BACKGROUND Community Health Workers (CHWs) are valuable members within the communities they serve and increase access to health care by garnering the trust of their fellow neighbors, providing services including facilitating access to care, and improving the quality and cultural competence of service delivery. In Southern Haiti, there is a health care provider shortage with one doctor or nurse per 3,000 persons. CHWs are critical to help close the gap of the lack of access to care and facilitate the provision of basic health care. OBJECTIVES To describe the CHW training initiative at capra-care, a community-based health care provider in rural Haiti, using survey and focus groups results highlighting key findings and implications for the CHW initiative. METHODS A mixed-method approach was used to evaluate capracare's CHW Training program. Focus groups were conducted that documented the lived experience of CHWs following the training program; examined barriers and facilitators to translating the training skills to practice in the community. Pretest and post-test data assessed change in knowledge post the Community Health Worker Training (CHWT) program. RESULTS Findings included 51 (57%) of the graduates. A significant increase was observed in mean test scores from baseline (n = 51; m = 61.48 ± 1.80) to post-test (m = 76.93 ± 1.73; t-7.69; P < 0.001), indicating that the CHW training was successful in increasing participants' knowledge. Themes that emerged from the qualitative analysis were comprehension of skills learned, community benefit, and empowerment. CONCLUSIONS Results from this CHWT program has implications to increase the health care workforce thus facilitating access to care among community residents in under-resourced regions.

中文翻译：

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将护理融入社区：海地农村社区卫生工作者培训计划的混合方法评估。

背景 社区卫生工作者 (CHW) 是他们所服务的社区内的重要成员，他们通过赢得邻居的信任、提供包括促进获得护理在内的服务以及提高服务提供的质量和文化能力来增加获得卫生保健的机会。在海地南部，医疗保健提供者短缺，每 3,000 人就有一名医生或护士。社区卫生工作者对于帮助缩小缺乏医疗服务的差距并促进提供基本医疗保健至关重要。目标 使用调查和焦点小组结果来描述 capra-care（海地农村地区的社区卫生保健提供者）的 CHW 培训计划，重点介绍主要发现和对 CHW 计划的影响。方法 采用混合方法来评估 capracare 的 CHW 培训计划。开展焦点小组活动，记录社区卫生工作者在培训计划后的生活经历；研究了将培训技能转化为社区实践的障碍和促进因素。测试前和测试后数据评估了社区卫生工作者培训 (CHWT) 计划后知识的变化。结果 调查结果包括 51 名毕业生 (57%)。从基线（n = 51；m = 61.48 ± 1.80）到测试后（m = 76.93 ± 1.73；t-7.69；P < 0.001），观察到平均测试分数显着增加，表明 CHW 培训在增加参与者的知识。定性分析得出的主题是对所学技能的理解、社区利益和赋权。结论 该 CHWT 计划的结果对于增加卫生保健劳动力具有重要意义，从而促进资源贫乏地区社区居民获得护理。