A Study on the outcome of a distance education programme on knowledge, attitudes and performances of public health midwives in post partum care of the mother and in care of the newborn

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dc.contributor.authorFERNANDO, TEIen_US
dc.date.accessioned2011-02-14T08:14:57Z
dc.date.available2011-02-14T08:14:57Z
dc.date.created1997en_US
dc.date.issued1997en_US
dc.descriptionDissertation: MD (Community Medicine), Post Graduate Institute of Medicine, Colombo: PGIM , 1997.en_US
dc.description.abstractThe objective of the study was to plan, develop, implement and to assess the outcome of a Distance Education programme for a group of identified Public Health Midwives (PHMM) in post partum care of the mother and on 'care of the newborn' in the field using an experimental study design. The study was carried out on Public Health Midwives working in the Divisional Director of Health Services (DDHS) areas of Kalutara and Galle Districts of Sri Lanka. The study population consisted of 519 Public Health Midwives attached to DDHS areas of the two districts who fulfilled the eligibility critera specified before the study. Randomisation of PHMM into study and control groups were achieved by randomization of DDHS areas. The baseline of knowledge, attitues and performances of the PHMM of study and control groups on study topics, were assessed before the intervention. A Multiple Choice Questions (MCQ) and a Short Answer Question (SAQ) paper were used to assess the knowledge. Attitudes were assessed by using a questionnaire. In assessment of performance of the PHMM a non participatory observation of a sub sample of PHMM using a check list was used. The basic socio-demographic and service information of the two groups were collected by a self administered questionnaire. Distance Education programme was implemented among PHMM of the DDHS areas randomized into the study group. This consisted of self learning modules on 'post partum care of the mother' and 'care of the newborn' in the field and three tutorials were distributed monthly while the control group were not exposed to the DE programme. the post intervention assessment was carried out using the same instruments and the same procedure used for the pre intervention assessment. It was conducted six weeks after the completion of the Distance Education programme. The results showed that the total knowledge scores of the study group has increased at a level which is satistically significant from 44.9+_7.3 to 62.0+_10.1 at the post intervention assessment (p\<0.001) in comparison to the control group which has improved from 44.9=_7.7 to 46.6+_11.0 during the same period (p\>0.05). However, the attitude scores of the study and control groups have only shown a slight improvement from 64.6+_20.8 to 66.7+_18.2 and 68.1+_19.2 to 71.3+_16.4 respectively. The difference of the attitude scores of the two groups obtained at the pre and post intervention assessments were not statistically significant (p\>0.05). The performance score of the two groups showed that the performance of PHMM of the study group has improved only in certain areas where as the pre intervention assessment scores were lower. This was not seen in the control group. The Distance Education approach was effective in improving the knowledge of the PHMM. Although it was not foound to be successful in improviving attitudes, it was effective in improving the performance of PHMMin selected areas. Planning, development and implementation of a Distance Education programme is feasible specially in the context of the availability of personnel and organizational structure of Divisional Directors of Health Services areas.en_US
dc.identifier.citationFERNANDO, TEI, A Study on the outcome of a distance education programme on knowledge, attitudes and performances of public health midwives in post partum care of the mother and in care of the newborn, Post Graduate Institute of Medicine, Colombo PGIM , 1997: p.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/128160
dc.language.isoen_USen_US
dc.publisherPost Graduate Institute of Medicine, Colombo: PGIM .en_US
dc.rightsPost Graduate Institute of Medicine, Colombo, PGIM : Sri Lanka HELLIS Networken_US
dc.source.urihttps://hellis.srilanka.healthrepository.orgen_US
dc.subjectEducation, distanceen_US
dc.subject.meshMidwiferyen_US
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_US
dc.subject.meshPostnatal Careen_US
dc.subject.meshInfant Careen_US
dc.titleA Study on the outcome of a distance education programme on knowledge, attitudes and performances of public health midwives in post partum care of the mother and in care of the newbornen_US
dc.typeThesisen_US
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