Building Pediatric Disaster Preparedness: A Mixed Method Evaluation of Disaster Training in Kenya and the USA

Introduction: The increasing frequency and severity of disasters highlight the need for robust training in disaster response, particularly for medical and public health professionals focused on pediatric care. The Center for Global Health at the Colorado School of Public Health has offered the Pediatrics in Disasters (PEDS) course since 2008 to enhance pediatric disaster preparedness in both domestic and global contexts. This study evaluates the course’s effectiveness post-COVID-19 using a mixed-methods approach to assess knowledge gains, learner satisfaction, and impressions across two diverse settings. Methods: A convergent parallel mixed-methods study design was used to evaluate the PEDS course delivered in 2023 in Nairobi, Kenya, and Aurora, Colorado, USA. Quantitative data were collected through pre- and post-course knowledge assessments, analyzed using paired t-tests and ANCOVA, and satisfaction surveys were analyzed with descriptive statistics. Qualitative data from open-ended responses were thematically analyzed to identify strengths and areas for improvement. Both data sets were integrated to comprehensively understand the course outcomes. Results: Of the 54 participants, 49 (91%) completed post-course evaluations, and 42 (78%) completed both pre- and post course assessments. Significant knowledge gains were observed, with mean scores increasing from 66% to 82% (p < 0.001). Course location did not significantly impact knowledge gains (p = 0.8). Learners expressed high satisfaction with the course, praising the interactive components. Qualitative results revealed satisfaction with course content and interactive components, particularly small group discussions and simulations, which learners found engaging and beneficial to their learning experience. Conclusion: The PEDS course significantly improved knowledge of the pediatric disaster content presented and was well received across both settings. Positive feedback emphasized the course’s relevance to disaster response roles, while learners provided valuable suggestions for refinement. Ongoing evaluation and adaptation will focus on knowledge retention and practical application after the course.