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Table 6 Summary of main findings with confidence intervals where relevant

From: No time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study

 

Kyrgyzstan

Vietnam

Effect of training on:

Asthma knowledge

Increased (1.1 da, CI: 0.7 to 1.4)

Increased (1.3 da, CI: 0.5 to 2.5)

Relevant history taking

Increased markedly (79.1%, CI 73.9 to 84.3%)

Increased somewhat (25.0%, CI 15.1 to 34.9%)

Relevant clinical examination

Increase in 5/5 actions (Table 5)

Decrease in 4/5 actions (Table 5)

SABA, trial or prescription

Increased (19.5%, CI 6.6 to 32.4%)

No change (−8.9%, CI − 18.2 to 0.4%)

Asthma diagnosis

No change

No change

Antibiotics use

Decreased markedly (−42.2%, CI − 55.1% to −29.3%)

No change (8.9%, CI − 0.05 to 18.3%)

Use of antivirals and cough medicine

No change (16.8%, CI −0.5 to 34.1%)

No change (2.8%, CI − 6.5 to 12.1%)

Contextual factors:

 Time for consultation

15 min

2 min

 WHO region

European region

Western Pacific region

 Type of health care worker

Several cadres (medical doctors, clinical officers, nurses)

Only medical doctors

 Baseline performance

Lower

Higher

 Rural vs. urban setting

Tendency toward higher increases in clinical performance in the rural setting

Not available

  1. CI 95% Confidence interval, MD Medical doctors, SABA Short-acting β2-agonist
  2. a Cohen’s d effect size