• Syed Farid-ul- Hasnain
  • Syed Muhammad Israr
  • Saleem Jessani


Background: The Family Health Project (FHP) was implemented in the province of Sindh during1992-99 with the assistance of the World Bank. The project was designed to bring substantialchanges in health care system for achieving improvement in the health status by strengthening thequality and integration of primary health care services. One of the major components of the projectwas to develop the institutional capacity of Ministry of Health in Sindh. This is a comparativeanalysis to assess the knowledge and skills of health care providers in Area Focus Approach(AFA) health facilities with the ones in non-AFA health care facilities. Methods: In order toobtain a representative sample, 8 districts were selected which included, Larkana, Khairpur,Nawabshah, Dadu, Tharparkar, Thatta, Karachi South, and Karachi West. A structuredquestionnaire was designed with various sections to assess the knowledge and skills of variouscadres of health facility staff. Results: This comparative assessment has come up with someinteresting results; there is a difference between the scores of knowledge and skills between AFAand non-AFA health care providers. This assessment identified some important methodologicalissues such as the use of base-line information for comparing the results and the selection of acomparable study population for controlling the confounding factors. Conclusions: These findingscan be used as important lessons learned for producing better results of any post trainingassessment intervention.KEY WORDS: Family Health Project, Training, Knowledge, Skills


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