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Looking for sufficient change: Evaluation of counsellor training for STI syndromic management in India

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  • Vaz, Melita
  • Kadyan, Nisha
  • Chalil, Sumitha
  • Prasad, Turlapati L.N.
  • Singh, Aman Kumar

Abstract

In India, public health care of Sexually Transmitted Infections is delivered through Designated STI/RTI Clinics (DSRCs) using syndromic management. This paper describes efforts, over three years, to improve in-service training for counsellors positioned at DSRCs—using a data approach. The programme managers realised, through rigorous monitoring of initial induction training reports that, while knowledge and attitudes of most trainees had improved as evident from t-tests, at least one-quarter scored worse on post-training assessments (n=859). Therefore, they undertook a survey using a competency approach to diagnose what critical competencies are influenced through training: counselling skills, risk reduction suggestions, labelling male and female anatomy, record-keeping and STI patient education (n=132). Survey results demonstrated that trainees failed to pass a two-thirds cutoff score in most competencies. These findings led the programme managers to modify training and implement tighter quality measures. In the second round of training – refresher training – outcomes on competency assessments before and after training showed more acceptable performance (n=833). The paper describes how programme managers, after an acceptance of such initial short-comings, developed customized assessments when literature provided limited guidance and how they worked to achieve change that was acceptable for programme needs.

Suggested Citation

  • Vaz, Melita & Kadyan, Nisha & Chalil, Sumitha & Prasad, Turlapati L.N. & Singh, Aman Kumar, 2016. "Looking for sufficient change: Evaluation of counsellor training for STI syndromic management in India," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 141-151.
    • Handle: RePEc:eee:epplan:v:58:y:2016:i:c:p:141-151
    DOI: 10.1016/j.evalprogplan.2016.06.004
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    References listed on IDEAS

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    1. Tonderai Mabuto & Mary H Latka & Bulelani Kuwane & Gavin J Churchyard & Salome Charalambous & Christopher J Hoffmann, 2014. "Four Models of HIV Counseling and Testing: Utilization and Test Results in South Africa," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-7, July.
    2. Wickham, Hadley, 2014. "Tidy Data," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 59(i10).
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