Evaluating a train-the-trainer approach for improving knowledge and teaching skills around Female and Sexual Public Health in Community Healthcare workers in Rural Nepal
Abstract
Female and reproductive health in rural communities in Nepal remains a challenging issue. High rates of violence against women, gender inequality and child birth from a young age means female mortality remains high. Nepal ranks 113th in the Gender Inequality Index, with a maternal mortality of 283/100,000. (1) Public Health education is a reliable healthcare intervention for contributing to prevention against deaths from domestic violence, HIV and AIDs as well as adolescent pregnancy complications. Research and Service Evaluation of programmes of the sort in rural areas of Nepal is sparse. Using a train-the-trainer approach to training local community nurses and midwives in delivering teaching in rural communities around female and reproductive health here is shown to improve perception of knowledge and risks around preventative factors (2). The programme has been developed by Restless Development, an international NGO and implementation has been facilitated by Health Partnership Nepal, a UK based charity that delivers healthcare in rural parts of Nepal.