Village health worker training for complications of labor and delivery in rural Maharashtra, India
Wynn Peterson,1 Raywat Deonandan,1 Shobha Arole,2 Ramaswamy Premkumar2
1Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada; 2Comprehensive Rural Health Project, Jamkhed, Maharashtra, India
Background: By analyzing the perspectives of village health worker/trainers with the Comprehensive Rural Health Project (CRHP), this study aimed to investigate their level of knowledge of treatment, risks, and prevention of complications of labor and delivery and to evaluate current teaching methods.
Methods: Three focus groups of six village health workers/trainers were conducted and divided according to level of experience. The resulting semistructured discussion was analyzed according to grounded theory.
Results: Participants displayed strong content retention with respect to clinically relevant knowledge. Village health workers experienced barriers, including lack of education and casteism, which affected their ability to establish trust in the community. Clinical observation was perceived to be the most effective learning method and is recommended for teaching village health workers about the treatment and prevention of the complications of labor and delivery.
Conclusion: When implementing this training model in comparable global communities, local culture and its impact on establishing trust is an important factor to consider.
Keywords: postpartum hemorrhage, rural health, women's health, village health workers, village health worker training, India
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]