/*standards
MH  - Odds Ratio
MH  - Physical Examination/standards
MH  - Practice, Psychological
MH  - Quality Assurance, Health Care/*methods
MH  - Retention, Psychology
MH  - Sampling Studies
MH  - Time Factors
OID - PIP: 125886
OID - POP: 00266131
OAB - Lot Quality Assurance Sampling (LQAS) was used to evaluate the technical 
      competence of two cohorts of family planning service providers trained with a new 
      six-week curriculum developed by the Kenyan Ministry of Health Family Planning 
      Training Program. This was the first application of LQAS, originally developed to 
      assess industrial production, to an evaluation of the quality of family planning 
      service provision. One cohort (n = 11) had completed the training within two 
      months of the evaluation; the other (n = 19) had been trained one year earlier. 
      The 30 providers were rated on 101 tasks in a series of six client interactions. 
      The cohorts did not differ significantly in the total proportion of tasks needing 
      improvement. In both, the number of counseling tasks needing improvement was 
      significantly greater than the number of physical examination tasks. Performance 
      was least adequate among caregivers who were not currently providing services. 17 
      of the 18 instances in which cohorts needed skills improvement were contributed 
      by nonproviders. These findings suggest that continuous use of skills learned in 
      training is more predictive of skill retention than time elapsed since training. 
      This study helped identify task categories (e.g., counseling) in which the new 
      curriculum needs strengthening.
OABL- eng
OTO - PIP
OT  - Africa
OT  - Africa South Of The Sahara
OT  - *Comparative Studies
OT  - Developing Countries
OT  - Eastern Africa
OT  - Education
OT  - English Speaking Africa
OT  - Family Planning
OT  - *Family Planning Personnel
OT  - Family Planning Programs
OT  - Health Services Evaluation
OT  - Kenya
OT  - *Measurement
OT  - Organization And Administration
OT  - Program Evaluation
OT  - Programs
OT  - *Quality Control
OT  - *Quality Of Health Care
OT  - Research Methodology
OT  - *Research Report
OT  - *Short-term Courses
OT  - Studies
OT  - Training Programs
GN  - PIP: TJ: STUDIES IN FAMILY PLANNING.
EDAT- 1997/06/01 00:00
MHDA- 1997/06/01 00:01
CRDT- 1997/06/01 00:00
PHST- 1997/06/01 00:00 [pubmed]
PHST- 1997/06/01 00:01 [medline]
PHST- 1997/06/01 00:00 [entrez]
PST - ppublish
SO  - Stud Fam Plann. 1997 Jun;28(2):143-50.