The study was designed as a three-phase approach to reorient Community Health Officers working in Odukpani (one of the first model PHC Centers in Nigeria) toward Primary Health Care: 1) knowledge, attitude, and practice determination; 2) a PHC-based training module; and 3) teacher-learner evaluation. The results strongly suggest that this type of deliberate intervention to remove an identified program constraint, is crucial to the anticipated role of PHC workers as agents of change. The implications of the results for PHC system development in Nigeria are highlighted.
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