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Outcomes of an intervention program for family physicians on well-child care for children under 5 years in Suez Canal region, Egypt
Egyptian Pediatric Association Gazette Pub Date : 2022-02-28 , DOI: 10.1186/s43054-022-00097-z
Hazem A. Sayed Ahmed 1 , Hassan Abdelwahid Ali 1 , Mosleh Abdel Rahman Ismail 1 , Badr Mosbah 2 , Mohamed Hany Kamel Shehata 3 , Jaffer Shah 4, 5
Affiliation  

Family physicians play a critical role in providing well-child care (WCC) in Egypt to children under five. Family physicians’ knowledge, attitudes, and practices (KAP) on WCC must be appropriately developed to optimize health status and developmental potential in children. The study aimed to evaluate the effect of an innovative, 6-month educational training program on the KAP of family physicians toward WCC. This pre-post interventional study was conducted from September 2014 to March 2016 on a convenience (Suez Canal University) sampling of 39 family physicians who were under training in the Family Medicine Department at the Faculty of Medicine Suez Canal University. After 6 months of implementing the training program, KAP toward WCC was assessed by a 79-item questionnaire at baseline. The overall mean percentage of participants’ KAP scores was statistically and significantly increased from 23.68% ± 13.68%, 67.15% ± 6.75%, and 40.98% ± 12.24% to 88.46% ± 8.09%, 88.62% ± 5.17%, and 71.79% ± 14.63%, respectively (p < 0.001). Recognizing the appropriate anticipatory guidance for the use of car seats made up the epitome of what was lacking in posttest knowledge (53.8%). Tendency of performing red reflex testing especially reduced refinement in posttest attitudes (53.8%). The least improved post-intervention practices were anticipatory guidance (7.7%), examination for developmental hip dysplasia (28.2%), and caries (43.6%), eliciting parents’ concerns for hearing and speech (38.5%) and vision screening (38.5%). The educational program had positive effects on family physicians’ KAP toward well-child care for children under five. Further interventions are needed for improving the family physicians’ practices of sensory screening, assessment of hip dysplasia, oral health, and anticipatory guidance.

中文翻译:

埃及苏伊士运河地区 5 岁以下儿童的家庭医生干预计划的结果

家庭医生在埃及为 5 岁以下儿童提供儿童保健 (WCC) 方面发挥着关键作用。家庭医生对 WCC 的知识、态度和实践 (KAP) 必须得到适当发展,以优化儿童的健康状况和发展潜力。该研究旨在评估一项创新的、为期 6 个月的教育培训计划对家庭医生对 WCC 的 KAP 的影响。这项事后干预研究于 2014 年 9 月至 2016 年 3 月对苏伊士运河大学医学院家庭医学系接受培训的 39 名家庭医生进行抽样调查(苏伊士运河大学)。在实施培训计划 6 个月后,通过基线时的 79 项问卷对 WCC 的 KAP 进行评估。参与者 KAP 评分的总体平均百分比从 23.68% ± 13.68%、67.15% ± 6.75% 和 40.98% ± 12.24% 显着增加至 88.46% ± 8.09%、88.62% ± 5.17% 和 71.79% ±分别为 14.63% (p < 0.001)。认识到使用汽车座椅的适当预期指导构成了后测知识缺乏的缩影(53.8%)。进行红色反射测试的趋势尤其降低了测试后态度的细化(53.8%)。干预后改善最少的是预期指导(7.7%)、发育性髋关节发育不良检查(28.2%)和龋齿(43.6%)、引起父母对听力和言语的担忧(38.5%)和视力筛查(38.5%) )。该教育计划对家庭医生对 5 岁以下儿童的良好儿童保育的 KAP 产生了积极影响。
更新日期:2022-02-28
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