title: Improving primary orthopaedic and trauma care in Nepal.
abstract: OBJECTIVE
  To evaluate the efficacy of training programmes for the village health practitioners aimed at improving primary orthopaedic and trauma care in our rural setting.
  
  
  METHODS
  Six year prospective study of training workshops in local health institutions was carried out using locally available manpower and materials.
  
  
  RESULTS
  After 6 years the evaluation of this programme shows a significantly improved (p < 0.05) knowledge base and working skills after completion of training workshop.
  
  
  CONCLUSIONS
  To avoid unnecessary complications, effective primary health care provided by an appropriately trained person should be available at the peripheral level. This training programme seems successful in achieving this goal and hence needs adoption for wider use in Nepal.
authors.affiliation: Department of Orthopaedic & Traum Surgery, Nepal Medical College, Kathmandu, Nepal. kewal@doctor.com
authors.forename: R K
authors.initials: RK
authors.lastname: Shah
authors.forename: V K
authors.initials: VK
authors.lastname: Thapa
authors.forename: D H A
authors.initials: DH
authors.lastname: Jones
authors.forename: R
authors.initials: R
authors.lastname: Jones
mesh_terms: D003150:Community Health Workers / Q000193:education*; D006801:Humans; D009390:Nepal; D009985:Orthopedics / Q000193:education* / Q000592:standards; D011320:Primary Health Care / Q000592:standards*; D015397:Program Evaluation; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D019035:Rural Health Services / Q000592:standards*; D014194:Traumatology / Q000193:education* / Q000592:standards; D000078329:Workforce