Evaluating the Effectiveness of a Capacity-Building Project for Primary-Level Child Health Care Workers in Wuhu City

Evaluating the Effectiveness of a Capacity-Building Project for Primary-Level Child Health Care Workers in Wuhu City | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Evaluating the Effectiveness of a Capacity-Building Project for Primary-Level Child Health Care Workers in Wuhu City Man Ning, Min Zhu¹, Haiyan He¹, Min Yu¹, Yali Liang², Shougui Wang¹ This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6555208/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Objective To understand the basic situation of primary-level child health care workers in Wuhu City, assess their training needs, and explore effective training methods. Methods By implementing the capacity-building project for primary-level child health care workers at the Wuhu Maternal and Child Health Care and Family Planning Service Center, a survey was conducted among 77 primary-level child health care doctors who participated in the training in 2024. Results The average age of the trainees was 39.26 years old. Among them, 46 were bachelor’s degree holders (59.74%), 43 were doctors (55.84%), and 39 had intermediate professional titles (50.65%). The primary-level child health care doctors had different needs for various training contents, with the highest demand being for psychological and behavioral development (41.56%) and allergic diseases (25.97%). The training evaluation included four aspects: assessment skills, breastfeeding, complementary feeding, and nutritional diseases. Post-training evaluation results showed significant improvement compared to pre-training results, with statistical significance (P<0.001). The satisfaction rate of primary-level child health care workers with theoretical learning during the training was 96.10%, and that with practical activities was 94.81%. Conclusion The capacity-building project for primary-level child health care workers at the Wuhu Maternal and Child Health Care and Family Planning Service Center achieved significant results, providing new ideas and methods for improving child health care services. Primary-level child health care Training Survey Satisfaction Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Introduction Children are the future of the nation and the hope of its people, and their health is a vital foundation for sustainable economic and social development. The service quality of child healthcare professionals directly impacts children's health outcomes. To cultivate highly skilled child healthcare workers, it is essential to conduct regular continuing medical education (CME) programs to enhance their professional knowledge and skills [1,2], as required by the National Child Healthcare Work Standards [3]. Traditionally, training has primarily involved organizing centralized training sessions [4], where experts deliver lectures on topics such as child growth and development, nutritional health, vision care, disease prevention, and more [5]. To enhance the theoretical knowledge and practical skills of child healthcare professionals in Wuhu City, the Wuhu Maternal and Child Health and Family Planning Service Center launched a capacity-building initiative for grassroots child healthcare workers. Key considerations include determining the necessary training content, improving training effectiveness, and empowering them to develop autonomous capabilities to fulfill their role as effective "gatekeepers" of child health [6]. These issues warrant further research and discussion. This paper analyzes the questionnaire survey results from grassroots child healthcare workers and evaluates the outcomes of the training program. 1. Objectives and Methods 1.1 Objectives This study targeted 77 participants who attended the Capacity Building Project for Primary-level Child Health Care Workers in Wuhu City in 2024. A questionnaire survey was conducted among these participants, and they were informed that the content of their responses would be published.Informed consent was obtained from all participants, and the study was approved by the Ethics Committee of Wuhu Maternal and Child Health Care Hospital. The study also adhered to the Declaration of Helsinki. 1.2 Methods Unlike previous training sessions, this training program included three components: theoretical lectures, practical skills training, and on-site observation. Questionnaire surveys were conducted both before and after the training. The questionnaire consisted of three parts with a total of 33 questions. The first part, comprising 16 questions, focused on the basic information of primary-level child health care workers, including their profession, professional title, training experience, and willingness to participate in training. The second part, consisting of 17 questions, assessed the participants' knowledge of protein-energy malnutrition before and after the training. The third part investigated the participants' satisfaction with the training and their suggestions for improvement. The questionnaire was designed to understand the training needs of the participants in order to further optimize the subsequent training programs and explore effective ways to improve the efficiency of short-term training. In this study, questionnaires were collected using an online survey platform (Wenjuanxing), data were organized using WPS Office, and analyzed using SPSS 19 statistical software. The measurement data in this study were found to have a skewed distribution. Therefore, the rank-sum test was used for analysis, with a significance level set at p < 0.05 to determine statistical significance. 2. Results 2.1 Basic Information of Grassroots Child Health Care Workers The trainees were from 8 counties and districts in the jurisdiction of Wuhu City, with a total of 77 participants, including 10 males and 67 females. The average age was 39.26 years. For more details, see Table 1 . Table 1 Basic Information of Trainees Group Number of Trainees Male/Female (n) Age ( \(\:\overline{x}\) ±s, years) Jinghu District 7 2/5 38.16 ± 6.88 Jiujiang District 9 1/8 35.49 ± 8.09 Yijiang District 8 0/8 41.56 ± 5.85 Sanshan District 11 0/11 36.54 ± 7.60 Fanchang District 2 1/1 30.28 ± 5.92 Wanzhi District 5 1/4 45.42 ± 6.53 Nanling County 22 3/19 40.52 ± 7.29 Wuwei City 13 2/11 40.19 ± 8.18 The analysis of the educational background of the trainees showed that the majority were bachelor's degree holders, with a total of 46 individuals (59.74%). There were 27 individuals with an associate degree (35.06%), 3 with a secondary vocational school diploma (3.90%), and 1 with a master's degree (1.30%). In terms of health technical categories, doctors and nurses were the most common, with 43 doctors (55.84%) and 31 nurses (40.26%). There was 1 pharmacist and 1 laboratory technician (1.3% each). Regarding professional titles, the majority of trainees held mid-level titles, with a total of 39 individuals (50.65%). There were 27 with junior titles (35.06%), 9 assistant physicians (11.69%), and 2 associate chief physicians (2.60%), as shown in Figs. 1 , Figs. 2 , Figs. 3 . 2.2 Survey on Training Needs of Trainees Regarding training needs, grassroots child health care workers have varying demands for different training contents. The highest demands are for psychological and behavioral development (41.56%) and allergic diseases (25.97%), followed by premature infant feeding (12.99%), short stature and precocious puberty (10.39%), etc. These findings provide important references for the development of targeted training programs in the future. See Fig. 4 . 2.3 Training Status The assessment content before and after the training was divided into four aspects: evaluation skills, breastfeeding, complementary feeding, and nutritional diseases. The results of the post-training assessment showed significant improvement compared to the pre-training assessment, with statistically significant differences (P < 0.001). See Table 2 . Table 2 Comparison of Assessment Results Before and After Training Group Number of Cases Assessment Skills Breastfeeding Complementary Feeding Nutritional Diseases Before Training 77 1(0,6) 4(3,4) 1(1,2) 1(0.5,2) After Training 77 6(6,6) 5(5,5) 3(2,3) 2(1,3) Z -6.482 -6.18 -6.27 -4.921 p 0.000 0.000 0.000 0.000 2.4 Survey on Satisfaction and Suggestions for Training The satisfaction rate of grassroots child health care workers with theoretical learning during the training was 96.10%, and the satisfaction rate with practical activities was 94.81%. This indicates that the training program received high recognition from the trainees in terms of content arrangement and practical operation.See Fig. 5 . 3. Discussion In 2024, the Wuhu Maternal and Child Health Care and Family Planning Service Center launched a project to enhance the capacity building of grassroots child health care workers. Through a variety of forms, including theoretical teaching, skills training, and on-site observation, the project provided comprehensive and systematic training for grassroots child health care workers. After the training, the assessment results showed a significant improvement in the professional abilities of grassroots child health care workers compared to before the training, with statistically significant differences (P < 0.001). This fully demonstrates the effectiveness and relevance of the training. During the training, the satisfaction rate of grassroots child health care workers with theoretical learning was as high as 96.10%, and the satisfaction rate with practical activities reached 94.81%. This indicates that the training content and forms were highly recognized by grassroots child health care workers and also promoted the homogenization of child health care services across the city. 3.1 Basic Information of Child Health Care Workers A total of 77 child healthcare professionals participated in the training, with an average age of 39.26 years—consistent with figures from Wujin District, Changzhou [ 7 ], but higher than that of Zhuhai District, Guangzhou (34.06 years) [ 8 ]. The relatively mature age profile of Wuhu’s child healthcare workforce suggests greater clinical experience, though further development may be needed in innovative thinking and adaptability to new technologies. Female practitioners accounted for 87% of participants, mirroring trends observed in Qingpu District, Shanghai [ 9 ]. This highlights the dominant role of women in Wuhu’s child healthcare sector, which offers advantages in communication, detailed care, and health education. However, attention should be paid to gender balance in career advancement and the prevention of occupational burnout. Undergraduate degree holders comprised 59.74% of trainees—significantly higher than the 16.22% reported in Enshi Prefecture, Hubei Province [ 10 ]. This reflects Wuhu’s comparatively higher educational attainment among child health professionals, equipping them with stronger foundational knowledge to meet modern medical demands. Medical doctors and nurses constituted 96.1% of participants, demonstrating the cohort’s strong professional qualifications to deliver high-quality clinical services and health guidance. Additionally, 50.65% held intermediate professional titles—surpassing Huaihua City, Hunan’s rate of 18.2% [ 11 ]. This indicates superior technical expertise and accumulated experience among Wuhu’s grassroots child healthcare workers, laying a solid foundation for standardized service delivery. 3.2 Training Needs According to the results of this survey, there are significant differences in the training needs of grassroots child health care workers in Wuhu for different training contents. Among them, the highest training needs were for psychological and behavioral development (41.56%) and allergic diseases (25.97%). With the increasing social attention to children's mental health, psychological and behavioral development issues have gradually become an important area in child health care. Grassroots child health care workers need to master the methods for initial screening of psychological and behavioral development, early intervention strategies, and communication skills with parents to promote parents' awareness of the importance of early intervention for children. Allergic diseases are relatively common in children, and their incidence is on the rise. Grassroots child health care workers need to understand the diagnostic criteria, early intervention measures, and preventive measures for allergic diseases. In addition, the training needs for premature infant feeding and short stature and precocious puberty were also relatively prominent, accounting for 12.99% and 10.39%, respectively. This reflects the attention of grassroots health care workers to the health care needs of special groups of children and the demand for professional improvement in dealing with abnormal child growth and development issues[ 12 – 14 ]. 3.3 Training Status The research results show that this training has a significant effect on improving the knowledge and skills of grassroots child health care workers in four areas: evaluation skills, breastfeeding, complementary feeding, and nutritional diseases. The assessment results before and after the training show that the scores of all indicators after the training were significantly higher than those before the training, with statistically significant differences (P < 0.001). This result indicates that the training content and methods are very effective in improving the professional abilities of grassroots child health care workers. The satisfaction rate of trainees with theoretical learning reached 96.10%, and the satisfaction rate with practical activities was 94.81%. The training content is closely integrated with the actual needs of child health care, covering key areas such as evaluation skills, breastfeeding, complementary feeding, and nutritional diseases, which are the most needed parts for improvement in the daily work of grassroots child health care workers and the important content for homogenization of diagnosis and treatment. The training adopted a combination of theory and practice, using methods such as case analysis, practical operation demonstration, and on-site observation to enhance the understanding and application abilities of grassroots child health care workers. The high attention and active participation of grassroots child health care workers in the training content are also important factors for the significant training effect. However, further exploration is needed to optimize the training program, with a focus on demand-oriented approaches to further improve the practicality and effectiveness of the training, helping grassroots child health care workers develop self-improvement capabilities, better play the role of gatekeepers in child health care, and enable children to enjoy high-quality and Standardization child health care services nearby[ 15 – 18 ]. 4. Conclusion The project to enhance the capacity building of grassroots child health care workers by the Wuhu Maternal and Child Health Care and Family Planning Service Center has achieved significant results, providing new ideas and methods for improving the service level of grassroots child health care medical staff. Declarations Ethical approval and participation consent not applicable. Agree to publish not applicable. Competitive interests The authors declare that they have no conflict of interest. footnote Publisher's Statement Springer Nature remains neutral with jurisdictional statements in terms of published maps and institutional affiliations. Fund Project Wuhu Health Commission Research Project in 2022 (WHWJ2022z024) Author Introduction Man Ning(born in 1985), female, from Anhui, holds a master’s degree, and her main research direction is child health care. Author Contribution M.N. and SG.W. written the main content of the manuscript.M.Z. and HY.H. in charge of coordinating the implementation of the project.YL.L and M.Y. participated in writing the discussion section. Acknowledgement We are very grateful for the financial support provided by the Wuhu Municipal Health Commission. Data Availability Data sets used and/or analyzed in the current study may be obtained from the corresponding author on reasonable request. References Jia, P., & Chen, T. (2025). The development process and related issues of child healthcare in China. Society and Public Welfare, (4), 427-429. (in Chinese) Healthy Children Action Improvement Plan (2021-2025). (2021, November 30). China Food Safety News, C01. (in Chinese) National Child Healthcare Work Standards. (2010). Chinese Journal of Child Health Care, 18(4), 351-352. (in Chinese) Liu, C., Geng, L., Wang, X., et al. (2025). Application of scenario simulation combined with PBL teaching method in child healthcare residency training. Continuing Medical Education, 39(1), 45-48. (in Chinese) Sui, G., Cui, M., Niu, Y., et al. (2024). Evaluation of training effectiveness on children's eye care for healthcare workers in kindergartens of Huaibei City. Beijing Medical Journal, 46(12), 1074-1079. (in Chinese) Pan, F. (2024). New challenges in the development of maternal and child health in China. J Women's Child Health, 3(19), 6-9. (in Chinese) Gong, Q., & Jin, H. (2025). Investigation on the service capacity of child healthcare in primary medical institutions in a district of Changzhou. Chinese Rural Health, 17(2), 41-44. https://doi.org/10.20126/j.cnki.1674-361X.2501-011 (in Chinese) Liu, X., & Ma, J. (2024). Investigation on human resources of child healthcare in community health service institutions in a district of Guangzhou. Chinese Primary Health Care, 38(9), 46-47+51. (in Chinese) Ye, K., Hu, J., Zhang, Y., et al. (2024). Current situation survey and SWOT analysis of primary public health personnel in Qingpu District, Shanghai. Chinese Primary Health Care, 38(12), 18-21. (in Chinese) Deng, S. (2017). Investigation and analysis of human resources for child healthcare at primary level in Enshi Prefecture, Hubei Province. Chinese Journal of Women and Children Health, 8(4), 49-51. (in Chinese) Jiang, D., Liang, X., Jiang, F., et al. (2020). Investigation and analysis of human resources for child healthcare in Huaihua City, Hunan Province. Chinese Journal of Women and Children Health, 11(5), 66-70. (in Chinese) Su, L. (2025, April 27). How to effectively improve child health service levels within three years. Xinjiang Daily (Chinese Edition), 004. (in Chinese) Zhou, S. (2025). Problems and strategies of human resource management in maternal and child health institutions. Township Enterprise Herald, (8), 228-230. (in Chinese) Zhang, S., Ding, Y., Chen, S., et al. (2025). Investigation on infant nutrition service capacity of maternal and child health institutions in 16 provinces of China in 2022. Chinese Journal of Public Health, 41(3), 315-319. (in Chinese) Hu, X., Zhong, L., Huang, H., et al. (2024). Investigation on satisfaction of pediatricians with job transfer training. China Continuing Medical Education, 16(14), 107-111. (in Chinese) Zhu, L., Wang, Z., Zhou, S., et al. (2024). Current situation and satisfaction evaluation of continuing medical education for health technicians. China Continuing Medical Education, 16(20), 146-150. (in Chinese) Da, J., & Guo, H. (2021, August 2). The "Meixian answer" to county-level medical resource integration. Health News, 005. (in Chinese) Shi, J., Ma, Y., Cui, Z., et al. (2023). Paths and methods of close medical alliances to promote homogeneous medical quality management. Chinese Health Quality Management, 30(3), 20-24. (in Chinese) Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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The service quality of child healthcare professionals directly impacts children\u0026apos;s health outcomes. To cultivate highly skilled child healthcare workers, it is essential to conduct regular continuing medical education (CME) programs to enhance their professional knowledge and skills [1,2], as required by the National Child Healthcare Work Standards [3]. Traditionally, training has primarily involved organizing centralized training sessions [4], where experts deliver lectures on topics such as child growth and development, nutritional health, vision care, disease prevention, and more [5].\u003c/p\u003e\n\u003cp\u003eTo enhance the theoretical knowledge and practical skills of child healthcare professionals in Wuhu City, the Wuhu Maternal and Child Health and Family Planning Service Center launched a capacity-building initiative for grassroots child healthcare workers. Key considerations include determining the necessary training content, improving training effectiveness, and empowering them to develop autonomous capabilities to fulfill their role as effective \u0026quot;gatekeepers\u0026quot; of child health [6]. These issues warrant further research and discussion. This paper analyzes the questionnaire survey results from grassroots child healthcare workers and evaluates the outcomes of the training program.\u003c/p\u003e"},{"header":"1. Objectives and Methods","content":"\u003cdiv id=\"Sec2\" class=\"Section2\"\u003e\u003ch2\u003e1.1 Objectives\u003c/h2\u003e\u003cp\u003e This study targeted 77 participants who attended the Capacity Building Project for Primary-level Child Health Care Workers in Wuhu City in 2024. A questionnaire survey was conducted among these participants, and they were informed that the content of their responses would be published.Informed consent was obtained from all participants, and the study was approved by the Ethics Committee of Wuhu Maternal and Child Health Care Hospital. The study also adhered to the Declaration of Helsinki.\u003c/p\u003e\u003c/div\u003e\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e\u003ch2\u003e1.2 Methods\u003c/h2\u003e\u003cp\u003eUnlike previous training sessions, this training program included three components: theoretical lectures, practical skills training, and on-site observation. Questionnaire surveys were conducted both before and after the training. The questionnaire consisted of three parts with a total of 33 questions. The first part, comprising 16 questions, focused on the basic information of primary-level child health care workers, including their profession, professional title, training experience, and willingness to participate in training. The second part, consisting of 17 questions, assessed the participants' knowledge of protein-energy malnutrition before and after the training. The third part investigated the participants' satisfaction with the training and their suggestions for improvement. The questionnaire was designed to understand the training needs of the participants in order to further optimize the subsequent training programs and explore effective ways to improve the efficiency of short-term training.\u003c/p\u003e\u003cp\u003eIn this study, questionnaires were collected using an online survey platform (Wenjuanxing), data were organized using WPS Office, and analyzed using SPSS 19 statistical software. The measurement data in this study were found to have a skewed distribution. Therefore, the rank-sum test was used for analysis, with a significance level set at p\u0026thinsp;\u0026lt;\u0026thinsp;0.05 to determine statistical significance.\u003c/p\u003e\u003c/div\u003e"},{"header":"2. Results","content":"\u003cdiv id=\"Sec5\" class=\"Section2\"\u003e\u003ch2\u003e2.1 Basic Information of Grassroots Child Health Care Workers\u003c/h2\u003e\u003cp\u003eThe trainees were from 8 counties and districts in the jurisdiction of Wuhu City, with a total of 77 participants, including 10 males and 67 females. The average age was 39.26 years. For more details, see Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e.\u003c/p\u003e\u003cp\u003e\u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e\u003ccaption language=\"En\"\u003e\u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e\u003cdiv class=\"CaptionContent\"\u003e\u003cp\u003eBasic Information of Trainees\u003c/p\u003e\u003c/div\u003e\u003c/caption\u003e\u003ccolgroup cols=\"4\"\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e\u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e\u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e\u003cthead\u003e\u003ctr\u003e\u003cth align=\"left\" colname=\"c1\"\u003e\u003cp\u003eGroup\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c2\"\u003e\u003cp\u003eNumber of Trainees\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c3\"\u003e\u003cp\u003eMale/Female (n)\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c4\"\u003e\u003cp\u003eAge (\u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\overline{x}\\)\u003c/span\u003e\u003c/span\u003e\u0026plusmn;s, years)\u003c/p\u003e\u003c/th\u003e\u003c/tr\u003e\u003c/thead\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eJinghu District\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e7\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e2/5\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e38.16\u0026thinsp;\u0026plusmn;\u0026thinsp;6.88\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eJiujiang District\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e9\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e1/8\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e35.49\u0026thinsp;\u0026plusmn;\u0026thinsp;8.09\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eYijiang District\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e8\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e0/8\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e41.56\u0026thinsp;\u0026plusmn;\u0026thinsp;5.85\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eSanshan District\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e11\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e0/11\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e36.54\u0026thinsp;\u0026plusmn;\u0026thinsp;7.60\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eFanchang District\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e2\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e1/1\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e30.28\u0026thinsp;\u0026plusmn;\u0026thinsp;5.92\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eWanzhi District\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e5\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e1/4\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e45.42\u0026thinsp;\u0026plusmn;\u0026thinsp;6.53\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eNanling County\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e22\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e3/19\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e40.52\u0026thinsp;\u0026plusmn;\u0026thinsp;7.29\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eWuwei City\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e13\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e2/11\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e\u003cp\u003e40.19\u0026thinsp;\u0026plusmn;\u0026thinsp;8.18\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/colgroup\u003e\u003c/table\u003e\u003c/div\u003e\u003c/p\u003e\u003cp\u003eThe analysis of the educational background of the trainees showed that the majority were bachelor's degree holders, with a total of 46 individuals (59.74%). There were 27 individuals with an associate degree (35.06%), 3 with a secondary vocational school diploma (3.90%), and 1 with a master's degree (1.30%). In terms of health technical categories, doctors and nurses were the most common, with 43 doctors (55.84%) and 31 nurses (40.26%). There was 1 pharmacist and 1 laboratory technician (1.3% each). Regarding professional titles, the majority of trainees held mid-level titles, with a total of 39 individuals (50.65%). There were 27 with junior titles (35.06%), 9 assistant physicians (11.69%), and 2 associate chief physicians (2.60%), as shown in Figs.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e, Figs.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003e, Figs.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003e.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e\u003cp\u003e\u003c/p\u003e\u003cp\u003e\u003c/p\u003e\u003c/div\u003e\u003cdiv id=\"Sec6\" class=\"Section2\"\u003e\u003ch2\u003e2.2 Survey on Training Needs of Trainees\u003c/h2\u003e\u003cp\u003eRegarding training needs, grassroots child health care workers have varying demands for different training contents. The highest demands are for psychological and behavioral development (41.56%) and allergic diseases (25.97%), followed by premature infant feeding (12.99%), short stature and precocious puberty (10.39%), etc. These findings provide important references for the development of targeted training programs in the future. See Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003e.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e\u003c/div\u003e\u003cdiv id=\"Sec7\" class=\"Section2\"\u003e\u003ch2\u003e2.3 Training Status\u003c/h2\u003e\u003cp\u003eThe assessment content before and after the training was divided into four aspects: evaluation skills, breastfeeding, complementary feeding, and nutritional diseases. The results of the post-training assessment showed significant improvement compared to the pre-training assessment, with statistically significant differences (P\u0026thinsp;\u0026lt;\u0026thinsp;0.001). See Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e.\u003c/p\u003e\u003cp\u003e\u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e\u003ccaption language=\"En\"\u003e\u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e\u003cdiv class=\"CaptionContent\"\u003e\u003cp\u003eComparison of Assessment Results Before and After Training\u003c/p\u003e\u003c/div\u003e\u003c/caption\u003e\u003ccolgroup cols=\"6\"\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e\u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e\u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e\u003cthead\u003e\u003ctr\u003e\u003cth align=\"left\" colname=\"c1\"\u003e\u003cp\u003eGroup\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c2\"\u003e\u003cp\u003eNumber of Cases\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c3\"\u003e\u003cp\u003eAssessment Skills\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c4\"\u003e\u003cp\u003eBreastfeeding\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c5\"\u003e\u003cp\u003eComplementary Feeding\u003c/p\u003e\u003c/th\u003e\u003cth align=\"left\" colname=\"c6\"\u003e\u003cp\u003eNutritional Diseases\u003c/p\u003e\u003c/th\u003e\u003c/tr\u003e\u003c/thead\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eBefore Training\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e77\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e1(0,6)\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e\u003cp\u003e4(3,4)\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e\u003cp\u003e1(1,2)\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e\u003cp\u003e1(0.5,2)\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eAfter Training\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e\u003cp\u003e77\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e6(6,6)\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e\u003cp\u003e5(5,5)\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e\u003cp\u003e3(2,3)\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e\u003cp\u003e2(1,3)\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003eZ\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e-6.482\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e\u003cp\u003e-6.18\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e\u003cp\u003e-6.27\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e\u003cp\u003e-4.921\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" colname=\"c1\"\u003e\u003cp\u003ep\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e\u003ctd align=\"left\" colname=\"c3\"\u003e\u003cp\u003e0.000\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c4\"\u003e\u003cp\u003e0.000\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c5\"\u003e\u003cp\u003e0.000\u003c/p\u003e\u003c/td\u003e\u003ctd align=\"left\" colname=\"c6\"\u003e\u003cp\u003e0.000\u003c/p\u003e\u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/colgroup\u003e\u003c/table\u003e\u003c/div\u003e\u003c/p\u003e\u003c/div\u003e\u003cdiv id=\"Sec8\" class=\"Section2\"\u003e\u003ch2\u003e2.4 Survey on Satisfaction and Suggestions for Training\u003c/h2\u003e\u003cp\u003eThe satisfaction rate of grassroots child health care workers with theoretical learning during the training was 96.10%, and the satisfaction rate with practical activities was 94.81%. This indicates that the training program received high recognition from the trainees in terms of content arrangement and practical operation.See Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003e.\u003c/p\u003e\u003cp\u003e\u003c/p\u003e\u003c/div\u003e"},{"header":"3. Discussion","content":"\u003cp\u003eIn 2024, the Wuhu Maternal and Child Health Care and Family Planning Service Center launched a project to enhance the capacity building of grassroots child health care workers. Through a variety of forms, including theoretical teaching, skills training, and on-site observation, the project provided comprehensive and systematic training for grassroots child health care workers. After the training, the assessment results showed a significant improvement in the professional abilities of grassroots child health care workers compared to before the training, with statistically significant differences (P\u0026thinsp;\u0026lt;\u0026thinsp;0.001). This fully demonstrates the effectiveness and relevance of the training. During the training, the satisfaction rate of grassroots child health care workers with theoretical learning was as high as 96.10%, and the satisfaction rate with practical activities reached 94.81%. This indicates that the training content and forms were highly recognized by grassroots child health care workers and also promoted the homogenization of child health care services across the city.\u003c/p\u003e\u003cdiv id=\"Sec10\" class=\"Section2\"\u003e\u003ch2\u003e3.1 Basic Information of Child Health Care Workers\u003c/h2\u003e\u003cp\u003eA total of 77 child healthcare professionals participated in the training, with an average age of 39.26 years\u0026mdash;consistent with figures from Wujin District, Changzhou [\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e], but higher than that of Zhuhai District, Guangzhou (34.06 years) [\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]. The relatively mature age profile of Wuhu\u0026rsquo;s child healthcare workforce suggests greater clinical experience, though further development may be needed in innovative thinking and adaptability to new technologies.\u003c/p\u003e\u003cp\u003eFemale practitioners accounted for 87% of participants, mirroring trends observed in Qingpu District, Shanghai [\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e]. This highlights the dominant role of women in Wuhu\u0026rsquo;s child healthcare sector, which offers advantages in communication, detailed care, and health education. However, attention should be paid to gender balance in career advancement and the prevention of occupational burnout.\u003c/p\u003e\u003cp\u003eUndergraduate degree holders comprised 59.74% of trainees\u0026mdash;significantly higher than the 16.22% reported in Enshi Prefecture, Hubei Province [\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e]. This reflects Wuhu\u0026rsquo;s comparatively higher educational attainment among child health professionals, equipping them with stronger foundational knowledge to meet modern medical demands.\u003c/p\u003e\u003cp\u003eMedical doctors and nurses constituted 96.1% of participants, demonstrating the cohort\u0026rsquo;s strong professional qualifications to deliver high-quality clinical services and health guidance. Additionally, 50.65% held intermediate professional titles\u0026mdash;surpassing Huaihua City, Hunan\u0026rsquo;s rate of 18.2% [\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e]. This indicates superior technical expertise and accumulated experience among Wuhu\u0026rsquo;s grassroots child healthcare workers, laying a solid foundation for standardized service delivery.\u003c/p\u003e\u003c/div\u003e\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e\u003ch2\u003e3.2 Training Needs\u003c/h2\u003e\u003cp\u003eAccording to the results of this survey, there are significant differences in the training needs of grassroots child health care workers in Wuhu for different training contents. Among them, the highest training needs were for psychological and behavioral development (41.56%) and allergic diseases (25.97%). With the increasing social attention to children's mental health, psychological and behavioral development issues have gradually become an important area in child health care. Grassroots child health care workers need to master the methods for initial screening of psychological and behavioral development, early intervention strategies, and communication skills with parents to promote parents' awareness of the importance of early intervention for children. Allergic diseases are relatively common in children, and their incidence is on the rise. Grassroots child health care workers need to understand the diagnostic criteria, early intervention measures, and preventive measures for allergic diseases. In addition, the training needs for premature infant feeding and short stature and precocious puberty were also relatively prominent, accounting for 12.99% and 10.39%, respectively. This reflects the attention of grassroots health care workers to the health care needs of special groups of children and the demand for professional improvement in dealing with abnormal child growth and development issues[\u003cspan additionalcitationids=\"CR13\" citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e].\u003c/p\u003e\u003c/div\u003e\u003cdiv id=\"Sec12\" class=\"Section2\"\u003e\u003ch2\u003e3.3 Training Status\u003c/h2\u003e\u003cp\u003eThe research results show that this training has a significant effect on improving the knowledge and skills of grassroots child health care workers in four areas: evaluation skills, breastfeeding, complementary feeding, and nutritional diseases. The assessment results before and after the training show that the scores of all indicators after the training were significantly higher than those before the training, with statistically significant differences (P\u0026thinsp;\u0026lt;\u0026thinsp;0.001). This result indicates that the training content and methods are very effective in improving the professional abilities of grassroots child health care workers. The satisfaction rate of trainees with theoretical learning reached 96.10%, and the satisfaction rate with practical activities was 94.81%. The training content is closely integrated with the actual needs of child health care, covering key areas such as evaluation skills, breastfeeding, complementary feeding, and nutritional diseases, which are the most needed parts for improvement in the daily work of grassroots child health care workers and the important content for homogenization of diagnosis and treatment. The training adopted a combination of theory and practice, using methods such as case analysis, practical operation demonstration, and on-site observation to enhance the understanding and application abilities of grassroots child health care workers. The high attention and active participation of grassroots child health care workers in the training content are also important factors for the significant training effect. However, further exploration is needed to optimize the training program, with a focus on demand-oriented approaches to further improve the practicality and effectiveness of the training, helping grassroots child health care workers develop self-improvement capabilities, better play the role of gatekeepers in child health care, and enable children to enjoy high-quality and Standardization child health care services nearby[\u003cspan additionalcitationids=\"CR16 CR17\" citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e].\u003c/p\u003e\u003c/div\u003e"},{"header":"4. Conclusion","content":"\u003cp\u003e The project to enhance the capacity building of grassroots child health care workers by the Wuhu Maternal and Child Health Care and Family Planning Service Center has achieved significant results, providing new ideas and methods for improving the service level of grassroots child health care medical staff.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003eEthical approval and participation consent\u003c/p\u003e\n\u003cp\u003enot applicable.\u003c/p\u003e\n\u003cp\u003eAgree to publish\u003c/p\u003e\n\u003cp\u003enot applicable.\u003c/p\u003e\n\u003cp\u003eCompetitive interests\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no conflict of interest.\u003c/p\u003e\n\u003cp\u003efootnote\u003c/p\u003e\n\u003cp\u003ePublisher's Statement\u003c/p\u003e\n\u003cp\u003eSpringer Nature remains neutral with jurisdictional statements in terms of published maps and institutional affiliations.\u003c/p\u003e\u003cp\u003e\u003ch2\u003eFund Project\u003c/h2\u003e\u003cp\u003eWuhu Health Commission Research Project in 2022 (WHWJ2022z024)\u003c/p\u003e\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eAuthor Introduction\u003c/strong\u003e\u003cp\u003e Man Ning(born in 1985), female, from Anhui, holds a master\u0026rsquo;s degree, and her main research direction is child health care.\u003c/p\u003e\u003c/p\u003e\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eM.N. and SG.W. written the main content of the manuscript.M.Z. and HY.H. in charge of coordinating the implementation of the project.YL.L and M.Y. participated in writing the discussion section.\u003c/p\u003e\u003ch2\u003eAcknowledgement\u003c/h2\u003e\u003cp\u003eWe are very grateful for the financial support provided by the Wuhu Municipal Health Commission.\u003c/p\u003e\u003ch2\u003eData Availability\u003c/h2\u003e\u003cp\u003eData sets used and/or analyzed in the current study may be obtained from the corresponding author on reasonable request.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eJia, P., \u0026amp; Chen, T. (2025). The development process and related issues of child healthcare in China. Society and Public Welfare, (4), 427-429. (in Chinese)\u003c/li\u003e\n\u003cli\u003eHealthy Children Action Improvement Plan (2021-2025). (2021, November 30). China Food Safety News, C01. (in Chinese)\u003c/li\u003e\n\u003cli\u003eNational Child Healthcare Work Standards. (2010). Chinese Journal of Child Health Care, 18(4), 351-352. (in Chinese)\u003c/li\u003e\n\u003cli\u003eLiu, C., Geng, L., Wang, X., et al. (2025). Application of scenario simulation combined with PBL teaching method in child healthcare residency training. Continuing Medical Education, 39(1), 45-48. (in Chinese)\u003c/li\u003e\n\u003cli\u003eSui, G., Cui, M., Niu, Y., et al. (2024). Evaluation of training effectiveness on children\u0026apos;s eye care for healthcare workers in kindergartens of Huaibei City. Beijing Medical Journal, 46(12), 1074-1079. (in Chinese)\u003c/li\u003e\n\u003cli\u003ePan, F. (2024). New challenges in the development of maternal and child health in China. J Women\u0026apos;s Child Health, 3(19), 6-9. (in Chinese)\u003c/li\u003e\n\u003cli\u003eGong, Q., \u0026amp; Jin, H. (2025). Investigation on the service capacity of child healthcare in primary medical institutions in a district of Changzhou. Chinese Rural Health, 17(2), 41-44. https://doi.org/10.20126/j.cnki.1674-361X.2501-011 (in Chinese)\u003c/li\u003e\n\u003cli\u003eLiu, X., \u0026amp; Ma, J. (2024). Investigation on human resources of child healthcare in community health service institutions in a district of Guangzhou. Chinese Primary Health Care, 38(9), 46-47+51. (in Chinese)\u003c/li\u003e\n\u003cli\u003eYe, K., Hu, J., Zhang, Y., et al. (2024). Current situation survey and SWOT analysis of primary public health personnel in Qingpu District, Shanghai. Chinese Primary Health Care, 38(12), 18-21. (in Chinese)\u003c/li\u003e\n\u003cli\u003eDeng, S. (2017). Investigation and analysis of human resources for child healthcare at primary level in Enshi Prefecture, Hubei Province. Chinese Journal of Women and Children Health, 8(4), 49-51. (in Chinese)\u003c/li\u003e\n\u003cli\u003eJiang, D., Liang, X., Jiang, F., et al. (2020). Investigation and analysis of human resources for child healthcare in Huaihua City, Hunan Province. Chinese Journal of Women and Children Health, 11(5), 66-70. (in Chinese)\u003c/li\u003e\n\u003cli\u003eSu, L. (2025, April 27). How to effectively improve child health service levels within three years. Xinjiang Daily (Chinese Edition), 004. (in Chinese)\u003c/li\u003e\n\u003cli\u003eZhou, S. (2025). Problems and strategies of human resource management in maternal and child health institutions. Township Enterprise Herald, (8), 228-230. (in Chinese)\u003c/li\u003e\n\u003cli\u003eZhang, S., Ding, Y., Chen, S., et al. (2025). 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Paths and methods of close medical alliances to promote homogeneous medical quality management. Chinese Health Quality Management, 30(3), 20-24. (in Chinese)\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Primary-level child health care, Training, Survey, Satisfaction","lastPublishedDoi":"10.21203/rs.3.rs-6555208/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6555208/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eObjective \u003c/strong\u003eTo understand the basic situation of primary-level child health care workers in Wuhu City, assess their training needs, and explore effective training methods.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods \u003c/strong\u003eBy implementing the capacity-building project for primary-level child health care workers at the Wuhu Maternal and Child Health Care and Family Planning Service Center, a survey was conducted among 77 primary-level child health care doctors who participated in the training in 2024.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e \u0026nbsp;The average age of the trainees was 39.26 years old. Among them, 46 were bachelor’s degree holders (59.74%), 43 were doctors (55.84%), and 39 had intermediate professional titles (50.65%). The primary-level child health care doctors had different needs for various training contents, with the highest demand being for psychological and behavioral development (41.56%) and allergic diseases (25.97%). The training evaluation included four aspects: assessment skills, breastfeeding, complementary feeding, and nutritional diseases. Post-training evaluation results showed significant improvement compared to pre-training results, with statistical significance (P\u0026lt;0.001). The satisfaction rate of primary-level child health care workers with theoretical learning during the training was 96.10%, and that with practical activities was 94.81%.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion \u003c/strong\u003e\u0026nbsp;The capacity-building project for primary-level child health care workers at the Wuhu Maternal and Child Health Care and Family Planning Service Center achieved significant results, providing new ideas and methods for improving child health care services.\u003c/p\u003e","manuscriptTitle":"Evaluating the Effectiveness of a Capacity-Building Project for Primary-Level Child Health Care Workers in Wuhu City","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-09-04 00:12:47","doi":"10.21203/rs.3.rs-6555208/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"78aafd9c-2bb4-47b9-b323-1f3a95b90d0e","owner":[],"postedDate":"September 4th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-10-07T11:39:10+00:00","versionOfRecord":[],"versionCreatedAt":"2025-09-04 00:12:47","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-6555208","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6555208","identity":"rs-6555208","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}