Strengthening patient education for ORT services in the Central African Republic

Joseph F. Naimoli, Scott Endsley, Jean Baptiste Roungou, Kathleen Parker, Jennifer Bryce, Ruth Doutizonga, Michel Gbadjamo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


This paper describes the design and implementation of a health worker training program in diarrhea case management and its effect on patient education in health facilities in the Central African Republic (C.A.R.). In 1989, a facility-based assessment of health worker practices in managing diarrheal disease in children under 5 years of age documented serious deficiencies in patient education as performed by health workers. Based on these results, the Ministry of Health (MOH) designed an inservice training program that promoted education as an integral component of curative care. The training program was implemented in all five health regions of the country. An evaluation of the training's impact on the delivery of patient education indicated dramatic increases in the number of messages health workers communicated to mothers. This experience demonstrated that the patient education practices of health workers can be improved through in-service training that integrates the teaching of clinical and communication skills. Additional study in C.A.R. is needed to (1) further improve the quality of patient education for diarrhea and other childhood communicable diseases, (2) determine the impact of patient education on the care provided by mothers in the home following a clinic visit, and (3) assess how operational research can be conducted within the limitations of inservice training programs and routine clinical operations.

Original languageEnglish (US)
Pages (from-to)161-169
Number of pages9
JournalPatient Education and Counseling
Issue number2
StatePublished - Mar 1996
Externally publishedYes


  • Central African Republic
  • Diarrheal disease case management
  • In-service training
  • Oral rehydration therapy
  • Patient education

ASJC Scopus subject areas

  • General Medicine


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