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

Abstract

Abstract
Objective: To evaluate contraceptive service training using the Kirkpatrick evaluation model levels 1–3.
Methods: This quasi-experimental study was conducted based on the Kirkpatrick evaluation model to assess contraceptive
service training in West Nusa Tenggara, Indonesia. Thirty health workers participated after providing informed consent. The
competency-based training employed a blended learning approach, consisting of 57 hours of online theoretical instruction
followed by 50 hours of face-to-face practical training. The training was evaluated at the reaction, learning, and behavior
levels of the Kirkpatrick model. Participants were representatives from districts and municipalities across West Nusa Tenggara
Province.
Results: Participants reported a high level of satisfaction with the training (86.89%). Knowledge levels improved significantly,
with mean scores increasing from 56.33 on the pre-test to 95.73 on the post-test. During the training, participants demonstrated
effective counseling skills as well as competency in IUD and implant insertion and removal. However, the mean competency
scores showed a decline one year after the training.
Conclusion: The improvement in pre-test and post-test scores was statistically significant (p < 0.001). At the behavior level, a
slight decrease in competency was observed after one year of follow-up.
Keywords: contraceptive services, contraceptive training, evaluation, health worker, kirkpatrick model.