title: Health promotion and risk reduction in Malawi, Africa, village women.
abstract: OBJECTIVE
  A train-the-trainer intervention was evaluated in which village leaders in Malawi, Africa, taught other villagers how to improve their health.
  
  
  METHODS
  Health knowledge and reported health practices were compared before and after the educational intervention in 15 villages in Chimutu, Malawi, Africa.
  
  
  METHODS
  Surveys were completed by trained data gatherers in the village setting.
  
  
  METHODS
  All men and women of childbearing age who were present in the village when data collection occurred were asked to participate. There were 187 participants in the preintervention survey and 175 participants in the postintervention survey.
  
  
  METHODS
  Seventy-six village women were trained, using low literacy techniques, to provide content on health promotion and risk reduction in pregnancy. Over 20,000 persons have received at least one health teaching session from the village trainers.
  
  
  RESULTS
  The intervention resulted in reported changes in prenatal and postpartum care and in more births occurring in the hospital or clinic. Some positive nutritional changes were reported, although few changes in beliefs about use of herbal medicines or about the use of witchcraft were reported.
  
  
  CONCLUSIONS
  A train-the-trainer approach is a sustainable intervention that appears to have positive benefits on the health of village women living in Malawi, Africa.
authors: University of Pennsylvania School of Nursing, Philadelphia 19104-6096, USA.
authors: S
authors: S
authors: Gennaro
authors: D
authors: D
authors: Thyangathyanga
authors: R
authors: R
authors: Kershbaumer
authors: J
authors: J
authors: Thompson
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003150:Community Health Workers / Q000193:education* / Q000458:organization & administration*; D004522:Educational Status; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007393:International Educational Exchange; D008295:Malawi; D008297:Male; D010414:Pennsylvania; D015397:Program Evaluation; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014930:Women / Q000193:education* / Q000523:psychology; D016387:Women's Health