The impact of basic dermatology education and training on primary healthcare providers in KwaZulu-Natal, South Africa

South African Family Practice

 
 
Field Value
 
Title The impact of basic dermatology education and training on primary healthcare providers in KwaZulu-Natal, South Africa
 
Creator Makaula, Pumeza U. Chateau, Antoinette V. Hift, Richard J. Dlova, Ncoza C. Mosam, Anisa
 
Subject Dermatology; primary health care; education dermatology education; dermatology training; South Africa; primary healthcare; common dermatology conditions
Description Background: Dermatological diseases are amongst the commonest reasons for consultation at primary care level. Yet, dermatology teaching in medical and nursing curricula is inconsistent and often insufficient to enable medical and nursing professionals to manage these conditions effectively.Methods: We tested the knowledge of 100 doctors and 195 nurses who attended dermatology training sessions held in three health districts in the province of KwaZulu-Natal (KZN), South Africa, by using a quasi-experimental uncontrolled before-and-after study design. At the start of the session, participants were exposed to 15 slides representing common dermatological conditions; this was followed by a test. The participants then attended a series of short lectures followed by the same test. Pre- and post-intervention test scores were compared, and the results were analysed by professional status, health district and type of facility.Results: The mean (standard deviation [SD]) pre-intervention test score was 40.6% (20.5%). Doctors scored significantly higher than nurses (p 0.0001). There were significant differences in performance by district (p 0.001) and type of facility (p 0.001). The mean (SD) post-intervention score improved to 68.7% (22.5%).Conclusion: Doctors and nurses working in the primary care sector appear to be insufficiently trained in the management of common dermatological conditions. A short period of in-service training resulted in an immediate, significant improvement in knowledge, although we did not study long-term retention beyond this. We recommend improved prequalification training in dermatology in medical and nursing schools and an expansion of continuing professional development as well as in-service training opportunities for primary care practitioners.
 
Publisher AOSIS
 
Contributor Direct relief in partnership with Vaseline Healing Project
Date 2021-01-15
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Quasi-experimental uncontrolled before and after study design.
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5200
 
Source South African Family Practice; Vol 63, No 1 (2021): Part 1; 5 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5200/6576 https://safpj.co.za/index.php/safpj/article/view/5200/6575 https://safpj.co.za/index.php/safpj/article/view/5200/6577 https://safpj.co.za/index.php/safpj/article/view/5200/6574
 
Coverage KwaZulu-Natal province 2019-2020 Primary healthcare providers
Rights Copyright (c) 2021 Pumeza U. Makaula, Antoinette V. Chateau, Richard Hift, Ncoza C. Dlova, Anisa Mosam https://creativecommons.org/licenses/by/4.0
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