| Objective The China Disease Prevention Project financed by the World Bank (Immunization Planning Part) started in 1996, and is planned to finish in 2003. Yunnan, Guizhou, Henan, Hebei, Shanxi, Guangxi, Gansu, Xinjiang, Shanxi, Hubei, are the ten project provinces. The goal of the project is to reduce infant mortality rate and disability rate through strengthening, development of immunization planning capacity and professional skills of staff responsible for health promotion in ten poor provinces, The project (immunization program part) is divided into four parts, i.e. cold chain system, workforce training, administration and surveillance, and health propaganda and mobilization. Among them, workforce training is the core part. Its aim is: through the establishment of work study training system, to improve their professional technical skill and practical operation abilities for the immunization program staffs, especially the staff at grass level, and also strengthen the practical ability in organizing the training programs in provinces, regions and counties, as well as establish the sustainable local capacity to deliver in-service training in each province by project. In order to summarize the experiences and lessons in workforce training programs in the project thoroughly, and to evaluate the effectiveness objectively, and to meet project stakeholders' requests, we conducted evaluation to assess impact of workforce training. 1 from Oct 1st to Oct 25th. The evaluation questions are to:1) Assess to what extent the project objectives have been achieved;2) Evaluate the changes in quality, quantities, contents and performancecontributed by workforce training;3) Summarize the experiences gained from workforce training;4) Summarize the lessons from workforce training, and identify their main causes.Subjects The subjects of this study were the trainees and project managers from this program who are eligible to be sampled from ten provinces including YunNan, GuiZhou, HeNan, HeBei, ShanXi, Guang Xi, GanSu, Xinjiang, ShanXi, HuBei. This study investigated trainees and took back effective questionnaires. The reply rate is 94.8%.Methods The research methods include both quantitative research and qualitative research (Focus Group). In quantitative research, according to the social economic development level, which is good middle and poor, three counties in each province were selected, and then three villages selected in each township. Consequently, the samples are 270 villages, 90 townships, and 30 counties in 10 project provinces. Questionnaire was administrated among the above samples. Furthermore two counties in Shanxi, and Hebei were sampled respectively. And then in each of the two counties, a township was selected, contents of research focused on (1) implementation of training program (2) impact of project training (3) The impact of the training program on workers' performance (4) Evaluation of effects of project personnel training ? (5) The contribution of personnel training to the project objectives (a comparison: Before and after the implementation of the project). For those collected quantity data, first, we checked and verified the reliability and completeness of the data, then we used EPI 6.12 software to enter the data twice by designated persons, and finally used SAS software for data management and analysis. For qualitative data, we assign the designated persons to conduct data processing, and analyzing the data.Results According to the questionnaires from four province, and qualitative investigation in Hebei and Shanxi, we got the results as following. Until Oct, 2002,the accumulated number of immunization program staff who completed training at various levels was 397492 person weeks, accumulated training expenditure was 63243585 Yunnan, basically implemented the training plans in the four provinces. During the project, there were total 8282 training courses (workshops) were held in four provinces, among them the provincial level held 56 training courses (workshops) reg...
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