Outcome Assessment of Training Course on Microscopist in Malaria Clinic

Abstract

Since "Microscopist in Malaria Clinic" course has conducted, the successful of the course has been evaluated only by end of course test. Trainee who passed standard criteria would get the certificate approval from the Disease Control Department for diagnosis and treatment malaria patient and operation in malaria clinic. However the after trained performance has never been assessed. The objective of this study is to extend scope of course outcome by follow-up the duty in microscopist of trainees and evaluate their performance. The evaluation including the operation in real workplace and factors related to passing criteria. Data was collected from 69 trainees who were trained in “Microscopist in Malaria Clinic" course during fiscal year 2004-2006. The questionnaire and blood slide created by researcher was sent to local office of each trainee. This survey assessment of, first, to survey the trainee who responsible for microscopist in malaria clinic and also evaluate malaria clinic management by using observation and check-list, second, evaluate efficiency of diagnosis malaria by reading unknown slide with microscope. Both evaluation types were controls by chief of each local office. Evaluation results would be sending back to researcher. The data has been analyzed by using descriptive statistic and Chi-square test.

The result showed that 52% of trainees were microscopist in malaria clinic. However only 36% of this microscopist passed both evaluation types even it is their routine job. Factor affecting efficiency of diagnosis malaria in trainee attending slide reading test was being microscopist. But sex, age and education background did not relate to efficiency of diagnosis malaria. Moreover, experience 1-3 years in microscopist did not relate to efficiency of diagnosis malaria. Slide result read by trainee found the false negative 9.6%. If this finding occurs in real diagnosis, the patient would not be treated. In relation to patient life, Malaria control and training budget, the efficiency of trainee operation in their workplace should be more consideration by review in supervisory system, slide recheck system and ability of checker, in order to find out the right solution. For course conducting should have effective measure to screen the trainee and should review course curriculum to improving efficiency and update course.