University of Toronto Intro to Health Research Methods Paper

I’m working on a health & medical question and need support to help me understand better.

Please answer the following questions with the attached article.

Read the attached program-evaluation research article:

Kadomoto, N; Iwasa, H; Takahashi, M; Dulnuan, MM; & Kai, I. (2011) “Ifugao males, learning and teaching for the improvement of maternal and child health status in the Philippines: an evaluation of a program”, BMC Public Health, 11:280-289.

Kadomoto et alia 2011 Males Learning & Teaching MCH.pdf

Then, answer these questions about this health-promotion intervention outcomes-evaluation study:

1. Why do the authors report drop-out rates for the 2 groups of men in this maternal-health training program? …and what are the implications for study findings of the fact that drop-outs had lower knowledge scores at Time 1 (before entering the training program) than did participants who completed the program?
2. What effect might the use of the English language in the maternal-health educational materials and training lecture have had on the effectiveness of this intervention? …and why is that?
3. Participants in Group 1 were taught by a trainer who was not from their own village (barangay), but those who taught the program to Group 2 participants were residents of that barangay. How and why might this have affected the outcome measure on men’s attitudes toward involvement in pregnancy, delivery, and post-natal maternal health? What do the outcomes data show about this?
4. Although this was an outcomes evaluation (testing the effectiveness of the training provided), what changes did researchers suggest for improving the maternal-health intervention program which are more typical of a process evaluation? …and why?