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Table 2 Observeda CHW counselling skills during home visits

From: How valid are women’s reports of the antenatal health services they receive from Community Health Workers in Gombe State north-eastern Nigeria?

Positive counselling skills during the home visit

N = 362 n (%)

Made an appropriate introduction of herself and other people present

356 (98.3)

Explained the purpose of the home visit

337 (93.1)

Attempted to enlist family support (e.g., welcomed family members to sit in)

147 (40.6)

Reviewed/checked client health record/history

119 (32.9)

Checked for any concerns or problems of importance to the woman today

168 (46.4)

Used language the woman was likely to understand

362 (100)

Used appropriate counselling aids to support messages

355 (98.1)

Was knowledgeable and confident about the health messages

354 (97.8)

Responded in an understanding way when the woman talked

338 (93.4)

Probed for additional information when in conversation with the family

148 (40.9

Gently challenged any beliefs that were contrary to health messages

209 (57.7)

Non-verbal behaviours of CHWs during the home visit

 Smiled and greeted the woman and family on arrival

361 (99.7)

 Made eye contact during discussions

359 (99.2)

 Spoke in a clear, audible voice

361 (99.7)

 Seated herself appropriately, allowing face-to-face interactions

358 (98.9)

Positive counselling skills to conclude the home visit

 Checked understanding of key messages by asking for feedback

266 (72.9)

 Summarised the content of the discussion by emphasising key points

207 (57.2)

 Asked the woman or family if they had final concerns or to ask questions

148 (40.9)

  1. aObservations were made of 20 CHWs by 20 trained observers during a total of 362 home visits