Assessing Contraceptive Service Training Using the Kirkpatrick Model to Improve Health Worker Competency

Abstract

Contraceptive use can significantly prevent maternal deaths by preventing unwanted and unplanned pregnancies, as well as preventing high-risk pregnancies. The contraceptive service training program for health workers, especially midwives and doctors who work in primary healthcare facilities, is an important factor in managing the program and providing contraceptive services to the community. This study aims to evaluate contraceptive service training using the Kirkpatrick evaluation model level 1-3. This study is a quasi-experimental study based on the Kirkpatrick model in which contraceptive service training was conducted in Nusa Tenggara Barat, Indonesia. Thirty health workers participated in the study after providing informed consent. The in-service training was evaluated using the Kirkpatrick model’s reaction, learning, and behavior levels. The subjects who participated in this study came from representatives of districts/cities in West Nusa Tenggara province. The participants’ reaction to the training proved effective, with 86.89% satisfaction. At the learning level, the average subject has a pre-test score of 56.33 and a post-test score of 95.73. There is an increase in the knowledge of contraceptive training participants. The increase in pre-test and post-test scores is also significant, with p = 0.000. The behavior level score showed a slight decrease in competency after one year of observation.