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Cyber-solutions for global problems: Pilot testing computer-based infection prevention training for low resource settings
THURSDAY,
SEPTEMBER
7
P4.04.13 WHY REPEAT ABORTIONS ARE STILL USED AS METHOD OF BIRTH CONTROL IN LITHUANIA R. Jakubcionvte, Dept. OBIGYN, Kaunas University Hospital, Eiveniu 2, Lithuania. Objectives: The purpose was to compare women having a repeat induced abortion with women coming for a first induced abortion. The aim was to determine whether it is possible to identify characteristics of women at high risk for repeat abortions. Study Methods: Totally 494 women participated in the study. 221 had the first and 273 repeat induced abortions. Data were collected in Kaunas City Kalnieciai, Silainiai and Raseiniai districts’ outpatient departments using anonymous semi-structured questionnaire for pregnant females until the end of 12 gestation’ weeks. Midwives delivered the questionnaires for women and they answered questions themselves. Respondents left answers in a special box at women’s outpatient department. Results: Women coming for repeat induced abortion were significantly older and having more children in city and countryside (~~0.5). Urban females with repeat pregnancy interruptions comparatively often were married, at work and living in own flat/house under overcrowded conditions too (p
P4.05 EDUCATION P4.05.01 COMPARATIVE STUDY OF THE KNOWLEDGE LEVEL OF “GUIDANCE-SCHOOL FEMALE STUDENTS” MOTHERS BETWEEN RURALS AND TOWN OF BIRJAND (EAST OF IRAN) ON HEALTH BEHAVIOURS REGARDING MENSTRUATION P. Asadi (l), T. Farhadian (2), S. Mohammadzadeh (l), (1) Azad University, P.O.Box: 16895.136, Daftar Omid, Tehranpars, Tehran, Iran, 16895, (2) Birjand University, Birjand, Khorasan, Iran. Objectives: The aim of this study was descriptive the knowledge level of mothers in rural and city of Birjand. Study method: In this research We collected data based upon interviewing. The collecting tools was questionniare forms and then We analize findings Results: The study conclusions indicate that between two rural and city subject groups in relation to health behaviours at the time of menstruation, there is a significant different and unfortunately,The knowledge level was very low. Conclusions: We Conclude that the related Organizations must follow Educational programmes on health of menstruation.
P4.05.02 CYBER-SOLUTIONS FOR GLOBAL PROBLEMS: PILOT TESTING COMPUTER-BASED INFECTION PREVENTION TRAINING FOR LOW RESOURCE SETTINGS M. .I. Tzanis, P. Harper, K. Levin, D. Silverman, C. Cook, AVSC International, New York, New York, USA. Objectives: Computer-assisted instruction has enormous implications for the future reach of training in the developing world. We have developed and tested two computer-based infection prevention training courses for use in low resource settings. Study Methods: A CD-ROM and a web-based infection prevention course were developed from a print-based curriculum published by AVSC in early 1999. Pilot tests of the CD-ROM were conducted in Nepal, Ghana, and South Africa, with a total of 138 participants. An instructor-led field test of the web-based course was conducted
99
with 16 self-selected participants from 12 countries. The instructor was located in Seattle, Washington. Results: The findings of the three CD-ROM pilot tests indicated that it was very popular, with very high user satisfaction rates in all sites. It was clear from observation that participants enjoyed using the CD-ROM and were engaged by this method of learning. The pre-and post-test scores indicated that participants learned new information. On average, overall scores increased by about 10% for the 120 participants who completed the pre- and post-tests, with increases of up to 30% in some cases. Of the 16 participants in the instructor-led on-line course, five dropped out early because of serious technical problems, two dropped out for other reasons and nine finished the course. Five out of the nine took both the pre- and post- test, with results showing an overall average increase in scores of 15%. Conclusions: Access to computers and the internet will continue to increase throughout the world. While computer-based approaches to training will not be appropriate everywhere, they do have the potential to help meet the training needs of developing country health care institutions in many settings.
P4.05.03 DIABETES EDUCATION IN PATIENTS WITH TYPE 1 DM DURING PRECONCEPTION CARE AND PREGNANCY N. Asatiania (l), R. Kurashvili (l), M. Natsvlishvili (l), L. Nikoleishvili (l), M. Dundua (l), E. Shelestova (l), T. Chanturia (2), (1) Georgian Diabetes Center, Tbilisi, Georgia. (2) Maternity Home, Tbilisi, Georgia. Objectives: The aim of the present study was to evaluate the efficacy of structured outpatient education and treatment program in Type 1 diabetes patients during preconception care and pregnancy and its effect on pregnancy outcomes. Study Methods: 42 women with Type 1 DM were supervised (age 21-46 yrs., diabetes duration 2-18 yrs.). The program started with a 5-day (25 hrs) group education: attention was paid to: self-monitoring, diet, short and long term complications and their prevention, insulin therapy and insulin dose adjustment rules. Patients were instructed on multiple insulin injections to achieve and maintain euglycemia. Peculiarities of diabetes management in pregnancy were emphasized. Throughout preconception care and pregnancy individual training was used during regular weekly visits to the Center. Once a month, 213 hr-group training took place. At baseline, every 2 months, at the end of the preconception care period and after conception, a questionnaire (65 questions) was used to assess the patients’ knowledge and training results. Results: Following mean glycozilated hemoglobin (HbA,c) levels and insulin doses were registered. HbA,,-preconception care - 10.1*0.2%; 1”’trimester - 7.6*0.5% (P
P4.05.04 MOTIVATING RURAL WOMEN FOR ANTENATAL INDIAN PERSPECTIVE M. Sali Hospital, Manchar, India
CARE -
Objectives: Antenatal care is still not availed of by a majority of Indian women as evidenced by high maternal mortality rate of 120 as compared to 0.5 in the United States. The total population of India is above 1 billion, of which 800 million remain in rural areas. Of these, 700 million are farmers and the remaining 100 million are closely associated with farming. These rural people must be motivated to register for antenatal care in order to reduce National Maternal Mortality.
SEPTEMBER
7
P4.04.13 WHY REPEAT ABORTIONS ARE STILL USED AS METHOD OF BIRTH CONTROL IN LITHUANIA R. Jakubcionvte, Dept. OBIGYN, Kaunas University Hospital, Eiveniu 2, Lithuania. Objectives: The purpose was to compare women having a repeat induced abortion with women coming for a first induced abortion. The aim was to determine whether it is possible to identify characteristics of women at high risk for repeat abortions. Study Methods: Totally 494 women participated in the study. 221 had the first and 273 repeat induced abortions. Data were collected in Kaunas City Kalnieciai, Silainiai and Raseiniai districts’ outpatient departments using anonymous semi-structured questionnaire for pregnant females until the end of 12 gestation’ weeks. Midwives delivered the questionnaires for women and they answered questions themselves. Respondents left answers in a special box at women’s outpatient department. Results: Women coming for repeat induced abortion were significantly older and having more children in city and countryside (~~0.5). Urban females with repeat pregnancy interruptions comparatively often were married, at work and living in own flat/house under overcrowded conditions too (p
P4.05 EDUCATION P4.05.01 COMPARATIVE STUDY OF THE KNOWLEDGE LEVEL OF “GUIDANCE-SCHOOL FEMALE STUDENTS” MOTHERS BETWEEN RURALS AND TOWN OF BIRJAND (EAST OF IRAN) ON HEALTH BEHAVIOURS REGARDING MENSTRUATION P. Asadi (l), T. Farhadian (2), S. Mohammadzadeh (l), (1) Azad University, P.O.Box: 16895.136, Daftar Omid, Tehranpars, Tehran, Iran, 16895, (2) Birjand University, Birjand, Khorasan, Iran. Objectives: The aim of this study was descriptive the knowledge level of mothers in rural and city of Birjand. Study method: In this research We collected data based upon interviewing. The collecting tools was questionniare forms and then We analize findings Results: The study conclusions indicate that between two rural and city subject groups in relation to health behaviours at the time of menstruation, there is a significant different and unfortunately,The knowledge level was very low. Conclusions: We Conclude that the related Organizations must follow Educational programmes on health of menstruation.
P4.05.02 CYBER-SOLUTIONS FOR GLOBAL PROBLEMS: PILOT TESTING COMPUTER-BASED INFECTION PREVENTION TRAINING FOR LOW RESOURCE SETTINGS M. .I. Tzanis, P. Harper, K. Levin, D. Silverman, C. Cook, AVSC International, New York, New York, USA. Objectives: Computer-assisted instruction has enormous implications for the future reach of training in the developing world. We have developed and tested two computer-based infection prevention training courses for use in low resource settings. Study Methods: A CD-ROM and a web-based infection prevention course were developed from a print-based curriculum published by AVSC in early 1999. Pilot tests of the CD-ROM were conducted in Nepal, Ghana, and South Africa, with a total of 138 participants. An instructor-led field test of the web-based course was conducted
99
with 16 self-selected participants from 12 countries. The instructor was located in Seattle, Washington. Results: The findings of the three CD-ROM pilot tests indicated that it was very popular, with very high user satisfaction rates in all sites. It was clear from observation that participants enjoyed using the CD-ROM and were engaged by this method of learning. The pre-and post-test scores indicated that participants learned new information. On average, overall scores increased by about 10% for the 120 participants who completed the pre- and post-tests, with increases of up to 30% in some cases. Of the 16 participants in the instructor-led on-line course, five dropped out early because of serious technical problems, two dropped out for other reasons and nine finished the course. Five out of the nine took both the pre- and post- test, with results showing an overall average increase in scores of 15%. Conclusions: Access to computers and the internet will continue to increase throughout the world. While computer-based approaches to training will not be appropriate everywhere, they do have the potential to help meet the training needs of developing country health care institutions in many settings.
P4.05.03 DIABETES EDUCATION IN PATIENTS WITH TYPE 1 DM DURING PRECONCEPTION CARE AND PREGNANCY N. Asatiania (l), R. Kurashvili (l), M. Natsvlishvili (l), L. Nikoleishvili (l), M. Dundua (l), E. Shelestova (l), T. Chanturia (2), (1) Georgian Diabetes Center, Tbilisi, Georgia. (2) Maternity Home, Tbilisi, Georgia. Objectives: The aim of the present study was to evaluate the efficacy of structured outpatient education and treatment program in Type 1 diabetes patients during preconception care and pregnancy and its effect on pregnancy outcomes. Study Methods: 42 women with Type 1 DM were supervised (age 21-46 yrs., diabetes duration 2-18 yrs.). The program started with a 5-day (25 hrs) group education: attention was paid to: self-monitoring, diet, short and long term complications and their prevention, insulin therapy and insulin dose adjustment rules. Patients were instructed on multiple insulin injections to achieve and maintain euglycemia. Peculiarities of diabetes management in pregnancy were emphasized. Throughout preconception care and pregnancy individual training was used during regular weekly visits to the Center. Once a month, 213 hr-group training took place. At baseline, every 2 months, at the end of the preconception care period and after conception, a questionnaire (65 questions) was used to assess the patients’ knowledge and training results. Results: Following mean glycozilated hemoglobin (HbA,c) levels and insulin doses were registered. HbA,,-preconception care - 10.1*0.2%; 1”’trimester - 7.6*0.5% (P
P4.05.04 MOTIVATING RURAL WOMEN FOR ANTENATAL INDIAN PERSPECTIVE M. Sali Hospital, Manchar, India
CARE -
Objectives: Antenatal care is still not availed of by a majority of Indian women as evidenced by high maternal mortality rate of 120 as compared to 0.5 in the United States. The total population of India is above 1 billion, of which 800 million remain in rural areas. Of these, 700 million are farmers and the remaining 100 million are closely associated with farming. These rural people must be motivated to register for antenatal care in order to reduce National Maternal Mortality.