Post-training assessment of primary health care teams at commune health stations in Yen Bai Province - Health Professionals Education and Training for Health System Reforms Project (HPET)
The Health Professionals Education and Training for Health System Reforms Project (HPET) that is co-funded by World Bank and European Union have been implementing under the management of Ministry of Health (MOH) from 2014 to 2020. Capacity building of primary health care (PHC) teams on the basis of family medicine approach is one of the key components of the project. From 2018 to 2020, the project has been conducting short-term training courses specifically designed for each professional title of PHC team members working at commune health stations (CHSs) in 15 provinces of the project.
In order to evaluate the improvement in knowledge and practice of the trainees in providing health care services at the grassroots level after the program, Health Strategy and Policy Institute (HSPI), as an independent assessment body, has been conducting the survey in 15 provinces. The survey was started with Yen Bai Province, from March 25th to April 3rd 2019.
In the fieldwork, the research team surveyed 30 CHSs in three districts (Tran Yen, Van Yen, and Luc Yen) where the team collected information in various forms. The team directly assessed CHS trainees via clinical observation of the medical doctor/assistant doctor; interviews with health workers on knowledge and practice using structured questionnaires that correspond with their designated job titles (managers, doctors/assistant doctors, nurses, midwives, and pharmacists). In the meantime, the team also gathered forms on service provision of CHSs and conducted patient exit interviews. Additionally, a number of focused group discussion were undertaken with the members of Commune People Healthcare Steering Committee, health workers who were involved in the training, and people living in CHS’s catchment area in order to obtain comprehensive and objective view about the CHS’s performance after the training programs. In each district, the team, furthermore, discussed with leaders of district health center and relevant departments (Medical Professional Department, Personnel and Organization Department, Pharmacy Department, etc.), which offered health managers’ reflection and perspective on the training outcomes.
The information collected from the survey will be synthesized and analyzed to provide a comprehensive post-training assessment of the capacity improvement of CHS staff in providing PHC services in 15 provinces of HPET.