Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India
Abstract Background Hypertension is a major risk factor for cardiovascular disease, a leading cause of premature death and disability in India. Since access to health services is poor in rural India and Accredited Social Health Activists (ASHAs) are available throughout India for maternal and child...
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doaj-11ae958988b547ec88f5cf63807363392020-11-25T02:18:04ZengBMCBMC Health Services Research1472-69632018-05-0118111110.1186/s12913-018-3140-8Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural IndiaMarwa Abdel-All0Amanda Gay Thrift1Michaela Riddell2Kavumpurathu Raman Thankappan Thankappan3Gomathyamma Krishnakurup Mini4Clara K. Chow5Pallab Kumar Maulik6Ajay Mahal7Rama Guggilla8Kartik Kalyanram9Kamakshi Kartik10Oduru Suresh11Roger George Evans12Brian Oldenburg13Nihal Thomas14Rohina Joshi15The George Institute for Global Health, et SydneyDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash UniversityDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash UniversityAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and TechnologyAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and TechnologyThe George Institute for Global Health, et SydneyThe George Institute for Global HealthMelbourne School of Population and Global Health, University of MelbourneThe George Institute for Global HealthRishi Valley Rural Health CentreRishi Valley Rural Health CentreDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash UniversityCardiovascular Disease Program, Biomedicine Discovery Institute and Department of Physiology, Monash UniversityMelbourne School of Population and Global Health, University of MelbourneDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical CollegeThe George Institute for Global Health, et SydneyAbstract Background Hypertension is a major risk factor for cardiovascular disease, a leading cause of premature death and disability in India. Since access to health services is poor in rural India and Accredited Social Health Activists (ASHAs) are available throughout India for maternal and child health, a potential solution for improving hypertension control is by utilising this available workforce. We aimed to develop and implement a training package for ASHAs to identify and control hypertension in the community, and evaluate the effectiveness of the training program using the Kirkpatrick Evaluation Model. Methods The training program was part of a cluster randomised feasibility trial of a 3-month intervention to improve hypertension outcomes in South India. Training materials incorporated details on managing hypertension, goal setting, facilitating group meetings, and how to measure blood pressure and weight. The 15 ASHAs attended a five-day training workshop that was delivered using interactive instructional strategies. ASHAs then led community-based education support groups for 3 months. Training was evaluated using Kirkpatrick’s evaluation model for measuring reactions, learning, behaviour and results using tests on knowledge at baseline, post-training and post-intervention, observation of performance during meetings and post-intervention interviews. Results The ASHAs’ knowledge of hypertension improved from a mean score of 64% at baseline to 76% post-training and 84% after the 3-month intervention. Research officers, who observed the community meetings, reported that ASHAs delivered the self-management content effectively without additional assistance. The ASHAs reported that the training materials were easy to understand and useful in educating community members. Conclusion ASHAs can be trained to lead community-based group educational discussions and support individuals for the management of high blood pressure. Trial Registration The feasibility trial is registered with the Clinical Trials Registry - India (CTRI) CTRI/2016/02/006678 (25/02/2016).http://link.springer.com/article/10.1186/s12913-018-3140-8ASHATraining evaluationIndiaHypertensionKirkpatrick evaluation model |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marwa Abdel-All Amanda Gay Thrift Michaela Riddell Kavumpurathu Raman Thankappan Thankappan Gomathyamma Krishnakurup Mini Clara K. Chow Pallab Kumar Maulik Ajay Mahal Rama Guggilla Kartik Kalyanram Kamakshi Kartik Oduru Suresh Roger George Evans Brian Oldenburg Nihal Thomas Rohina Joshi |
spellingShingle |
Marwa Abdel-All Amanda Gay Thrift Michaela Riddell Kavumpurathu Raman Thankappan Thankappan Gomathyamma Krishnakurup Mini Clara K. Chow Pallab Kumar Maulik Ajay Mahal Rama Guggilla Kartik Kalyanram Kamakshi Kartik Oduru Suresh Roger George Evans Brian Oldenburg Nihal Thomas Rohina Joshi Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India BMC Health Services Research ASHA Training evaluation India Hypertension Kirkpatrick evaluation model |
author_facet |
Marwa Abdel-All Amanda Gay Thrift Michaela Riddell Kavumpurathu Raman Thankappan Thankappan Gomathyamma Krishnakurup Mini Clara K. Chow Pallab Kumar Maulik Ajay Mahal Rama Guggilla Kartik Kalyanram Kamakshi Kartik Oduru Suresh Roger George Evans Brian Oldenburg Nihal Thomas Rohina Joshi |
author_sort |
Marwa Abdel-All |
title |
Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India |
title_short |
Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India |
title_full |
Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India |
title_fullStr |
Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India |
title_full_unstemmed |
Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India |
title_sort |
evaluation of a training program of hypertension for accredited social health activists (asha) in rural india |
publisher |
BMC |
series |
BMC Health Services Research |
issn |
1472-6963 |
publishDate |
2018-05-01 |
description |
Abstract Background Hypertension is a major risk factor for cardiovascular disease, a leading cause of premature death and disability in India. Since access to health services is poor in rural India and Accredited Social Health Activists (ASHAs) are available throughout India for maternal and child health, a potential solution for improving hypertension control is by utilising this available workforce. We aimed to develop and implement a training package for ASHAs to identify and control hypertension in the community, and evaluate the effectiveness of the training program using the Kirkpatrick Evaluation Model. Methods The training program was part of a cluster randomised feasibility trial of a 3-month intervention to improve hypertension outcomes in South India. Training materials incorporated details on managing hypertension, goal setting, facilitating group meetings, and how to measure blood pressure and weight. The 15 ASHAs attended a five-day training workshop that was delivered using interactive instructional strategies. ASHAs then led community-based education support groups for 3 months. Training was evaluated using Kirkpatrick’s evaluation model for measuring reactions, learning, behaviour and results using tests on knowledge at baseline, post-training and post-intervention, observation of performance during meetings and post-intervention interviews. Results The ASHAs’ knowledge of hypertension improved from a mean score of 64% at baseline to 76% post-training and 84% after the 3-month intervention. Research officers, who observed the community meetings, reported that ASHAs delivered the self-management content effectively without additional assistance. The ASHAs reported that the training materials were easy to understand and useful in educating community members. Conclusion ASHAs can be trained to lead community-based group educational discussions and support individuals for the management of high blood pressure. Trial Registration The feasibility trial is registered with the Clinical Trials Registry - India (CTRI) CTRI/2016/02/006678 (25/02/2016). |
topic |
ASHA Training evaluation India Hypertension Kirkpatrick evaluation model |
url |
http://link.springer.com/article/10.1186/s12913-018-3140-8 |
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