EVALUATION OF A STRUCTURED TRAINING PROGRAM FOR TEACHING IMMUNIZATION SKILLS TO INTERNS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 49
Abstract
BACKGROUND Immunization is recognised as one of the strategies to reduce vaccine preventable diseases. Competency in immunization is very important for medical students and currently there is no structured Immunization training programme in medical schools. Hence, this study proposes to develop a structured training and evaluate its effectiveness. Aim- To develop a structured training program for the interns on skills of Immunization and evaluate the effectiveness of the same. MATERIALS AND METHODS A quasi-experimental study was conducted among 30 interns in Departments of Community Medicine and Paediatrics in Kilpauk Medical College, Chennai during May - June 2018. A pre-test assessment of cognitive domain in Immunization was assessed. Twostep training- first a small group teaching for knowledge, second skill training by observation in Immunization clinic and administering under supervision. The effectiveness of the training was assessed after 4 weeks by a questionnaire and OSCE. RESULTS The mean pre-test score was 16.27 (SD 3.8) and post-test was 25.1 (SD 3.36). The difference of means was 8.8 (95% CI of 6.8-10.2). The difference of means was 1.9 (CI 1.25-2.55) for knowledge on National Immunization Schedule and 1.2 (CI 0.88-1.52) for knowledge on AEFI. Mean OSCE score was 9.23 (total 10) for skill and 3.5 (total 4) for communication. The proportion of interns administering vaccines after the training also increased from 20% to 86.7% for BCG, 10% to 100% for Pentavalent, 26.7% to 83.3% for Hepatitis-B, 3.3% to 63.3% for MMR and 60% to 100% for OPV with significant difference (p < 0.0001). CONCLUSION The structured training has significantly improved the knowledge and immunization skills of interns.
Authors and Affiliations
Priya Senthil Kumar, Saravana Kumar Palaniappan
Keywords
Related Articles
- EP ID EP549019
- DOI 10.14260/jemds/2018/1160
- Views 85
- Downloads 0
COMPARISON OF SIGNIFICANCE OF LIPID PROFILE WITH LIVER FUNCTION TESTS IN DENGUE FEVER
BACKGROUND Dengue is the most prevalent mosquito borne viral infection with rapidly changing epidemiology over the last few years. Lipoproteins play a pathophysiological role in the hosts immune response to severe infect...
LIPOMA OF THE SUBMANDIBULAR SPACE
Lipomas in the submandibular space are uncommon. This report describes a case of lipoma in the submandibular space. The clinical features, imaging study, histopathological features and management of the tumour,...
COMPARATIVE STUDY BETWEEN INCISION & DRAINAGE AND SONO-GUIDED ASPIRATION FOR THE MANAGEMENT OF DEEP-SEATED BREAST ABSCESS
BACKGROUND Breast abscess is a disease more of a lactating mother. Traditionally breast abscess was treated with incision and drainage which was more invasive and really painful for lactating mother. With the availabilit...
SIGNIFICANCE OF SERUM ALPHA-FETOPROTEIN LEVELS IN THE DIAGNOSIS AND PROGNOSIS OF PAEDIATRIC LIVER TUMOURS- A STUDY AT PAEDIATRIC REFERRAL CENTRE
BACKGROUND There is a need for accurate diagnosis and preoperative evaluation of paediatric liver tumours, because treatment modalities and management protocols vary for benign and malignant tumours. There is a widesprea...
COMPARATIVE STUDY OF THE EFFICACY OF MIFEPRISTONE WITH VAGINAL MISOPROSTOL AND VAGINAL MISOPROSTOL ALONE FOR FIRST TRIMESTER ABORTION
OBJECTIVES To assess the efficacy of mifepristone with misoprostol combination in first trimester abortion. To compare this combination with vaginal misoprostol alone for the first trimester MTP. To compare the...