biostudies-literatureKjærgaard JHorizon 2020 Framework Programme ()Horizon 2020 Framework Programme1137https://www.ebi.ac.uk/biostudies/studies/S-EPMC7730734biostudies-literatureUnknown20(1)<h4>Background</h4>Training is a common and cost-effective way of trying to improve quality of care in low- and middle-income countries but studies of contextual factors for the successful translation of increased knowledge into clinical change are lacking, especially in primary care. The purpose of this study was to assess the impact of contextual factors on the effect of training rural healthcare workers in Kyrgyzstan and Vietnam on their knowledge and clinical performance in managing pediatric patients with respiratory symptoms.<h4>Methods</h4>Primary care health workers in Kyrgyzstan and Vietnam underwent a one-day training session on asthma in children under five. The effect of training was measured on knowledge and clinical performance using a validated questionnaire, and by direct cBMC health services researchNo time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study.PMC7730734680997Brakema EADautov ISooronbaev TFRESH AIR collaboratorsLuan NHVan LTIsaeva EBurges DNantanda RPoot CCvan Gemert FAHong LHTCSifaki-Pistolla DTabyshova AVermond DNissen TNSingh SNdeezi GWalusimbi Svan Kampen SCartwright LOstergaard MSMcEwen APinnock HDang TNTsiligianni ITumwine JLoan KXVinh NNAnastasaki MJones RWilliams SEmilov Bvan Boven JFMLund SMademilov MBarton APoulsen AFerarrio IMusinguzi PBinh PDULan LTTPowell PChavannes NHKatagira WReventlow SKirenga BQuynh NNChatzea VEKjærgaard JHedrick Bde Sousa JCPooler JCragg Lde Jong CLe An PPapadakis SKocks JBertsias ALionis CPostma MJTuan TDvan der Kleij RMAkylbekov AStout JHopkinson NLinh TTDWarren LfalseNo time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study.<h4>Background</h4>Training is a common and cost-effective way of trying to improve quality of care in low- and middle-income countries but studies of contextual factors for the successful translation of increased knowledge into clinical change are lacking, especially in primary care. The purpose of this study was to assess the impact of contextual factors on the effect of training rural healthcare workers in Kyrgyzstan and Vietnam on their knowledge and clinical performance in managing pediatric patients with respiratory symptoms.<h4>Methods</h4>Primary care health workers in Kyrgyzstan and Vietnam underwent a one-day training session on asthma in children under five. The effect of training was measured on knowledge and clinical performance using a validated questionnaire, and by direct c2020-01-01T00:00:00Z2020 Dec2025-05-29T16:00:14.958Z2025-05-29T16:00:14.958ZS-EPMC77307343330293510.1186/s12913-020-05984-y