Evaluation on Service Ability of Community Health Advocates in Yunnan Province
Objective To evaluate the community health advocates recruited by Yunnan Community Health Advocacy and Behavior Intervention Project,and to understand their abilities in basic health knowledge,behavior,psychological initiative and communication,so as to improve the management mechanism of health advocates.Methods A self-designed questionnaire was used to evaluate health advocates,and a total of 4054 people were surveyed.Results The compliance rate of basic health knowledge,psychological initiative and communication ability of health advocates was 74.2%,73.2%and 77.6%,respectively.In terms of basic health knowledge,the compliance rate of health advocates who were village doctor was higher than that of other groups,and each type of health advocates had the lowest degree of cognition that"moderate exercise for hypertensive patients is more conducive to controlling blood pressure".The self-scores of psychological initiative of health advocates who were village cadres and family planning propagandists were higher than those of village doctors,and the difference was statistically significant(P<0.001).The self-evaluation of village doctors as health advocates was very good,and the proportion was lower than that of the other three groups.Conclusion People with different community identities have their own advantages.It is necessary to establish a comprehensive evaluation and management system for community advocates from the perspectives of basic health knowledge and skills,personal health behavior,psychological characteristics,communication skills,work quality and effect,so as to enhance the overall ability of health advocates.