The literature, Vietnamese health statistics reveal problems with the antibiotic use with misunderstanding leading to the irrational and inappropriate use of these drugs resulting in bacterial resistance together with its consequences. In Vietnam the public healthcare service is provided at community level based on a system of communes. Here it is accepted that health centres are located in each rural area but that, public health workers are disadvantaged especially with regard to their educated/training, but are still mainly responsible for provision of healthcare including administration of antibiotics. The main aim of this study was to develop a conceptual framework for an education and training model for public health workers to reduce antibiotic misuse. It was piloted among the population in Myloc district, Nam Dinh province Vietnam but could be transferable to other rural areas in Vietnam. Thus, as a starting point baseline measures were taken using method triangulation in order to evaluate the current situation of antibiotic use in this study location. This survey revealed a very high rate of antibiotic administration (79.8%) of which more than half (54%) were incorrectly prescribed for non-infectious conditions. It also revealed misunderstandings andlimited knowledge and perceptions regarding the use of antibiotics, and that staff had received littlepost basic training and education.These findings provided baseline data for the development of the training programme. Through reviewing theories of learning, principles of adult learning and teaching, the basic philosophies of experiential learning from the western world were taken into account then adapted to the Vietnamese context, especially to the situation of the commune health workers. The model was developed, based on Kolb’s (1984) experiential learning cycle, with modifications to fit with Vietnamese condition. The model named the ‘Modified Kolb’s Model for Vietnam’ (MKMVN) then was used to design and implement the training programme, taken place in each commune health centre.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:581443 |
| Date | January 2013 |
| Creators | Hoang, Hgo Huy |
| Publisher | Birmingham City University |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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