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Preliminary evaluation of the Korea Health Development Institute community health practitioner training program

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  • Preliminary evaluation of the Korea Health Development Institute community health practitioner training program
  • Callen, William B.; American Public Health Association
  • United States Agency for International Development


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Title Preliminary evaluation of the Korea Health Development Institute community health practitioner training program
Similar Titles
Material Type Reports
Author(English)

Callen, William B.; American Public Health Association

Publisher

[Washington, D.C.]:United States Agency for International Development

Date 1980-07
Series Title; No Special Evaluation
Pages 73
Subject Country South Korea(Asia and Pacific)
Language English
File Type Link
Subject Social Development < Health
Holding United States Agency for International Development

User Note

Evaluates project to train community health practitioners and aides (CHP and CHA) and village health aides (VHA) to provide primary health care to Korea's rural poor. Evaluation covers a period ending 5/80 and is based on document review, site visits, and interviews with trainees and with project personnel. The project paper defined the CHP's role as mainly curative, however, a mid-term assessment divided CHP duties evenly among preventive, curative, and clinic management. Trainees were chosen from the areas they were to serve on the basis of attitude and experience. The one-year CHP training program has three parts: classroom (for which texts were developed on internal medicine, surgery, preventive and emergency care, clinic management, and pharmaceutics), hospital internship, and field practice. Due to a lack of instructors and available hospital space, half the trainees entered field practice without adequate preparation, and field supervision was limited. Nonetheless, all trainees were judged to be doing satisfactory work. The CHP evaluation (30% in-class exam, 70% clinical assessment) was judged well-designed and objective. Guidelines for a revised CHP training program are provided. CHA's are nurse aides who undergo a 9-month training course. Turnover was high among CHA's who felt their duties required more varied training. VHA's are volunteers who perform simple health care and refer cases to the community health center. Although the VHA program was not examined in detail, a large number of VHA's have been trained and the program appears basically sound. It is recommended that: the final external evaluation include experts in mid-level health manpower training and that the final training evaluation estimate the quality of preventive and curative services; a management and supply system and a standardized training and evaluation program for nationwide deployment of CHP's be developed; and that USAID/P take immediate action to provide additional technical assistance to the Korean Health Development Institute.