INFLUENCEOF TRAINING AND INDIVIDUAL FACTORS ON KNOWLEDGE RETENTION AMONG COMMUNITY HEALTH PROMOTERS: BASELINE EVIDENCE FROM NYANDARUA COUNTY, KENYA

Background: Knowledge retention among Community Health Promoters(CHPs)is essential for sustaining effective community health within primary healthcare and Universal Health Coverage. However, post-training knowledge decay is persistent in low- and middle-income countries and Kenya is no exceptional. This study examined the influence of training and individual factors on knowledge retention among CHPs in Nyandarua County, Kenyabased on their entry training received in different years since Kenyas Community Health Strategy introduction in 2006. Methods:A descriptive cross-sectional design was employed among 1,390 in-service CHPs. The minimum sample size of 311 was determined using Yamanes (1967) formula at a 95% confidence level and 5% margin of error. To enhance representativeness, statistical power and account for potential non-response, this was increased to 482 through cluster sampling across 30 randomly selected Community Health Units. Data were collected using a structured self-administered questionnaire and a knowledge retention test. Analysis was conducted using SPSS for descriptive statistics, bivariate linear regression and regression ANOVA. However, the cross-sectional design limited causal and longitudinal inference; findings were restricted to in-service CHPs in Nyandarua County, limiting generalizability.