Optimizing health workers counselling skills for prevention and better management of diabetes and patient networks
Morressier, 2017
Online
unknown
Title: Optimizing health workers counselling skills for prevention and better management of diabetes and patient networks. Background: Non-communicable diseases (NCDs) account for 60 percent of deaths in India each year. The burden of diabetes in India, particularly, has grown exponentially in the recent past. Optimizing and building the skills of health workers (HWs) through regular trainings, coaching and mentoring for skill development is crucial for delivering better health services. As part of a comprehensive diabetes and hypertension prevention and management program in support from Lilly global health partnership, we adopted and contextualized our successful capacity building curriculum from South Africa and Mexico for training the health workers in India on patient centred care and patient empowerment approach. For better uptake of health education by the community, patient networks are being developed at each project site. These are being led by the local health advocates (positive deviants) who have championed their diabetes and are willing to promote healthy behaviours, for the other group members to manage diabetes and its complications. These groups are linked with the trained HWs to build a strong local support system.Aim: To evaluate the effectiveness of comprehensive (Non-technology dependent) capacity building curriculum for strengthening skills of health workers to help people manage diabetes and patient networks Method: Study participants included HWs (n=80) from Haryana, North India and Andhra Pradesh, South India. We conducted a 15-day structured training using Visualization in Participatory Programs approach. HWs were trained to address patient perceptions around diabetes and high blood pressure management; teach patients about self-testing/monitoring; encourage lifestyle changes and establish diabetes patient support groups to improve self-care and adherence based on the positive deviance approach. The trained HWs are linked with the local patient advocates who have been identified after applying dual level screening i.e. positive deviant criteria and positive deviant inquiry. The patient group is formed after identifying a cluster of diabetes patients in the local catchment area by the health advocate who is then trained and nurtured by the HW to lead and manage their groups. Group size is between 6 to 10 patients. HWs often extend meeting facilitation support with the health advocates. Project is in the process of also exploring other approaches/linkages to scale and sustain the patient networks. Results: 92.5% of the study participants (n=74) showed an overall increase in knowledge (95% CI: u22128.4 to u22127.4, p
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Optimizing health workers counselling skills for prevention and better management of diabetes and patient networks
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Autor/in / Beteiligte Person: | Cheena, Malhotra |
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Veröffentlichung: | Morressier, 2017 |
Medientyp: | unknown |
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