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KMID : 0358119790050010109
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Journal of the Korean Public Health Association
1979 Volume.5 No. 1 p.109 ~ p.120
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Pretest on Nutrition Field Manual for Community Health Workers
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朴明潤/Park, Michael Myungyun
牟壽美/尹珍淑/孫淑美/金瑛南/Mo, Sumi/Yun, Jin Sook/Son, Sook Mee/Kim, Young Nam
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Abstract
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This study was carried out as a pretest of the nutrition field manual for the community health workers in the demonstration areas of the Korea Health Development Institute (KHDI) from January 22 through February 7, 1979. A total of 105 health personnel consisting of community health practitioners, nurses, midwives, and nurse aides in three KHDI project areas-Hongcheon, Gunee, and Okgu counties-were selected for this evaluation study.
The nutrition field manual is a 281-page mimeographed book, 19x 26cm size, written by three public health nutritionists-Bum Suk Tchai, M. D., Ph. D.; Sumi Mo, M. Sc., Ph. D. ; and Michael M. Park, MPH-and it consists of 10 chapters on the following subjects: 1) Nutrients and Requirements, Food Groups, Food Tables and Intake Calculation; 2) Menu Planning for Balanced Diet 3) Dietary Treatment; 4) Good Nutrition and Health; 5) Deficiency Disease; 6) Obesity; 7) Nutrition for Pregnant Women and Nursing Mothers; 8) Child Nutrition, Weaning Foods, Growth Chart, Food Hygiene; 9) Geriatric Nutrition; 10) Nutrition Improvement, Nutrition Education, Applied Nutrition Project.
The study was done in three major categories, such as 1) in the form of questionnaires to inquire about interest and experience in teaching nutrition and their general background, 2) in the form of direct checking on difficult terminologies or sentences in-the- manual by subjects, through the process of group reading, 3) in the form of written examination after group reading of the whole manual.
1. General Background
In age distribution of the subjects, 91.4% out of 105 health workers were aged between 21 and 30. On educational background, 14.3% Of them were middle school graduates, 61.9% were high school, and % were college graduates. For the duration of employment, 49. 5 of of them have worked less than 3 years and 24.8%a have worked over 6 years.
It was found that 90.4% of the subjects were interested in nutrition, especially high school graduates have shown more interest than college or middle school graduates.. For the experience of nutrition teaching through health channels -in the community, 24.8% of them have no experience. The average number of nutrition books owned by the subjects was 0.3, which means one out of-three health workers has only one nutrition book.
2. Content Evaluation
Understanding of the Contents 82.9% of the subjects showed they could understand the manual, even though there were some difficulties on unfamiliar terminologies. 74.8% of them found interest in the contents of the manual. The difficult or unfamiliar terminologies were chemical names, names of diseases, new foods, and new cooking methods. The deficiency diseases in Chapter 5 were disclosed as the most difficult one.
Volume of the Manual: 31.4% of them felt the manual being rather voluminous and 47.6% of them suggested that 200 to 250 pages might be suitable. 71.4% of them answered that number and distribution of illustrations were adequate.
Usefulness of the Manual: 94.3% of them felt that this manual might be useful for the nutrition guidance services for the community health programmed. The most useful chapters questioned revealed subjects on nutrition for pregnant women and nursing mothers, basic nutrition, child nutrition, menu planning, and dietary treatment. 74.2% of them agreed with the feasibility and practicality of this manual, while 25.8% of them thought that it might be less practical.
3. Evaluation by Written Examinations
According to the results of the written examinations or, the narrative questions, only 15.37c of the health workers marked above 61 points of 100 full mark, and the average mark was 43.5 points. On the selective questions; 68.6% of them gave correct answers over 7 of a total 10 questions. The results reflect the difference in educational background of the workers.
The authors recommend that the nutrition field manual should be revised according to the results of the pretest,
and continuing training on nutrition education should be provided to the community health workers in Korea. The authors are grateful to the UNICEF authorities in Korea for supporting this study, and our appreciation
are also extended to the KHDI staff for their kind arrangements and coordination for this evaluation study.
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KEYWORD
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