Skills2Care: An innovative, cooperative learning programme for community health workers in South Africa

• Published in: African journal of primary health care & family medicine 2021-10, Vol.13 (1), p.e1-e10
• Main Authors: Boulle, Therese M, Cromhout, Paul, August, Khuzwayo, Woods, Dave
• Format: Article
• Language: English
• Subjects: Access to health care; Breastfeeding & lactation; community care worker; Community health aides; Community health worker; Community health worker programmes; community health worker training; Cooperative learning; Education; Focus groups; Group work in education; Health care; Health care access; HIV; Households; Human immunodeficiency virus; Knowledge; Lay health worker; Maternal & child health; Maternal and child health; Midwifery; Multiple choice; National health insurance; Original Research; Qualitative research; Rural areas; Team learning approach in education; Training; Village Health Worker; Workers
• ISSN: 2071-2928; 2071-2936
• DOI: 10.4102/phcfm.v13i1.2922

Background Community health workers (CHWs) hold potential to support universal health coverage and better health for vulnerable communities. They are integral to the re-engineered Primary Health Care (PHC) strategy, introduced in South Africa in 2011. This study focussed on how to train CHWs in large numbers, especially in resource-limited, rural settings. Skills2Care, a method of cooperative learning for CHWS, has been pioneered in the Eastern Cape of South Africa.Aim To determine whether Skills2Care could improve the cognitive knowledge of CHWs; to understand their response and attitude to the programme; to explore factors that enabled and inhibited learning and to consider its viability as a training method.Setting Research was conducted in 2019 in the Ngqeleni subdistrict of the O.R. Tambo district, in rural Eastern Cape.Methods A group-learning model using specifically tailored study modules in booklet format, addressing mother and baby care, was used. A facilitator promoted learning. Knowledge assessment was conducted by pre- and post-study testing using multiple choice questions. Focus group discussions and interviews explored the appropriateness and acceptability of this method, and factors enabling and inhibiting the learning.Results This method of peer group cooperative learning can significantly increase the cognitive knowledge of CHWs. Test scores indicated a significant (13%) improvement. Focus group discussions indicated that participants valued this method as it increased knowledge and boosted their confidence.Conclusion This innovative approach to district-based, continuing education suggests that CHWs could be trained in large numbers without the need for additional resources.