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This paper investigates the effectiveness of physical and augmented reality (AR) based card games for refresher training of Accredited Social Health Activists (ASHAs) in India on child immunization schedules. A pre-post questionnaire design was used to compare the learning and knowledge retention of ASHAs using both physical and AR versions of the game. Results indicate that the AR-based game led to better learning and knowledge retention compared to the physical card game, attributed to its interactive and intuitive nature.
AR-based training games can significantly improve knowledge retention for community health workers compared to traditional methods.
Recent health surveys in India highlight the alarming child malnutrition levels and lower rates of complete child immunization in many parts of India. Previous researches report that the conventional training pedagogy of the CHWs (Community Healthcare Workers) or the ASHAs (Accredited Social Health Activists) in India is ineffective in enhancing their capacity. Considering that the CHWs are getting equipped with smartphones, it calls for a rethinking of their training pedagogy using the ICT approach. Two refresher training tools were developed to make learning the child immunization schedule more exciting and conceptually engaging for ASHAs. The physical and AR (Augmented Reality) versions of designed card games were compared for effectiveness and knowledge retention, pre, and post-intervention through questionnaire tests conducted immediately before and after playing multiple sessions. The AR-based play was found to be better in learning and knowledge retention with more engagement, mainly due to its interactive and intuitive nature of play.