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Health Policy and Planning; 4(3): 239-243
© 1989

review-article

Evaluation of a programme to train village health workers in El Salvador

LINNEA CAPPS1,3 and PATRICIA CRANE2

1College of Physicians and Surgeons Columbia University USA
2Holy Cross Hospital, Silver Spring, Mary USA

3Dr Linnea Capps, Ambulatory Care Network Corporation, 161 Fort Washington Avenue, New York, NY 10032.

The civil war in El Salvador has had devastating effects on the country's health care system, especially in rural areas. The Catholic Archdiocese of San Salvador undertook a programme to train village health promoters, in an effort to alleviate the serious shortage of primary health care in some of the affected areas. The objectives of the programme included not merely an attempt to take medical care to the most needy, but rather the promotion of health education and community development. The volunteer promoters received a four-week training course.

A private non-profit international organization, Aesculapius International Medicine, took over the follow-up and supervision of a group of promoters in 1984. One part of the programme evaluation was a survey designed to assess the work patterns and attitudes of the promoters. It was found that most of them spent a great deal of time treating illnesses and very little on community health education. As a result, a one-week course devoted to community education was added to the curriculum and emphasis was placed on increasing teaching skills and confidence.


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