One-Way ANOVA Results.

Community health workers (CHWs) are critical in bridging healthcare gaps in underserved areas, particularly in resource-limited settings. In The Gambia, Village Health Workers (VHWs) play a pivotal role in primary healthcare delivery. Despite their significance, evidence on the effectiveness of structured training programs for VHWs remains sparse. This study evaluates the impact of a training program designed to enhance the knowledge and skills of VHWs in The Gambia, focusing on their capacity to address key community health needs. A retrospective quantitative design was employed, analyzing pre- and post-test scores from VHWs across three health regions in The Gambia. The training included 60 sessions on topics such as child health, nutrition, sanitation, and disease prevention. Data were analyzed using descriptive statistics, paired t-tests, and one-way ANOVA to assess improvements in knowledge and identify influencing factors like age, sex, and education level. The results revealed significant improvements in knowledge and practical skills, with mean post-test scores increasing by 26.32 points (p

社区卫生工作者（Community Health Workers，CHWs）是填补医疗服务匮乏地区医疗缺口的关键力量，尤其在资源有限的环境中发挥着不可替代的作用。在冈比亚，乡村卫生工作者（Village Health Workers，VHWs）在初级医疗服务供给中扮演着核心角色。尽管其重要性不言而喻，但针对乡村卫生工作者的系统化培训项目有效性的相关研究证据仍然十分匮乏。本研究针对冈比亚的乡村卫生工作者，评估了一项旨在提升其知识与技能的培训项目的效果，重点考察其应对核心社区卫生需求的能力。本研究采用回顾性定量研究设计，对冈比亚三个医疗区域的乡村卫生工作者的前测与后测得分进行分析。该培训共包含60个课时，课程内容涵盖儿童健康、营养、卫生保健与疾病预防等主题。研究采用描述性统计、配对t检验以及单因素方差分析（Analysis of Variance，ANOVA）对数据进行分析，以评估知识水平的提升情况，并识别年龄、性别与受教育程度等影响因素。研究结果显示，参与者的知识与实操技能均得到了显著提升，后测平均得分较前测提升了26.32分（p