Innovative Training to Improve Childhood Cancer Knowledge Among Primary Health Care Providers: Evaluating a Blended Learning Program in Kenya
Rattachement africain : nl, Kenya, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE Early detection and timely referral are vital to improving childhood cancer outcomes in low- and middle-income countries. However, training primary health care providers (HCPs) remains challenging because of limited time and resources. This study assesses the knowledge of primary health care workers after a blended learning program on childhood cancer and examines impact on referrals. METHODS A prospective study in Bungoma, Kenya (January-June 2023), evaluated the first blended pediatric oncology training. Knowledge was assessed via a semistructured questionnaire before (pretest), after (post-test), and 6 months later (evaluation test). Median scores were compared across subgroups (eg, sex, worker type, facility level, training attendance, and short message service learning appreciation). Referral numbers from Bungoma County to the referral hospital were analyzed before and after the program. RESULTS Of the 3,040 participants, 496 (16%) completed the blended learning program. Median pretest score was 7 (IQR, 6-8), which significantly increased to eight (IQR, 7-9) in post-test ( P < .001) but significantly decreased to six (IQR, 5-7) in evaluation test ( P < .001). Community health volunteers consistently scored significantly lower than other HCPs on all three test points ( P < .001, P < .001, and P = .028). Live training attendance did not significantly affect test scores. In total, 181 participants (36%) reported suspecting childhood cancer cases since the launch of the program. However, this is not reflected in the annual average of 14 referrals in the 2 years after the program. CONCLUSION The blended learning program improved knowledge initially but declined significantly after 6 months. Digital learning showed promise, yet low referral rates highlight the need to address barriers to effective referrals.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Innovative Training to Improve Childhood Cancer Knowledge Among Primary Health Care Providers: Evaluating a Blended Learning Program in Kenya
- Date Crossref
- 01/08/2025
- Éditeur
- American Society of Clinical Oncology (ASCO)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Emma Kinderziekenhuis pays non établi dans la noticeÉtablissement de santé
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Princess Máxima Center pays non établi dans la noticeÉtablissement de santé
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Vrije Universiteit Amsterdam Emma's Children Hospital pays non établi dans la noticeUniversité ou école supérieure
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AMPATH Kenya (code pays fourni par la source)Établissement de santé
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Indiana University School of Medicine Department of Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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Indiana University – Purdue University Indianapolis pays non établi dans la noticeUniversité ou école supérieure
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Amsterdam Institute for Global Health and Development pays non établi dans la noticeStructure de recherche
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Moi University Academic Model Providing Access to Healthcare (AMPATH) Eldoret, Kenya (code pays fourni par la source)Université ou école supérieure
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Amsterdam University Medical Center Amsterdam Institute of Global Health pays non établi dans la noticeUniversité ou école supérieure
Emma Kinderziekenhuis, Princess Máxima Center et Emma's Children Hospital — Vrije Universiteit Amsterdam, avec 6 autres affiliations. Pays d’affiliation : Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.