Self-administered, anonymous surveys, which included the measures of interest, were completed by 177 officers—68 of whom were undergoing Crisis Intervention Team (CIT) training and 109 of whom were not at the beginning and end of week-long trainings.
Additionally, every two months, FCHVs from multiple villages come together for more intensive day-long trainings.
Additionally, authors speculate the time commitment of a weekend day long training was off-putting to some, and future trainings may need to be compacted.
The 3-week residential blocks were separated by two 4.5-month long experiential trainings at identified local governmental and non-governmental organizations involved in health-related activities including the Ministries of Health in the four African countries.
Job titles and responsibilities do not have to be changed and no week-long expensive trainings are required.
The investment of human resources is done in different ways; short term or long-term trainings in whatever form has proved to be expensive but rewarding.
However, for knowledge to be translated to positive practice and sustained behavior change, concerted efforts and long term orientation trainings, follow-up and evaluation is necessary.
Review of the literature reveals much of the ultrasound training that is currently documented in developing countries may be short-term training under the auspice of foreign non-governmental organizations (NGOs) and aid projects that may not provide long-term repeated trainings, machine maintenance, or help with image interpretation after the initial training period.
The most effective trainings are long-lasting, especially with the practice of the exercises at home.
The trainings themselves are long days, filled with extended eye contact and as much self-examination as a human can handle.
Conduct of evaluations and use of evaluation frameworks varied between short and long term models and some trainings were not evaluated.
