EFFECTIVENESS OF AN EDUCATIONAL INTERVENTION TO IMPROVE PRIMARY HEALTH CARE KNOWLEDGE AMONG GRASSROOTS HEALTH WORKERS IN BINH DUONG PROVINCE, 2024–2025

Phi Huỳnh Anh, Hữu Lê Minh, Chín Huỳnh Minh, Nam Nguyễn Việt

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Abstract

Background: Previous research in Binh Duong province has revealed significant gaps in the knowledge of primary health care (PHC) among grassroots healthcare workers. Addressing this deficiency is essential to strengthen the quality and effectiveness of local health services. Objective: To evaluate the effectiveness of a training intervention aimed at improving PHC knowledge among community-level healthcare workers in Binh Duong province from 2024 to 2025. Methods: A community-based intervention study was conducted using a pre- and post-intervention design with a control group. A total of 360 healthcare workers were enrolled and divided into an intervention group (n=182) and a control group (n=178). The intervention group received monthly training sessions over a 3-month period. Knowledge was assessed through a structured 50-item questionnaire. The effectiveness of the intervention was measured using the intervention effectiveness index (HQCT). Results: After the intervention, the proportion of healthcare workers with adequate PHC knowledge in the intervention group increased from 57.69% to 97.25% (p < 0.001), while the control group showed no significant change. The overall effectiveness index of the intervention was 67.61%. Notable improvements were observed across all knowledge domains, especially in national and global PHC content. Conclusion: The training program significantly improved PHC knowledge among grassroots healthcare workers in Binh Duong province. The findings support the scalability of this intervention model to other regions with similar needs.

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References

1. Nguyễn Hồng Chương, Huỳnh Minh Chín, Lê Nguyễn Đăng Khoa & Cộng sự. (2024). Thực trạng kiến thức về chăm sóc sức khỏe ban đầu, và một số yếu tố liên quan ở nhân viên y tế tuyến cơ sở tỉnh Bình Dương năm 2023. Tạp Chí Y Học Việt Nam, 538(2). https://doi.org/10.51298/vmj.v538i2.9501
2. World Health Organization. (1978). Declaration of Alma-Ata International Conference on Primary Health Care.
3. Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V, English, M., García-Elorrio, E., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
4. Dreisbach, J. L. (2020). Vietnamese Public Health Practices in the Advent of the COVID-19 Pandemic: Lessons for Developing Countries. Asia Pacific Journal of Public Health, 32(4), 163–164. https://doi.org/10.1177/1010539520927266
5. Nguyen, T. H. T., McDonald, F. & Wilson, A. (2017). Health Workers’ Perspectives on Infrastructure to Support Maternal Health Services in Rural Areas of Vietnam. Asia Pacific Journal of Health Management, 12(2), 55–61. https://doi.org/10.24083/apjhm.v12i2.81
6. Perry, H. B., Zulliger, R. & Rogers, M. M. (2014). Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness. Annual Review of Public Health, 35(1), 399–421. https://doi.org/10.1146/annurev-publhealth-032013-182354
7. Đỗ Thị Mai & Phạm Thị Hương Xuân. (2024). Thực trạng kiến thức một số bệnh không lây nhiễm và hành vi điều trị, dự phòng của người cao tuổi tại một số xã thuộc tỉnh Nam Định năm 2023. Tạp Chí Y Học Việt Nam, 540(2). https://doi.org/10.51298/vmj.v540i2.10374
8. Thai, T. T. N., Nguyen, K. T., Pham, T. T., Nguyen, P. M. & Derese, A. (2020). Can combined online and face‐to‐face continuing medical education improve the clinical knowledge and skills of family doctors in Vietnam? A cluster randomised controlled trial. Tropical Medicine & International Health, 25(4), 388–396. https://doi.org/10.1111/tmi.13372
9. Trần An Chung. (2020). Thực trạng và một số yếu tố liên quan tới năng lực chăm sóc sức khỏe ban đầu của nhân lực y tế cơ sở tỉnh Long An năm 2018. Tạp Chí Y Học Dự Phòng, 29, 53–63.