Evaluation of the sexual and reproductive health module as implemented by the Department of Health

[摘要] English: The aim of this study was to evaluate the Sexual and Reproductive Health Module as implemented by the Department of Health. Five objectives were set in order to meet the aim namely to: describe the reaction, knowledge and skills primary health care clinicians displayed during sexual reproductive health training; compare the competence primary health care clinicians rendering sexual reproductive health services displayed after sexual reproductive health training had been completed with those clinicians who had not undergone sexual reproductive health training; and to describe the perception the supervisors and primary health care clinicians had of the effect sexual reproductive health training had on sexual reproductive health services.The study followed a descriptive comparative, quasi-experimental, post-test-only design, as the study examined and described the differences and variables in two groups. Although reactionnaires used were not well constructed, learners rated the content, relevance of content and mode of presentation used when presenting the course as very good and excellent. Seventy three percent of the multiple-choice-questions used in the pre- and post-tests did not adhere to set criteria for these types of questions. Learners who underwent the Sexual Reproductive Health training scored markedly higher in their post-tests than in their pre-tests and scored an average of 94% during their assessment using the Competency Based Skills Assessment Tool. Trained sexual reproductive health primary health care clinicians scored significantly better in identified questions related to knowledge, skills and attitude, using the Adapted Competency Based Skills Assessment Tool and Client Exit Interview. The number of questions reflecting scores of less than 50%, measuring knowledge, attitude and skills does however suggest that limited transfer of learning took place. Data obtained to identify whether the pap smear policy was implemented after sexual reproductive health training were not usable. During the nominal group discussion participants perceived their quality of service, client assessment techniques and skills to have bettered after the sexual reproductive health training. The group also perceived that their relationship with their clients had bettered and that they were in a position to give more comprehensive information to their clients. Staff shortage and a lack of time to spend with clients were perceived to impede learning transfer. The data obtained from this group discussion was triangulated with data compiled throughout the rest of the study.

[发布机构] University of the Free State