Assesment Of Health Literacy Practices From Adult Learning Perspectives The Case Of Health Care Centers In Addis Ababa

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The main purpose of the tudy wa . to investigate into the health literacy practices of healthrncentres of Addis Ababa from adl!lt learning perspectives. T~e study aimed at answering basicrnresearch questions with regards to the types of health literacy practices provided, its 'rnconsiderations of adult learning perspectives and the major challenges encountered Thernstudy participants were randomly selected adult attendees of health literacy lessons andrnhealth professionals who provided the health literacy lessons. The study settings were 5 out ofrnthe 25 health centres found in Addis Ababa city administration selected through a two stagernsimple random sampling of lottery technique. Overall, a total of 181 (J 50 adult learners andrn31 health professionals) participants took part in the study. As to the selection of adultrnlearners, 75 male and 75 female participants were randomly selected from the 5 healthrncentres, 30 (15 male and 15 female) from each of the health centres. Here, participants werernrandomly selected based upon the entry criteria: having attended a health literacy lesson atrnleast once the previous year and opting to participate in the study voluntarily. As to selectionrnof health profes ionals, a total of 31 health professionals representing the selected five healthrncentres were randomly selected taking 5 to 7 health professionals from each of the healthrncentres. For the triangulation of the study, a mixed approach was employed comprising bothrnquantitative and qualitative methods. A descriptive survey method was the major approachrnemployed for the study. Hence, questionnaires, interview guides, focus- group discussionrnguide and an observation checklist were developed and ,employed in the data collectionrnprocess preceded by a pilot testing. The analysis of the data was performed using quantitativernpercentage analysis and qualitative thematic analysis. The findings of the study have shownrnthat predominantly oral lecture- based, prevention- oriented and group-based health literacyrnlessons were provided in the health centres. However, according to the study findings, corernadult learning principles were not given due and satisfactory considerations in thernimplementation of the health literacy lessons in the health centres. Thus, the study resultsrnacross the main dimensions had shown that the content selection, teaching methodologies,rnand physical and psychological environment were not in line with core adult learningrnprinCiples. With regard to the major challenges encountered in the implementation of healthrnliteracy lessons, the majority of adult learner participants rated in descending order thatrnthere are problems in facilities, teaching methods, competence and commitment of healthrnliteracy educators. On the other hand, majority of health professionals pointed out that lackrnof responsible body to give attention for the follow up, lack of motivation from adult learners'rnside, lack of readiness and efficiency in health literacy educators' side as major challengesrnencountered in descending ordllr as among the major challenges observed in the healthrncentres. Clear organizational.' tructure, accountable leadership, facilitation of appealingrnphysical and psychological enllironment, participatory approach in content selection andrnlesson presentations, the use vf flexible programs and alternative options of mediums inrnpresenting the lessons, facilit .ting resource centers and the provision of in-service trainingsrnon the teaching of adults for health professionals, widening the horizon of the program andrnthe study sphere were the m.ljor recommendations provided

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Assesment Of Health Literacy Practices From Adult Learning Perspectives The Case Of Health Care Centers In Addis Ababa

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