Meta Data.

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）对于弥补服务不足地区的医疗保健缺口至关重要，在资源有限的环境中尤为如此。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发挥着关键作用。尽管其意义重大，但目前针对乡村卫生工作者的结构化培训项目有效性的相关研究证据仍较为匮乏。本研究针对冈比亚乡村卫生工作者，评估一项旨在提升其知识与技能的培训项目的实施效果，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，对冈比亚三个卫生区域内乡村卫生工作者的测验前、后得分进行分析。该培训共包含60个课时，内容涵盖儿童健康、营养、卫生防疫与疾病预防等主题。研究采用描述性统计、配对t检验以及单因素方差分析对数据进行处理，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，乡村卫生工作者的知识与实操技能均得到显著提升，测验后平均得分较测验前提升了26.32分（p