When clients expressed concerns or misconceptions, in more than 90 percent of the cases, clinic providers acknowledged and clarified these issues during the session. They were less likely, however, to check for comprehension by asking clients to repeat instructions. This skill is important in encouraging clients to continue using the method they have chosen or in determining if there are problems with the method and offering an alternative. New Acceptors Observations, Kenya, 1993. Where multiple sessions for a single provider were observed, data are averaged across the number of observed sessions.
Numbers vary because of the structure of the observation.
One important component of the project was to improve the quality of training of service providers by developing a national training curriculum and CBD training manual. A baseline observation of training skills was conducted in 1991. After the training of trainers, a follow-up observation was done in 1994 to assess the skills of master trainers and determine the efficacy of the project. The objectives of the study were to determine how well trainers were using the CBD training manual and to learn if their training skills had improved. Although the study sample was small, training of CBD trainers appears to have had a positive effect.